scholarly journals Evaluation of Nutritional Status by Mid-Upper Arm Circumference Amongst Affluent Children

2012 ◽  
Vol 32 (2) ◽  
pp. 113-116
Author(s):  
S Maiti ◽  
D De ◽  
KM Ali ◽  
A Ghosh ◽  
Debidas Ghosh ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Screening Method ◽  
Standard Technique ◽  
Childhood Mortality ◽  
Acute Malnutrition ◽  
World Health ◽  
School Age Children ◽  
Upper Arm ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Introduction: Anthropometry is widely accepted as low-cost technique for defining the nutritional status of children. The mid upper arm circumference (MUAC) is a fast screening method in detecting acute malnutrition and it is also a predictor of childhood mortality. Materials and Methods: This is the retrospective study to evaluate the nutritional status based on mid upper arm circumference (MUAC) among urban, pre-school age children. A total of 1060 children, aged 1 to 3 years, attending the vaccination clinic of the Indian Red Cross Society Paschim Medinipur Hospital over a two years period, were enrolled in the study. The measurement of MUAC (in centimetres) was taken by the standard technique. Undernutrition was defined based on age and sex-specific MUAC cut-off values as recommended by the World Health Organization (WHO). Results: Boys were higher level of mean MUAC than girls at all ages and there was no significant sex differences. The age-combined rate of overall undernutrition was 18.96% and it was slightly higher among the boys (19.38%) than girls (18.46%). The age-combined moderate undernutrition was higher among the boys (16.08% vs 14.11%) but girls’ value was higher in case of severe undernutrition (3.28% vs 4.35%). Conclusion: The present study showed that a remarkable number of pre-schooler was undernourished based on MUAC. J. Nepal Paediatr. Soc. 32(2) 2012 113-116 doi: http://dx.doi.org/10.3126/jnps.v32i2.5689

scholarly journals Acceptability and Efficacy of Locally Produced Ready-to-Use Therapeutic Food Nutreal in the Management of Severe Acute Malnutrition in Comparison With Defined Food

2017 ◽  
Vol 38 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Babu Ram Thapa ◽  
Pooja Goyal ◽  
Jagadeesh Menon ◽  
Ajay Sharma
Keyword(s):  
Severe Acute Malnutrition ◽  
Food Group ◽  
Acute Malnutrition ◽  
World Health ◽  
Food Groups ◽  
Upper Arm ◽  
Arm Circumference ◽  
Health Organization ◽  
Mid Upper Arm Circumference ◽  
Therapeutic Food

Background: Severe acute malnutrition (SAM) is a salient health problem in India. Federation of Indian Chamber of Commerce and Industry (FICCI) Research and Analysis Centre, New Delhi, prepared nutreal equivalent to ready-to-use therapeutic food by World Health Organization (WHO) for the management of SAM and defined food like homemade diet. Objective: To compare acceptability and efficacy of nutreal over defined food for the management of SAM. Methods: One hundred twelve children aged less than 5 years with SAM were enrolled as per the standard of WHO. Children were randomized into 2 groups to receive nutreal (n = 56) and defined food (n = 56) in unlimited amounts for 42 consecutive days and extended by 2 weeks as per demand. Calorie and protein intake, weight, and mid-upper arm circumference (MUAC) were recorded daily. Results: Age range was 8 to 45 months. Ninety-three percent of children eagerly accepted nutreal but 7% does not. Whereas in the defined food group, 68% accepted eagerly, 30% did not accept eagerly, and 1.8% accepted poorly ( P = .004). At enrollment, mean weight in the nutreal group was 6.44 ± 1.60 kg and in the defined food group was 8.69 ± 1.76 kg, with MUAC in the nutreal group being 11.12 ± 0.47 cm and in the defined food group being 11.54 ± 0.34 cm. Mean weight in the nutreal and defined food groups at eighth week of intervention was 7.97 ± 1.8 kg and 9.71 ± 1.8 kg ( P < .001), respectively. Mid-upper arm circumference at eighth week was 12.10 ± 0.29 cm in the nutreal group and 12.49 ± 0.50 cm in the defined group ( P < .001). Conclusion: Acceptability, mean weight gain, and MUAC in the nutreal group are greater than the defined food.

scholarly journals Nutritional Status and Disease Profile of Under Five Children in a Selected Rural Area

2016 ◽  
Vol 12 (1) ◽  
pp. 94-99
Author(s):  
Nasrin Sultana ◽  
Sumon Chandra Debnath ◽  
Rifat Sultana ◽  
Shamina Akter ◽  
Dewan Shahida Banu ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Rural Area ◽  
Acute Malnutrition ◽  
Z Score ◽  
Upper Arm ◽  
Under Five ◽  
Under Five Children ◽  
Risk Of Death ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Introduction: Malnutrition is referred to as the greatest single threat to the world’s public health, especially for the developing countries. Childhood malnutrition is linked to slower cognitive development and serious health impairments later in life that reduce the quality of life of individuals. Nutritional status is determined anthropometrically and is a significant determinant of various types of morbidity and is associated with an increased risk of death from acute respiratory infection, diarrhoea, measles and few other infectious diseases. Objective: To assess nutritional status and disease profile of under five children in a rural area of Bangladesh. Materials and Methods: This cross-sectional study was conducted among 205 children with age between 1 to 59 months who were selected purposively. Two hundred five data were collected by interviewing the mothers of the children and also by reviewing the documents using a pretested semi-structured questionnaire and checklist. Nutritional status was assessed using WHO recommended Z-score category and Mid Upper Arm Circumference measurement. Results: Out of 205 children, more than half (57.6%) were girls and the rest of them were boys. About two-third of the children were aged between 25 and 59 months. Maximum (40.5%) mothers of the children had a background of secondary educational status and most of them (90.2%) were housewives. More than one-third (36.1%) of the respondents belong to families haveing monthly income between Tk. 5001 and 10,000 and the average income was Tk.14,544. About onethird (33.5%) of the children were stunted in Height for Age Z score. While 9.7% were moderately wasted and 1.5% were severely wasted in Weight for Height Z score. 3.8% of the children were severely underweight and 70.8% of the children’s weight was within the normal limit for their age. By Mid Upper Arm Circumference (MUAC) measurement, about 20.0% were of moderate acute malnutrition (MAM) and 1.1% were of severe acute malnutrition (SAM). Among the associated morbidities, diarrhoeal disease had highest prevalence (45%) followed by respiratory tract infection (38%) and pneumonia (18%). Conclusion: Under five children are the vulnerable segment of the population. The result demonstrates a high prevalence of malnutrition (especially stunting) among under five children in the study area. Considering the acute and long-term consequences of malnutrition, interventions aiming at reducing child malnutrition in such a population should focus on all the children of less than 5 years of age. Journal of Armed Forces Medical College Bangladesh Vol.12(1) 2016: 94-99  

scholarly journals A feasibility study using mid-upper arm circumference as the sole anthropometric criterion for admission and discharge in the outpatient treatment for severe acute malnutrition

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Souna Garba ◽  
Halidou Salou ◽  
Fabienne Nackers ◽  
Amadou Ayouba ◽  
Montse Escruela ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
World Health ◽  
Operational Experience ◽  
Post Discharge ◽  
Upper Arm ◽  
Standard Program ◽  
Arm Circumference ◽  
Increased Risk ◽  
Mid Upper Arm Circumference

Abstract Background The World Health Organization recommends the use of a weight-for-height Z-score (WHZ) and/or mid-upper arm circumference (MUAC) as anthropometric criteria for the admission and discharge of young children for the community-based management of severe acute malnutrition. However, using MUAC as a single anthropometric criterion for admission and discharge in therapeutic nutritional programs may offer operational advantages to simplify admission processes at therapeutic nutritional centers and improve program coverage. Methods This pragmatic, non-randomized, intervention study compared a standard outpatient nutritional program (n = 824) for the treatment of uncomplicated severe acute malnutrition using WHZ < − 3 and/or MUAC< 115 mm and/or bipedal edema for admission and discharge to a program (n = 1019) using MUAC as the sole anthropometric criterion for admission (MUAC< 120 mm) and discharge (MUAC ≥125 mm at two consecutive visits) in the Tahoua Region of Niger. Results Compared to the standard program, the MUAC-only program discharged more children as recovered (70.1% vs. 51.6%; aOR 2.31, 95%CI 1.79–2.98) and fewer children as non-respondent or defaulters, based on respective program definitions. The risk of non-response was high in both programs. Three months post-discharge, children who were discharged after recovery in the MUAC-only program had lower WHZ and MUAC measures. Sixty-three children ineligible for the MUAC-only program but eligible for a standard program (MUAC ≥120 mm and WHZ < -3) were followed for twelve weeks and the anthropometric status of 69.8% of these children did not deteriorate (i.e. MUAC ≥120 mm) despite not immediately receiving treatment in the MUAC-only program. Conclusions The results from this study share the first operational experience of using MUAC as sole anthropometric criterion for admission and discharge in Niger and overall support the consideration for MUAC-only programming: the MUAC-only model of care was associated with a higher recovery and a lower defaulter rate than the standard program with very few children found to be excluded from treatment with an admission criterion of MUAC < 120 mm. Further consideration of the appropriate MUAC-based discharge criterion as it relates to an increased risk of non-response and adverse post-discharge outcomes would be prudent.

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.

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 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.

scholarly journals Ethnic and age differences in prediction of mortality by mid-upper arm circumference in children below 3 years of age in Nepal

2018 ◽  
Vol 21 (12) ◽  
pp. 2230-2237 ◽  
Author(s):  
Avni Gupta ◽  
James M Tielsch ◽  
Subarna K Khatry ◽  
Steven C LeClerq ◽  
Luke C Mullany ◽  
...  
Keyword(s):  
Severe Acute Malnutrition ◽  
Sociodemographic Factors ◽  
Nutrition Intervention ◽  
Acute Malnutrition ◽  
Older Children ◽  
Upper Arm ◽  
Prediction Of Mortality ◽  
Arm Circumference ◽  
Increased Risk ◽  
Mid Upper Arm Circumference

AbstractObjectiveTo assess ethnicity- and age-modified associations between mid-upper arm circumference (MUAC) and mortality in Nepalese children and whether sociodemographic factors explain these associations.DesignSecondary data analysis of children followed until 3 years of age. Estimated mortality hazard ratios (HR) for MUAC<11·5cm (recommended cut-off for identifying severe acute malnutrition among children ≥6 months old) compared with ≥11·5cm in younger (<6 months) and older children (≥6 months) of Pahadi and Madhesi ethnicity, adjusting for sex, socio-economic status (SES) and mother’s education using Cox proportional hazard models.SettingSarlahi, Nepal (21 October 2001–2 February 2006).SubjectsChildren (n 48 492) enrolled in the Nepal Nutrition Intervention Project, Sarlahi-4.ResultsAmong children aged ≥6 months, MUAC<11·5 cm was associated with increased risk of mortality in both Pahadis (HR=4·01; 95 % CI 1·42, 11·76) and Madhesis (HR=5·60; 95 % CI 3·87, 8·11) compared with those with MUAC≥11·5 cm, after adjusting for sex, SES and maternal literacy. Among children <6 months old, MUAC<11·5 cm was not associated with mortality in Pahadis with (HR=1·12; 95 % CI 0·72, 1·73) or without adjusting (HR=1·17; 95 % CI 0·75, 1·18) as compared with Madeshis (adjusted HR=1·76; 95 % CI 1·35, 2·28).ConclusionsAmong older children, MUAC<11·5 cm is associated with subsequent mortality in both ethnicities regardless of other characteristics. However, among children aged <6 months, it predicted mortality only among Madhesis, while sociodemographic factors were more strongly associated with mortality than MUAC<11·5cm among Pahadis.

scholarly journals Comparison of Mid-Upper Arm Circumference and Weight-for-Height to Diagnose Severe Acute Malnutrition: A Study in Southern Ethiopia

Nutrients ◽  
2017 ◽  
Vol 9 (3) ◽  
pp. 267 ◽  
Author(s):  
Amare Tadesse ◽  
Elazar Tadesse ◽  
Yemane Berhane ◽  
Eva-Charlotte Ekström
Keyword(s):  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Southern Ethiopia ◽  
Upper Arm ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference
Sign in / Sign up

Export Citation Format

Share Document