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; López-Gómez, Juan J.; Bellido, Virginia; Bretón Lesmes, Irene; Burgos, Rosa; Sanz-Paris, Alejandro; Matía Martín, María Del Pilar; Botella Romero, Francisco; Ocon Bretón, Julia; Zugasti Murillo, Ana; Bellido, Diego

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

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Official URL

https://doi.org/10.3390/nu15030612

Publication date

2023

Authors

García-Almeida, José Manuel

García-García, Cristina

Ballesteros-Pomar, María D.

Sanz-Paris, Alejandro

Matía Martín, María Del Pilar

Publisher

MDPI

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URI

https://hdl.handle.net/20.500.14352/103589

Citation

García-Almeida, J. M., García-García, C., Ballesteros-Pomar, M. D., Olveira, G., Lopez-Gomez, J. J., Bellido, V., Bretón Lesmes, I., Burgos, R., Sanz-Paris, A., Matia-Martin, P., Botella Romero, F., Ocon Breton, J., Zugasti Murillo, A., & Bellido, D. (2023). Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study. Nutrients, 15(3), 612. https://doi.org/10.3390/nu15030612

Abstract

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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2022 Descuento MDPI