GLIM in chronic kidney disease: What do we need to know?

Maryanne Zilli Canedo Silva; Tommy Cederholm; Maria Cristina Gonzalez; Bengt Lindholm; Carla Maria Avesani

doi:10.1016/j.clnu.2023.04.019

GLIM in chronic kidney disease: What do we need to know?

Clin Nutr. 2023 Jun;42(6):937-943. doi: 10.1016/j.clnu.2023.04.019. Epub 2023 Apr 17.

Authors

Maryanne Zilli Canedo Silva¹, Tommy Cederholm², Maria Cristina Gonzalez³, Bengt Lindholm⁴, Carla Maria Avesani⁵

Affiliations

¹ Department of Internal Medicine, Botucatu Medical School, São Paulo State University, UNESP, Botucatu, Brazil. Electronic address: maryanne.zilli@unesp.br.
² Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden. Electronic address: tommy.cederholm@pubcare.uu.se.
³ Post-graduate Program in Health and Behavior, Catholic University of Pelotas, RS, Brazil. Electronic address: cristinagbs@hotmail.com.
⁴ Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Technology and Intervention, Karolinska Institute, Stockholm, Sweden. Electronic address: bengt.lindholm@ki.se.
⁵ Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Technology and Intervention, Karolinska Institute, Stockholm, Sweden. Electronic address: carla.avesani@ki.se.

PMID: 37099985
DOI: 10.1016/j.clnu.2023.04.019

Abstract

The lack of consensus on diagnostic criteria for malnutrition has hampered developments in research and clinical practice pertaining to nutrition. This opinion paper describes the applicability and other aspects of using the Global Leadership Initiative on Malnutrition (GLIM) criteria for diagnosing malnutrition in patients with chronic kidney disease (CKD). We examine the purpose of GLIM, the particularities of CKD that can affect the nutritional and metabolic status and the diagnosis of malnutrition. In addition, we make an appraisal of previous studies that used GLIM in the context of CKD and discuss the value and relevance of using the GLIM criteria in patients with CKD.

Keywords: Chronic kidney disease; Dialysis; Glim; Global leadership initiative on malnutrition; Malnutrition; Nutritional assessment.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Consensus
Humans
Leadership
Malnutrition* / diagnosis
Nutrition Assessment
Nutritional Status
Renal Insufficiency, Chronic* / complications
Renal Insufficiency, Chronic* / diagnosis