Research Article
Comparison of Efficacy and Feasibility of Global Leadership Initiative on Malnutrition (GLIM) Criteria and Subjective Global Assessment (SGA) To Evaluate the Nutritional Status of Patients at A Tertiary Hospital
Ramani K1 and Swetha A2*
1Clinical Dietitian, Department of Clinical Nutrition, Yashoda Hospitals, Behind Hari-Hara Kala Bhavan, S.P Road, Secunderabad, India
2Deputy Chief Dietitian, Department of Clinical Nutrition, Yashoda Hospitals, Behind Hari-Hara Kala Bhavan, S.P Road, Secunderabad, India
2Deputy Chief Dietitian, Department of Clinical Nutrition, Yashoda Hospitals, Behind Hari-Hara Kala Bhavan, S.P Road, Secunderabad, India
*Corresponding author:Swetha A, Deputy Chief Dietitian, Department of Clinical Nutrition, Yashoda Hospitals, Behind Hari-Hara Kala Bhavan, S.P Road, Secunderabad India Email Id: swetha.anisingaraju@gmail.com
Article Information:Submission: 28/05/2024; Accepted: 22/06/2024; Published: 25/06/2024
Copyright: © 2024 Ramani K, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background:Over one billion people suffer from malnutrition as a result of illness, financial hardship, starvation, conflict, and natural disasters. The gold standard for identifying malnutrition in hospitalized patients is Subjective Global Assessment (SGA) as it is a common occurrence. Nevertheless, the
American Society of Parenteral and Enteral Nutrition (ASPEN) and the European Society for Clinical Nutrition and Metabolism (ESPEN) have proposed new assessment tools in the last few decades, such as the Global Leadership Initiative on Malnutrition (GLIM), but there hasn’t been much research done on the
accuracy of these tests.
Methodology:This observational study conducted at tertiary hospital which includes 100 subjects of age group (18-60 years) with or with-out comorbidities. The nutrition risk was diagnosed with a systemic nutritional risk screening (NRS) and nutritional assessment was done with SGA and GLIM criteria. While the GLIM recommends using DEXA (Dual X-ray absorptiometry, (BIA Bioelectrical Impedance Analysis), and CT (Computerized Tomography) scans to evaluate the decreased muscle mass, in the present study, TSF, MAMC, MUAC and hand grip were used as functional measures.
Results:Data obtained revealed that about 97% were moderately malnourished when screened with NRS tool. Further the assessment tools SGA and GLIM reported that 65% and 73% of the subjects were moderately malnourished whereas 5% and 27% subjects were severely malnourished.
Conclusion:This study concludes that the majority of the hospitalized patients were moderately malnourished. GLIM shows the fair sensitivity and accuracy in depicting the nutritional status of the patients than SGA and demonstrates that the practicality of GLIM was difficult.
Methodology:This observational study conducted at tertiary hospital which includes 100 subjects of age group (18-60 years) with or with-out comorbidities. The nutrition risk was diagnosed with a systemic nutritional risk screening (NRS) and nutritional assessment was done with SGA and GLIM criteria. While the GLIM recommends using DEXA (Dual X-ray absorptiometry, (BIA Bioelectrical Impedance Analysis), and CT (Computerized Tomography) scans to evaluate the decreased muscle mass, in the present study, TSF, MAMC, MUAC and hand grip were used as functional measures.
Results:Data obtained revealed that about 97% were moderately malnourished when screened with NRS tool. Further the assessment tools SGA and GLIM reported that 65% and 73% of the subjects were moderately malnourished whereas 5% and 27% subjects were severely malnourished.
Conclusion:This study concludes that the majority of the hospitalized patients were moderately malnourished. GLIM shows the fair sensitivity and accuracy in depicting the nutritional status of the patients than SGA and demonstrates that the practicality of GLIM was difficult.
Keywords:Glim; Sga; Nrs; Malnutrition