Abstract：
Malnutrition is an alarming and ongoing healthcare problem globally. Malnutrition has a negative impact on the individual patient, leading to poorer clinical outcomes and increased mortality, but also poses an economic burden on society. Proper identification and diagnostics are prerequisites for initiation of treatment. In 2019, the Global Leadership Initiative on Malnutrition, a consensus-based global framework to uniformly diagnose malnutrition across populations, healthcare settings, and countries was published. Identifying and treating malnutrition is an interdisciplinary team effort. Nonetheless, the nutrition and dietetics profession is specifically trained for diagnosing and treating nutrition(-related) conditions, and therefore has a key role in the interdisciplinary team in implementing the GLIM framework in clinical practice. For the nutrition and dietetics profession, GLIM offers a great opportunity for moving both the scientific and clinical knowledge of malnutrition management forward. While the GLIM framework has been extensively studied since its launch, various knowledge gaps still remain. For the nutrition and dietetics profession, these knowledge gaps mainly relate to the GLIM implementation process, to the role of GLIM in relation to the nutrition care process, and to treatment strategies for various nutrition-related conditions. In this opinion paper, we aimed to describe the rationale for implementing the GLIM framework in clinical dietetic practice, and propose a research agenda based on knowledge gaps regarding GLIM in relation to nutrition care from a dietetic point of view.
摘要：
营养不良是全球范围内令人担忧和持续存在的医疗保健问题。营养不良对个体患者有负面影响，导致更差的临床结果和增加的死亡率，但也给社会带来了经济负担。正确的识别和诊断是开始治疗的先决条件。2019年，全球营养不良领导力倡议，一个基于共识的全球框架，以统一诊断人群的营养不良，医疗保健设置，和国家出版。识别和治疗营养不良是一个跨学科的团队努力。尽管如此，营养和营养学专业是专门为诊断和治疗营养（相关）疾病而培训的，因此，在临床实践中实施GLIM框架的跨学科团队中发挥着关键作用。对于营养和营养学行业来说，GLIM为推进营养不良管理的科学和临床知识提供了一个很好的机会。虽然GLIM框架自推出以来已经得到了广泛的研究，各种知识差距仍然存在。对于营养和营养学行业来说，这些知识差距主要与GLIM的实施过程有关，关于GLIM在营养护理过程中的作用，以及各种营养相关疾病的治疗策略。在这份意见文件中，我们旨在描述在临床饮食实践中实施GLIM框架的基本原理，并从饮食角度提出了基于GLIM与营养护理相关知识差距的研究议程。
