Dynamic changes of in-hospital nutritional status per Global Leadership Initiative on Malnutrition criteria in elderly cancer patients
10.3760/cma.j.cn115822-20220228-00038
- VernacularTitle:采用全球营养领导层倡议营养不良诊断标准对老年肿瘤患者住院期间营养状态的动态变化调查
- Author:
Liru CHEN
1
;
Lili DING
;
Lijuan WANG
;
Mingwei ZHU
Author Information
1. 北京医院临床营养科 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Elderly;
Cancer patients;
GLIM criteria;
Dynamic changes;
Malnutrition
- From:
Chinese Journal of Clinical Nutrition
2022;30(3):141-146
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence of malnutrition in hospitalized elderly patients with cancer in China using the Global Leadership Initiative on Malnutrition (GLIM) criteria.Methods:The data of 854 elderly cancer patients were extracted from the database of multi-center investigation and research on the dynamic changes of nutritional status of hospitalized patients in China led by the Geriatric Nutritional Support Group of Chinese Society of Parenteral and Enteral Nutrition. Changes in anthropometrics, nutritional risk and malnutrition prevalence from admission were collected at discharge and were compared among patients with different cancer types.Results:The prevalence of nutritional risk (NRS 2002 score ≥ 3 points) and malnutrition diagnosed per GLIM criteria were 63.23% and 42.74% at admission, and 69.44% and 42.86% at discharge. When further graded, prevalence of moderate malnutrition decreased from 24.12% at admission to 10.07% at discharge, and that of severe malnutrition increased from 18.62% to 32.79%, both with statistical significance. There were significant differences in anthropometric and laboratory parameters between malnutrition and non-malnutrition groups diagnosed per GLIM criteria.Conclusions:The GLIM criteria is applicable for the diagnosis of malnutrition in elderly cancer patients. Elderly cancer patients should be screened for nutritional risk, and GLIM criteria can be used to diagnose malnutrition. The changes of nutritional status should be dynamically monitored during hospitalization
