ESPEN 2022 Abstract Submission Topic: Nutritional assessment Abstract Submission Identifier: ESPEN22-ABS-1582 SEVERITY OF GLIM-DEFINED MALNUTRITION IN THE DUTCH PRIMARY CARE SETTING AT THE INITIAL DIETITIAN CONSULT: PRELIMINARY RESULTS FROM THE MONDAY STUDY

Abstract

Rationale: Although malnutrition is common across healthcare settings in the Netherlands, severity of malnutrition at the start of the dietary treatment in the primary care setting is unclear. We aimed to assess severity of malnutrition in adults clients with malnutrition (risk) at the start of their dietary treatment in the primary care setting. Methods: Eligible were clients referred to dietitians for malnutrition (risk) and participating in the MOnitoring Nutritional status and DietArY intake (MONDAY) study. The Global Leadership Initiative on Malnutrition (GLIM) criteria 1 were applied and clients were included if 4 out of 5 criteria could be assessed. Phenotypical criteria weight loss, low BMI and reduced muscle mass were assessed as proposed by Cederholm et al. 1 Appendicular skeletal muscle index was determined by bio-electrical impedance analysis (Bodystat 500; Kyle equation). For etiological criterion reduced food intake/assimilation, intake ≤50% of energy requirements, or PG-SGA Box 2 score≥2, or GI complaints that adversely impact food assimilation or absorption reported in PG-SGA Box 3 were used. For criterion inflammation/disease burden, primary diagnosis or co-morbidities were used. GLIM-defined malnutrition was present if ≥1 phenotypical and ≥1 etiological criterion were met. Malnutrition was graded moderate or severe based on weight loss and BMI as proposed by Cederholm et al. 1 Results: 186 clients (64±21 years;58% female) could be included. In total, 134 (72%) clients were diagnosed with malnutrition, of which 33 (18%) had moderate malnutrition, 92 (50%) had severe malnutrition. In 9 (7%) clients, severity of malnutrition could not be graded. Conclusion: The preliminary results of MONDAY show that prevalence of severe malnutrition of clients starting dietary treatment in the primary care setting is high, indicating a strong need for prevention of decline of nutritional status by referring to dietitians in an earlier stage. References: 1 Cederholm T,Jensen GL,Correia MITD,et al. GLIM criteria for the diagnosis of malnutrition-A consensus report from the global clinical nutrition community. Clin Nutr 2019;38(1):1-9. Disclosure of Interest: None Declared

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ESPEN 2022 Abstract Submission
Topic: Nutritional assessment
Abstract Submission Identifier: ESPEN22-ABS-1582
SEVERITY OF GLIM-DEFINED MALNUTRITION IN THE DUTCH PRIMARY CARE SETTING AT THE INITIAL
DIETITIAN CONSULT: PRELIMINARY RESULTS FROM THE MONDAY STUDY
M. J. Sealy*, 1, P. Mulder 2, H. Jager-Wittenaar 1, 3 and FAITH research, Groningen, the Netherlands
1Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Groningen,
Groningen, 2Nutricia Nederland B.V., Zoetermeer, 3Department of Oral and Maxillofacial Surgery, University of
Groningen, University Medical Center Groningen, Groningen, Netherlands
Rationale: Although malnutrition is common across healthcare settings in the Netherlands, severity of malnutrition at the
start of the dietary treatment in the primary care setting is unclear. We aimed to assess severity of malnutrition in adults
clients with malnutrition (risk) at the start of their dietary treatment in the primary care setting.
Methods: Eligible were clients referred to dietitians for malnutrition (risk) and participating in the MOnitoring Nutritional
status and DietArY intake (MONDAY) study. The Global Leadership Initiative on Malnutrition (GLIM) criteria1 were applied
and clients were included if 4 out of 5 criteria could be assessed. Phenotypical criteria weight loss, low BMI and reduced
muscle mass were assessed as proposed by Cederholm et al.1 Appendicular skeletal muscle index was determined by
bio-electrical impedance analysis (Bodystat 500; Kyle equation). For etiological criterion reduced food intake/assimilation,
intake ≤50% of energy requirements, or PG-SGA Box 2 score≥2, or GI complaints that adversely impact food assimilation
or absorption reported in PG-SGA Box 3 were used. For criterion inflammation/disease burden, primary diagnosis or co-
morbidities were used. GLIM-defined malnutrition was present if ≥1 phenotypical and ≥1 etiological criterion were met.
Malnutrition was graded moderate or severe based on weight loss and BMI as proposed by Cederholm et al.1
Results: 186 clients (64±21 years;58% female) could be included. In total, 134 (72%) clients were diagnosed with
malnutrition, of which 33 (18%) had moderate malnutrition, 92 (50%) had severe malnutrition. In 9 (7%) clients, severity
of malnutrition could not be graded.
Conclusion: The preliminary results of MONDAY show that prevalence of severe malnutrition of clients starting dietary
treatment in the primary care setting is high, indicating a strong need for prevention of decline of nutritional status by
referring to dietitians in an earlier stage.
References: 1 Cederholm T,Jensen GL,Correia MITD,et al. GLIM criteria for the diagnosis of malnutrition-A consensus
report from the global clinical nutrition community. Clin Nutr 2019;38(1):1-9.
Disclosure of Interest: None Declared
Keywords: GLIM, GLIM criteria, malnutriton, primary care setting