Key considerations for who, when, why, and how to screen for malnutrition.

IF 3.5 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI:10.1097/MCO.0000000000001144

Ingvild Paur, Inger Ottestad

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引用次数: 0

Abstract

Purpose of review: Confusion and disagreement about malnutrition screening, how, when, why, who to screen, and which screening tool to use, have persisted since the Global Leadership Initiative on Malnutrition (GLIM) established the malnutrition diagnosis in 2019. In this review, we discuss the purpose of malnutrition screening, presents recent validations of screening tools and how the choice of tools affects malnutrition prevalence within the GLIM framework.

Recent findings: The screening for malnutrition should consider the results of recent validations of screening tools against the GLIM criteria, which reveal variations based on the specific tool, the population, and the setting. Likewise, the prevalence of malnutrition varies with the population and setting, and even how screening tools are applied in the process. Currently, all screening tools exclude patients who meet the GLIM criteria for a malnutrition diagnosis, but the extent of exclusion varies.

Summary: In this review, we summarize recent prevalence and validation studies on screening tools related to GLIM. We argue that screening tools should align with GLIM malnutrition diagnosis criteria, need to be validated against GLIM, and discuss the requirement that a positive screening result is mandatory for a malnutrition diagnosis.

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谁、何时、为何以及如何筛查营养不良的关键考虑因素。

自2019年全球营养不良领导倡议（GLIM）建立营养不良诊断以来，关于营养不良筛查、如何、何时、为何、筛查谁以及使用哪种筛查工具的困惑和分歧一直存在。在这篇综述中，我们讨论了营养不良筛查的目的，介绍了最近对筛查工具的验证，以及工具的选择如何影响GLIM框架内的营养不良患病率。最近的发现：营养不良的筛查应该考虑最近针对GLIM标准的筛查工具的验证结果，这些标准揭示了基于特定工具、人群和环境的差异。同样，营养不良的普遍程度也因人口和环境而异，甚至在这一过程中使用筛查工具的方式也不同。目前，所有的筛查工具都将符合GLIM标准的患者排除在营养不良诊断之外，但排除的程度各不相同。摘要：在这篇综述中，我们总结了最近与GLIM相关的筛查工具的患病率和有效性研究。我们认为，筛查工具应与GLIM营养不良诊断标准保持一致，需要针对GLIM进行验证，并讨论了对营养不良诊断必须筛查阳性结果的要求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Clinical Nutrition and Metabolic Care 医学-内分泌学与代谢

CiteScore

5.30

自引率

6.50%

发文量

116

审稿时长

6-12 weeks

期刊介绍： A high impact review journal which boasts an international readership, Current Opinion in Clinical Nutrition and Metabolic Care offers a broad-based perspective on the most recent and exciting developments within the field of clinical nutrition and metabolic care. Published bimonthly, each issue features insightful editorials and high quality invited reviews covering two or three key disciplines which include protein, amino acid metabolism and therapy, lipid metabolism and therapy, nutrition and the intensive care unit and carbohydrates. Each discipline introduces world renowned guest editors to ensure the journal is at the forefront of knowledge development and delivers balanced, expert assessments of advances from the previous year.