营养不良
肥胖
人体测量学
医学
人口
老年学
体质指数
鉴定(生物学)
环境卫生
重症监护医学
病理
生物
内科学
植物
作者
Natasha Nalucha Mwala,Jos W. Borkent,Barbara S. van der Meij,M.A.E. de van der Schueren
出处
期刊:Nutrition Research Reviews
[Cambridge University Press]
日期:2024-04-05
卷期号:: 1-27
标识
DOI:10.1017/s095442242400012x
摘要
ABSTRACT (Protein-energy) malnutrition in individuals living with obesity presents complex diagnostic challenges due to the distinctive physiological characteristics of obesity. This narrative review critically examines the identification of malnutrition within the population with obesity, distinguishing malnutrition from related conditions such as sarcopenic obesity. While noting some shared features, the review highlights key differences between these conditions. The review also highlights the limitations of current malnutrition screening tools, which are not designed for individuals living with obesity. These tools primarily rely on anthropometric measurements, neglecting (among others) nutrient intake assessment, which hinders accurate malnutrition detection. Additionally, this review discusses limitations in existing diagnostic criteria, including the Global Leadership Initiative on Malnutrition (GLIM) criteria, when applied to individuals living with obesity. Challenges include the identification of appropriate cut-off values for phenotypic criteria (unintentional weight loss, low body mass index and muscle mass) and etiological criteria such as reduced food intake and inflammation for the population with obesity. Overall, this review emphasises the need for modified screening tools and diagnostic criteria to recognise and assess malnutrition in obesity, leading to improved clinical outcomes and overall well-being.
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