关于诊断营养不良的GLIM共识方法:五年更新
Tommy Cederholm1, Gordon L Jensen2, M Isabel T D Correia3
1Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden; Theme Inflammation & Aging, Karolinska University Hospital, Stockholm, Sweden.
Clinical nutrition (Edinburgh, Scotland)
|April 13, 2025
概括
全球营养不良领导倡议 (GLIM) 诊断营养不良的框架在经过5年的审查后进行了更新. 更新的GLIM标准保持了强大的有效性,并提出了评估肌肉质量和炎症的改进.
科学领域:
- 临床营养学 临床营养学
- 老年病的医生 老年病的医生
- 内部医学 内部医学
背景情况:
- 全球营养不良领导倡议 (GLIM) 在2019年建立了一个诊断框架.
- 该框架包括表型标准 (减肥,低BMI,低肌肉质量) 和病因标准 (减少食物摄入量,炎症).
- 本次更新基于五年发表的数据和临床经验,对GLIM框架进行了审查.
研究的目的:
- 重新评估和更新全球营养不良领导倡议 (GLIM) 诊断框架.
- 根据最新的科学文献来评估GLIM标准的有效性和应用.
- 确定未来研究和临床实施营养不良诊断的优先事项.
主要方法:
- 一个由43名成员组成的GLIM工作组从2019年至2024年进行了文献搜索.
- 关键词包括"全球营养不良领导倡议"和"GLIM".
- 系统审查和元分析被用来评估GLIM标准的有效性,通过代审查和共识建设.
主要成果:
- 超过400个科学报告和10个系统审查支持GLIM框架的强大构造和预测有效性.
- 对于减肥,低BMI或减少食物摄入/同化标准,没有修订建议.
- 建议建议使用临床判断和可用的资源来评估肌肉质量和炎症.
结论:
- GLIM框架显示出强大的有效性,需要最小的修订.
- 未来的努力将专注于改进营养不良查工具,并将GLIM适应重症监护和肥胖环境.
- 需要进一步的研究来支持对肥胖个体减少食物摄入/同化和营养不良的评估.
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