Open AccessPrevalência e prognóstico de desnutrição determinados pelo critério GLIM
Author(s) -
Bianca Cristina Laty,
Gabriela Datsch Bennemann,
Mariana Abe Vicente Cavagnari,
Angélica Rocha de Freitas Melhem,
Caryna Eurich Mazur,
Dalton Luiz Schiessel
Publication year - 2020
Publication title -
braspen journal
Language(s) - English
Resource type - Journals
eISSN - 2764-1546
pISSN - 2525-7374
DOI - 10.37111/braspenj.2020351009
Subject(s) - medicine , malnutrition , odds ratio , anthropometry , weight loss , multivariate analysis , logistic regression , pediatrics , obesity
Introduction: Malnutrition is present in 25% to 70% of hospitalized patients, being caused by factors such as may predict an increased risk of complications, reduced response to treatment, lower quality of life, increased costs and length of hospitalization and increased mortality. Thus, the objective was to apply Global Leadership Initiative on Malnutrition (GLIM) to hospitalized patients and the association with age, gender, different pathologies and food intake. Methods: Longitudinal and retrospective study. Sociodemographic, anthropometric, clinical and dietary data were collected from adult patient nutritional records, evaluated between 2015 and 2018, intwo hospitals with specialized services and clinics that serve the Unified Health System (SUS). The univariate and multivariate multinomial logistic regression model (RLM) was used to determine the relative risk (odds ratio), adjusted for the following variables: age, sex, pathologies and food intake and compared with the GLIM classification. Results: Patients had significant weight reduction (usual weight to current weight) and % weight loss of -7.6% (95% CI -8.4 - -6.8). Age, pathologies, presence of inflammation, and reduced food intake all contribute to weight loss and malnutrition. The predominant diseases are highly catabolic and have a high response to the presence of systemic inflammation, specifically cancer patients who presented in the multivariate analysis chances of 2.21 times of being with moderate malnutrition and 2.72 times severe malnutrition. Conclusion: The prevalence of malnutrition was 46.8% of the total patients with significant relative risk regarding age, especially with cancer diagnosis and when reported reduced/inadequate food intake.