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Published: 2025-04-15
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DOI: https://doi.org/10.52163/yhc.v66iCD4.2361
Issue
Vol. 66 No. CĐ4 NCKH
Section
Articles
How to Cite
Hương, L. T. ., Xuân, L. T. T., Nga, T. T., Vi, B. T. T., Hà, V. N., Liễu, N. T. T., Anh, P. T. N., Thanh, L. T. H., & Phượng, D. T. (2025). 39. VALIDITY AND RELIABILITY OF THE GLIM CRITERIA IN PATIENTS AT HANOI MEDICAL UNIVERSITY. Vietnam Journal of Community Medicine, 66(CĐ4 NCKH). https://doi.org/10.52163/yhc.v66iCD4.2361

39. VALIDITY AND RELIABILITY OF THE GLIM CRITERIA IN PATIENTS AT HANOI MEDICAL UNIVERSITY

Le Thi Huong1, Le Thi Thanh Xuan1, Ta Thanh Nga2, Bui Thi Tra Vi2, Vu Ngoc Ha2, Nguyen Thi Thu Lieu1, Phung Thi Ngoc Anh1, Le Thi Ha Thanh3, Duong Thi Phuong2
1 Institute of Preventive Medicine and Public Health
2 Hanoi Medical University Hospital, Hanoi Medical University
3 Hoang Mai District Medical Center

Main Article Content

Abstract

Objectives: The study aimed to evaluate the validity and reliability of the GLIM diagnostic criteria at Hanoi Medical University Hospital.


Methods: A cross-sectional study was conducted on 200 patients aged 18 to under 70 years who were admitted within 48 hours.


Results: Malnourished according to GLIM had significantly longer hospital stays (10.0 ± 8.96 days) and lower clinical indicators, including BMI, subcutaneous fat thickness, body fat percentage, muscle mass, bone mass, visceral fat, and prealbumin levels (p < 0.05). The GLIM criteria demonstrated a sensitivity of 71.9%, a specificity of 88.2%, a positive predictive value of 74.2%, a negative predictive value of 87%, and an area under the receiver operating characteristic curve (AUC) of 0.8 (95%CI = 0.74-0.86) for malnutrition diagnosis. Severe malnutrition according to the GLIM criteria, based on the phenotypic standard at a BMI threshold of < 17.0 kg/m² (for individuals < 70 years old), has a sensitivity of 70%, a specificity of 98.4%, and an AUC of 0.84. The inter-rater reliability between two independent GLIM evaluators was excellent, with a Kappa coefficient of 0.89.


Conclusion: The GLIM criteria demonstrate high validity and reliability in diagnosing malnutrition.

Article Details

Keywords

Validity, reliability, malnutrition, GLIM

References

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