scholarly journals Nutritional status among young adolescents attending primary school in Tanzania: contributions of mid-upper arm circumference (MUAC) for adolescent assessment

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Margaret Lillie ◽  
Isaac Lema ◽  
Sylvia Kaaya ◽  
Dori Steinberg ◽  
Joy Noel Baumgartner
Keyword(s):  
Nutritional Status ◽  
Primary School ◽  
Critical Time ◽  
Adult Health ◽  
Young Adolescents ◽  
Upper Arm ◽  
Cross Sectional ◽  
Low Resource ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Abstract Background Adolescence is a critical time of development and nutritional status in adolescence influences both current and future adult health outcomes. However, data on adolescent nutritional status is limited in low-resource settings. Mid-upper arm circumference (MUAC) has the potential to offer a simple, low-resource alternative or supplement to body mass index (BMI) in assessing nutrition in adolescent populations. Methods This is secondary data analysis, from a cross-sectional pilot study, which analyses anthropometric data from a sample of young adolescents attending their last year of primary school in Pwani Region and Dar es Salaam Region, Tanzania (n = 154; 92 girls & 62 boys; mean age 13.2 years). Results The majority of adolescents (75%) were of normal nutritional status defined by BMI. Significantly more males were stunted than females, while significantly more females were overweight than males. Among those identified as outside the normal nutrition ranges, there was inconsistency between MUAC and BMI cut-offs. Bivariate analyses indicate that BMI and MUAC show a positive correlation for both female and male participants, and the relationship between BMI and MUAC was more strongly correlated among adolescent females. Conclusions Further studies are needed with more nutritionally and demographically diverse populations to better understand the nutritional status of adolescents and the practical contribution of MUAC cut-offs to measure adolescent nutrition.

Description of Pregnant Women's Nutritional Status Based on The Mid-Upper Arm Circumference in Sundari Medan General Hospital In 2019

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
David Franli ◽  
Makmur Sitepu ◽  
Hotma Partogi Pasaribu ◽  
Sake Juli Martina
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
General Hospital ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Energy Stores ◽  
Cross Sectional Design ◽  
Mid Upper Arm Circumference ◽  
Observational Descriptive Study

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.  

scholarly journals Assessing malnutrition in pregnant women using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A cross-sectional study, Zambia

2020 ◽  
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Phoebe Bwembya ◽  
Ellen Chirwa ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Nutrient Intake ◽  
Sampling Method ◽  
Dietary Diversity ◽  
Upper Arm ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Abstract Background One of the easiest and effective ways of predicting under nutrition is to use the Dietary Diversity Score (DDS) and the mid-upper arm circumference (MUAC). The dietary diversity score is a qualitative measure of food consumption reflecting an individual’s access to different food items and therefore is a proxy indicator of the nutritional status. The aim of the study was to assess whether the DDS and MUAC can be used to assess the nutritional status of pregnant women attending antenatal. Methods A cross-sectional survey was conducted at Chilenje level I Hospital in a township located in Lusaka city, Lusaka province. The study employed quantitative methods to collect and analyse data on the dietary patterns and if this can be used to assess the nutritional status of individuals 24 hours preceding the survey. Health facilities were selected using random sampling method and systematic sampling method was used to select a sample of 299 pregnant women. An interview schedule was used to collect data. Logistic regression was used to establish associations between DDS and MUAC. Results In this study, 44% of the women were in the lowest dietary diversity category, which indicates inadequate nutrient intake, 31% in the medium category and 24% in the high intake. Maternal weight was associated with a 0.08 cm increase in MUAC (95% CI; 0.74 – 0.93) and this was statistically significant. Marital status and age (95% CI; 0.83 – 0.93) were significantly associated with an increase in MUAC in the univariate analysis but when adjusted for other confounders this was not significant (95% CI; 0.81 – 1.00). Consumption of organ meat was associated with a 0.21cm increase in MUAC (95% CI; 0.04 - 0.97). Conclusion The study results indicated that 44% of the women had inadequate nutrient intake, indicating that the dietary diversity score can be used to predict malnutrition in pregnant women. The mid upper was negatively correlated with the 24hour dietary diversity score implying that we might not rely on this measurement to assess the nutritional status. Key words Dietary Diversity Score, Malnutrition, Mid Upper Arm Circumference, Pregnant women, Antenatal.

scholarly journals Derivation of MUAC cut-off to identify undernourished 1-6 months old infants

2018 ◽  
Vol 5 (6) ◽  
pp. 2217 ◽  
Author(s):  
Ramamani D. ◽  
Suganya E.
Keyword(s):  
Nutritional Status ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Youden Index ◽  
Major Public Health Problem ◽  
Upper Arm ◽  
Cross Sectional ◽  
Under Nutrition ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Background: Under nutrition is the major public health problem in our country. There are numerous anthropometric methods, one of which is mid upper arm circumference (MUAC). MUAC cut-off classify the nutritional status of the children aged between 6-60 months. However, there is no specific cut-off for MUAC to identify the undernourished infants aged between 1-6 months. With the above background study was planned with the following objectives. Objectives of this study were to classify the nutritional status of 1-6 months aged infants using WLZ classification and to derive a cut off value for Mid upper arm circumference, to define under nutrition/wasting among 1-6 months aged infantsMethods: The cross-sectional study was carried out among 706 infants aged between 1-6 months. Nutritional status was assessed using WLZ. Various MUAC was tested against WLZ of <-2, in order to identify the cut-off below which, the infant will be considered undernourished.Results: Mean age of the participants was 96±55 days. Mean weight, length and mid upper arm circumference was 4.75±1.02 kg, 58.51±4.47 cm and 12.15±3.01cm respectively. MUAC cut-off <13.5 cm has yielded highest youden index, accuracy and sensitivity of 0.36, 0.79,99% respectively. The total area under ROC curve is 0.707 [95% CI: 0.66, 0.74; p<0.0001], having a good diagnostic accuracy and it is statistically significant.Conclusions: A MUAC cut-off value below 13.5 cm, among 1-6 months aged infants will be considered to be undernourished.

scholarly journals Hubungan status gizi berdasarkan lingkar lengan atas (LiLA) dengan tekanan darah pada pasien hipertensi

2020 ◽  
Vol 14 (1) ◽  
pp. 140-148
Author(s):  
Amila Amila ◽  
Nurul Utami ◽  
Agnes Silvina Marbun
Keyword(s):  
Blood Pressure ◽  
Nutritional Status ◽  
Pearson Correlation ◽  
Blood Pressure Measurement ◽  
Upper Arm ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Arm Circumference ◽  
Status Assessment ◽  
Mid Upper Arm Circumference

Mid‐upper arm circumference (MUAC), nutritional status and blood pressure of patients with hypertensionBackground : Obesity is a factor that affects the increase in blood pressure. Measurement of nutritional status assessment Mid‐upper arm circumference (MUAC), can be used as one of obesity screening. Purpose : To determine the relationship of mid‐upper arm circumference (MUAC), nutritional status and blood pressure of patients with hypertensionMethod: Correlational analytic with cross sectional approach, a sample was recruited with purposive sampling as much as 43 respondents. The data was analyzed by pearson correlation with significance α <0.05.Results : There was a significant correlation mid‐upper arm circumference (MUAC), nutritional status and blood pressure of patients with hypertension with the  systolic blood pressure (p = 0,005, r = 0,420) and diastolic blood pressure (p = 0.025,  r = 0.342).Conclusion: There was a significant correlation mid‐upper arm circumference (MUAC), nutritional status and blood pressure of patients with hypertension and consideration of the research to be implemented as an early detection of obesity to prevent and control excessive weight gain and increase of blood pressureKeywords: Mid‐Upper Arm Circumference (MUAC); Nutritional status; Blood pressure; Patients; HypertensionPendahuluan: Obesitas merupakan faktor yang mempengaruhi peningkatan tekanan darah.Pengukuran status gizi dapat digunakan sebagai salah satu skrining obesitas.Tujuan : Untuk mengetahui hubungan status gizi  (lingkar lengan atas) dengan tekanan darah pada masyarakat Desa Pante Raya Barat Kecamatan Wih Pesam Kabupaten Bener Meriah tahun 2017.Metode : Penelitian analitik korelasi dengan pendekatan cross sectional dan teknik pengambilan sampel purposive sampling sejumlah 43 orang. Data penelitian dianalisis dengan uji korelasi spearman pada α <0.05.Hasil :  Uji statistik menunjukkan ada hubungan yang signifikan antara status gizi berdasarkan lingkar lengan atas dengan tekanan darah sistolik, (p= 0,003 r=-0,437) dan tekanan darah diastolik (p= 0,022 r=0,347). Simpulan : Penelitian ini dapat digunakan sebagai deteksi dini obesitas dalam upaya mencegah dan mengendalikan berat badan yang berlebihan dan peningkatan tekanan darah. 

Mid upper arm circumference as an alternative measure to assess the nutritional status of adolescents: a study in India based on NFHS-4 data

2021 ◽  
pp. 1-12
Author(s):  
Aparna Roy ◽  
T. V. Sekher
Keyword(s):  
Nutritional Status ◽  
Sensitivity And Specificity ◽  
Measurement Data ◽  
Anthropometric Measurement ◽  
Alternative Measure ◽  
Upper Arm ◽  
Male Adolescents ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference ◽  
The Relationship

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.

scholarly journals Assessing Malnutrition in Pregnant Women Using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A Cross-Sectional Study, Zambia

2020 ◽  
Vol 11 (07) ◽  
pp. 912-925
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Bwembya Phoebe ◽  
Ellen Chirwa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

scholarly journals ANTHROPOMETRIC PROFILE OF CHILDREN WITH CYANOTIC AND NONCYANOTIC CONGENITAL HEART DISEASE

2020 ◽  
Vol 15 (1) ◽  
pp. 1
Author(s):  
Mahrus Rahman ◽  
I Ketut Alit Utamayasa ◽  
Taufiq Hidayat ◽  
Roedi Irawan ◽  
Rina Elizabeth
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Nutritional Status ◽  
Congenital Heart ◽  
Cyanotic Congenital Heart Disease ◽  
Upper Arm ◽  
Skin Fold Thickness ◽  
Skin Fold ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Impaired nutritional status is a frequent complication of congenital heart disease (CHD). Non cyanotic congenital heart disease (NC-CHD) have problem with lung overfl ow and heart failure. Consequences of Cyanotic congenital heart disease (C-CHD) are decrease pulmonary blood fl ow and prolong hypoxia. These conditions can have eff ect on nutritional status and outcome of surgery. This study aimed to compare anthropometric profi les of children with C-CHD and NC-CHD. Cross-sectional study conducted in 66 children, age 3 months until 5 years old who met inclusion criteria in Pediatric Cardiology Outpatient Unit Dr. Soetomo Hospital Surabaya in November 2012. A total of 66 children, consisted of 26 children with C-CHD and 40 children NC-CHD included in study. We measure weight, length/height, head circumference, upper arm circumference, and skin fold thickness. We used Chi Square test for statistical analysis with Confi dence Interval 95%. Mean age of both groups was 27.82 ± 16.63 months. Majority of NC-CHD was Ventricular Septal Defect (28.6%) and C-CHD was Tetralogy of Fallot (21.4%). There were no signifi cant diff erence from weight for age, length for age weight for length, head circumference for age, mid upper arm circumference for age, mid upper arm circumference for age, and skin fold thickness for age between children with C-CHD and NC-CHD (p= 0.80; 0.98;0.54 0.29; 0.80; 0.53 respectively). There were no diff erence in anthropometric profi les among children with cyanotic congenital heart disease and non-cyanotic congenital heart disease in this study.

Mid-upper arm circumference as a screening tool for identifying adolescents with thinness

2020 ◽  
pp. 1-10
Author(s):  
Binyam Girma Sisay ◽  
Demewoz Haile ◽  
Hamid Yimam Hassen ◽  
Seifu Hagos Gebreyesus
Keyword(s):  
Addis Ababa ◽  
High Sensitivity ◽  
Cross Sectional Study ◽  
Operating Characteristics ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Receiver Operating Characteristics Curve ◽  
Adolescence Period ◽  
Mid Upper Arm Circumference

Abstract Objective: To evaluate the performance of mid-upper arm circumference (MUAC) to identify thinness in the late adolescence period (aged 15–19 years) in Ethiopia. Design: We conducted a school-based cross-sectional study. The receiver operating characteristics curve was used to examine the validity of MUAC compared with BMI Z-score to identify adolescents with thinness (BMI Z-score <−2 sd). Settings: Fifteen high schools (grade 9–12) located in Addis Ababa, Ethiopia. Participants: A total of 851 adolescent (456 males and 395 females) were included in the study. Results: The prevalence of thinness and severe thinness among high-school adolescents in Addis Ababa was 9·5 % (95 % CI 7·7, 11·7 %). The overall AUC for MUAC against BMI Z-score <−2 SD was 0·91 (95 % CI 0·88, 0·93). The optimal MUAC cut-offs to identify thinness were 23·3 cm for males and 22·6 cm for females. These cut-off points give high sensitivity and specificity for both males (a sensitivity of 87·9 % and a specificity of 75·9 %) and females (a sensitivity of 100 % and a specificity 88·2 %). Conclusions: MUAC has a comparable level of accuracy with BMI Z-score to identify thinness in adolescents aged 15–19 years. Hence, MUAC could be used as an alternative tool for surveillance and screening of thinness among adolescents aged 15–19 years. The optimum cut-off proposed by this study may incorrectly include a large number of adolescents when used in a relatively well-nourished population. In this situation, it would be necessary to choose a cut-off with greater positive predictive value.

Maternal Body Mass Index (BMI) and Mid-Upper Arm Circumference (MUAC) in Early Pregnancy as Predictors of Low Birth Weight Infants

2018 ◽  
Vol 24 (8) ◽  
pp. 6203-6205
Author(s):  
Yoga Dwi Oktavianda ◽  
Syahru Ramadhan ◽  
Thalia Mufida ◽  
Ummul Mukminin ◽  
Rima Irwinda
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Upper Arm ◽  
Maternal Nutritional Status ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Low birth weight is one of the determinants of infant mortality, morbidity, and disability, which can even have an impact on the future. Several studies have suggested that the condition of low birth weight (LBW) infants is influenced by the lack of maternal nutritional status in early pregnancy. Moreover, the prevalence of malnutrition in Indonesia is still high. Therefore, this study attempted to analyze the relationship of maternal nutritional status in early pregnancy as a predictor of LBW infants. Using a cross-sectional study design, this study involved 62 pregnant patients aged 20–35 years who had antenatal visits and a term delivery at Puskesmas Kecamatan Cakung. The measurements of body mass index (BMI) and mid-upper arm circumference (MUAC) in early pregnancy are used to determine the maternal nutritional status. Pregnant women with BMI <18.5 or MUAC <23.5 cm are considered to have less nutritional status. Meanwhile, LBW infants are defined as babies with birth weight <2500 grams. This study proves that the risk of birth of LBW infants is increased in pregnant women with BMI <18.5 (underweight) (OR 5.37) and less MUAC (OR 20.4).

Sign in / Sign up

Export Citation Format

Share Document