P529 - PARADOXICAL NUTRITIONAL STATUS – HIGH PREVALENCE OF OBESITY ACCOMPANIED WITH HIGH PREVALENCE OF MALNUTRITION (GLIM) IN INDIAN POPULATION

P529

PARADOXICAL NUTRITIONAL STATUS – HIGH PREVALENCE OF OBESITY ACCOMPANIED WITH HIGH PREVALENCE OF MALNUTRITION (GLIM) IN INDIAN POPULATION

B. Samant^1,*, F. A. Sampat¹, N. Sanwalka^2,3,4, D. Shah¹, A. Agarwala¹

¹Nutrition Therapy Department, Kokilaben Dhirubhai Ambani Hospital & Research Institute, ²Department of Nutrition Research & Biostatistics, NutriCanvas, Mumbai, ³Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, ⁴School of Health Science, Savitribai Phule Pune University, Pune, India

Rationale: India has world’s second largest population of obese individuals. Very high prevalence of malnutrition is found in critically ill patients in India. To the best of our knowledge, very few studies have assessed the prevalence of malnutrition in critically ill obese patients. The aim of this study was to assess the prevalence of obesity and its interrelationship with malnutrition in critically ill Indian patients.

Methods: A study was conducted in 1223 (531 females) critically ill patients with mean age of 58.0±16.5 years. Obesity was identified using the Revised definition for Obesity for Asian Indians 2025. Prevalence of malnutrition was identified using Global Leadership Initiative on Malnutrition (GLIM) criteria.

Results: From 1223 patients, 5.8% were underweight (BMI<18.5 kg/m²), 22.3% were normal (BMI 18.5 – 22.9 kg/m²), 19.5% had Grade 1 obesity (BMI 23-24.9 kg/m²), 20.9% had Grade 2 obesity (25 – 27.5 kg/m²), 21.8% had Grade 3 obesity (BMI 27.6 – 32.4 kg/m²) and 9.6% had Grade 4 obesity (BMI ≥32.5 kg/m²). Based on GLIM criteria, 21.5% were normal, 60.9% had mild to moderate malnutrition and 17.6% had severe malnutrition. When classified by BMI categories, 98.6% underweight, 89.4% normal, 82.8% Grade 1 obese, 75% Grade 2 obese, 67.8% Grade 3 obese and 64.4% Grade 4 obese had malnutrition using GLIM criteria.

Conclusion: High prevalence of obesity and malnutrition are observed in critically ill patients in India. The paradoxical situation of high prevalence of malnutrition in obese patients further complicates the process of diet planning in critically ill patients as these patients have high nutritional demand and yet calorie intake needs to be constantly monitored. Guidelines need to devised for treating malnutrition in critically ill obese patients.

Disclosure of Interest: None declared