RT Journal Article
T1 Expert Consensus on Morphofunctional Assessment in Disease-Related Malnutrition. Grade Review and Delphi Study
A1 García Almeida, José Manuel
A1 García García, Cristina
A1 Ballesteros Pomar, María D.
A1 Olveira, Gabriel
A1 López Gómez, Juan J.
A1 Bellido, Virginia
A1 Bretón Lesmes, Irene
A1 Burgos, Rosa
A1 Sanz Paris, Alejandro
A1 Matía Martín, María Del Pilar
A1 Botella Romero, Francisco
A1 Ocon Bretón, Julia
A1 Zugasti Murillo, Ana
A1 Bellido, Diego
AB 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.
PB MDPI
SN 2072-6643
YR 2023
FD 2023-01-25
LK https://hdl.handle.net/20.500.14352/103589
UL https://hdl.handle.net/20.500.14352/103589
LA eng
NO 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
NO 2022 Descuento MDPI
DS Docta Complutense
RD 8 abr 2025