Prevalence of malnutrition among adult inpatients in China: a nationwide cross-sectional study

作     者：Yan Liu Chunhua Song Xue Wang Xianghua Ma Pianhong Zhang Gaiyun Chen Zhenqian Cheng Juying Liu Ying Yao Wenjun Ma Zengning Li Ping Sun Fan Lin Weilian Hou Ting Han Ying Zhang Min Weng Wanying Shi Dagang Yang Ji Feng Junqiang Chen Li Li Hua Jiang Hongxia Xu Ruifang Guo Ying Liu Xiaopan Chen Qian Zhao Yumei Qi Qiang Chi Rong Liu Rui Xiong Tiantian Wu Shangfeng Tang Shuyan Guo Wei Chen 

作者机构：Department of Clinical NutritionPeking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical College Department of Epidemiology and StatisticsCollege of Public HealthZhengzhou University Nutritional DepartmentThe First Affiliated Hospital of Nanjing Medical University Department of Clinical NutritionThe Second Affiliated HospitalZhejiang University School of Medicine The First Affiliated Hospital of Zhengzhou University Department of Clinical NutritionThe First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital Department of Clinical NutritionXiangya Hospital Central South University Department of NutritionTongji HospitalTongji Medical CollegeHuazhong University of Science and Technology Department of NutritionGuangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences)Southern Medical University Department of Clinical NutritionThe First Hospital of Hebei Medical University Department of Clinical NutritionThe First Affiliated Hospital of Shanxi Medical University Department of Clinical NutritionShengli Clinical Medical College of Fujian Medical UniversityFujian Provincial Hospital Department of Clinical NutritionThe First Affiliated Hospital of USTCDivision of Life Sciences and MedicineUniversity of Science and Technology of China Department of Clinical NutritionShanghai Tenth People's HospitalTongji University School of Medicine Department of Clinical NutritionShaanxi Provincial People's Hospital Department of Clinical NutritionThe First Affiliated Hospital of Kunming Medical University Department of Clinical NutritionThe First Affiliated Hospital of China Medical University The Affiliated Hospital of Guizhou Medical University The Second Affiliated Hospital of Nanchang University The First Affiliated Hospital of Guangxi Medical University Department of Clinical NutritionThe First Affiliated Hospital of Xinjiang Medical University Institute for Emergency and Disaster MedicineSichuan Provincial People's HospitalSchool of MedicineUniversity of Electronic Science and Technology of China Department of Clinical NutritionDaping HospitalArmy Medical University (Third Military Medical University) Inner Mongolia People's Hospital Jilin People's Hospital The First Affiliated Hospital of Hainan Medical University Department of Clinical NutritionNingxia Hui Autonomous Region People's Hospital Department of Clinical NutritionTianjin Third Central Hospital The Second Affiliated Hospital of Harbin Medical University The First Hospital of Lanzhou University Qinghai Provincial People's Hospital School of Medicine and Health ManagementTongji Medical CollegeHuazhong University of Science and Technology National Institute of Hospital AdministrationNational Health Commission 

出 版 物：《Science China Life Sciences》 (中国科学:生命科学(英文版))

年 卷 期：2025年第68卷第5期

页      面：1487-1497页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：supported by the National Key Research and Development Program of China (2020YFC2006000) the National Natural Science Foundation of China (72074222) 

主　　题：malnutrition GLIM prevalence risk factors adult inpatients 

摘      要：Malnutrition substantially contributes to adverse clinical outcomes. However, no national survey has been conducted to characterize its epidemiology in hospital settings in China. We conducted the China Nutrition Fundamental Data 2020 project among a multistage stratified cluster sample of adult inpatients from 291 study sites across 30 provinces, autonomous regions and municipalities(except for Hong Kong,Macao, Taiwan Province, and the Xizang Autonomous Region, please see MATERIALS AND METHODS for details of the causes) of China to generate reliable data on the prevalence of malnutrition and explore the associated risk factors. We collected information on participants sociodemographic characteristics, physical examinations, and laboratory test results. Malnutrition was defined according to the Global Leadership Initiative on Malnutrition(GLIM) criteria. The standardized prevalence of malnutrition was calculated, and factors associated with malnutrition were examined using logistic regression analyses. We included 54,652 individuals with seven systemic diseases who completed all the survey documents in the final analysis. The overall prevalence of malnutrition was 12.5%, representing 7.6 million adult inpatients in China. The prevalence of malnutrition was higher in men, individuals aged ≥60 years, residents of central and western regions, people from lower economic areas, and those with lower education levels than in women, individuals aged 60 years, residents of eastern regions, individuals from higher economic areas, and those with higher education levels. Patients with higher disease severity scores, infectious diseases, and neoplasms had a higher tendency for malnutrition than those without such conditions. Sex, age, region,economic level, education level, disease severity score, infectious diseases, and neoplasms were independently associated with *** conclusion, malnutrition is prevalent among Chinese adult inpatients, necessitating national-and