Observational studyNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2026
Malnutrition prevalence at hospital admission and discharge based on the two-step Global Leadership Initiative on Malnutrition: A prospective observational study in Malawian adult patients.
Observational study in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of disease related malnutrition assessed by NRS2002, STAMP, MNA-SF, one-step and two-step GLIM at admission and discharge: A systematic review and meta-analysis.Asia Pacific journal of clinical nutrition · 2026Pooled it
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8 authors.
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Abstract
objectiveTo assess the prevalence of malnutrition at hospital admission and discharge and examine factors associated with malnutrition at discharge among adult patients. STUDY
designA prospective observational study was conducted at two public referral hospitals in Malawi, targeting adult patients aged 18-65 years (n = 418). Within 24-48 h of hospital admission, patients were screened for malnutrition risk using the Malnutrition Screening Tool and diagnosed with malnutrition using the Global Leadership Initiative on Malnutrition (GLIM) criteria. Patients (n = 229) with a length of stay (LOS) of ≥7 days were rescreened and reassessed at discharge.
resultsAccording to the GLIM criteria, at admission, 74.3% (n = 150) of the patients were diagnosed with malnutrition, of which 71.3% (n = 107) were moderately malnourished and 28.7% (n = 43) were severely malnourished. At discharge (≥7-day LOS), 81.5% (n = 101) were malnourished, with 35.6% (n = 36) and 64.4% (n = 65) being moderately and severely malnourished, respectively. Among patients who were severely malnourished at discharge (≥7-day LOS), 63.1% (n = 41) and 61.5% (n = 40) exhibited three of the GLIM phenotypic and two of the etiologic characteristics, respectively. Malnutrition at discharge (≥7-day LOS) was associated with a longer LOS (adjusted odds ratio [AOR], 1.206; 95% CI, 1.062-1.370; P = 0.004) and a history of previous hospital admission within the past 6 months (AOR, 4.146; 95% CI, 1.192-14.418; P = 0.025).
conclusionMalnutrition at admission and discharge is a serious concern in Malawi, necessitating tailored nutrition/dietetic interventions in the hospital, at discharge, and after discharge.
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