Is the Utility of the GLIM Criteria Used to Diagnose Malnutrition Suitable for Bicultural Populations? Findings from Life and Living in Advanced Age Cohort Study in New Zealand (LiLACS NZ)

摘要

ObjectivesTo investigate associations between nutrition risk (determined by SCREEN-II) and malnutrition (diagnosed by the GLIM criteria) with five-year mortality in Maori and non-Maori of advanced age.DesignA longitudinal cohort study.SettingBay of Plenty and Lakes regions of New Zealand.Participants255 Maori; 400 non-Maori octogenarians.MeasurementsAll participants were screened for nutrition risk using the Seniors in the Community: Risk Evaluation for Eating and Nutrition (SCREEN-II). Those at high nutrition risk (SCREEN-II score 0.05) but was for non-Maori. This association remained significant after adjustment for other predictors of death (OR (95% CI); 0.50 (0.29, 0.86), P< 0.05). Reduced food intake was the only GLIM criterion predictive of five-year mortality for Maori (HR (95% CI); 10.77 (4.76, 24.38), P <0.001). For non-Maori, both aetiologic and phenotypic GLIM criteria were associated with five-year mortality.ConclusionNutrition risk, but not malnutrition diagnosed by the GLIM criteria was significantly associated with mortality for Maori. Conversely, both nutrition risk and malnutrition were significantly associated with mortality for non-Maori. Appropriate phenotypic criteria for diverse populations are needed within the GLIM framework.