The Cutoff Point of Mid–Upper Arm Circumference in the Supine Position to Detect Malnutrition in Patients with Cancer

2022 ◽  
Vol 37 (1) ◽  
pp. 24-32
Author(s):  
Fathiyyatul Khaira ◽  
Diyah Eka Andayani ◽  
Fiastuti Witjaksono
2021 ◽  
pp. 1-12
Author(s):  
Aparna Roy ◽  
T. V. Sekher

Abstract Use of body mass index (BMI) to assess the nutritional status of adolescents requires many resources, especially for country-level assessment. This study aimed to determine the relationship between BMI and mid upper arm circumference (MUAC) among adolescent males and females in India and to examine whether MUAC effectively represents the nutritional status of adolescents. The study utilized anthropometric measurement data collected by India’s National Family Health Survey-4 (2015–16). The weighted sample for analysis included 91,315 female and 14,893 male adolescents. The BMI and MUAC measurements showed a positive correlation in both female and male adolescents. Using BMI-for-age Z-score classifications, 12.7% of the adolescents were undernourished. Using MUAC (in cm) as per NACS (Nutrition Assessment, Counselling, and Support) guidelines and Mramba et al. (2017) classified 22.9% and 3.7% of the adolescents as undernourished respectively. Finally, using the MUAC-for-age Z-score classification, 98.4% of adolescents were determined to be normal and 1.7% undernourished. Sensitivity and specificity tests of the MUAC cut-offs, in comparison with BMI cut-offs, showed that all three MUAC cut-off classifications had high specificity (NACS cut-off: 81.3%; Mramba et al. cut-off (cm): 97.7%; Mramba et al. cut-off (Z-score): 99.1%). The NACS cut-off had moderately high sensitivity (52.2%) but the Mramba et al. cut-offs had low sensitivity (13.3% for the centimetre cut-off and 6.6% for the Z-score cut-off). Sensitivity and specificity tests proved the relationship between BMI and MUAC, and that MUAC represents adolescent nutritional status with considerable efficiency. With further research, it may be established that MUAC is a better and promising measure of adolescent nutrition, having the advantage of needing fewer resources for data collection. The MUAC has the potential to offer a simple and low-resource alternative to BMI to assess nutritional status among adolescents in poor countries.


2021 ◽  
Vol 224 (2) ◽  
pp. S43
Author(s):  
Ashley A. Appiagyei ◽  
Bellington Vwalika ◽  
Anne West Honart ◽  
Andrew Kumwenda ◽  
Chileshe Mabula ◽  
...  

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
David Franli ◽  
Makmur Sitepu ◽  
Hotma Partogi Pasaribu ◽  
Sake Juli Martina

Introduction. Chronic energy deficieny (CED) is a condition of a body characterized by low body weight and low energy stores, possibly limited physical capacity due to deprivation of food over a long period time. Ministry of Health ( Kemenkes) showed that in 2015, 305 out of 100.000 death of pregnant women is realated to malnutriotion and CED. Objective. The aim of this study is to determine the overview of pregnant women nutritional status based on mid-upper arm circumference (MUAC) in Sundari Medan General Hospital. Method. The study was an observational descriptive study with a cross sectional design. The samples of this study consists of pregnant women from Sundari Medan Genaral Hospital, who had fulilled the inclusion and esclusion criteria by total sampling. Results.. Among 60 samples, the prevalance of Non-CED woman (85%) was found higher than the mild malnutrition (15%). Conclusion. Prevalance of CED pregnant women was found higher in risky age, middle educated and high income family.  


2015 ◽  
Vol 9 (3) ◽  
pp. 268 ◽  
Author(s):  
Joseph Birundu Mogendi ◽  
Hans De Steur ◽  
Xavier Gellynck ◽  
Hibbah Araba Saeed ◽  
Anselimo Makokha

2020 ◽  
Vol 11 (07) ◽  
pp. 912-925
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Bwembya Phoebe ◽  
Ellen Chirwa ◽  
...  

Author(s):  
Nunik Ike Yunia Sari ◽  
◽  
Estin Gita Maringga ◽  

ABSTRACT Background: Stunting can cause various developmental problems in children under five. Stunting can reduce a person productivity at a young age and increase the risks of developing non-communicable diseases when older. This study aimed to determine of maternal and hair zinc level on stunting and developmental disorders in under five aged children. Subjects and Method: This was a case study conducted at Gurah Public Health Center, Kediri Regency, East java, August 4-29, 2020. approach with a fixed disease sampling technique. A sample size of 100 subjects was selected by simple random sampling. The dependent variable was stunting and developmental disorders. The independent variables were pregnant women Mid-Upper Arm Circumference, exclusive breastfeeding, LBW, birth length, hair zinc level. The data were collected by questionnaire, measuring height and weight and checking hair zinc levels in the laboratory. The data were analyzed by path analysis. Results: Child development was influenced by Mid-Upper Arm Circumference (b= 0.12; SE= 0.36; p< 0.001), birth weight (b= 0.29; SE= 0.15; p= 0.042); birth length (b= 0.37; SE= 0.15; p= 0.011), breastfeeding (b= 0.08; SE= 0.04; p= 0.033), stunting (b= 0.39; SE= 0.10; p <0.001), hair zinc levels (b= 0.58; SE= 0.67; p <0.001). Hair zinc levels were affected by birth weight (b= 0.92; SE= 0.04; p <0.001). Stunting was affected by breastfeeding (b= 0.12; SE= 0.04; p <0.001); birth length (b= 0.73; SE= 0.06; p <0.001), zinc levels (b= 0.16; SE= 0.06; p= 0.006) Conclusion: Child development was influenced by Mid-Upper Arm Circumference, birth weight, birth length, breastfeeding, stunting, hair zinc levels. Hair zinc levels were affected by birth weight. Stunting was affected by breastfeeding, birth length, zinc levels. Keywords: maternal determinant factor, hair zinc level, predictor of stunting, developmental disorder Correspondence: Nunik Ike Yunia Sari. School of Health Sciences Karya Husada Kediri. Email: [email protected]. Mobile: +6282257969278. DOI: https://doi.org/10.26911/the7thicph.03.34


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