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Guidance for assessment of the muscle mass phenotypic criterion for the Global Leadership Initiative on Malnutrition diagnosis of malnutrition
Department of Biobehavioral Health Science, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.ORCID iD: 0000-0001-8117-5387
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism. ..ORCID iD: 0000-0003-3705-0725
Univ Fed Minas Gerais, Med Sch, Dept Surg, Belo Horizonte, MG, Brazil.
Univ Catolica Pelotas, Postgrad Program Hlth & Behav, Pelotas, RS, Brazil.ORCID iD: 0000-0002-3901-8182
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2022 (English)In: JPEN - Journal of Parenteral and Enteral Nutrition, ISSN 0148-6071, E-ISSN 1941-2444, Vol. 46, no 6, p. 1232-1242Article in journal (Refereed) Published
Abstract [en]

The Global Leadership Initiative on Malnutrition (GLIM) provides consensus criteria for the diagnosis of malnutrition that can be widely applied. The GLIM approach is based on the assessment of three phenotypic (weight loss, low body mass index, and low skeletal muscle mass) and two etiologic (low food intake and presence of disease with systemic inflammation) criteria, with diagnosis confirmed by any combination of one phenotypic and one etiologic criterion fulfilled. Assessment of muscle mass is less commonly performed than other phenotypic malnutrition criteria, and its interpretation may be less straightforward, particularly in settings that lack access to skilled clinical nutrition practitioners and/or to body composition methodologies. In order to promote the widespread assessment of skeletal muscle mass as an integral part of the GLIM diagnosis of malnutrition, the GLIM consortium appointed a working group to provide consensus-based guidance on assessment of skeletal muscle mass. When such methods and skills are available, quantitative assessment of muscle mass should be measured or estimated using dual-energy x-ray absorptiometry, computerized tomography, or bioelectrical impedance analysis. For settings where these resources are not available, then the use of anthropometric measures and physical examination are also endorsed. Validated ethnic- and sex-specific cutoff values for each measurement and tool are recommended when available. Measurement of skeletal muscle function is not advised as surrogate measurement of muscle mass. However, once malnutrition is diagnosed, skeletal muscle function should be investigated as a relevant component of sarcopenia and for complete nutrition assessment of persons with malnutrition.

Place, publisher, year, edition, pages
WILEY John Wiley & Sons, 2022. Vol. 46, no 6, p. 1232-1242
Keywords [en]
adult life cycle, nutrition assessment nutrition, weight loss
National Category
Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:uu:diva-485995DOI: 10.1002/jpen.2366ISI: 000783381500001PubMedID: 35437785OAI: oai:DiVA.org:uu-485995DiVA, id: diva2:1702441
Available from: 2022-10-10 Created: 2022-10-10 Last updated: 2025-02-11Bibliographically approved

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Publisher's full textPubMedhttps://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/jpen.2366

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Cederholm, Tommy

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Compher, CharleneCederholm, TommyGonzalez, Maria CristinaBoirie, YvesCarrasco, FernandoNorman, KristinaJensen, Gordon L.
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Clinical Nutrition and MetabolismDepartment of Public Health and Caring Sciences
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JPEN - Journal of Parenteral and Enteral Nutrition
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