Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/10196 |
Resumo: | ObjectiveThe 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.MethodsCross-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.ResultsThe 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.ConclusionThe 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. |
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Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patientsComparação entre os métodos GLIM e ASG-PPP na avaliação nutricional de pacientes oncológicos hospitalizadosInflammationMalnutritionNutritionalstatusWeightlossInflamaçãoDesnutriçãoEstado nutricionalPerda de pesoObjectiveThe 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.MethodsCross-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.ResultsThe 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.ConclusionThe 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.ObjetivoO objetivo deste estudo foi comparar os métodos Global Leadership Initiativeon Malnutrition e Avaliação Subjetiva Global Produzida pelo Próprio Paciente na avaliação nutricional de pacientes oncológicos hospitalizados.MétodosEstudo transversal com uma variável prospectiva, realizado com pacientes internados em um hospital público de Pernambuco. A aplicação dessas ferramentas e o diagnóstico de desnutrição foram realizados nas primeiras 48 horas de admissão. Dados sociodemográficos, clínicos e laboratoriais foram obtidos do prontuário, e dados com peso, altura, circunferência do braço, prega cutânea tricipital e força de preensão palmar foram coletados.ResultadosDos 82 pacientes avaliados, a maioria eram homens com idade ≥60 anos com menos de 8 anos de estudo. A frequência de desnutrição foi de 93,7% pela Avaliação Subjetiva Global; destes, 23,2% com desnutrição grave. Já pela Global Leadership Initiative on Malnutrition, 50% dos pacientes foram considerados desnutridos graves. A desnutrição pela Global Leadership Initiative on Malnutrition apresentou uma sensibilidade de 82,9% e de 90,8% quando associada à força de preensão palmar considerando a Avaliação Subjetiva Global Produzida pelo Próprio Paciente como referência. Por sua vez, a especificidade foi de 16,7% independentemente de adicionar a força de preensão palmar. Nenhuma das variáveis antropométricas apresentou associação com a ferramenta de referência.ConclusãoA Global Leadership Initiative on Malnutrition mostrou-se uma ferramenta bastante sensível para diagnosticar desnutrição quando comparada ao padrão ouro, principalmente para desnutrição grave, porém pouco específica. Ratificou-se a necessidade de uma avaliação nutricional ampla na prática clínica, utilizando os parâmetros disponíveis e não os interpretando de forma isolada.Núcleo de Editoração – PUC-Campinas2023-10-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/xmlhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/10196Brazilian Journal of Nutrition; Vol. 36 (2023): Revista de NutriçãoRevista de Nutrição; Vol. 36 (2023): Revista de NutriçãoRevista de Nutrição; v. 36 (2023): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPengporhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/10196/7562https://periodicos.puc-campinas.edu.br/nutricao/article/view/10196/7563Copyright (c) 2023 Lilian Andrade SOLON, Katia Priscila GOMES, Marcella Campos Lima Da LUZ, Marília Tokiko Oliveira TOMIYA, Samara Bomfim Gomes CAMPOS, Ilma Kruze Grande de ARRUDAhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSOLON, Lilian AndradeGOMES, Katia PriscilaLUZ, Marcella Campos Lima DaTOMIYA, Marília Tokiko OliveiraCAMPOS, Samara Bomfim GomesARRUDA, Ilma Kruze Grande de2024-04-23T11:21:26Zoai:ojs.periodicos.puc-campinas.edu.br:article/10196Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2024-04-23T11:21:26Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients Comparação entre os métodos GLIM e ASG-PPP na avaliação nutricional de pacientes oncológicos hospitalizados |
title |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients |
spellingShingle |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients SOLON, Lilian Andrade Inflammation Malnutrition Nutritionalstatus Weightloss Inflamação Desnutrição Estado nutricional Perda de peso |
title_short |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients |
title_full |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients |
title_fullStr |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients |
title_full_unstemmed |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients |
title_sort |
Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients |
author |
SOLON, Lilian Andrade |
author_facet |
SOLON, Lilian Andrade GOMES, Katia Priscila LUZ, Marcella Campos Lima Da TOMIYA, Marília Tokiko Oliveira CAMPOS, Samara Bomfim Gomes ARRUDA, Ilma Kruze Grande de |
author_role |
author |
author2 |
GOMES, Katia Priscila LUZ, Marcella Campos Lima Da TOMIYA, Marília Tokiko Oliveira CAMPOS, Samara Bomfim Gomes ARRUDA, Ilma Kruze Grande de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
SOLON, Lilian Andrade GOMES, Katia Priscila LUZ, Marcella Campos Lima Da TOMIYA, Marília Tokiko Oliveira CAMPOS, Samara Bomfim Gomes ARRUDA, Ilma Kruze Grande de |
dc.subject.por.fl_str_mv |
Inflammation Malnutrition Nutritionalstatus Weightloss Inflamação Desnutrição Estado nutricional Perda de peso |
topic |
Inflammation Malnutrition Nutritionalstatus Weightloss Inflamação Desnutrição Estado nutricional Perda de peso |
description |
ObjectiveThe 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.MethodsCross-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.ResultsThe 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.ConclusionThe 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. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-27 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/10196 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/10196 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/10196/7562 https://periodicos.puc-campinas.edu.br/nutricao/article/view/10196/7563 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf text/xml |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 36 (2023): Revista de Nutrição Revista de Nutrição; Vol. 36 (2023): Revista de Nutrição Revista de Nutrição; v. 36 (2023): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
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Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126076327198720 |