Keywords
Malnutrition
Nutritional assessment
Patient-generated subjective global assessment
Global Leadership Initiative on Malnutrition
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Abstract
Objective: To compare the Global Leadership Initiative on Malnutrition (GLIM) and Patient-Generated Subjective Global Assessment (PG-SGA) methods in assessing the nutritional status of cancer patients undergoing preoperative intestinal ostomy creation. Methods: An analytical cross-sectional study with prospective data collection was conducted at a university referral hospital in Belém, Pará, between January and November 2025, involving adult cancer patients hospitalized for intestinal ostomy surgery. Data collection included sociodemographic, clinical, and anthropometric information, with nutritional assessment performed using the PG-SGA and malnutrition classification based on GLIM criteria. Results: The sample consisted of 29 patients with a mean age of 60.3 years. A high frequency of nutritional impairment was observed, characterized by recent weight loss and muscle mass depletion identified via mid-arm muscle circumference. The PG-SGA identified nutritional impairment in 66% of participants, whereas the GLIM classified 52% as malnourished. Substantial agreement was found between the methods, with no statistically significant difference. Conclusion: The ASG-PPP identified a greater degree of nutritional impairment than GLIM, with substantial agreement between the methods, reinforcing the importance of preoperative nutritional assessment and the need for studies with larger samples.
References
AMARAL MPC, et al. Estado nutricional e perfil alimentar de pessoas com câncer e estomia no norte do Brasil. Revista Eletrônica Acervo Saúde, 2025; 25(10): e21738.
ARENDS J, et al. ESPEN guidelines on nutrition in cancer patients. Clinical Nutrition, 2017; 36(1): 11-48.
BEEKEN RJ, et al. Smoking, alcohol consumption, diet and physical activity following stoma formation surgery, stoma-related concerns, and desire for lifestyle advice: a United Kingdom survey. BMC Public Health, 2019; 19: 574.
BLACKBURN GL, THORNTON PA. Nutritional assessment of the hospitalized patient. Medical Clinics of North America, 1979; 63(5): 1103-1115.
BOSSI P, et al. The spectrum of malnutrition/cachexia/sarcopenia in oncology according to different cancer types and settings: a narrative review. Nutrients, 2021; 13(6): 1980.
BOSSI P, et al. Malnutrition management in oncology: an expert view on controversial issues and future perspectives. Frontiers in Oncology, 2022; 12: 910770.
BRASIL. Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Detecção precoce do câncer. Rio de Janeiro: INCA, 2021. Disponível em: https://www.gov.br/inca/pt-br. Acessado em: 08 de outubro de 2024.
BRASIL. Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). Estimativa 2023: incidência de câncer no Brasil. Rio de Janeiro: INCA, 2022. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/numeros. Acessado em: 08 de outubro de 2024.
CEDERHOLM T, et al. GLIM criteria for the diagnosis of malnutrition – a consensus report from the global clinical nutrition community. Journal of Cachexia, Sarcopenia and Muscle, 2019; 10(1): 207-217.
CRUZ-JENTOFT AJ, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 2019; 48(1): 16-31.
DA PAIXÃO RODRIGUES M, et al. Aplicação da avaliação subjetiva global produzida pelo paciente (ASG-PPP) e análise do consumo alimentar de pacientes oncológicos: antes e durante o tratamento. Brazilian Journal of Implantology and Health Sciences, 2023; 5(5): 2438-2454.
DE LIMA, LHA, et al. Perfil nutricional dos pacientes colostomizados de um hospital público do interior paulista. Colloquium Vitae, 2020; 12: 87-92.
DE SOUZA GOMES N, MAIO R. Avaliação subjetiva global produzida pelo próprio paciente e indicadores de risco nutricional no paciente oncológico em quimioterapia. Revista Brasileira de Cancerologia, 2015; 61(3): 235-242
DINIZ IV, et al. Perfil epidemiológico de pessoas com estomias intestinais de um centro de referência. Estima – Brazilian Journal of Enterostomal Therapy, 2020; 18: e2020.
FEARON K, et al. Definition and classification of cancer cachexia: an international consensus. The Lancet Oncology, 2011; 12(5): 489-495.
GONZALEZ MC, et al. Validação da versão em português da avaliação subjetiva global produzida pelo paciente. Rev Bras Nutr Clin, 2010; 25(2): 102-108.
KIMURA CA, et al. Perceptions of ostomized persons due to colorectal cancer on their quality of life. Journal of Coloproctology, 2017; 37(1): 1-7.
MO J, et al. Stoma location and ostomy-related quality of life among cancer survivors with ostomies: a pooled analysis. American Journal of Surgery, 2022; 223(5): 963-968.
MORAES JT, et al. Avaliação antropométrica e dietética de pessoas com ileostomias. Arquivos de Gastroenterologia, 2019; 56(1): 34-40.
MUSCARITOLI M, et al. Disease-related malnutrition with inflammation and cachexia. Clinical Nutrition, 2023; 42(8): 1475-1479.
SOLON LA, et al. Comparison between GLIM and PG-SGA methods in the nutritional assessment of hospitalized oncological patients. Revista de Nutrição, 2023; 36: e220195.
SULOSAARI V, et al. Malnutrition diagnosed via Global Leadership Initiative on Malnutrition (GLIM) criteria: association with clinical outcomes and predictive value – a systematic review of systematic reviews. Seminars in Oncology Nursing, 2025; 41: 151798.
VASILOPOULOS G, et al. Pre- and post-operative nutrition assessment in patients with colon cancer undergoing ileostomy. International Journal of Environmental Research and Public Health, 2020; 17(17): 6124.
WIEGERT EVM, et al. Comparación entre los criterios GLIM, el consenso sobre caquexia por cáncer y la VSG-GP VR para el diagnóstico nutricional de pacientes con cáncer avanzado en cuidados paliativos. Revista Brasileira de Cancerologia, 2024; 70: e-174771.
ZHANG X, et al. Comparison of GLIM criteria and patient-generated subjective global assessment in diagnosing malnutrition among cancer patients. Clinical Nutrition, 2021; 40(3): 123-130.
ZHOU J, et al. Diagnostic performance of GLIM and PG-SGA for malnutrition assessment in adult cancer patients: a systematic review and meta-analysis. BMC Cancer, 2025; 25: 765.