Evidence map›Paper›PMID 40223699›Full record

ReviewJPEN. Journal of parenteral and enteral nutrition2025

GLIM consensus approach to diagnosis of malnutrition: A 5-year update.

Gordon L Jensen, Tommy Cederholm, M Isabel T D Correia, M Cristina Gonzalez, Ryoji Fukushima, Veeradej Pisprasert, Renee Blaauw, Diana Cardenas Braz, Fernando Carrasco, Alfonso J Cruz Jentoft and 33 more

Abstract readReview
In one paragraph

Review in JPEN. Journal of parenteral and enteral nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Malnutrition in Obesity: When BMI-Based Screening Masks Clinical Risk.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  10. Article
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  14. When the Scale Drops: Pathways to Weight Loss in Parkinson's Disease and Future Directions.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  15. Review
  16. Global Leadership Initiative on Malnutrition as a predictor of mortality and prolonged hospitalization in emergency department patients: A prospective cohort study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

43 authors.

Gordon L JensenDean's Office and Department of Medicine, Larner College of Medicine, University of Vermont, Burlington, VT, USA.ORCID http://orcid.org/0000-0001-5223-7622
Tommy CederholmDepartment of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-3705-0725
M Isabel T D CorreiaDepartment of Surgery, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.ORCID http://orcid.org/0000-0002-3503-4302
M Cristina GonzalezPostgraduate Program in Nutrition and Food, Federal University of Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0002-3901-8182
Ryoji FukushimaDepartment of Health and Dietetics, Faculty of Health and Medical Science, Teikyo Heisei University, Tokyo, Japan.ORCID http://orcid.org/0000-0003-4464-664X
Veeradej PisprasertDepartment of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.ORCID http://orcid.org/0000-0002-3901-6494
Renee BlaauwDivision of Human Nutrition, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID http://orcid.org/0000-0001-7413-5918
Diana Cardenas BrazNutrition Unit, Gustave Roussy, Villejuif, France.ORCID http://orcid.org/0000-0002-0709-0307
Fernando CarrascoDepartment of Nutrition, Faculty of Medicine, University of Chile, Santiago, Chile.ORCID http://orcid.org/0000-0003-1103-3791
Alfonso J Cruz JentoftServicio de Geriatría, Hospital Universitario Ramón y Cajal (IRYCIS), Madrid, Spain.
Cristina CuerdaNutrition Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
David C EvansDepartment of Surgery, OhioHealth Grant Medical Center and Ohio University, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-7366-3567
Vanessa Fuchs-TarlovskyClinical Nutrition Department, Hospital General de México, Mexico City, Mexico.ORCID http://orcid.org/0000-0002-2850-648X
Leah GramlichDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID http://orcid.org/0000-0001-6308-0229
Han Ping ShiDepartment of GI Surgery, Department of Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Jeanette M HasseSimmons Transplant Institute, Baylor University Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0003-0008-0576
Michael HiesmayrCenter for Medical Data Science, Unit for Medical Statistics, Medical University Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-4091-4424
Naoki HikiDepartment of Upper Gastrointestinal Surgery, Kitasato University School of Medicine, Kanagawa, Japan.
Harriët Jager-WittenaarDepartment of Gastroenterology and Hepatology, Dietetics, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-3928-8075
Shukri JahitNational Cancer Institute, Putrajaya, Malaysia.ORCID http://orcid.org/0000-0001-9555-5903
Anayanet JáquezPontificia Universidad Catolica Madre y Maestra, Santiago, Republica Dominica.ORCID http://orcid.org/0000-0002-9547-123X
Heather KellerSchlegel-UW Research Institute for Aging and Department of Kinesiology & Health Sciences, University of Waterloo, Ontario, Canada.ORCID http://orcid.org/0000-0001-7782-8103
Stanislaw KlekSurgical Oncology Clinic, The Maria Sklodowska-Curie National Cancer Institute, Krakow, Poland.
Ainsley MaloneThe American Society for Parenteral and Enteral Nutrition, Silver Spring, MD, USA.ORCID http://orcid.org/0000-0001-8345-0303
Kris M MogensenDepartment of Nutrition, Brigham and Women's Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9510-3018
Naoharu MoriDepartment of Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan.
Manpreet MundiDivision of Endocrine, Diabetes, Metabolism, Nutrition, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-7902-3544
Maurizio MuscaritoliDepartment of Translational and Precision Medicine, Sapienza University of Rome, Italy.ORCID https://orcid.org/0000-0003-1955-6116
Doris NgDepartment of Gastroenterology and Hepatology, Tan Tock Seng Hospital, Singapore.ORCID http://orcid.org/0009-0005-3360-6986
Ibolya NyulasiDepartment of Food, Nutrition and Dietetics, Latrobe University; Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-4051-5239
Matthias PirlichImperial Oak Outpatient Clinic, Endocrinology, Gastroenterology and Clinical Nutrition, Berlin, Germany.
Stephane SchneiderGastroenterology and Nutrition Department, Nice University Hospital, Côte d'Azur University, Nice, France.ORCID http://orcid.org/0000-0001-6256-8169
Marian de van der SchuerenDepartment of Nutrition, Dietetics and Lifestyle, HAN University of Applied Sciences, Nijmegen, the Netherlands.ORCID http://orcid.org/0000-0001-5693-0811
Soranit SiltharmMinistry of Science and Technology, Bangkok, Thailand.
Pierre SingerInstitute for Nutrition Research, Rabin Medical Center, Petah Tikva, Israel.ORCID http://orcid.org/0000-0003-0779-9321
Alison SteiberMission, Impact and Strategy Team, Academy of Nutrition and Dietetics, Chicago, IL, USA.
Kelly A TappendenDepartment of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0001-8412-6476
Jianchun YuDepartment of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, 100730, P.R. China.ORCID http://orcid.org/0000-0002-8250-7475
André van GossumDepartment of Gastroenterology and Clinical Nutrition, Hospital Universitaire de Bruxelles (HUB), Free University of Brussels, Brussels, Belgium.
Jaw-Yuan WangDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital and Graduate Institute of Clinical Medicine, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0002-7705-2621
Marion F WinklerAlpert Medical School of Brown University; Rhode Island Hospital, Surgical Nutrition Service, Providence, RI, USA.ORCID http://orcid.org/0000-0003-0946-8294
Charlene CompherBiobehavioral Health Science Department and Nutrition Programs, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Rocco BarazzoniDepartment of Medical, Technological and Translational Sciences, University of Trieste, Ospedale di Cattinara, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Global Leadership Initiative on Malnutrition (GLIM) introduced an approach for malnutrition diagnosis in 2019 that comprised screening followed by assessment of three phenotypic criteria (weight loss, low body mass index [BMI], and low muscle mass) and two etiologic criteria (reduced food intake/assimilation and inflammation/disease burden). This planned update reconsiders the GLIM framework based on published knowledge and experience over the past 5 years.

methodsA working group (n = 43 members) conducted a literature search spanning 2019-2024 using the keywords "Global Leadership Initiative on Malnutrition or GLIM." Prior GLIM guidance activities for using the criteria on muscle mass and inflammation were reviewed. Successive rounds of revision and review were used to achieve consensus.

resultsMore than 400 scientific reports were published in peer-reviewed journals, forming the basis of 10 systematic reviews, some including meta-analyses of GLIM validity that indicate strong construct and predictive validity. Limitations and future priorities are discussed. Working group findings suggest that assessment of low muscle mass should be guided by experience and available technological resources. Clinical judgment may suffice to evaluate the inflammation/disease burden etiologic criterion. No revisions of the weight loss, low BMI, or reduced food intake/assimilation criteria are suggested. After two rounds of review and revision, the working group secured 100% agreement with the conclusions reported in the 5-year update.

conclusionOngoing initiatives target priorities that include malnutrition risk screening procedures, GLIM adaptation to the intensive care setting, assessment in support of the reduced food intake/assimilation criterion, and determination of malnutrition in obesity.

Indexed as

MalnutritionNutrition AssessmentBody Mass IndexConsensusConsensus Statements as TopicHumansWeight Lossassessmentinflammationmalnutritionmusclescreening

Identifiers

PMID40223699
PMCPMC12053077

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.