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| Application of GLIM criteria in diagnosis of malnutrition in patients with gastrointestinal malignancy |
| 1Rui Hongxia ,1Zhang Dongting ,2Zhang Xiaoyu ,1Yu Huilin ,1Yang Tingting ,1Zhou Bo |
| 1Department of Gastrointestinal Surgery the First Affiliated Hospital of Anhui Medical University Hefei 230088 Anhui China
2Health Management Center the First Affiliated Hospital of Anhui Medical University Hefei 230088 Anhui China |
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Abstract Objective To investigate the occurrence of malnutrition in patients with gastrointestinal malignancy according to the
Global Leadership Initiative on Malnutrition criteria GLIM and compare the consistency of GLIM and patient-generated subjective
global assessment PG- SGA in the diagnosis of malnutrition. Method A total of 220 patients with gastrointestinal malignancies
admitted to the First Affiliated Hospital of Anhui Medical University were selected from October 2021 to July 2022 for nutritional
assessment using the GLIM criteria and PG-SGA. Patients' body composition was measured by bioelectrical impedance technology and
Kappa consistency test was used to analyze the consistency of GLIM and PG-SGA evaluation results. Result 112 patients 50. 9%
were diagnosed as malnutrition by GLIM including 85 moderate and 27 severe malnutrition. The severity of malnutrition was
significantly different in age weight body mass index right upper arm circumference right calf circumference hand grip strength
fat mass fat mass percentage fat free mass fat free mass index muscle and skeletal muscle P < 0. 05 . One hundred and 58
patients 71. 8% were diagnosed as malnutrition by PG-SGA including 85 moderate and 73 severe malnutrition. GLIM and PG-SGA
had good consistency in the diagnosis of malnutrition Kappa = 0. 548 P < 0. 001 and the area under the ROC curve was 0. 821
95% CI = 0. 745-0. 877 . When distinguishing patients with different degrees of malnutrition the level of consistency was relatively
low Kappa = 0. 344 P<0. 001 . Conclusion GLIM criteria and PG-SGA have a good consistency in the diagnosis of malnutrition
but a relatively poor consistency in the classification of the severity of malnutrition. However this does not affect the clinical
applicability of GLIM criteria.
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Received: 07 September 2022
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