The development of malnutrition assessment criteria and the analysis of current problems
Yang Jian, Jiang Zhuming, Yu Kang, Lu Qian, Xu Jingyong, Zhao Weigang, Li Xiaoxiao, Kang Weiming, Ye Xin, Zhang Xianna, Xu Hongxia, Li Jiayi
Abstract
It is well known that parenteral and enteral nutrition support is helpful to improve clinical outcomes in patients with malnutrition or nutritional risk, and surgical nutrition has been used in China for 40 years. However, there is still insufficient awareness of malnutrition among clinical workers. There were different opinions from many experts after the publications of the European Society for Parenteral and Enteral Nutrition (ESPEN) consensus of malnutrition assessment 2015 and ESPEN guidelines on definitions and terminology of clinical nutrition 2017. Global Leadership Initiative on Malnutrition (GLIM) criteria for the diagnosis of malnutrition has also been published in 2018. Though it is lack of clinical validation, it is a big step forward. In order to achieve better prevention and treatment of malnutrition in clinical work, this present paper analyzes and compares the core contents of malnutrition assessment (diagnosis) in recent years, proposes current practical strategy for Chinese clinical workers, emphasizes that GLIM criteria cannot replace the three steps named "screening-assessment-intervention" .
Key words:
Malnutrition; Nutrition assessment; Nutrition support
Contributor Information
Yang Jian
Department of Clinical Nutrition, the Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China
Jiang Zhuming
Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College &
Chinese Academy of Medical Sciences, Beijing 100730, China
Yu Kang
Department of Health-Medicine, Peking Union Medical College Hospital, Peking Union Medical College &
Chinese Academy of Medical Sciences, Beijing 100730, China
Lu Qian
Division of Medical and Surgical Nursing, School of Nursing, Peking University, Beijing 100191, China
Xu Jingyong
Department of General Surgery, National Aging Medical Center, Beijing Hospital, Beijing 100730, China
Zhao Weigang
Department of Endocrinology, Peking Union Medical College Hospital, Peking Union Medical College &
Chinese Academy of Medical Sciences, Beijing 100730, China
Li Xiaoxiao
Department of Pharmacy, Peking University Third Hospital, Beijing 100191, China
Kang Weiming
Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College &
Chinese Academy of Medical Sciences, Beijing 100730, China
Ye Xin
Department of General Surgery, Peking Union Medical College Hospital, Peking Union Medical College &
Chinese Academy of Medical Sciences, Beijing 100730, China
Zhang Xianna
Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Xu Hongxia
Department of Clinical Nutrition, Army Medical Center of People′s Liberation Army, Chongqing 400042, China
Li Jiayi
Department of Medical Oncology, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
