Nutritional risk screening: a need to guide Alice in Nutritionland

Harrië Jager-Wittenaar*, Martine Sealy, Elke Naumann, Marian de van der Schueren

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose of reviewWith the shifts in society, healthcare and the profile of the malnourished individual, a re-consideration of the goal of nutritional risk screening is needed: screening for malnutrition, or screening for risk of malnutrition? In this review article, we reflect on the role of nutritional risk screening in relation to prevention and treatment of malnutrition.Recent findingsWithin the Global Leadership Initiative on Malnutrition (GLIM) Initiative, modified Delphi studies are currently being conducted to reach global consensus on the conceptual definition and operationalization of 'risk of malnutrition'. This is necessary because various studies have demonstrated that different nutritional screening tools identify different individuals, due to variability in screening tool criteria, which influences GLIM outcomes. Upon screening, three different situations can be distinguished: having risk factors for malnutrition without clear signs of presence of malnutrition, having mild signs of malnutrition (malnutrition in progress), or having obvious signs of malnutrition.SummaryThe outcomes of the studies on 'risk of malnutrition' will guide the screening step within the GLIM process, and will help professionals to make informed choices regarding screening policy and screening tool(s).

Original languageEnglish
Pages (from-to)381-386
Number of pages6
JournalCurrent Opinion in Clinical Nutrition and Metabolic Care
Volume27
Issue number5
DOIs
Publication statusPublished - Sept 2024

Keywords

  • malnutrition
  • prevention
  • risk of malnutrition
  • screening

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