Comparative study of muscle content assessed by different anthropometric indicators in the diagnosis of GLIM malnutrition in elderly patients with intermediate and advanced malignant tumors
10.16151/j.1007-810x.2023.05.007
- VernacularTitle:不同人体测量指标评定肌肉含量在老年中晚期恶性肿瘤病人GLIM营养不良诊断中的比较研究
- Author:
Ning YANG
1
;
Jia-Lu ZHUO
;
Zhi-Hua QU
;
Ming-Bo GAO
;
Ting HAN
Author Information
1. 同济大学附属第十人民医院临床营养科,上海 200072
- Keywords:
Elderly patients;
Advanced malignant tumors;
Malnutrition;
GLIM;
GNRI;
Muscle content
- From:
Parenteral & Enteral Nutrition
2023;30(5):292-297
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the concordance between different anthropometric indexes in the Global Leaders Initiated Malnutrition Standards(GLIM)and the Geriatric Risk Index(GNRI)for assessing muscle mass,and to explore performance-based criteria for GLIM muscle content appropriate for elderly patients with intermediate and advanced tumors.Methods:312 patients admitted to Shanghai Tenth People's Hospital from September 2022 to June 2023 were included.All patients were assessed nutritionally using the GLIM,applying the three methods of grip strength,upper arm circumference,and calf circumference as expressive criteria for assessing muscle content,and the diagnostic value of the three tools corresponding to the GLIM criteria was assessed using the GNRI as a reference standard.Results:Among 312 elderly patients with intermediate to advanced tumors,127(40.71％)and 138(44.23％),128(41.03％)and 162(51.92％)were diagnosed as malnourished based on the GNRI and GLIM---grip strength,GLIM---calf circumference,and GLIM---upper arm circumference in nutritional assessment,respectively.The GNRI and GLIM--Grip strength were both associated with incidence of complications and length of hospital stays.Using GNRI as a reference standard,GLIM-grip strength diagnosed malnutrition with good consistency(K value=0.692,P＜0.001),followed by calf circumference(K value=0.688,P＜0.001);compared with the other two indexes,the AUC of GLIM-grip strength was 0.851,with the correctness was 84.3％,with the best diagnostic value.Conclusion:Grip strength can be used as a practical and convenient muscle content performance-based criterion in the GLIM standards and is expected to be promoted in the diagnosis of malnutrition in elderly patients with intermediate and advanced malignancies.
