对营养不良的诊断的GLIM共识方法:五年更新
Gordon L Jensen1, Tommy Cederholm2,3, M Isabel T D Correia4
1Dean's Office and Department of Medicine, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
JPEN. Journal of parenteral and enteral nutrition
|April 14, 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年审查后仍然有效. 不建议对减肥,BMI或食物摄入标准进行改变,但肌肉质量和炎症评估可能使用临床判断.
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).
- 本研究提供了对GLIM框架的五年计划更新.
研究的目的:
- 重新评估全球营养不良领导倡议 (GLIM) 诊断框架.
- 将过去五年发表的知识和临床经验纳入其中.
- 达成对可能修订GLIM标准的共识.
主要方法:
- 一个由43名成员组成的工作组从2019-2024年进行了文献搜索.
- 审查了GLIM关于肌肉质量和炎症标准的先前指南.
- 利用连续的修订和审查轮来达成共识.
主要成果:
- 超过400个科学报告和10个系统性审查为更新提供了信息.
- GLIM的有效性研究显示了强大的构造和预测有效性.
- 不建议对减肥,低BMI或减少食物摄入/吸收标准进行修订;对于肌肉质量和炎症评估,临床判断是足够的.
结论:
- GLIM框架显示出强大的有效性,不需要进行重大修订.
- 未来的倡议将重点关注查,重症监护适应,食物摄入量评估和肥胖中的营养不良.
- 目前正在进行的研究旨在完善营养不良的诊断和管理.
相关概念视频
Nursing Diagnosis
2.5K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.5K
Assessment of the Gastrointestinal System II: Health Perception Pattern
57
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
57
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
48
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
48
Diagnostic and Statistical Manual of Mental Disorders (DSM)
27
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
27
Anorexia Nervosa
35
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
35
Bulimia Nervosa
37
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
37

