关键词: ASMI Crohn‘s disease FFMI Global Leader Initiative on Malnutrition (GLIM) Malnutrition Universal Screening Tool (MUST) malnutrition nutritional risk nutritional risk screening 2002

来  源:   DOI:10.3389/fnut.2022.1059191   PDF(Pubmed)

Abstract:
UNASSIGNED: The Global Leader Initiative on Malnutrition (GLIM) criteria have been recommended for malnutrition diagnosis recently, for which the first step is malnutrition risk screening with any validated tool. This study aims to investigate the incidence of nutritional risk and malnutrition in Crohn\'s disease inpatients and compare the suitability of Nutritional Risk Screening 2002 (NRS-2002) and Malnutrition Universal Screening Tool (MUST) as the first-step screening tool for GLIM criteria.
UNASSIGNED: We retrospectively analyzed the clinical data of Crohn\'s disease inpatients in our hospital from August 2016 to December 2019. NRS-2002 and MUST were used for nutritional screening at the time of admission. GLIM and Patient Generated-Subjective Global Assessment (PG-SGA) were used for malnutrition assessment, respectively. Patients without nutritional risk screened by NRS-2002 but with malnutrition risk screened by MUST were especially screened out. The appendicular skeletal muscle mass index (ASMI), fat-free mass index (FFMI), body fat percent (BFP), and body cell mass (BCM) were measured by the Biospace Inbody S10 composition analyzer.
UNASSIGNED: A total of 146 Crohn\'s disease patients were enrolled, of which 62.3 and 89.7% had nutritional or malnutrition risk according to NRS-2002 and MUST, respectively. The prevalence of malnutrition assessed by GLIM was 59.6% (87 cases) and 82.2% (120 cases) when NRS-2002 and MUST were used as the first step of GLIM respectively. Meanwhile, 99 patients (67.8%) had malnutrition when assessed by PG-SGA. There were 41 patients who were not at nutritional risk according to NRS-2002 but were at malnutrition risk determined by MUST. At last, 33 patients were GLIM-defined, and 16 patients were PG-SGA-defined malnutrition among the 41 patients.
UNASSIGNED: The nutritional risk or malnutrition is common in Crohn\'s disease inpatients. It is recommended to use a variety of nutritional assessment tools for Crohn\'s disease inpatients. MUST can be used as a good supplement for the patients with a score of NRS-2002 lower than 3 in order to decrease the miss rate of GLIM-defined malnutrition.
摘要:
UNASSIGNED:最近建议将全球营养不良领导者倡议(GLIM)标准用于营养不良诊断,第一步是使用任何经过验证的工具进行营养不良风险筛查。本研究旨在调查克罗恩病住院患者营养风险和营养不良的发生率,并比较营养风险筛查2002(NRS-2002)和营养不良通用筛查工具(MUST)作为GLIM标准的第一步筛查工具的适用性。
UNASSIGNED:回顾性分析2016年8月至2019年12月我院克罗恩病住院患者的临床资料。入院时使用NRS-2002和MUST进行营养筛查。GLIM和患者生成的主观整体评估(PG-SGA)用于营养不良评估,分别。NRS-2002筛查的无营养风险但MUST筛查的有营养不良风险的患者尤其被筛查出。阑尾骨骼肌质量指数(ASMI),无脂质量指数(FFMI),体脂百分比(BFP),通过BiospaceInbodyS10组成分析仪测量和身体细胞质量(BCM)。
未经评估:共纳入146名克罗恩病患者,根据NRS-2002和MUST,其中62.3%和89.7%有营养或营养不良风险,分别。当使用NRS-2002和MUST作为GLIM的第一步时,GLIM评估的营养不良患病率分别为59.6%(87例)和82.2%(120例)。同时,PG-SGA评估99例患者(67.8%)存在营养不良。根据NRS-2002,有41名患者没有营养风险,但有MUST确定的营养不良风险。最后,33例患者为GLIM定义,41例患者中有16例患者为PG-SGA定义的营养不良。
未经评估:在克罗恩病住院患者中,营养风险或营养不良是常见的。建议对克罗恩病住院患者使用多种营养评估工具。MUST可作为NRS-2002评分低于3分的患者的良好补充,以降低GLIM定义的营养不良的漏诊率。
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