Malnutrition-inflammation score VS phase angle in the era of GLIM criteria: A cross-sectional study among hemodialysis patients in UAE

Author First name, Last name, Institution

Mirey Karavetian, Zayed University
Nada Salhab, Maastricht University
Rana Rizk, Université Libanaise
Kalliopi Anna Poulia, Laikon General Hospital

ORCID Identifiers

0000-0001-5916-6740

0000-0001-5305-2793

0000-0002-8850-6502

0000-0002-0023-8102

Document Type

Article

Source of Publication

Nutrients

Publication Date

11-1-2019

Abstract

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. (1) Background: Malnutrition is prevalent in hemodialysis (HD) patients and is associated with an increased risk of morbidity and mortality. The aim of this study was to explore the prevalence of malnutrition using the malnutrition-inflammation score (MIS) and phase angle (PhA) and compare their concordance with the new Global Leadership Initiative on Malnutrition (GLIM) criteria for the diagnosis of malnutrition. (2) Methods: Seventy HD patients were assessed. Malnutrition was diagnosed based on the GLIM criteria and MIS questionnaire. The agreement between the diagnostic tools (MIS, PhA derived from the bioelectrical impedance analysis (BIA), and GLIM criteria) was assessed. The optimal gender-specific cutoff points were identified for the PhA according to the GLIM criteria. (3) Results: Almost half of the sample was diagnosed as malnourished according to the MIS (48.57%) and GLIM criteria (54.29%). A fair agreement was observed between the GLIM criteria, MIS (k = 0.202), and PhA (k = 0.279) among the malnourished patients. The PhA had better sensitivity but worse specificity compared to the MIS. The optimum cutoff points of PhA to detect malnutrition according to the GLIM criteria were a PhA value of ≤5.7° for males and ≤3.8° for females. (4) Conclusion: The MIS performed slightly better than PhA in the diagnosis of malnutrition among HD patients within the spectrum of the GLIM criteria.

DOI Link

10.3390/nu11112771

ISSN

2072-6643

Publisher

MDPI AG

Volume

11

Issue

11

First Page

2771

Disciplines

Life Sciences

Keywords

Global leadership initiative on malnutrition, Malnutrition, Malnutrition-inflammation score, Phase angle

Scopus ID

85075115101

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

Karavetian, Mirey; Salhab, Nada; Rizk, Rana; and Poulia, Kalliopi Anna, "Malnutrition-inflammation score VS phase angle in the era of GLIM criteria: A cross-sectional study among hemodialysis patients in UAE" (2019). All Works. 2312.
https://zuscholars.zu.ac.ae/works/2312

Indexed in Scopus

yes

Open Access

yes

Open Access Type

Gold: This publication is openly available in an open access journal/series