P575 - GLOBAL IMPLEMENTATION OF GLIM CRITERIA IN PRACTICE AND RESEARCH: WHO’S ON BOARD?

P575

GLOBAL IMPLEMENTATION OF GLIM CRITERIA IN PRACTICE AND RESEARCH: WHO’S ON BOARD?

D. Wolters¹, H. Jager-Wittenaar^2,3,*, M. Pirlich⁴, G. Baptista⁵, R. Barazzoni⁶, J. Beurskens-Meijer³, R. Blaauw⁷, T. Cederholm^8,9, C. Compher¹⁰, R. A. DiMaria-Ghalili¹¹, V. Fuchs-Tarlovsky¹², M. C. Gonzalez¹³, L. Gramlich¹⁴, M. Halil¹⁵, M. Herrera¹⁶, G. Jensen¹⁷, M. Muscaritoli¹⁸, Y. Nabeya¹⁹, A. Steiber²⁰, R. Wirth²¹, A. Malone^22,23

¹Vrije Universiteit, Amsterdam, ²Hanze University of Applied Sciences, Groningen, ³Radboud university medical center, Nijmegen, Netherlands, ⁴Praxis Kaisereiche, Berlin, Germany, ⁵University Central of Venezuela, Caracas, Venezuela, Bolivarian Republic Of, ⁶University of Trieste, Trieste, Italy, ⁷Stellenbosch University, Cape Town, South Africa, ⁸Uppsala University, Uppsala, ⁹Karolinska University Hospital, Stockholm, Sweden, ¹⁰University of Pennsylvania School of Nursing, ¹¹Drexel University, Philadelphia, United States, ¹²Hospital General de Mexico, Mexico City, Mexico, ¹³Catholic University of Pelotas, Pelotas, Brazil, ¹⁴University of Alberta, Alberta, Canada, ¹⁵Hacettepe University, Ankara, Turks and Caicos Islands, ¹⁶Central University of Venezuela, Caracas, Venezuela, Bolivarian Republic Of, ¹⁷University of Vermont, Burlington, United States, ¹⁸Sapienza University of Rome, Rome, Italy, ¹⁹Chiba Cancer Center, Chiba, Japan, ²⁰Academy of Nutrition and Dietetics, Chicago, United States, ²¹Marien Hospital Herne – Ruhr-University Bochum , Herne, Germany, ²²The American Society for Parenteral and Enteral Nutrition, Silver Spring, ²³Mt. Carmel West Hospital, Columbus, United States

Rationale: The Global Leadership Initiative on Malnutrition (GLIM) framework was introduced to standardize malnutrition diagnosis globally, yet insight in its implementation is lacking. This study explored GLIM criteria utilization and identified barriers and facilitators affecting its implementation into practice and research. 

Methods: A global cross-sectional survey, conducted by the GLIM Implementation Working Group (December 2022–January 2023), collected data from 1532 respondents (1390 professionals, 142 researchers). The survey included 27 questions assessing GLIM utilization, perceived barriers and facilitators in practice and research.

Results: Of the 879 respondents providing full data on GLIM implementation in practice, 45% used the criteria (25% fully implemented, 20% in progress), while 55% were non-users. In research, 24% reported using GLIM criteria. Of all respondents affiliated with ESPEN, 14% had implemented the GLIM criteria, for those affiliated with ASPEN, this was 12% (Figure 1). Of European respondents, 62% had implemented GLIM, and 31% in North America. The largest group of professionals that responded was dietitian (65%), of which 20% (255/1241) used the GLIM criteria in practice. Of the 444 physicians that responded, 23% used the GLIM criteria in practice. Most respondents worked in hospitals (69%) or universities (28%). Barriers to implementation in practice included insufficient knowledge and lack of prioritization, while in research, time constraints and administrative support were key challenges. ‘Simplicity of measures’ was the most frequently reported facilitator.

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Conclusion: The implementation of GLIM in practice in research is progressing well, given the nearly 50% GLIM criteria application rate. Physicians and dietitians are leading adopters, particularly in Europe. Global and professional differences highlight the need for targeted education and resource allocation to enhance global adoption.

Disclosure of Interest: None declared