Malnutrition by GLIM criteria in chronic pancreatitis: Prevalence, predictors, and its impact on quality of life
Malnutrition in chronic pancreatitis (CP) has prognostic value and there is limited data on the prevalence, predictors of malnutrition in CP and its effect on Quality of life (QoL). A retrospective study was conducted in patients with CP to assess the prevalence of malnutrition as per the Global Lea...
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| Veröffentlicht in: | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2022-04, Vol.22 (3), p.367-373 |
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| container_title | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] |
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| creator | Gopi, Srikanth Qamar, Sumaira Singh, Namrata Agarwal, Samagra Yegurla, Jatin Rana, Atul Gunjan, Deepak Saraya, Anoop |
| description | Malnutrition in chronic pancreatitis (CP) has prognostic value and there is limited data on the prevalence, predictors of malnutrition in CP and its effect on Quality of life (QoL).
A retrospective study was conducted in patients with CP to assess the prevalence of malnutrition as per the Global Leadership Initiative on Malnutrition (GLIM) criteria. Multivariable-adjusted regression was used to identify independent predictors of both malnutrition and global QoL.
A total of 297 patients were included and the most common etiology of CP was idiopathic (75%) and alcohol (25%). The prevalence of malnutrition was 46.4% as per GLIM criteria. On univariate analysis, the risk of malnutrition was significantly higher in alcoholic etiology (p = 0.001), current alcohol consumption (p = 0.001), smokers (p |
| doi_str_mv | 10.1016/j.pan.2022.02.004 |
| format | Article |
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A retrospective study was conducted in patients with CP to assess the prevalence of malnutrition as per the Global Leadership Initiative on Malnutrition (GLIM) criteria. Multivariable-adjusted regression was used to identify independent predictors of both malnutrition and global QoL.
A total of 297 patients were included and the most common etiology of CP was idiopathic (75%) and alcohol (25%). The prevalence of malnutrition was 46.4% as per GLIM criteria. On univariate analysis, the risk of malnutrition was significantly higher in alcoholic etiology (p = 0.001), current alcohol consumption (p = 0.001), smokers (p < 0.001), those having higher cumulative days of pain in last 6 months (p < 0.001) and lower daily calorie intake (p = 0.019). On multivariate analysis, malnutrition was independently associated with current alcohol consumption (Odds ratio: 3.22, p = 0.017), current smokers (OR: 2.23, p = 0.042) and those having higher cumulative days of abdominal pain (OR: 1.01, p < 0.001), while higher daily calorie intake (per 100 kcal) (OR:0.94, p = 0.023) has reduced risk of malnutrition. Malnutrition (p = 0.015) and higher cumulative days of abdominal pain (p < 0.001) were independently associated with lower global QoL in patients with CP.
Malnutrition is frequent in patients with CP; and current alcohol consumption, smoking and higher cumulative days of abdominal pain independently predicts risk of developing malnutrition. Patients with malnutrition and higher cumulative days of pain has poorer quality of life.</description><identifier>ISSN: 1424-3903</identifier><identifier>EISSN: 1424-3911</identifier><identifier>DOI: 10.1016/j.pan.2022.02.004</identifier><identifier>PMID: 35210181</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Abdomen ; Abdominal Pain ; Alcohol ; Body mass index ; Calories ; Chronic pancreatitis ; Diabetes ; Diet ; Energy ; Etiology ; Food ; Humans ; Leadership ; Malnutrition ; Malnutrition - complications ; Malnutrition - epidemiology ; Multivariate analysis ; Nutrition Assessment ; Nutritional Status ; Pain ; Pancreatitis ; Pancreatitis, Chronic - complications ; Pancreatitis, Chronic - epidemiology ; Patients ; Prevalence ; Quality of Life ; Questionnaires ; Retrospective Studies ; Variables</subject><ispartof>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.], 2022-04, Vol.22 (3), p.367-373</ispartof><rights>2022 IAP and EPC</rights><rights>Copyright © 2022 IAP and EPC. Published by Elsevier B.V. All rights reserved.</rights><rights>2022. IAP and EPC</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-ffbb1f05dd4d7c357086984c2cd870f0f553effceec73a6a01fe7e4b634659a33</citedby><cites>FETCH-LOGICAL-c381t-ffbb1f05dd4d7c357086984c2cd870f0f553effceec73a6a01fe7e4b634659a33</cites><orcidid>0000-0002-0609-3135 ; 0000-0002-3459-8448 ; 0000-0002-2053-2069 ; 0000-0002-8912-2949 ; 0000-0001-8434-3884 ; 0000-0002-3921-6752</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35210181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gopi, Srikanth</creatorcontrib><creatorcontrib>Qamar, Sumaira</creatorcontrib><creatorcontrib>Singh, Namrata</creatorcontrib><creatorcontrib>Agarwal, Samagra</creatorcontrib><creatorcontrib>Yegurla, Jatin</creatorcontrib><creatorcontrib>Rana, Atul</creatorcontrib><creatorcontrib>Gunjan, Deepak</creatorcontrib><creatorcontrib>Saraya, Anoop</creatorcontrib><title>Malnutrition by GLIM criteria in chronic pancreatitis: Prevalence, predictors, and its impact on quality of life</title><title>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</title><addtitle>Pancreatology</addtitle><description>Malnutrition in chronic pancreatitis (CP) has prognostic value and there is limited data on the prevalence, predictors of malnutrition in CP and its effect on Quality of life (QoL).
A retrospective study was conducted in patients with CP to assess the prevalence of malnutrition as per the Global Leadership Initiative on Malnutrition (GLIM) criteria. Multivariable-adjusted regression was used to identify independent predictors of both malnutrition and global QoL.
A total of 297 patients were included and the most common etiology of CP was idiopathic (75%) and alcohol (25%). The prevalence of malnutrition was 46.4% as per GLIM criteria. On univariate analysis, the risk of malnutrition was significantly higher in alcoholic etiology (p = 0.001), current alcohol consumption (p = 0.001), smokers (p < 0.001), those having higher cumulative days of pain in last 6 months (p < 0.001) and lower daily calorie intake (p = 0.019). On multivariate analysis, malnutrition was independently associated with current alcohol consumption (Odds ratio: 3.22, p = 0.017), current smokers (OR: 2.23, p = 0.042) and those having higher cumulative days of abdominal pain (OR: 1.01, p < 0.001), while higher daily calorie intake (per 100 kcal) (OR:0.94, p = 0.023) has reduced risk of malnutrition. Malnutrition (p = 0.015) and higher cumulative days of abdominal pain (p < 0.001) were independently associated with lower global QoL in patients with CP.
Malnutrition is frequent in patients with CP; and current alcohol consumption, smoking and higher cumulative days of abdominal pain independently predicts risk of developing malnutrition. Patients with malnutrition and higher cumulative days of pain has poorer quality of life.</description><subject>Abdomen</subject><subject>Abdominal Pain</subject><subject>Alcohol</subject><subject>Body mass index</subject><subject>Calories</subject><subject>Chronic pancreatitis</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Energy</subject><subject>Etiology</subject><subject>Food</subject><subject>Humans</subject><subject>Leadership</subject><subject>Malnutrition</subject><subject>Malnutrition - complications</subject><subject>Malnutrition - epidemiology</subject><subject>Multivariate analysis</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Pain</subject><subject>Pancreatitis</subject><subject>Pancreatitis, Chronic - complications</subject><subject>Pancreatitis, Chronic - epidemiology</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Retrospective Studies</subject><subject>Variables</subject><issn>1424-3903</issn><issn>1424-3911</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1LJDEQhoO4-P0DvCwBLx6c2aST_pj1JLK6wsh62D2HdKWCGXqSNkkL8-83w6gHD0JBEnjqqfAWIeeczTnjzY_VfNR-XrGqmrNSTO6RIy4rORMLzvc_7kwckuOUVqyAnC8OyKGoqyLo-BEZH_XgpxxddsHTfkPvlw-PFMobo9PUeQrPMXgHtIyCiDoXMv2kTxFf9YAe8IqOEY2DHGK6otob6nKibj1qyLQ4XyY9uLyhwdLBWTwl36weEp69nSfk392vv7e_Z8s_9w-3N8sZiI7nmbV9zy2rjZGmBVG3rGsWnYQKTNcyy2xdC7QWEKEVutGMW2xR9o2QTb3QQpyQy513jOFlwpTV2iXAYdAew5RU1QjR1byt24JefEJXYYq-_K5Qsmu5bKqtkO8oiCGliFaN0a113CjO1HYdaqVKRmq7DsVKMVl6vr-Zp36N5qPjPf8CXO8ALFG8OowqgdumalxEyMoE94X-P498mwY</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Gopi, Srikanth</creator><creator>Qamar, Sumaira</creator><creator>Singh, Namrata</creator><creator>Agarwal, Samagra</creator><creator>Yegurla, Jatin</creator><creator>Rana, Atul</creator><creator>Gunjan, Deepak</creator><creator>Saraya, Anoop</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0609-3135</orcidid><orcidid>https://orcid.org/0000-0002-3459-8448</orcidid><orcidid>https://orcid.org/0000-0002-2053-2069</orcidid><orcidid>https://orcid.org/0000-0002-8912-2949</orcidid><orcidid>https://orcid.org/0000-0001-8434-3884</orcidid><orcidid>https://orcid.org/0000-0002-3921-6752</orcidid></search><sort><creationdate>202204</creationdate><title>Malnutrition by GLIM criteria in chronic pancreatitis: Prevalence, predictors, and its impact on quality of life</title><author>Gopi, Srikanth ; Qamar, Sumaira ; Singh, Namrata ; Agarwal, Samagra ; Yegurla, Jatin ; Rana, Atul ; Gunjan, Deepak ; Saraya, Anoop</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-ffbb1f05dd4d7c357086984c2cd870f0f553effceec73a6a01fe7e4b634659a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Abdominal Pain</topic><topic>Alcohol</topic><topic>Body mass index</topic><topic>Calories</topic><topic>Chronic pancreatitis</topic><topic>Diabetes</topic><topic>Diet</topic><topic>Energy</topic><topic>Etiology</topic><topic>Food</topic><topic>Humans</topic><topic>Leadership</topic><topic>Malnutrition</topic><topic>Malnutrition - complications</topic><topic>Malnutrition - epidemiology</topic><topic>Multivariate analysis</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Pain</topic><topic>Pancreatitis</topic><topic>Pancreatitis, Chronic - complications</topic><topic>Pancreatitis, Chronic - epidemiology</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Retrospective Studies</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gopi, Srikanth</creatorcontrib><creatorcontrib>Qamar, Sumaira</creatorcontrib><creatorcontrib>Singh, Namrata</creatorcontrib><creatorcontrib>Agarwal, Samagra</creatorcontrib><creatorcontrib>Yegurla, Jatin</creatorcontrib><creatorcontrib>Rana, Atul</creatorcontrib><creatorcontrib>Gunjan, Deepak</creatorcontrib><creatorcontrib>Saraya, Anoop</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gopi, Srikanth</au><au>Qamar, Sumaira</au><au>Singh, Namrata</au><au>Agarwal, Samagra</au><au>Yegurla, Jatin</au><au>Rana, Atul</au><au>Gunjan, Deepak</au><au>Saraya, Anoop</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Malnutrition by GLIM criteria in chronic pancreatitis: Prevalence, predictors, and its impact on quality of life</atitle><jtitle>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</jtitle><addtitle>Pancreatology</addtitle><date>2022-04</date><risdate>2022</risdate><volume>22</volume><issue>3</issue><spage>367</spage><epage>373</epage><pages>367-373</pages><issn>1424-3903</issn><eissn>1424-3911</eissn><abstract>Malnutrition in chronic pancreatitis (CP) has prognostic value and there is limited data on the prevalence, predictors of malnutrition in CP and its effect on Quality of life (QoL).
A retrospective study was conducted in patients with CP to assess the prevalence of malnutrition as per the Global Leadership Initiative on Malnutrition (GLIM) criteria. Multivariable-adjusted regression was used to identify independent predictors of both malnutrition and global QoL.
A total of 297 patients were included and the most common etiology of CP was idiopathic (75%) and alcohol (25%). The prevalence of malnutrition was 46.4% as per GLIM criteria. On univariate analysis, the risk of malnutrition was significantly higher in alcoholic etiology (p = 0.001), current alcohol consumption (p = 0.001), smokers (p < 0.001), those having higher cumulative days of pain in last 6 months (p < 0.001) and lower daily calorie intake (p = 0.019). On multivariate analysis, malnutrition was independently associated with current alcohol consumption (Odds ratio: 3.22, p = 0.017), current smokers (OR: 2.23, p = 0.042) and those having higher cumulative days of abdominal pain (OR: 1.01, p < 0.001), while higher daily calorie intake (per 100 kcal) (OR:0.94, p = 0.023) has reduced risk of malnutrition. Malnutrition (p = 0.015) and higher cumulative days of abdominal pain (p < 0.001) were independently associated with lower global QoL in patients with CP.
Malnutrition is frequent in patients with CP; and current alcohol consumption, smoking and higher cumulative days of abdominal pain independently predicts risk of developing malnutrition. Patients with malnutrition and higher cumulative days of pain has poorer quality of life.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>35210181</pmid><doi>10.1016/j.pan.2022.02.004</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0609-3135</orcidid><orcidid>https://orcid.org/0000-0002-3459-8448</orcidid><orcidid>https://orcid.org/0000-0002-2053-2069</orcidid><orcidid>https://orcid.org/0000-0002-8912-2949</orcidid><orcidid>https://orcid.org/0000-0001-8434-3884</orcidid><orcidid>https://orcid.org/0000-0002-3921-6752</orcidid></addata></record> |
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| subjects | Abdomen Abdominal Pain Alcohol Body mass index Calories Chronic pancreatitis Diabetes Diet Energy Etiology Food Humans Leadership Malnutrition Malnutrition - complications Malnutrition - epidemiology Multivariate analysis Nutrition Assessment Nutritional Status Pain Pancreatitis Pancreatitis, Chronic - complications Pancreatitis, Chronic - epidemiology Patients Prevalence Quality of Life Questionnaires Retrospective Studies Variables |
| title | Malnutrition by GLIM criteria in chronic pancreatitis: Prevalence, predictors, and its impact on quality of life |
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