Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/8935 |
Resumo: | Objective The Global Leadership Initiative on Malnutrition, introduced as a useful method in the diagnosis of malnutrition, is supported by little evidence in hospitalized individuals. Therefore, we reviewed this method with two objectives: 1) to compare the diagnostic accuracy of the Global Leadership Initiative on Malnutrition criteria with the Patient-Generated Subjective Global Assessment; 2) to determine the prevalence of malnutrition and its associated factors. Methods Cross-sectional study, conducted with individuals hospitalized between April 2019 and July 2021. Sociodemographic, clinical and anthropometric information was investigated. Global Leadership Initiative on Malnutrition was the index test and Patient-Generated Subjective Global Assessment the standard reference to assess malnutrition. For diagnostic accuracy, measurements of sensitivity, specificity, area under the curve and kappa agreement were considered. Results A total of 105 individuals participated (age 65.9±9.9 years). The prevalence of malnutrition in the total sample was 48.6% and 67.6% according to the Global Leadership Initiative on Malnutrition and Patient-Generated Subjective Global Assessment criteria, respectively. An association was observed between malnutrition and the variables that stand behind hospitalization, metabolic stress and anthropometric indicators (p<0.05). The comparison showed sensitivity and specificity values for the Global Leadership Initiative on Malnutrition criteria of 67.6% (95% CI: 56.1-77.3) and 91.2% (95% CI: 77.0-96.9) (total sample) and 71.7% (95% CI: 58.4-82.0) and 95.5% (95% CI: 78.2-99.2) (elderly), respectively. An agreement of 49% was observed, raising to 55% when the elderly were assessed separately. Conclusion The Global Leadership Initiative on Malnutrition criteria presented adequate sensitivity conditions and specificity to diagnose malnutrition, moderate agreement with the reference standard and good applicability in hospitalized patients’ clinical practice. Prevalence of malnutrition was high, regardless of the method used, and was associated with the reason for hospitalization, metabolic stress and anthropometric indicators. |
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Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patientsAcurácia do Global Leadership Initiative on Malnutrition para identificar a desnutrição em pacientes hospitalizadosAgedAnthropometryData accuracyHospitalizationNutrition assessmentIdososAntropometriaAcurácia dos dadosHospitalizaçãoAvaliação nutricionalObjective The Global Leadership Initiative on Malnutrition, introduced as a useful method in the diagnosis of malnutrition, is supported by little evidence in hospitalized individuals. Therefore, we reviewed this method with two objectives: 1) to compare the diagnostic accuracy of the Global Leadership Initiative on Malnutrition criteria with the Patient-Generated Subjective Global Assessment; 2) to determine the prevalence of malnutrition and its associated factors. Methods Cross-sectional study, conducted with individuals hospitalized between April 2019 and July 2021. Sociodemographic, clinical and anthropometric information was investigated. Global Leadership Initiative on Malnutrition was the index test and Patient-Generated Subjective Global Assessment the standard reference to assess malnutrition. For diagnostic accuracy, measurements of sensitivity, specificity, area under the curve and kappa agreement were considered. Results A total of 105 individuals participated (age 65.9±9.9 years). The prevalence of malnutrition in the total sample was 48.6% and 67.6% according to the Global Leadership Initiative on Malnutrition and Patient-Generated Subjective Global Assessment criteria, respectively. An association was observed between malnutrition and the variables that stand behind hospitalization, metabolic stress and anthropometric indicators (p<0.05). The comparison showed sensitivity and specificity values for the Global Leadership Initiative on Malnutrition criteria of 67.6% (95% CI: 56.1-77.3) and 91.2% (95% CI: 77.0-96.9) (total sample) and 71.7% (95% CI: 58.4-82.0) and 95.5% (95% CI: 78.2-99.2) (elderly), respectively. An agreement of 49% was observed, raising to 55% when the elderly were assessed separately. Conclusion The Global Leadership Initiative on Malnutrition criteria presented adequate sensitivity conditions and specificity to diagnose malnutrition, moderate agreement with the reference standard and good applicability in hospitalized patients’ clinical practice. Prevalence of malnutrition was high, regardless of the method used, and was associated with the reason for hospitalization, metabolic stress and anthropometric indicators.Objetivo O Global Leadership Initiative on Malnutrition, apresentado como um método útil no diagnóstico de desnutrição, possui poucas evidências acerca de indivíduos hospitalizados. Portanto, exploramos esse método com dois objetivos: 1) comparar a acurácia diagnóstica dos critérios Global Leadership Initiative on Malnutrition com a Avaliação Subjetiva Global Produzida pelo Paciente; 2) determinar a prevalência de desnutrição e seus fatores associados. Métodos Estudo transversal, realizado com indivíduos hospitalizados entre abril de 2019 a julho de 2021. Informações sociodemográficas, clínicas e antropométricas foram investigadas. Global Leadership Initiative on Malnutrition foi o index test e Avaliação Subjetiva Global Produzida pelo Paciente a referência padrão para avaliar desnutrição. Para acurácia diagnóstica considerou-se as medições de sensibilidade, especificidade e área sob a curva e concordância kappa. Resultados Participaram 105 indivíduos (65,9±9,9 anos). A prevalência de desnutrição na amostra total foi de 48,6% e 67,6% de acordo com os critérios Global Leadership Initiative on Malnutrition e Avaliação Subjetiva Global Produzida pelo Paciente, respectivamente. Associações foram encontradas entre desnutrição e as variáveis motivo de internação, estresse metabólico e indicadores antropométricos (p<0,05). A comparação mostrou valores de sensibilidade e especificidade para os critérios Global Leadership Initiative on Malnutrition de 67,6% (IC 95%: 56,1-77,3) e 91,2% (IC 95%: 77,0- 96,9) (amostra total) e 71,7% (IC 95%: 58,4-82,0) e 95,5% (IC 95%: 78,2-99,2) (idosos), respectivamente. Observou-se concordância de 49,0%, sendo 55,0% quando os idosos foram analisados separadamente. Conclusão Os critérios Global Leadership Initiative on Malnutrition apresentaram condições adequadas de sensibilidade e especificidade para diagnosticar desnutrição, concordância moderada com o padrão de referência e boa aplicabilidade na prática clínica em hospitalizados. A prevalência de desnutrição foi elevada, independentemente do método utilizado, e apresentou relação com o motivo de internação, estresse metabólico e indicadores antropométricos. Núcleo de Editoração – PUC-Campinas2023-07-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8935Brazilian Journal of Nutrition; Vol. 35 (2022): Revista de NutriçãoRevista de Nutrição; Vol. 35 (2022): Revista de NutriçãoRevista de Nutrição; v. 35 (2022): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPenghttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8935/6332Copyright (c) 2023 Francielly Gonçalves de SOUZA, Flávia Andréia MARIN, Wanderson Roberto da SILVA, Maria Claudia Bernardes SPEXOTOhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSOUZA, Francielly Gonçalves de MARIN, Flávia AndréiaSILVA, Wanderson Roberto da SPEXOTO, Maria Claudia Bernardes2023-10-06T18:55:02Zoai:ojs.periodicos.puc-campinas.edu.br:article/8935Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-10-06T18:55:02Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients Acurácia do Global Leadership Initiative on Malnutrition para identificar a desnutrição em pacientes hospitalizados |
title |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients |
spellingShingle |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients SOUZA, Francielly Gonçalves de Aged Anthropometry Data accuracy Hospitalization Nutrition assessment Idosos Antropometria Acurácia dos dados Hospitalização Avaliação nutricional |
title_short |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients |
title_full |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients |
title_fullStr |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients |
title_full_unstemmed |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients |
title_sort |
Accuracy of the Global Leadership Initiative on Malnutrition to identify malnutrition in hospitalized patients |
author |
SOUZA, Francielly Gonçalves de |
author_facet |
SOUZA, Francielly Gonçalves de MARIN, Flávia Andréia SILVA, Wanderson Roberto da SPEXOTO, Maria Claudia Bernardes |
author_role |
author |
author2 |
MARIN, Flávia Andréia SILVA, Wanderson Roberto da SPEXOTO, Maria Claudia Bernardes |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
SOUZA, Francielly Gonçalves de MARIN, Flávia Andréia SILVA, Wanderson Roberto da SPEXOTO, Maria Claudia Bernardes |
dc.subject.por.fl_str_mv |
Aged Anthropometry Data accuracy Hospitalization Nutrition assessment Idosos Antropometria Acurácia dos dados Hospitalização Avaliação nutricional |
topic |
Aged Anthropometry Data accuracy Hospitalization Nutrition assessment Idosos Antropometria Acurácia dos dados Hospitalização Avaliação nutricional |
description |
Objective The Global Leadership Initiative on Malnutrition, introduced as a useful method in the diagnosis of malnutrition, is supported by little evidence in hospitalized individuals. Therefore, we reviewed this method with two objectives: 1) to compare the diagnostic accuracy of the Global Leadership Initiative on Malnutrition criteria with the Patient-Generated Subjective Global Assessment; 2) to determine the prevalence of malnutrition and its associated factors. Methods Cross-sectional study, conducted with individuals hospitalized between April 2019 and July 2021. Sociodemographic, clinical and anthropometric information was investigated. Global Leadership Initiative on Malnutrition was the index test and Patient-Generated Subjective Global Assessment the standard reference to assess malnutrition. For diagnostic accuracy, measurements of sensitivity, specificity, area under the curve and kappa agreement were considered. Results A total of 105 individuals participated (age 65.9±9.9 years). The prevalence of malnutrition in the total sample was 48.6% and 67.6% according to the Global Leadership Initiative on Malnutrition and Patient-Generated Subjective Global Assessment criteria, respectively. An association was observed between malnutrition and the variables that stand behind hospitalization, metabolic stress and anthropometric indicators (p<0.05). The comparison showed sensitivity and specificity values for the Global Leadership Initiative on Malnutrition criteria of 67.6% (95% CI: 56.1-77.3) and 91.2% (95% CI: 77.0-96.9) (total sample) and 71.7% (95% CI: 58.4-82.0) and 95.5% (95% CI: 78.2-99.2) (elderly), respectively. An agreement of 49% was observed, raising to 55% when the elderly were assessed separately. Conclusion The Global Leadership Initiative on Malnutrition criteria presented adequate sensitivity conditions and specificity to diagnose malnutrition, moderate agreement with the reference standard and good applicability in hospitalized patients’ clinical practice. Prevalence of malnutrition was high, regardless of the method used, and was associated with the reason for hospitalization, metabolic stress and anthropometric indicators. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-27 |
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/8935 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8935 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8935/6332 |
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 |
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. 35 (2022): Revista de Nutrição Revista de Nutrição; Vol. 35 (2022): Revista de Nutrição Revista de Nutrição; v. 35 (2022): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
instname_str |
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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1799126070868312064 |