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Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study

Disease-related malnutrition (DRM) affects approximately a third of hospitalized patients and is associated with an increased risk of morbimortality. However, DRM is often underdiagnosed and undertreated. Our aim is to evaluate the prognostic value of morphofunctional tools and tests for nutritional...

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Autores principales: García-Almeida, José Manuel, García-García, Cristina, Ballesteros-Pomar, María D., Olveira, Gabriel, Lopez-Gomez, Juan J., Bellido, Virginia, Bretón Lesmes, Irene, Burgos, Rosa, Sanz-Paris, Alejandro, Matia-Martin, Pilar, Botella Romero, Francisco, Ocon Breton, Julia, Zugasti Murillo, Ana, Bellido, Diego
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9920608/
https://www.ncbi.nlm.nih.gov/pubmed/36771319
http://dx.doi.org/10.3390/nu15030612
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author García-Almeida, José Manuel
García-García, Cristina
Ballesteros-Pomar, María D.
Olveira, Gabriel
Lopez-Gomez, Juan J.
Bellido, Virginia
Bretón Lesmes, Irene
Burgos, Rosa
Sanz-Paris, Alejandro
Matia-Martin, Pilar
Botella Romero, Francisco
Ocon Breton, Julia
Zugasti Murillo, Ana
Bellido, Diego
author_facet García-Almeida, José Manuel
García-García, Cristina
Ballesteros-Pomar, María D.
Olveira, Gabriel
Lopez-Gomez, Juan J.
Bellido, Virginia
Bretón Lesmes, Irene
Burgos, Rosa
Sanz-Paris, Alejandro
Matia-Martin, Pilar
Botella Romero, Francisco
Ocon Breton, Julia
Zugasti Murillo, Ana
Bellido, Diego
author_sort García-Almeida, José Manuel
collection PubMed
description Disease-related malnutrition (DRM) affects approximately a third of hospitalized patients and is associated with an increased risk of morbimortality. However, DRM is often underdiagnosed and undertreated. Our aim is to evaluate the prognostic value of morphofunctional tools and tests for nutritional assessment in clinical practice. A systematic literature review was conducted to identify studies relating to the morphofunctional assessment of nutritional status and mortality or complications. Evidence was evaluated using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) method. Twelve GRADE recommendations were made and divided into seven topics: food intake and nutrient assimilation, anthropometry, biochemical analysis, hand grip strength, phase angle, muscle imaging, and functional status and quality of life. From these recommendations, 37 statements were developed and scored in a two-survey Delphi method by 183 experts. A consensus was reached on accepting 26/37 statements. Surveys had high internal consistency and high inter-rater reliability. In conclusion, evidence-based recommendations were made on the prognostic value of morphofunctional assessment tools and tests to assess malnutrition, most of which were found to be feasible in routine clinical practice, according to expert opinions.
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spelling pubmed-99206082023-02-12 Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study García-Almeida, José Manuel García-García, Cristina Ballesteros-Pomar, María D. Olveira, Gabriel Lopez-Gomez, Juan J. Bellido, Virginia Bretón Lesmes, Irene Burgos, Rosa Sanz-Paris, Alejandro Matia-Martin, Pilar Botella Romero, Francisco Ocon Breton, Julia Zugasti Murillo, Ana Bellido, Diego Nutrients Article Disease-related malnutrition (DRM) affects approximately a third of hospitalized patients and is associated with an increased risk of morbimortality. However, DRM is often underdiagnosed and undertreated. Our aim is to evaluate the prognostic value of morphofunctional tools and tests for nutritional assessment in clinical practice. A systematic literature review was conducted to identify studies relating to the morphofunctional assessment of nutritional status and mortality or complications. Evidence was evaluated using the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) method. Twelve GRADE recommendations were made and divided into seven topics: food intake and nutrient assimilation, anthropometry, biochemical analysis, hand grip strength, phase angle, muscle imaging, and functional status and quality of life. From these recommendations, 37 statements were developed and scored in a two-survey Delphi method by 183 experts. A consensus was reached on accepting 26/37 statements. Surveys had high internal consistency and high inter-rater reliability. In conclusion, evidence-based recommendations were made on the prognostic value of morphofunctional assessment tools and tests to assess malnutrition, most of which were found to be feasible in routine clinical practice, according to expert opinions. MDPI 2023-01-25 /pmc/articles/PMC9920608/ /pubmed/36771319 http://dx.doi.org/10.3390/nu15030612 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
García-Almeida, José Manuel
García-García, Cristina
Ballesteros-Pomar, María D.
Olveira, Gabriel
Lopez-Gomez, Juan J.
Bellido, Virginia
Bretón Lesmes, Irene
Burgos, Rosa
Sanz-Paris, Alejandro
Matia-Martin, Pilar
Botella Romero, Francisco
Ocon Breton, Julia
Zugasti Murillo, Ana
Bellido, Diego
Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study
title Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study
title_full Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study
title_fullStr Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study
title_full_unstemmed Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study
title_short Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study
title_sort expert consensus on morphofunctional assessment in disease-related malnutrition. grade review and delphi study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9920608/
https://www.ncbi.nlm.nih.gov/pubmed/36771319
http://dx.doi.org/10.3390/nu15030612
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