Severely malnourished children with a low weight-for-height have similar mortality to those with a low mid-upper-arm-circumference: II. Systematic literature review and meta-analysis

This study aimed to determine the effect of supplementation of cowpea biscuits on nutritional status and cognitive development of malnourished pre-school children. Pre-school children, aged 3-5 years, from Saraswati Shishu Mandir School, Pantnagar (Uttarakhand, India) were screened for low weight for age. Malnourished children (N=48), who volunteered, were divided equally into three groups viz. control I (no supplementation), control II (refined wheat flour biscuits) and experimental group (cowpea biscuits) and subjected to intervention for the period of three months. Parameters like height, weight, mid upper arm circumference (MUAC) and cognitive development was analyzed before and after supplementation in each month. No significant differences between groups were observed during follow-up concerning height, weight, MUAC. Experimental group supplemented with cowpea biscuits outperformed significantly in all the domains of cognitive development as compared to control groups. The study concluded that cowpea supplementation is likely to be more effective in cognitive development of malnourished preschool children in short period of time.

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A diagnostic test for malnutrition in adults: mid-upper arm circumference towards body mass index: A literature review

World Nutrition Journal ◽

10.25220/wnj.v04.i2.0012 ◽

2021 ◽

Vol 4 (2) ◽

pp. 94-99

Author(s):

Fathiyyatul Khaira ◽

Fiastuti Witjaksono ◽

Diyah Eka Andayani

Keyword(s):

Body Mass Index ◽

Literature Review ◽

Diagnostic Test ◽

Body Mass ◽

Roc Curve ◽

Upper Arm ◽

Arm Circumference ◽

Alternative Measurement ◽

Sensitivity Specificity ◽

Mid Upper Arm Circumference

Body mass index is commonly used for detecting malnutrition. At certain conditions, body mass index cannot be measured, so mid-upper arm circumference can be an alternative measurement for detecting malnutrition. Several studies have proposed the cut-off point of mid-upper arm circumference in adults along with its sensitivity, specificity, and area under the ROC curve (AUC). This article aims to describe the diagnostic test for malnutrition using the upper arm circumference in adults and summarize the results of the related studies.

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Monitoring the Adequacy of Catch-Up Growth Among Moderately Malnourished Children Receiving Home-Based Therapy Using Mid-Upper Arm Circumference in Southern Malawi

Maternal and Child Health Journal ◽

10.1007/s10995-010-0569-8 ◽

2010 ◽

Vol 15 (7) ◽

pp. 980-984 ◽

Cited By ~ 7

Author(s):

Nicholas E. Connor ◽

Mark J. Manary

Keyword(s):

Upper Arm ◽

Malnourished Children ◽

Home Based ◽

Arm Circumference ◽

Catch Up ◽

Home Based Therapy ◽

Mid Upper Arm Circumference

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Determining a global mid-upper arm circumference cut-off to assess underweight in adults (men and non-pregnant women)

Public Health Nutrition ◽

10.1017/s1368980020000397 ◽

2020 ◽

Vol 23 (17) ◽

pp. 3104-3113 ◽

Cited By ~ 1

Author(s):

Alice M Tang ◽

Mei Chung ◽

Kimberly R Dong ◽

Paluku Bahwere ◽

Kaushik Bose ◽

...

Keyword(s):

Pregnant Women ◽

Operating Characteristic ◽

Meta Analysis ◽

Characteristic Curve ◽

Total Sample ◽

Upper Arm ◽

Arm Circumference ◽

Individual Participant ◽

Low Bmi ◽

Mid Upper Arm Circumference

AbstractObjective:To determine if a global mid-upper arm circumference (MUAC) cut-off can be established to classify underweight in adults (men and non-pregnant women).Design:We conducted an individual participant data meta-analysis (IPDMA) to explore the sensitivity (SENS) and specificity (SPEC) of various MUAC cut-offs for identifying underweight among adults (defined as BMI < 18·5 kg/m2). Measures of diagnostic accuracy were determined every 0·5 cm across MUAC values from 19·0 to 26·5 cm. A bivariate random effects model was used to jointly estimate SENS and SPEC while accounting for heterogeneity between studies. Various subgroup analyses were performed.Setting:Twenty datasets from Africa, South Asia, Southeast Asia, North America and South America were included.Participants:All eligible participants from the original datasets were included.Results:The total sample size was 13 835. Mean age was 32·6 years and 65 % of participants were female. Mean MUAC was 25·7 cm, and 28 % of all participants had low BMI (<18·5 kg/m2). The area under the receiver operating characteristic curve for the pooled dataset was 0·91 (range across studies 0·61–0·98). Results showed that MUAC cut-offs in the range of ≤23·5 to ≤25·0 cm could serve as an appropriate screening indicator for underweight.Conclusions:MUAC is highly discriminatory in its ability to distinguish adults with BMI above and below 18·5 kg/m2. This IPDMA is the first step towards determining a global MUAC cut-off for adults. Validation studies are needed to determine whether the proposed MUAC cut-off of 24 cm is associated with poor functional outcomes.

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Erratum to: Monitoring the Adequacy of Catch-Up Growth Among Moderately Malnourished Children Receiving Home-Based Therapy Using Mid-Upper Arm Circumference in Southern Malawi

Maternal and Child Health Journal ◽

10.1007/s10995-010-0607-6 ◽

2010 ◽

Vol 18 (3) ◽

pp. 763-763

Author(s):

Nicholas E. Connor ◽

Mark J. Manary ◽

Ken Maleta

Keyword(s):

Upper Arm ◽

Malnourished Children ◽

Home Based ◽

Arm Circumference ◽

Catch Up ◽

Home Based Therapy ◽

Mid Upper Arm Circumference

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Diagnostic performance of mid-upper arm circumference to identify overweight and obesity in children and adolescents: a protocol for a systematic review and meta-analysis

BMJ Open ◽

10.1136/bmjopen-2020-044624 ◽

2021 ◽

Vol 11 (3) ◽

pp. e044624

Author(s):

Binyam Girma Sisay ◽

Hamid Yimam Hassen ◽

Seifu Hagos Gebreyesus

Keyword(s):

Systematic Review ◽

Children And Adolescents ◽

Diagnostic Performance ◽

Meta Analysis ◽

Grey Literature ◽

Overweight And Obesity ◽

Upper Arm ◽

Arm Circumference ◽

Mid Upper Arm Circumference ◽

Obesity In Children

IntroductionMid-upper arm circumference (MUAC) has been suggested as an alternative screening tool to identify overweight and obesity in children and adolescents. Several studies have examined the diagnostic performance of MUAC to identify overweight and obesity in children and adolescents. However, the existing literature shows a considerable variability in measures of diagnostic performance and hence makes it difficult to direct clinical and public health practice. Therefore, this systematic review and meta-analysis aimed to synthesise evidence on the performance of MUAC to identify overweight and obesity in children and adolescents.Methods and analysisA systematic search of databases including PubMed, EMBASE, SCOPUS, Cochrane Database of Systematic Reviews, Cochrane CENTRAL, Web of Science, CINAHL and PsycINFO will be conducted. The search will cover all studies until 1 April 2021. Grey literature will also be retrieved from Google Scholar. Titles and abstracts will be screened by two independent reviewers. The Quality Assessment of Diagnostic Accuracy Studies 2 tool will be used to assess the risk of bias and clinical applicability of each study. To assess possible publication bias, we will use Deeks’ funnel plot. We will investigate the sources of heterogeneity by visual inspection of the paired forest plots and summary receiver operating characteristic plots. The pooled summary statistics for the area under the curve, sensitivities, specificities, likelihood ratios and diagnostic ORs with 95% CI will be reported.Ethics and disseminationThe underlying study is based on published articles thus does not require ethical approval. The findings of the systematic review and meta-analysis will be published in a peer-reviewed journal and disseminated in different scientific conferences and seminars.PROSPERO registration numberCRD42020183148.

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