Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

Proffered Paper - Supportive and palliative care

1810O - Impact of malnutrition according to the GLIM criteria in cancer patients admitted to hospital


21 Sep 2020


Proffered Paper - Supportive and palliative care


Supportive Care and Symptom Management

Tumour Site


Martin Nunez Abad


Annals of Oncology (2020) 31 (suppl_4): S988-S1017. 10.1016/annonc/annonc291


M. Nunez Abad1, J. Garrido Gallego1, V. Iranzo1, C. Caballero Diaz1, A. Fernandez Diaz1, I. Shaheen1, M. Meri Abad2, M. Franco La Rosa1, C. Garcia Gonzalez1, V. Ruiz Cordero1, L. Sanz Monge1, A. Jimenez Portilla3, A. Artero Fullana4, N. Prieto Colodrero5, B. Voltas Arribas4, Y. Ruiz Berjaga4, M. Llamas Montero4, C. Sanchez Juan4, C.J.C. Camps Herrero1, B.T. Muresan4

Author affiliations

  • 1 Medical Oncology, Hospital General Universitario Valencia, 46014 - Valencia/ES
  • 2 Medical Oncology, Hospital General Universitario Valencia, 46021 - Valencia/ES
  • 3 Endocrinology And Nutrition, Fundación de Investigación Hospital General Universitario de Valencia, 46014 - Valencia/ES
  • 4 Endocrinology And Nutrition, Hospital General Universitario Valencia, 46014 - Valencia/ES
  • 5 Biology, Fundación de Investigación Hospital General Universitario de Valencia, 46014 - Valencia/ES


Login to access the resources on OncologyPRO.

If you do not have an ESMO account, please create one for free.

Abstract 1810O


Recently, the Global Leadership Initiative on Malnutrition (GLIM) criteria were proposed to standardize the diagnosis of malnutrition. We aim to determine the nutritional status and the prevalence of malnutrition in cancer inpatients as measured by GLIM criteria, and establish the association between malnutrition with the risk of nosocomial infections (NI) and length of hospital stay.


Prospective observational study carried out in patients admitted to Oncology Department of General University Hospital of Valencia from November 2019 to March 2020. Nutritional status was evaluated within the first 48 hours after admission. Fat free mass index (FFMI) and phase angle (PA) was measured using a bioelectrical impedance (Akern®), and muscle function using a Jamar® handgrip. Sarcopenia was measured using the cut-off values according to EWGSOP2.


A total of 107 patients were evaluated (mean age 66 years, 66.4% males). Most patients (70.1%) had an advanced disease. On admission, 48 patients (44.9%) presented severe malnutrition and 19 (17.8%) moderate malnutrition based on GLIM criteria. In addition, 77 patients (72%) presented dynapenia and 18 patients (16.8%) sarcopenia. Other parameters of nutritional status were: mean weigh: 67.8 kg, mean BMI: 24 kg/m2, mean FFMI: 18.6 kg/m2 and mean PA: 4.5º. Mean length of stay was 13.9 days. During admission, 43 patients (40,2%) developed a NI, mostly respiratory tract infections (26 patients). Weigh, BMI and FFMI but not PA was significantly lower in patients who developed a NI (p<0.05 in all cases). The proportion of infections was higher in patients with severe malnutrition (25/48, 52.1%) and moderate malnutrition (8/19, 42.1%) as compared with patients with no malnutrition (10/40, 25%), (p=0,035). NI were more common in patients with sarcopenia (61.1% vs. 36%, p=0,044). Length of stay was longer in infected patients (18.6 vs 10.8 days, p<0,024) but was not related to nutritional status.


The prevalence of malnutrition in cancer inpatients is high. Malnutrition measured by GLIM criteria and sarcopenia are associated with a high risk of NI. An adequate nutritional evaluation is essential for a timely implementation nutritional support, to avoid malnutrition, sarcopenia and decrease NI.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

The authors.


Has not received any funding.


All authors have declared no conflicts of interest.

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings
  • Necessary cookies enable core functionality. The website cannot function properly without these cookies, and you can only disable them by changing your browser preferences.