Abstract:
Objective To explore the application value of Global Leadership Initiative on Malnutrition (GLIM) standard in assessment of nutritional status of patients with maintenance hemodialysis (MHD).
Methods A total of 102 patients with MHD were selected and conducted with both GLIM and Subjective Global Assessment (SGA) for assessment of nutritional status, and the consistency between GLIM and SGA was compared. General medical history and laboratory tests of MHD patients were collected, and correlations between these indexes and GLIM were analyzed.
Results The incidence of malnutrition was higher in MHD patients evaluated by SGA and GLIM (48.0% and 45.1%). There was a good consistency of two methods in qualitative evaluation of malnutrition (Kappa value was 0.782). In the assessment of the severity of malnutrition, the consistency of two methods was moderate (Kappa value was 0.595). According to GLIM standard, cases with lower body mass index (BMI), albumin (ALB), triglyceride (TG), total cholesterol (TC) and serum creatinine (Scr) and older female cases were more likely to be identified as malnutrition, and BMI and ALB were the independent influencing factors of GLIM.
Conclusion Compared with conventional methods, GLIM standard has a better consistency and is correlated with multiple nutritional indexes, which can be applied to the nutritional evaluation of MHD patients.
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