Guidance for assessment of the muscle mass phenotypic criterion for the Global Leadership Initiative on Malnutrition (GLIM) diagnosis of malnutrition - INRAE - Institut national de recherche pour l’agriculture, l’alimentation et l’environnement Access content directly
Journal Articles Clinical Nutrition Year : 2022

Guidance for assessment of the muscle mass phenotypic criterion for the Global Leadership Initiative on Malnutrition (GLIM) diagnosis of malnutrition

Rocco Barazzoni
  • Function : Author
Gordon Jensen
Maria Isabel T.D. Correia
  • Function : Author
Maria Cristina Gonzalez
  • Function : Author
Takashi Higashiguchi
  • Function : Author
Han Ping Shi
  • Function : Author
Stephan Bischoff
  • Function : Author
Yves Boirie
Fernando Carrasco
Alfonso Cruz-Jentoft
  • Function : Author
Vanessa Fuchs-Tarlovsky
Ryoji Fukushima
  • Function : Author
Steve Heymsfield
Marina Mourtzakis
  • Function : Author
Maurizio Muscaritoli
  • Function : Author
Kristina Norman
  • Function : Author
Ibolya Nyulasi
  • Function : Author
Veeradej Pisprasert
Carla Prado
  • Function : Author
Marian de van der Schuren
Sadao Yoshida
  • Function : Author
Jianchun Yu
  • Function : Author
Tommy Cederholm
  • Function : Author
Charlene Compher
  • Function : Author

Abstract

The Global Leadership Initiative on Malnutrition (GLIM) provides consensus criteria for the diagnosis of malnutrition that can be widely applied. The GLIM approach is based on the assessment of three phenotypic (weight loss, low body mass index, and low skeletal muscle mass) and two etiologic (low food intake and presence of disease with systemic inflammation) criteria, with diagnosis confirmed by any combination of one phenotypic and one etiologic criterion fulfilled. Assessment of muscle mass is less commonly performed than other phenotypic malnutrition criteria, and its interpretation may be less straightforward, particularly in settings that lack access to skilled clinical nutrition practitioners and/or to body composition methodologies. In order to promote the widespread assessment of skeletal muscle mass as an integral part of the GLIM diagnosis of malnutrition, the GLIM consortium appointed a working group to provide consensus-based guidance on assessment of skeletal muscle mass. When such methods and skills are available, quantitative assessment of muscle mass should be measured or estimated using dual-energy x-ray absorptiometry, computerized tomography, or bioelectrical impedance analysis. For settings where these resources are not available, then the use of anthropometric measures and physical examination are also endorsed. Validated ethnic-and sex-specific cutoff values for each measurement and tool are recommended when available. Measurement of skeletal muscle function is not advised as surrogate measurement of muscle mass. However, once malnutrition is diagnosed, skeletal muscle function should be investigated as a relevant component of sarcopenia and for complete nutrition assessment of persons with malnutrition.
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hal-04032301 , version 1 (16-03-2023)

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Attribution - NonCommercial - NoDerivatives

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Rocco Barazzoni, Gordon Jensen, Maria Isabel T.D. Correia, Maria Cristina Gonzalez, Takashi Higashiguchi, et al.. Guidance for assessment of the muscle mass phenotypic criterion for the Global Leadership Initiative on Malnutrition (GLIM) diagnosis of malnutrition. Clinical Nutrition, 2022, 41 (6), pp.1425-1433. ⟨10.1016/j.clnu.2022.02.001⟩. ⟨hal-04032301⟩
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