{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T06:19:42Z","timestamp":1790921982658,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T00:00:00Z","timestamp":1596067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study aimed to investigate the predictive validity of the previously reported body mass index (BMI) cutoff values of the Global Leadership Initiative on Malnutrition (GLIM) criteria for patients with pneumonia in Asians, using a nationwide registry database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included 26,098 (2282 patients aged &lt;70 years and 23,784 patients aged \u226570 years) patients with pneumonia aged \u226565 years who were enrolled in the Japan Medical Data Center database between April 2014 and December 2018. Malnutrition was diagnosed using the GLIM criteria, and the severity of malnutrition was diagnosed by using a BMI cutoff value of &lt;17.0 and &lt;17.8 for patients aged &lt;70 and \u226570 years, respectively. Multivariate analysis was performed to determine whether the severity of malnutrition based on BMI was associated with poor clinical outcomes, such as 30\u2010day in\u2010hospital mortality, length of hospital stay (LOS), and 30\u2010day readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 14.7% and 24.1% of patients aged &lt;70 and \u226570 years, respectively, experienced severe malnutrition. Severe malnutrition was independently associated with 30\u2010day in\u2010hospital mortality (hazard ratio [HR], 1.19; 95% CI, 1.05\u20131.34), prolonged LOS (coefficient, 5.13; 95% CI, 4.31\u20135.94), and 30\u2010day readmission (HR, 2.28; 95% CI, 1.89\u20132.75) in patients aged \u226570 years; however, only prolonged LOS was independently associated with patients aged &lt;70 years (coefficient, 3.27; 95% CI, \u22120.24\u20136.78).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The BMI cutoff values might be valid for patients with pneumonia aged \u226570 years in Asians. Further investigation is required to validate the cutoff value for older adults aged &lt;70 years.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpen.1959","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T03:50:26Z","timestamp":1594957826000},"page":"941-950","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Predictive Validity of Body Mass Index Cutoff Values Used in the Global Leadership Initiative on Malnutrition Criteria for Discriminating Severe and Moderate Malnutrition Based on In\u2010Patients With Pneumonia in Asians"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0244-1953","authenticated-orcid":false,"given":"Akio","family":"Shimizu","sequence":"first","affiliation":[{"name":"Department of Nutrition Hamamatsu City Rehabilitation Hospital  Hamamatsu Shizuoka Japan"},{"name":"Department of Palliative and Supportive Medicine Graduate School 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