Wealth Status, Mid Upper Arm Circumference (MUAC) and Antenatal Care (ANC) Are Determinants for Low Birth Weight in Kersa, Ethiopia

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).

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Anthropometric surrogates to identify low birth weight babies: hospital based cross-sectional study

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20193732 ◽

2019 ◽

Vol 6 (5) ◽

pp. 2098

Author(s):

Jyothi S. D. ◽

Raghavendra Doddamani

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Cross Sectional Study ◽

Anthropometric Measurements ◽

Upper Arm ◽

Thigh Circumference ◽

Cross Sectional ◽

Arm Circumference ◽

Low Birth Weight Babies ◽

Mid Upper Arm Circumference

Background: Birth weight acts as a crucial sensitive and reliable tool to prevent infant and child morbidity and mortality. There has been a considerable interest in recent years for using simple anthropometric measures as an alternative to birth weight. Objective of the study is to determine the cut off values of the anthropometric measurements and to assess the accuracy of the anthropometric surrogates to identify low birth weight babiesMethods: This is a cross sectional study conducted for a period of one year from 1st Dec 2011 to 31st Nov 2012 at Christian fellowship hospital, Oddanchatram, Dindigal, Tamilnadu. Study population included all the live newborns of term gestation at the hospital. A total of 500 newborns were included in the study during the period. Birth weight of the newborn was measured using spring scale to the nearest 25 grams. Head circumference, Chest circumference, Mid Upper Arm Circumference, Foot Length, Thigh circumference, Calf circumference, Crown-hell length were measured using proper guidelines to the nearest 0.1 cm.Results: In the present study, low birth weight was present in 262 (52.4%) of the newborns. Thigh circumference with cut off value of 15 cm had higher sensitivity and specificity of 97.5% and 80.9% respectively. It was followed by Mid upper arm circumference with cut off value of 10 cm, sensitivity of 81.5% and specificity of 93.9%. Thigh circumference and mid upper arm circumference had high area under curve of 0.949 and 0.855 respectively. All the anthropometric measurements were statistically significant at 5% level of significance.Conclusions: Thigh circumference with a cut off of 15 cm, followed by mid upper arm circumference of 10 cm were the better surrogate anthropometric measurements with better sensitivity, specificity to identify low birth weight babies.

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Determinants of low birth weight among live birth newborns delivered at public hospitals in Gamo Gofa Zone, South Ethiopia: Unmatched case control study

SAGE Open Medicine ◽

10.1177/2050312120940544 ◽

2020 ◽

Vol 8 ◽

pp. 205031212094054

Author(s):

Alemu Basazin Mingude ◽

Woiynshet Gebretsadik ◽

Dresilgn Misker ◽

Gashaw Garedew Woldeamanuel

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Confidence Interval ◽

Odds Ratio ◽

Adjusted Odds Ratio ◽

Public Hospitals ◽

Upper Arm ◽

Arm Circumference ◽

Mid Upper Arm Circumference ◽

Control Study

Background: Birth weight is one of the major determinants of perinatal survival, infant morbidity, and mortality. There are only few published reports on assessment of low birth weight in Ethiopia and the determinants of low birth weight have not been well characterized. Objective: The aim of this study was to assess determinants of low birth weight among live birth newborns delivered at public hospitals in Gamo Gofa Zone, South Ethiopia. Methods: Institution-based case control study was conducted from February 25 to April 25, 2018 and consecutively selected 60 cases and 240 controls were enrolled in this study. The data were collected using face-to-face interview and review of medical records. Moreover, we have measured the newborns’ birth weight using a standard weight scale and mother’s mid-upper arm circumference using a standard World Health Organization mid-upper arm circumference measuring tape. Statistical analysis of the data was done using SPSS version 21. Results: A total of 300 newborns were included in the study. Late antenatal care booking (adjusted odds ratio = 1.87, confidence interval = [1.32–2.6]), birth interval <2 years (adjusted odds ratio = 0.385, confidence interval = [0.176–0.83]), anemia (adjusted odds ratio = 4.4, confidence interval = [1.84–10.5]), mid-upper arm circumference <23 cm (adjusted odds ratio = 7.99, confidence interval = [3.5–20.3]), nutritional counseling (adjusted odds ratio = 5.85, confidence interval = [2.14–14.8]), and husband smoking (adjusted odds ratio = 4.73; confidence interval = [1.42–15.7]) were found to be determinant factors of low birth weight. Conclusion: Most of the determining factors of low birth weight were preventable. Therefore, clinical and public health interventions should target on those determinant factors to prevent its adverse effects.

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Determinant of Maternal and Hair Zinc Level on Stunting and Developmental Disorders in Under Five Aged Children: A Path Analysis

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.34 ◽

2020 ◽

Author(s):

Nunik Ike Yunia Sari ◽

◽

Estin Gita Maringga ◽

Keyword(s):

Birth Weight ◽

Developmental Disorders ◽

Zinc Level ◽

Birth Length ◽

Hair Zinc ◽

Upper Arm ◽

Under Five ◽

Arm Circumference ◽

Zinc Levels ◽

Mid Upper Arm Circumference

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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Mid-upper arm circumference in pregnant women and its relation to birth weight

Revista de Saúde Pública ◽

10.1590/s0034-89101998000200002 ◽

1998 ◽

Vol 32 (2) ◽

pp. 112-117 ◽

Cited By ~ 17

Author(s):

Anamaría E. Ricalde ◽

Gustavo Velásquez-Meléndez ◽

Ana Cristina d'A. Tanaka ◽

Arnaldo A.F. de Siqueira

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Gestational Age ◽

Head Circumference ◽

Upper Arm ◽

Maternal Nutritional Status ◽

Arm Circumference ◽

Mother’S Age ◽

Mid Upper Arm Circumference ◽

Pregnancy Weight

OBJECTIVE: In order to determine the relationship between some maternal anthropometric indicators and birth weight, crown-heel length and newborn's head circumference, 92 pregnant women were followed through at the prenatal service of hospital in S. Paulo, Brazil. MATERIAL AND METHOD: The following variables were established for the mother: weight, height, mid-upper arm circumference, pre-pregnancy weight, gestational weight gain and Quetelet's index. For the newborn the following variables were recorded: birth weight, crown-heel length, head circumference and gestational age by Dubowitz's method. RESULTS: Significant associations were noted between gestational age and newborn variables. In addition, maternal mid-arm circumference (MUAC) and pre-pregnancy weight were found to be positively correlated to birth weight (r=0.399; r=0.378, respectively). The multivariate linear regression shows that gestational age, mother's arm circumference and pre-pregnancy weight continue to be significant predictors of birth weight. On the other hand, only gestational age and mother's age was associated with crown-heel length. Similarly MUAC was significantly associated with crown-heel length (r= 0.306; P=0.0030). CONCLUSION: Maternal mid-upper arm circumference is a potential indicator of maternal nutritional status. It could be used in association with other anthropometric measurements, instead of pre-pregnancy weight, as an alternative indicator to assess women at risk of poor pregnancy outcome.

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Mid upper arm circumference in pregnant women and its relationship with birth weight

Panacea Journal of Medical Sciences ◽

10.18231/j.pjms.2021.067 ◽

2021 ◽

Vol 11 (2) ◽

pp. 331-335

Author(s):

Surendra Nath Soren ◽

Partha Sarathi Sahu

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Linear Regression Analysis ◽

Care Facility ◽

Health Care Facility ◽

Cross Sectional Study ◽

Upper Arm ◽

Cross Sectional ◽

Arm Circumference ◽

Mid Upper Arm Circumference

: Mid upper arm circumference (MUAC) is considered as a good indicator of maternal nutritional status in pregnant women. Very few studies have been done to establish a relationship between MUAC and birth weight of newborn. This study was carried out to analyze the relationship between MUAC and birth weight of newborn in a tertiary health care facility.This cross sectional study was conducted in 240term pregnant women. MUAC was measured to the nearest millimeters using a non-stretchable tape at the midpoint between acromian process and olecranon process. Newborn baby weight was measured within 24 hrs of birth. The association between MUAC and birth weight was established by linear regression analysis.The mean of MUAC among pregnant women delivering LBW was 21.68±2.27 cm which was significantly low (p<0.001) compared to women delivering normal babies (23.47±2.56 cm). There wasa positive correlation(r=0.32;p<0.05)between MUAC and birth weight of newborn.The cut off value of MUAC for the prediction of LBW in our study was found to be 22.59 cm with 62.77% sensitivity and 71.55% specificity.Among the various maternal factors for the prediction of LBW, mid-upper arm circumference (MUAC) can be correlated with birth weight outcome effectively.

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THE ANALYSIS OF LOW BIRTH WEIGHT INFANTS IN SINGKAWANG CITY

Jurnal Kesehatan Prima ◽

10.32807/jkp.v12i1.94 ◽

2018 ◽

Vol 12 (1) ◽

pp. 61

Author(s):

U. Evi Nasla Nasla

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Total Sample ◽

Low Birth Weight Infants ◽

Chi Square ◽

Cross Sectional ◽

Arm Circumference ◽

Newborn Weight ◽

Chi Square Test

Abstract: The efforts of decreasing the infant mortality is focused on the causes of infant’s death. One of them is the lowest Birth Weight that can be prevented through a quality and comprehensive antenatal care. The factors that affect the occurrence of low birth weight (LBW) in Singkawang city is age, parity, range of pregnancy, arm circumference, antenatal care, anemia history, newborn weight. The objective study was to determine the factors that affect the occurrence of LBW in Singkawang in 2015. This research employed analytical survey research design with retrospectively approach with cross sectional design. The sample used is the case of newborn with LBW as many as 105 with a ratio of 1: 1 with a total sample of 210 babies. The sample was random sampling. The data analysis used Chi Square and logistic regression test. Chi Square test results showed that there was a significant relationship between age, arm circumference, antenatal care of anemia (p = 0.005, p = 0.013, p = 0.020, p = 0.003) with the incidence of LBW. And there was no significant correlation between parity and range of pregnancy (p = 0.805, p = 0.766). This research is expected to be the basis of evaluating the occurrence of LBW thus it can be detected earlier.Keywords: Age; Parity; Antenatal Care; Arm Circumference; Anemia history; Lowest Birt Weight.

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Maternal mid‐upper arm circumference (MUAC) is associated with lower birth weight among HIV‐exposed but not unexposed infants in a peri‐urban antenatal clinic in northwestern Tanzania

The FASEB Journal ◽

10.1096/fasebj.27.1_supplement.619.1 ◽

2013 ◽

Vol 27 (S1) ◽

Author(s):

Amanda L Wilkinson ◽

Sarah H Pedersen ◽

Mark Urassa ◽

Denna M Mkwashapi ◽

Aura Andreasen ◽

...

Keyword(s):

Birth Weight ◽

Antenatal Clinic ◽

Upper Arm ◽

Lower Birth Weight ◽

Northwestern Tanzania ◽

Arm Circumference ◽

Hiv Exposed ◽

Mid Upper Arm Circumference

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Use of Mid-Upper Arm Circumference (MUAC) to Predict Malnutrition among Sri Lankan Schoolchildren

Nutrients ◽

10.3390/nu12010168 ◽

2020 ◽

Vol 12 (1) ◽

pp. 168

Author(s):

Chisa Shinsugi ◽

Deepa Gunasekara ◽

Hidemi Takimoto

Keyword(s):

Birth Weight ◽

Rank Correlation ◽

Overweight And Obesity ◽

Public Health Issue ◽

Sri Lankan ◽

Z Score ◽

Upper Arm ◽

Double Burden ◽

Arm Circumference ◽

Mid Upper Arm Circumference

The double burden of malnutrition (under- and overnutrition) is a serious public health issue in childhood. The mid-upper arm circumference (MUAC) is a simple tool for screening nutritional status, but studies of the optimal cutoff to define malnutrition are limited. This study aimed to explore the prediction of malnutrition by MUAC in Sri Lankan schoolchildren. The participants were 538 students (202 boys, 336 girls) aged 5–10 years. Spearman’s rank correlation was calculated for MUAC and both body-mass-index-for-age z-score (BAZ) and height-for-age z-score (HAZ). Receiver operating characteristic (ROC) analysis was conducted to assess the ability of MUAC to correctly classify malnutrition, after stratifying for age and birth weight. MUAC correlated significantly with BAZ (r = 0.84) and HAZ (r = 0.35). The areas under the ROC curve for thinness, overweight, obesity, and stunting were 0.88, 0.97, 0.97, and 0.77, respectively. The optimal MUAC cutoff values for predicting thinness and stunting were 167.5 mm and 162.5 mm, respectively; the optimal cutoffs for predicting overweight and obesity were 190.5 mm and 218.0 mm, respectively. These cutoffs differed after stratification by age group and birth weight. Our results confirm MUAC to be a useful tool for monitoring growth in schoolchildren.

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