Prevalence of Malnutrition Diagnosed with GLIM Criteria and Association with Activities of Daily Living in Patients with Acute Stroke

Background: Malnutrition is associated with a poor functional outcome in patients with stroke. However, the prevalence of malnutrition diagnosed with the Global Leadership Initiative on Malnutrition (GLIM) criteria or its association with activity of daily living (ADL) in patients with acute stroke have not been reported. Objective: To investigate the prevalence of the malnutrition diagnosed with the GLIM criteria and its association with ADL or discharge destination in patients with acute stroke. Materials and methods: In this cross-sectional study, we diagnosed malnutrition with the GLIM criteria and the European Society for Clinical Nutrition and Metabo-lism (ESPEN) criteria and assessed ADL by functional independence measure motor domain (FIM-M) score in patients with acute stroke. Multivariate regression analysis was used to investigate the relationship between FIM-M score or home discharge and malnutrition defined with GLIM or ESPEN criteria. Results: A total of 115 acute stroke patients (39 females; median age: 72 years) were enrolled in this study. The prevalence of malnutrition according to GLIM-criteria and ESPEN-criteria was 28.7% and 16.5%, respectively. Multivariate analyses for FIM-M score after adjusting for potential confounders showed that GLIM criteria and ESPEN criteria were indepen-dently associated with FIM-M score ([3 =-0.238, p < 0.001; [3 =-0118, p = 0.040, respectively). A multivariate analysis for discharge destination found that only mal-nutrition from the GLIM criteria was significantly associated with home discharge (OR = 0.08, 95% confidential interval = 0.01-0.69, p = 0.02). Conclusions: Malnutrition with the GLIM criteria is negatively associated with ADL and is also associated with destination in with acute stroke.

Automated summary

Malnutrition diagnosed with the GLIM criteria is negatively associated with activities of daily living (ADL) and discharge destination in patients with acute stroke. Further research is needed to explore the impact of malnutrition on functional outcomes in stroke patients using these criteria.