Department of Nursing and Integrated Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.
Department of Clinical Nutrition, "KAT'' Hospital, Athens, Greece; Healthcare Faculty, BSc Dietetics, Aegean College, Athens, Greece.
Clin Nutr ESPEN. 2024 Apr;60:261-265. doi: 10.1016/j.clnesp.2024.02.009. Epub 2024 Feb 17.
Malnutrition is an alarming and ongoing healthcare problem globally. Malnutrition has a negative impact on the individual patient, leading to poorer clinical outcomes and increased mortality, but also poses an economic burden on society. Proper identification and diagnostics are prerequisites for initiation of treatment. In 2019, the Global Leadership Initiative on Malnutrition, a consensus-based global framework to uniformly diagnose malnutrition across populations, healthcare settings, and countries was published. Identifying and treating malnutrition is an interdisciplinary team effort. Nonetheless, the nutrition and dietetics profession is specifically trained for diagnosing and treating nutrition(-related) conditions, and therefore has a key role in the interdisciplinary team in implementing the GLIM framework in clinical practice. For the nutrition and dietetics profession, GLIM offers a great opportunity for moving both the scientific and clinical knowledge of malnutrition management forward. While the GLIM framework has been extensively studied since its launch, various knowledge gaps still remain. For the nutrition and dietetics profession, these knowledge gaps mainly relate to the GLIM implementation process, to the role of GLIM in relation to the nutrition care process, and to treatment strategies for various nutrition-related conditions. In this opinion paper, we aimed to describe the rationale for implementing the GLIM framework in clinical dietetic practice, and propose a research agenda based on knowledge gaps regarding GLIM in relation to nutrition care from a dietetic point of view.
营养不良是一个令人震惊且持续存在的全球医疗保健问题。营养不良对个体患者产生负面影响,导致临床结局较差和死亡率增加,但也给社会带来经济负担。正确识别和诊断是开始治疗的前提条件。2019 年,发布了一项基于共识的全球框架——全球营养不良领导力倡议,旨在统一在人群、医疗环境和国家中诊断营养不良。识别和治疗营养不良需要跨学科团队的共同努力。尽管如此,营养和饮食学专业人员专门接受过诊断和治疗营养(相关)状况的培训,因此在跨学科团队中在临床实践中实施 GLIM 框架方面发挥着关键作用。对于营养和饮食学专业人员来说,GLIM 为推动营养不良管理的科学和临床知识向前发展提供了绝佳机会。虽然自推出以来,GLIM 框架已经得到了广泛研究,但仍存在各种知识差距。对于营养和饮食学专业人员来说,这些知识差距主要涉及 GLIM 的实施过程、GLIM 与营养护理过程的关系以及各种营养相关状况的治疗策略。在本观点文章中,我们旨在描述在临床饮食实践中实施 GLIM 框架的基本原理,并根据从饮食学角度来看 GLIM 与营养护理相关的知识差距,提出一个研究议程。
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