Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work?

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work? / Slettahjell, Hanne Bjørg; Bastakis, Maria; Biering-Sørensen, Fin; Strøm, Vegard; Henriksen, Christine.

In: Food and Nutrition Research, Vol. 68, 9989, 2024.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Slettahjell, HB, Bastakis, M, Biering-Sørensen, F, Strøm, V & Henriksen, C 2024, 'Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work?', Food and Nutrition Research, vol. 68, 9989. https://doi.org/10.29219/fnr.v68.9989

APA

Slettahjell, H. B., Bastakis, M., Biering-Sørensen, F., Strøm, V., & Henriksen, C. (2024). Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work? Food and Nutrition Research, 68, [9989]. https://doi.org/10.29219/fnr.v68.9989

Vancouver

Slettahjell HB, Bastakis M, Biering-Sørensen F, Strøm V, Henriksen C. Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work? Food and Nutrition Research. 2024;68. 9989. https://doi.org/10.29219/fnr.v68.9989

Author

Slettahjell, Hanne Bjørg ; Bastakis, Maria ; Biering-Sørensen, Fin ; Strøm, Vegard ; Henriksen, Christine. / Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work?. In: Food and Nutrition Research. 2024 ; Vol. 68.

Bibtex

@article{12db4ae165d3474ba38fbbf5a91618ff,
title = "Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work?",
abstract = "Background and aims: Physiologic and metabolic changes following spinal cord injury (SCI) lead to an increased risk of malnutrition. The Global Leadership Initiative on Malnutrition (GLIM) is a three-step approach to diag-nose malnutrition: 1) screening; 2) phenotypic and etiological criteria; and 3) malnutrition severity. The main aim of this study was to assess malnutrition in patients with SCI, according to the GLIM criteria. Methods: Patients with SCI (≥ 18 years) admitted to rehabilitation were included. Anthropometrics, food intake, and inflammation were assessed on admission. Fat-free mass index (FFMI) was estimated from bio-impedance analysis. Malnutrition was diagnosed by the GLIM criteria, using the Malnutrition Universal Screening Tool (MUST) as the first step screening tool. Sensitivity and specificity analyses were performed. Results: In total, 66 patients were assessed (50 men) with a mean age of 51.4 (± 17.4) years and median time since injury was 37.5 (10–450) days. The mean body mass index was 24.7 (± 4.2) kg/m2, and 1-month involun-tary weight loss was 5.7 (± 4.4)%. FFMI for men was 17.3 (± 1.9) and for women 15.3 (± 1.6) kg/m2. Forty-one patients (62%) were malnourished according to the GLIM criteria: 27 moderately and 14 severely malnour-ished. MUST was not able to detect malnutrition risk of nine patients, giving a moderate agreement (kappa 0.66), with a sensitivity of 0.78 and a specificity of 0.92 compared to the GLIM diagnosis. Conclusions: In this cross-sectional study, 62% of subacute SCI patients were malnourished according to the GLIM criteria. The screening tool MUST showed moderate agreement with the GLIM criteria and did not detect risk of all patients with a malnutrition diagnosis. The clinical implications of these findings need further investigation.",
keywords = "fat-free mass, malnutrition, rehabilitation, spinal cord",
author = "Slettahjell, {Hanne Bj{\o}rg} and Maria Bastakis and Fin Biering-S{\o}rensen and Vegard Str{\o}m and Christine Henriksen",
note = "Publisher Copyright: {\textcopyright} 2024, Swedish Nutrition Foundation. All rights reserved.",
year = "2024",
doi = "10.29219/fnr.v68.9989",
language = "English",
volume = "68",
journal = "Scandinavian Journal of Nutrition/Naringsforskning, Supplement",
issn = "1102-6510",
publisher = "Co-Action Publishing",

}

RIS

TY - JOUR

T1 - Defining malnutrition in persons with spinal cord injury – does the Global Criteria for Malnutrition work?

AU - Slettahjell, Hanne Bjørg

AU - Bastakis, Maria

AU - Biering-Sørensen, Fin

AU - Strøm, Vegard

AU - Henriksen, Christine

N1 - Publisher Copyright: © 2024, Swedish Nutrition Foundation. All rights reserved.

PY - 2024

Y1 - 2024

N2 - Background and aims: Physiologic and metabolic changes following spinal cord injury (SCI) lead to an increased risk of malnutrition. The Global Leadership Initiative on Malnutrition (GLIM) is a three-step approach to diag-nose malnutrition: 1) screening; 2) phenotypic and etiological criteria; and 3) malnutrition severity. The main aim of this study was to assess malnutrition in patients with SCI, according to the GLIM criteria. Methods: Patients with SCI (≥ 18 years) admitted to rehabilitation were included. Anthropometrics, food intake, and inflammation were assessed on admission. Fat-free mass index (FFMI) was estimated from bio-impedance analysis. Malnutrition was diagnosed by the GLIM criteria, using the Malnutrition Universal Screening Tool (MUST) as the first step screening tool. Sensitivity and specificity analyses were performed. Results: In total, 66 patients were assessed (50 men) with a mean age of 51.4 (± 17.4) years and median time since injury was 37.5 (10–450) days. The mean body mass index was 24.7 (± 4.2) kg/m2, and 1-month involun-tary weight loss was 5.7 (± 4.4)%. FFMI for men was 17.3 (± 1.9) and for women 15.3 (± 1.6) kg/m2. Forty-one patients (62%) were malnourished according to the GLIM criteria: 27 moderately and 14 severely malnour-ished. MUST was not able to detect malnutrition risk of nine patients, giving a moderate agreement (kappa 0.66), with a sensitivity of 0.78 and a specificity of 0.92 compared to the GLIM diagnosis. Conclusions: In this cross-sectional study, 62% of subacute SCI patients were malnourished according to the GLIM criteria. The screening tool MUST showed moderate agreement with the GLIM criteria and did not detect risk of all patients with a malnutrition diagnosis. The clinical implications of these findings need further investigation.

AB - Background and aims: Physiologic and metabolic changes following spinal cord injury (SCI) lead to an increased risk of malnutrition. The Global Leadership Initiative on Malnutrition (GLIM) is a three-step approach to diag-nose malnutrition: 1) screening; 2) phenotypic and etiological criteria; and 3) malnutrition severity. The main aim of this study was to assess malnutrition in patients with SCI, according to the GLIM criteria. Methods: Patients with SCI (≥ 18 years) admitted to rehabilitation were included. Anthropometrics, food intake, and inflammation were assessed on admission. Fat-free mass index (FFMI) was estimated from bio-impedance analysis. Malnutrition was diagnosed by the GLIM criteria, using the Malnutrition Universal Screening Tool (MUST) as the first step screening tool. Sensitivity and specificity analyses were performed. Results: In total, 66 patients were assessed (50 men) with a mean age of 51.4 (± 17.4) years and median time since injury was 37.5 (10–450) days. The mean body mass index was 24.7 (± 4.2) kg/m2, and 1-month involun-tary weight loss was 5.7 (± 4.4)%. FFMI for men was 17.3 (± 1.9) and for women 15.3 (± 1.6) kg/m2. Forty-one patients (62%) were malnourished according to the GLIM criteria: 27 moderately and 14 severely malnour-ished. MUST was not able to detect malnutrition risk of nine patients, giving a moderate agreement (kappa 0.66), with a sensitivity of 0.78 and a specificity of 0.92 compared to the GLIM diagnosis. Conclusions: In this cross-sectional study, 62% of subacute SCI patients were malnourished according to the GLIM criteria. The screening tool MUST showed moderate agreement with the GLIM criteria and did not detect risk of all patients with a malnutrition diagnosis. The clinical implications of these findings need further investigation.

KW - fat-free mass

KW - malnutrition

KW - rehabilitation

KW - spinal cord

U2 - 10.29219/fnr.v68.9989

DO - 10.29219/fnr.v68.9989

M3 - Journal article

AN - SCOPUS:85188841182

VL - 68

JO - Scandinavian Journal of Nutrition/Naringsforskning, Supplement

JF - Scandinavian Journal of Nutrition/Naringsforskning, Supplement

SN - 1102-6510

M1 - 9989

ER -

ID: 387257224