中国食物与营养2025，Vol.31Issue(12)：47-53,7.
GLIM标准评估住院患者营养不良状况及影响因素分析
Assessment of Malnutrition Status and Analysis of Influencing Factors in Hospitalized Patients Based on the GLIM Criteria
摘要
Abstract
[Objective]To retrospectively investigate the prevalence of malnutrition among inpatients in a tertiary hospital in Chengdu using the GLIM diagnostic criteria.[Method]A total of 187 patients from various wards were enrolled.Nutritional status was assessed retrospectively with the GLIM criteria(without muscle-mass reduction),and the incidence and determinants of malnutrition were analysed.[Result]1.Based on GLIM,the malnutrition rate was 19.8%;nutritional risk screened by NRS 2002 was 28.34%.2.Compared with the well-nourished group,malnourished patients showed significantly lower body weight(P=0.006),BMI(P=0.001),mid-upper arm circumference(P=0.001),calf circumference(P=0.001),hand-grip strength(P=0.020),haemoglobin(P=0.020),albumin(P=0.032)and lymphocyte count(P=0.017)(all P<0.05).3.Malnutrition incidence rose significantly with age≥65 years,increasing number of comorbidities and lower education level(P<0.05).4.Non-voluntary weight loss,low BMI,disease burden/inflammation and reduced food intake/absorp-tion were strongly associated with malnutrition(P<0.001).5.Multivariate logistic regression identified nutritional risk,impaired food absorption and disease burden/inflammation as independent risk factors(OR=10.352,4.852 and 5.015,respectively).[Conclusion]Hospital inpatients exhibit a high prevalence of nutritional risk and malnutrition.The GLIM criteria are suitable for nutritional assessment;nutritional risk,impaired food absorption and disease burden are independent predictors of malnutrition.关键词
GLIM标准/营养不良/NRS 2002/影响因素/回顾性调查Key words
GLIM criteria/Innutrition/NRS 2002/Influencing factors/Retrospective survey引用本文复制引用
LI Qingyun,CUI Miao,PENG Rong,RAN Xiaoli..GLIM标准评估住院患者营养不良状况及影响因素分析[J].中国食物与营养,2025,31(12):47-53,7.基金项目
2024年度成都市金牛区医学科研项目(项目编号:JNKY2024-20和JNKY2024-21). （项目编号:JNKY2024-20和JNKY2024-21）
