Abstract：
Hospital malnutrition remains a significant public health issue, particularly in developing countries. The Global Leadership Initiative on Malnutrition (GLIM) proposed homogenizing criteria to standardize malnutrition diagnosis. This study aimed to retrospectively determine the prevalence of nutritional risk and malnutrition diagnoses among hospitalized patients using the Nutritional Risk Screening (NRS)-2002 screening instrument and the GLIM criteria, respectively. We conducted a retrospective, cross-sectional study from nutritional records of patients hospitalized in a single centre 2021. Nutrition data from records included medical diagnosis, gender, length of stay, age, weight, height, body mass index, weight loss, calf circumference, and middle upper arm circumference. Nutritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. The study included 616 records of patients; 52.3% (n = 322) of the population were male. The prevalence of nutritional risk, according to NRS-2002, was 69.5% (n = 428). Nutritional risk as well as malnutrition diagnosis according to GLIM criteria was observed in 87.8% (n = 374) of patienttritional risk and malnutrition were evaluated using NRS-2002 and GLIM criteria. Its concordance was further evaluated by using a Kappa test. Ws. Tools showed a strong concordance (κ= 0.732). All anthropometric data, except for height, were found to be significantly different between patients with moderate and severe malnutrition (p < 0.05). Our findings highlight a high prevalence of malnutrition in this group of hospitalized patients in Mexico. NRS-2002 demonstrated good agreement with the diagnosis of malnutrition according to GLIM criteria and could be considered part of the straightforward two-step approach for malnutrition; however, further studies are needed.
摘要：
医院营养不良仍然是一个重大的公共卫生问题，特别是在发展中国家。全球营养不良领导倡议（GLIM）提出了统一标准，以标准化营养不良诊断。本研究旨在使用营养风险筛查（NRS）-2002筛查工具和GLIM标准，回顾性确定住院患者中营养风险和营养不良诊断的患病率。分别。我们做了一个回顾,来自2021年单一中心住院患者营养记录的横断面研究。记录中的营养数据包括医疗诊断，性别,逗留时间,年龄,体重,高度,身体质量指数,减肥,小腿周长,和中部上臂周长。使用NRS-2002和GLIM标准评估营养风险和营养不良。通过使用Kappa检验进一步评价其一致性。该研究包括616例患者记录；52.3%(n=322)的人群为男性。营养风险的普遍性，根据NRS-2002，为69.5%(n=428)。根据GLIM标准的营养风险和营养不良诊断在87.8％（n=374）的患者风险中观察到，使用NRS-2002和GLIM标准评估了营养不良。通过使用Kappa检验进一步评价其一致性。W.工具显示出强烈的一致性(κ=0.732)。所有人体测量数据,除了身高,发现中度和重度营养不良患者之间存在显着差异（p<0.05）。我们的发现强调了墨西哥这组住院患者中营养不良的高患病率。NRS-2002显示出与根据GLIM标准诊断营养不良的良好一致性，可以被视为营养不良的简单两步方法的一部分；然而，需要进一步的研究。
