scholarly journals Nutritional Status of Fishermen Communities: Validation of Conventional Methods with Discriminant Function Analysis

2014 ◽  
Vol 8 ◽  
pp. 49-59 ◽  
Author(s):  
Baidyanath Pal ◽  
Babulal Seal ◽  
Subrata K. Roy
Keyword(s):  
Nutritional Status ◽  
Discriminant Function ◽  
Discriminant Function Analysis ◽  
Function Analysis ◽  
Energy Deficiency ◽  
Under Nutrition ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Conventional Methods ◽  
Mid Upper Arm Circumference

Anthropological methods of assessing nutritional status of adults have been reinvestigated. Objective of the study is to detect the predictor variables that discriminate for under nutrition or Chronic Energy Deficiency (CED) by two conventional methods e.g. Body Mass Index (BMI) and Mid Upper Arm Circumference (MUAC). Discriminant function analysis was used to build valid and accurate predictive model for evaluating nutritional status. Anthropometric measurements were collected using standard techniques and used as independent variables. Recommended cut-off values of BMI and MUAC was used for evaluating nutritional status. The extent of CED (BMI < 18.5) was found 43.50% and prevalence of under-nutrition in terms of MUAC (MUAC < 23.0 cm for Male and < 22.0 cm for Female) was 21.7%. Discriminant function analysis reveals that 85.7% and 72.0% individuals were classified correctly in terms of nutritional status. Therefore, BMI is the good indicator for detecting malnutrition. Fat mass discriminates between groups.

scholarly journals ANTHROPOMETRY AND BLOOD HAEMOGLOBIN STATUS OF WOMEN IN MAKWANPUR DISTRICT, NEPAL

1970 ◽  
Vol 40 (140) ◽  
pp. 162-171
Author(s):  
B Manandhar ◽  
D Osrin ◽  
B P Shrestha ◽  
J R Shrestha ◽  
D S Manandhar ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Low Birthweight ◽  
Age Groups ◽  
Background Information ◽  
Upper Arm ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Blood Haemoglobin ◽  
Mid Upper Arm Circumference

BackgroundThe nutritional situation of women in Nepal remains precarious. Low energy, protein andmicronutrient intakes contribute to high levels of stunting and anaemia throughout thelife cycle. This suboptimal nutritional status contributes to high prevalences of low birthweight and death in early infancy. As background information for an ongoing study ofperinatal health interventions in 24 Village Development Committees (VDCs) of MakwanpurDistrict, a descriptive study of nutritional status and anaemia in a sample of women wascarried out.ObjectivesTo measure weight, height, mid-upper arm circumference (MUAC) and blood haemoglobinin non-pregnant married women of reproductive age.MethodsParticipants aged between 15 and 49 years were recruited at 12 sites in five VDCs. Personaldetails were collected in each case, after which height, weight, mid-upper arm circumference(MUAC) and blood haemoglobin level were measured.ResultsResults are available for 500 women. Mean height was 149.9 cm (95% confidence intervalfor mean 149.5 – 150.4 cm); mean weight was 45.5 kg (95% CI 44.9 - 46.1 kg); mean BodyMass Index (BMI) was 20.2 kg/m2(95% CI 20.0 – 20.4 kg/m2); mean MUAC was 23.47 cm(95% CI 23.2 – 23.7 cm). Overall, 27.8% (95% CI 24.1 – 32.2%) of women showed evidenceof Chronic Energy Deficiency (CED) on the basis of BMI, and 51.5% (95% CI 47.0 –56.0%) on the basis of MUAC. There were no significant differences in BMI or MUACbetween either ethnic or age groups. 35.3% of women were anaemic (95% CI 31.1 – 39.7%),one percent severely so. There were no significant differences in prevalence between ethnicgroups, but there was some evidence of an increase in anaemia prevalence with age.ConclusionsCED and anaemia appear common in Makwanpur District. As part of a package to improvenewborn infant outcome, access to and uptake of haematinics during pregnancy should bebeneficial. Community level intervention needs to attempt to address the issue of foodintake in young girls and women before improvements in nutritional status are possibleKey Words: Anaemia, anthropometry, nutritional status, Nepal.

scholarly journals Validitas Lingkar Lengan Atas Mendeteksi Risiko Kekurangan Energi Kronis pada Wanita Indonesia

2012 ◽  
Vol 7 (2) ◽  
pp. 83
Author(s):  
Diny Eva Ariyani ◽  
Endang Laksmining Achadi ◽  
Anies Irawati
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
P Value ◽  
Adult Women ◽  
Upper Arm ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Lingkar lengan atas (LiLA) telah digunakan sebagai indikator proksi terhadap risiko kekurangan energi kronis (KEK) untuk ibu hamil di Indonesia karena tidak terdapat data berat badan prahamil pada sebagian besar ibu hamil. Selama ini, ambang batas LiLA yang digunakan adalah 23,5 cm. Penelitian ini bertujuan untuk menguji validitas LiLA terhadap indeks massa tubuh (IMT) yang merupakan indikator yang lebih baik untuk mengetahui status gizi wanita dewasa. Penelitian ini menggunakan data Riset Kesehatan Dasar tahun 2007 pada perempuan dewasa usia 20 – 45 tahun di seluruh Indonesia. Hasil penelitian ini ialah ambang batas LiLA yang paling optimal untuk mendeteksi risiko KEK di Indonesia berada pada titik 24,95 cm (Se = 85%; Sp = 75%). Terdapat perbedaan ambang batas antarprovinsi tetapi tidak lebih dari 2 cm, terendah di Provinsi Nusa Tenggara Timur (23,95 cm) dan tertinggi di Provinsi Sulawesi Utara dan Gorontalo (25,95 cm). LiLA mempunyai korelasi yang kuat (r = 0,67; nilai p < 0,000) dengan IMT. Direkomendasikan untuk menggunakan ambang batas LiLA 24,95 cm untuk mendeteksi risiko KEK wanita usia 20 – 45 tahun, sementara23,5 cm untuk outcome kehamilan, yaitu morbiditas dan mortalitas bayi.Kata kunci: Lingkar lengan atas, indeks massa tubuh, kekurangan energi kronisAbstractMid-upper arm circumference has been used in Indonesia as an proxy indicator of chronic energy malnutrition risk for pregnant women because there isn’t any data of prepregnancy weight in most of pregnant women. The boundary used was 23,5 cm. The objective of the study is to validate the currentboundary related to body mass index (BMI) indicator, which is believed as a better indicator in identifying women nutritional status. The study is using Riset Kesehatan Dasar 2007 data on Indonesian adult women aged 20 – 45 years old. The study found the boundary is 24,95 cm for detecting chronic energy malnutrition risk among adult women (Se = 85%; Sp = 75%). There are differences among provinces but not more than 2 cm, the lowest is in Nusa Tenggara Timur (23,95 cm) and the highest is in North Sulawesi and Gorontalo (25,95 cm). Mid upper arm circumference has a strong relationto BMI (r = 0,67; p value < 0,000). It is recommended to use mid-upper arm circumference boundary 24,95 cm to detect chronic energy malnutrition on 20 – 45 years old women and 23,5 cm to pregnancy outcome, baby morbidity, and mortality.Key words: Mid-upper arm circumference, body mass index, chronic energy deficiency

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 Nutritional assessment of Oraons of West Bengal: a comparison between biochemical and anthropometric methods

2019 ◽  
Vol 82 (3) ◽  
pp. 297-311
Author(s):  
Ankita Bhattacharya ◽  
Shankarashis Mukherjee ◽  
Subrata Kumar Roy
Keyword(s):  
Nutritional Status ◽  
West Bengal ◽  
Nutritional Assessment ◽  
Function Analysis ◽  
Total Serum Protein ◽  
Total Serum ◽  
Correct Classification ◽  
Classification Methods ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Abstract Comprehensive nutritional assessment is the basis of nutritional diagnosis and necessary to identify the individual or the population at a risk of dietary deficiencies. However, there is no specific and confirmatory method to measure nutritional status. Present study tried to find out the efficacy of two nutritional assessment method (1) biochemical test like Total serum protein (TSP) and (2) anthropological measurements like body mass index (BMI) and mid-upper-arm-circumference (MUAC). Later, three methods were tested and compared for the strength of assessing the nutritional status. Study was conducted among 198 adult Oraon, 84 male, 114 female individuals of Madarihat and Falakata police station area, Alipurduar district, West Bengal. Selected blood parameters such as total serum protein (TSP), serum albumin and haemoglobin and anthropometric measurements (height, weight, mid-upper arm circumference, waist circumference, hip circumference, calf circumference, biceps skinfold, triceps skinfold, and calf skinfold) were obtained following standard instruments and protocols. Nutritional status of all individuals was assessed by TSP, BMI and MUAC classification methods. Comparison between/among three classification methods (TSP, BMI and MUAC) was done and discriminant function analysis was adopted to find out the percentage of correct classification by each methods. It was found that prevalence of undernutrition using TSP classification was 38.1% male and 43.0% female; using BMI was 34.5% male and 53.5% female; using MUAC was 45.2% male and 64.9% female. Discriminant function analysis showed that BMI (97.0%) had the highest capability of correct classification followed by MUAC (84.80%) and TSP (63.60%). Results indicate that however, TSP is an objective way of nutritional assessment, but BMI had the highest capability of correct classification of nutritional status. It may be pointed out that the evaluation with TSP was expensive and invasive whereas BMI is non-expensive and completely a non-invasive way of evaluation. Therefore, BMI may widely be used for nutritional assessment.

PENILAIAN STATUS GIZI SISWI KELAS X DAN XI DI SMAN 1 DEPOK, KABUPATEN SLEMAN, YOGYAKARTA

2016 ◽  
Vol 5 (1) ◽  
pp. 66-74
Author(s):  
Sicilia Sicilia ◽  
Reni Merta Kusuma
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Upper Arm ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Scale Ratio ◽  
The Mean ◽  
Female Teenagers

Background: Teenagers, especially femalearesusceptible to problems related to malnutrition such as Chronic Energy Deficiency (CED). Objective: To determine the characteristics of nutritional status based on age, weight, height, arm circumference, and Body Mass index (BMI) in X and XI grade students at SMAN 1 Depok, Sleman District, Yogyakarta. Method: The study was an observational study with cross-sectional approach. Measurement used a digital scale, mikrotoise, and upper arm circumference tape. Subjects in this study were 250 female teenagers. Descriptivequantitative analysis was employed for data with numerical/continuous scale (ratio and interval). Results: The majority of female teenagers aged between 14-18 years (mean= 16yo). The meanweight was 50.58 kg, the meanheightwas 155.65 cm, and the mean size of the upper-arm circumference was 24.9 cm. The measurement showed the mean BMI was 20.9 kg/m2. Ten percent of students were categorized as severeunderweight (severe CED) and 7.2% were in the obesecategory. Measurement of nutritional status with upper-arm circumference showed 33.6% female teenagerswere at risk of CED. Conclusion: There were female teenagerswho had problems with nutritional status (severe underweight and obese). Upper-arm circumference measurement results showed 33.6% of teenagers were at risk of CED. Keyword: Nutritional status, BMI, upper-arm circumference, CED

scholarly journals PENILAIAN STATUS GIZI SISWI KELAS X DAN XI DI SMAN 1 DEPOK, KABUPATEN SLEMAN, YOGYAKARTA

2019 ◽  
Vol 5 (1) ◽  
pp. 66-74
Author(s):  
Sicilia ◽  
Reni Merta Kusuma
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Upper Arm ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Scale Ratio ◽  
The Mean ◽  
Female Teenagers

Background: Teenagers, especially femalearesusceptible to problems related to malnutrition such as Chronic Energy Deficiency (CED). Objective: To determine the characteristics of nutritional status based on age, weight, height, arm circumference, and Body Mass index (BMI) in X and XI grade students at SMAN 1 Depok, Sleman District, Yogyakarta. Method: The study was an observational study with cross-sectional approach. Measurement used a digital scale, mikrotoise, and upper arm circumference tape. Subjects in this study were 250 female teenagers. Descriptivequantitative analysis was employed for data with numerical/continuous scale (ratio and interval). Results: The majority of female teenagers aged between 14-18 years (mean= 16yo). The meanweight was 50.58 kg, the meanheightwas 155.65 cm, and the mean size of the upper-arm circumference was 24.9 cm. The measurement showed the mean BMI was 20.9 kg/m2. Ten percent of students were categorized as severeunderweight (severe CED) and 7.2% were in the obesecategory. Measurement of nutritional status with upper-arm circumference showed 33.6% female teenagerswere at risk of CED. Conclusion: There were female teenagerswho had problems with nutritional status (severe underweight and obese). Upper-arm circumference measurement results showed 33.6% of teenagers were at risk of CED. Keyword: Nutritional status, BMI, upper-arm circumference, CED

scholarly journals Validating mid-upper arm circumference (MUAC) cut off points as an indicator of nutritional status among nine tribal populations of India

2021 ◽  
Vol 84 (3) ◽  
pp. 301-315
Author(s):  
Gautam K. Kshatriya ◽  
Raja Chakraborty ◽  
Nitish Mondal ◽  
Kaushik Bose
Keyword(s):  
Cross Sectional Study ◽  
Anthropometric Measurement ◽  
Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Tribal Populations ◽  
Mid Upper Arm Circumference

Abstract Mid-upper arm circumference (MUAC) is an alternative anthropometric measurement to assess undernutrition but a universally accepted cut-off is yet to be established. The objectives of the present study are to determine whether the proposed sex-specific global cut-offs are suitable across several tribes in India. This cross-sectional study was conducted among nine tribal populations in India (1046 males, 1087 females). Weight, height and MUAC values were obtained, and body mass index (BMI) was calculated. The BMI cut-off (<18.5 kg/m2) was used to determine chronic energy deficiency (CED). The ROC Curve analyses of binomial logistic regression for MUAC versus CED revealed optimal cut-off point of MUAC as 23.8 cm (in males) and 21.8 cm (in females). MUAC cut-offs were similar in females, relative to males, in all tribes. Males with MUAC<24cm and females with MUAC<22 encompassed significantly higher numbers of CED than those with MUAC≥24 and ≥22 cm, respectively (χ2-value males: 254.9, p<0.001; females: 493.60, p<0.01). A single cut off point of MUAC may not be universally applicable for diverse populations and both sexes as well. It seemed that there is no alternative than to undertake further validation studies in various populations before using the MUAC cut off to identify undernourished or CED condition.

Sign in / Sign up

Export Citation Format

Share Document