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 Accéder directement au contenu
Article Dans Une Revue Clinical Nutrition Année : 2022

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

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

Résumé

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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Dates et versions

hal-04032301 , version 1 (16-03-2023)

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Paternité - Pas d'utilisation commerciale - Pas de modification

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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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