Lilian Andrade Solon, Katia Priscila Gomes, Marcella Campos Lima Da Luz, Marília Tokiko Oliveira Tomiya, Samara Bomfim Gomes Campos, Ilma Kruze Grande de Arruda
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Results The 82 patients evaluated included mostly men aged ≥ 60 years with less than 8 years education. Malnutrition frequency was 93.7% according to the Subjective Global Assessment and including 23.2% severe malnutrition while, according to the Global Leadership Initiative on Malnutrition, 50% of the patients were considered severely malnourished. Malnutrition by the Global Leadership Initiative on Malnutrition showed a sensitivity of 82.9% and when associated with handgrip strength sensitivity was 90.8%, considering the Subjective global assessment produced by the patient as a reference; on the other hand, the specificity was 16.7% independently of adding handgrip strength. None of the anthropometric variables was associated with the reference tool. Conclusion The Global Leadership Initiative on Malnutrition proved to be a very sensitive tool for diagnosing malnutrition when compared to the gold standard, particularly for severe malnutrition, but with little specificity. The need for a comprehensive nutritional assessment in the clinical practice was confirmed, using the parameters available and not interpreting them separately.","PeriodicalId":21305,"journal":{"name":"Revista De Nutricao-brazilian Journal of Nutrition","volume":"12 1","pages":"0"},"PeriodicalIF":0.6000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients\",\"authors\":\"Lilian Andrade Solon, Katia Priscila Gomes, Marcella Campos Lima Da Luz, Marília Tokiko Oliveira Tomiya, Samara Bomfim Gomes Campos, Ilma Kruze Grande de Arruda\",\"doi\":\"10.1590/1678-9865202336e220195\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"ABSTRACT Objective The aim of this study was to compare the Global Leadership Initiative on Malnutrition and Subjective Global Assessment methods produced by the patient in the nutritional assessment of cancer in-patients. Methods Cross-sectional study with a prospective variable, conducted with patients admitted to a public hospital in Pernambuco, Brazil. The application of these tools and the diagnosis of malnutrition were performed within the first 48 hours of admission. Sociodemographic, clinical and laboratory data were obtained from the medical records and weight, height, arm circumference, triceps skinfold and handgrip strength data were collected. Results The 82 patients evaluated included mostly men aged ≥ 60 years with less than 8 years education. Malnutrition frequency was 93.7% according to the Subjective Global Assessment and including 23.2% severe malnutrition while, according to the Global Leadership Initiative on Malnutrition, 50% of the patients were considered severely malnourished. Malnutrition by the Global Leadership Initiative on Malnutrition showed a sensitivity of 82.9% and when associated with handgrip strength sensitivity was 90.8%, considering the Subjective global assessment produced by the patient as a reference; on the other hand, the specificity was 16.7% independently of adding handgrip strength. None of the anthropometric variables was associated with the reference tool. Conclusion The Global Leadership Initiative on Malnutrition proved to be a very sensitive tool for diagnosing malnutrition when compared to the gold standard, particularly for severe malnutrition, but with little specificity. 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引用次数: 0
摘要
【摘要】目的比较全球营养不良领导倡议(Global Leadership Initiative on nutrition)和患者主观全球评估(Subjective Global Assessment)方法在癌症住院患者营养评估中的应用。方法采用前瞻性变量的横断面研究,对巴西伯南布哥州一家公立医院收治的患者进行研究。这些工具的应用和营养不良的诊断在入院后48小时内进行。从医疗记录中获得社会人口学、临床和实验室数据,并收集体重、身高、臂围、三头肌皮褶和握力数据。结果82例患者中,年龄≥60岁,受教育时间小于8年的男性居多。根据主观全球评估,营养不良发生率为93.7%,其中包括23.2%的严重营养不良,而根据全球营养不良领导倡议,50%的患者被认为是严重营养不良。考虑到患者的主观整体评估作为参考,全球营养不良领导倡议的营养不良敏感性为82.9%,与握力敏感性相关时为90.8%;另一方面,与增加握力无关的特异性为16.7%。没有一个人体测量变量与参考工具相关。事实证明,与金标准相比,全球营养不良领导倡议是诊断营养不良的一个非常敏感的工具,特别是在严重营养不良方面,但缺乏特异性。在临床实践中,需要进行全面的营养评估,使用可用的参数,而不是单独解释它们。
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients
ABSTRACT Objective The aim of this study was to compare the Global Leadership Initiative on Malnutrition and Subjective Global Assessment methods produced by the patient in the nutritional assessment of cancer in-patients. Methods Cross-sectional study with a prospective variable, conducted with patients admitted to a public hospital in Pernambuco, Brazil. The application of these tools and the diagnosis of malnutrition were performed within the first 48 hours of admission. Sociodemographic, clinical and laboratory data were obtained from the medical records and weight, height, arm circumference, triceps skinfold and handgrip strength data were collected. Results The 82 patients evaluated included mostly men aged ≥ 60 years with less than 8 years education. Malnutrition frequency was 93.7% according to the Subjective Global Assessment and including 23.2% severe malnutrition while, according to the Global Leadership Initiative on Malnutrition, 50% of the patients were considered severely malnourished. Malnutrition by the Global Leadership Initiative on Malnutrition showed a sensitivity of 82.9% and when associated with handgrip strength sensitivity was 90.8%, considering the Subjective global assessment produced by the patient as a reference; on the other hand, the specificity was 16.7% independently of adding handgrip strength. None of the anthropometric variables was associated with the reference tool. Conclusion The Global Leadership Initiative on Malnutrition proved to be a very sensitive tool for diagnosing malnutrition when compared to the gold standard, particularly for severe malnutrition, but with little specificity. The need for a comprehensive nutritional assessment in the clinical practice was confirmed, using the parameters available and not interpreting them separately.
期刊介绍:
Revista de Nutrição is former Revista de Nutrição da Puccamp, founded in 1988. It is a bimonthly publication every four months and it is of responsibility of the Centro de Ciências da Vida, da Pontifícia Universidade Católica de Campinas . It publishes articles that contribute to the study of Nutrition in its many sub-areas and interfaces; and is open to contributions of the national and international scientific communities.