Alotaibi Amani N, Bamehriz Fahad, Aljomah Nadia A, Almutairi Khalid, Tharkar Shabana, Al-Muammar May, Alhamdan Adel, Aldisi Dara, Abulmeaty Mahmoud M A
Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 11362, Saudi Arabia.
Surgery Department, Upper GI Surgery, King Khalid University Hospital, King Saud University, Riyadh 12372, Saudi Arabia.
Nutrients. 2025 Mar 19;17(6):1074. doi: 10.3390/nu17061074.
: Malnutrition frequently occurs following bariatric surgery and can lead to higher morbidity rates, hospitalizations, and extended hospital stays. Nutritional assessment tools such as the Global Leadership Initiative on Malnutrition (GLIM) are not validated for diagnosis of malnutrition following bariatric surgery. This study aimed to assess the validity of GLIM criteria in evaluating the nutritional status of post-sleeve gastrectomy patients compared to the Subjective Global Assessment (SGA). : A total of 47 adult patients who underwent sleeve gastrectomy (SG) from 6 months to 2 years prior were evaluated using the GLIM and SGA. Additionally, multiple pass 24 h recall was collected for two days, and macronutrient analyses were conducted using ESHA software (version 11.11.x). Agreement between both tools was determined using Kappa (κ) statistics, and the Receiver Operating Characteristics (ROC) curve was used to establish sensitivity and specificity. : The study found that malnutrition was diagnosed in 48.9% and 42.6% of patients according to the GLIM and SGA criteria, respectively. The GLIM criteria exhibited inadequate accuracy (AUC = 0.533; 95% CI, 0.38-0.72) with a sensitivity and specificity of 55.0% and 55.6%, respectively. The agreement between both tools was determined to be poor (κ = 0.104). : GLIM did not show sufficient agreement with SGA. Consequently, the criteria of GLIM may need revision for better diagnosis of malnutrition in post-sleeve gastrectomy patients.
肥胖症手术后经常会出现营养不良，这可能导致更高的发病率、住院率和更长的住院时间。诸如全球营养不良领导倡议（GLIM）等营养评估工具尚未经过验证，不能用于诊断肥胖症手术后的营养不良情况。本研究旨在评估GLIM标准与主观全面评定法（SGA）相比，在评估袖状胃切除术后患者营养状况方面的有效性。
共有47名在6个月至2年前接受袖状胃切除术（SG）的成年患者接受了GLIM和SGA评估。此外，收集了两天的多次24小时膳食回顾，并使用ESHA软件（版本11.11.x）进行了宏量营养素分析。使用Kappa（κ）统计量确定两种工具之间的一致性，并使用受试者工作特征（ROC）曲线确定敏感性和特异性。
研究发现，根据GLIM和SGA标准，分别有48.9%和42.6%的患者被诊断为营养不良。GLIM标准的准确性不足（AUC = 0.533；95%CI，0.38 - 0.72），敏感性和特异性分别为55.0%和55.6%。两种工具之间的一致性被确定为较差（κ = 0.104）。
GLIM与SGA的一致性不足。因此，GLIM标准可能需要修订，以便更好地诊断袖状胃切除术后患者的营养不良情况。
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