The use of mid upper arm circumference and skinfold thickness to assess underweight and obesity among cardiac patients

Weight, height, head circumference, triceps and subcapsular skinfolds, mid upper arm circumference, and mid upper arm muscle circumference values were obtained from well children, children suffering from dehydrating gastroenteritis, and children suffering from severe protein calorie malnutrition to determine if these measurements could be used to assess nutritional status. The results indicate that, in Cape Town, there is a significant correlation between skinfold thickness for age, and weight and height for age, and that skin-fold measurements can be used as an additional, reliable, objective measure of suboptimal nutrition and early protein calorie malnutrition in group surveys, particularly where the exact ages of children are not known.

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Anthropometry and body composition of south Indian babies at birth

Public Health Nutrition ◽

10.1017/phn2006943 ◽

2006 ◽

Vol 9 (7) ◽

pp. 896-903 ◽

Cited By ~ 30

Author(s):

S Muthayya ◽

P Dwarkanath ◽

T Thomas ◽

M Vaz ◽

A Mhaskar ◽

...

Keyword(s):

Body Composition ◽

Birth Weight ◽

Gestational Age ◽

Skinfold Thickness ◽

Fat Free Mass ◽

Upper Arm ◽

South Indian ◽

Arm Circumference ◽

Mid Upper Arm Circumference ◽

The Relationship

AbstractObjectivesTo assess the consequences on body composition of increasing birth weight in Indian babies in relation to reported values in Western babies, and to assess the relationship between maternal and neonatal anthropometry and body composition.DesignProspective observational study.SettingBangalore City, India.SubjectsA total of 712 women were recruited at 12.5±3.1 weeks of gestation (mean±standard deviation, SD) and followed up until delivery; 14.5% were lost to follow-up. Maternal body weight, height, mid upper-arm circumference and skinfold thicknesses were measured at recruitment. Weight and body composition of the baby (skinfold thicknesses, mid upper-arm circumference, derived arm fat index and arm muscle index; AFI and AMI, respectively) were measured at birth in hospital.ResultsThe mean±SD birth weight of all newborns was 2.80±0.44 kg. Birth weight was significantly related to the triceps and subscapular skinfold thickness of the baby. In a small number of babies with large birth weight for gestational age, there was a relatively higher normalised AFI relative to AMI than for babies with lower or appropriate birth weight for gestational age. Maternal height and fat-free mass were significantly associated with the baby's length at birth.ConclusionsSkinfold thicknesses in Indian babies were similar to those reported in a Western population with comparable birth weights, and the relationship of AFI to birth weight appeared to be steeper in Indian babies. Thus, measures to increase birth weight in Indian babies should take into account possible adverse consequences on body composition. There were no significant relationships between maternal anthropometry and body composition at birth on multivariate analysis, except for sum of the baby's skinfold thicknesses and maternal fat-free mass (P<0.02).

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Cross-sectional reference values for mid-upper arm circumference, triceps skinfold thickness and arm fat area of Turkish children and adolescents

International Journal of Food Sciences and Nutrition ◽

10.1080/09637480701663854 ◽

2008 ◽

Vol 60 (4) ◽

pp. 267-281 ◽

Cited By ~ 13

Author(s):

Ahmet Ozturk ◽

Nurten Budak ◽

Betul Cicek ◽

M. Mumtaz Mazicioglu ◽

Fahri Bayram ◽

...

Keyword(s):

Children And Adolescents ◽

Reference Values ◽

Skinfold Thickness ◽

Upper Arm ◽

Cross Sectional ◽

Turkish Children ◽

Arm Circumference ◽

Mid Upper Arm Circumference ◽

Triceps Skinfold Thickness

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Mid Upper Arm Circumference in Pregnant Women and Birth Weight in Newborns as Substitute for Skinfold Thickness: Findings from the MAASTHI Cohort Study, India.

10.21203/rs.3.rs-153793/v1 ◽

2021 ◽

Author(s):

Giridhara R. Babu ◽

Aritra Das ◽

Eunice Lobo ◽

Deepa R. ◽

Daisy A. John ◽

...

Keyword(s):

Cohort Study ◽

Birth Weight ◽

Pregnant Women ◽

Skinfold Thickness ◽

Fat Deposition ◽

Anthropometric Measurements ◽

Public Hospitals ◽

Upper Arm ◽

Arm Circumference ◽

Mid Upper Arm Circumference

Abstract Background: Estimating fat deposition in public hospitals using gold-standard measurements such as high-resolution imaging is unaffordable and it is challenging to use skinfold thickness. We aimed to identify the appropriate substitute marker for skinfold thickness to estimate fat deposition in pregnant women and infants.Methods: The study is part of a prospective cohort study titled, MAASTHI in Bengaluru, from 2016-19. Anthropometric measurements such as body weight, head circumference, mid upper arm circumference (MUAC), and skinfold thickness were measured in pregnant women between 14 to 36 weeks of gestational age; while measurements such as birth weight, head, chest, waist, hip, mid upper arm circumference, and skinfold thickness were recorded for newborns. We calculated Kappa statistics to assess agreement between these anthropometric markers with skinfold thickness. Results: We found the highest amount of agreement between total skinfold thickness and MUAC (Kappa statistic, 0.42; 95% CI 0.38-0.46) in pregnant women. For newborns, the highest agreement with total skinfold thickness was with birth weight (0.57; 95% CI 0.52-0.60). Our results indicate that MUAC higher than 29.2 cm can serve as a suitable alternative to total skinfolds-based assessments for obesity screening in pregnancy in public facilities. Similarly, a birth weight cut-off of 3.45 kg can be considered for classifying obesity among the newborns. Conclusions: Mid upper arm circumference and birth weight can be used as markers of skinfold thickness, reflecting fat deposition in pregnant women and the infant, respectively. These two anthropometric measurements could substitute for skinfold thickness in low- and middle-income urban India settings.

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Mid-upper arm circumference in pregnant women and birth weight in newborns as substitute for skinfold thickness: findings from the MAASTHI cohort study, India

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03915-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Giridhara R. Babu ◽

Aritra Das ◽

Eunice Lobo ◽

Deepa R ◽

Daisy A. John ◽

...

Keyword(s):

Cohort Study ◽

Birth Weight ◽

Pregnant Women ◽

Body Fat ◽

Skinfold Thickness ◽

Upper Arm ◽

Arm Circumference ◽

Total Body Fat ◽

Total Body ◽

Mid Upper Arm Circumference

Abstract Background Estimating total body fat in public hospitals using gold-standard measurements such as air displacement plethysmography (ADP), deuterium oxide dilution, or dual-energy X-ray absorptiometry (DXA) is unaffordable, and it is challenging to use skinfold thickness. We aimed to identify the appropriate substitute marker for skinfold thickness to estimate total body fat in pregnant women and infants. Methods The study is part of a prospective cohort study titled MAASTHI in Bengaluru, from 2016 to 19. Anthropometric measurements such as body weight, head circumference, mid-upper arm circumference (MUAC), and skinfold thickness were measured in pregnant women between 14 and 36 weeks of gestational age; while measurements such as birth weight, head, chest, waist, hip, mid-upper arm circumference, and skinfold thickness were recorded for newborns. We calculated Kappa statistics to assess agreement between these anthropometric markers with skinfold thickness. Results We found the highest amount of agreement between total skinfold thickness and MUAC (Kappa statistic, 0.42; 95 % CI 0.38–0.46) in pregnant women. For newborns, the highest agreement with total skinfold thickness was with birth weight (0.57; 95 % CI 0.52–0.60). Our results indicate that MUAC higher than 29.2 cm can serve as a suitable alternative to total skinfolds-based assessments for obesity screening in pregnancy in public facilities. Similarly, a birth weight cut-off of 3.45 kg can be considered for classifying obesity among newborns. Conclusion Mid-upper arm circumference and birth weight can be used as markers of skinfold thickness, reflecting total body fat in pregnant women and the infant, respectively. These two anthropometric measurements could substitute for skinfold thickness in low- and middle-income urban India settings.

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

Journal of Biosocial Science ◽

10.1017/s0021932021000298 ◽

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.

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61 Maternal mid-upper arm circumference is associated with small for gestational age in a Zambian cohort

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2020.12.059 ◽

2021 ◽

Vol 224 (2) ◽

pp. S43

Author(s):

Ashley A. Appiagyei ◽

Bellington Vwalika ◽

Anne West Honart ◽

Andrew Kumwenda ◽

Chileshe Mabula ◽

...

Keyword(s):

Gestational Age ◽

Small For Gestational Age ◽

Upper Arm ◽

Arm Circumference ◽

Mid Upper Arm Circumference

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The prediction of in-hospital mortality by mid-upper arm circumference: a prospective observational study of the association between mid-upper arm circumference and the outcome of acutely ill medical patients admitted to a resource-poor hospital in sub-Saharan Africa

Clinical Medicine ◽

10.7861/clinmedicine.18-2-123 ◽

2018 ◽

Vol 18 (2) ◽

pp. 123-127 ◽

Cited By ~ 4

Author(s):

Martin Otyek Opio ◽

Teopista Namujwiga ◽

Imaculate Nakitende ◽

John Kellett ◽

Mikkel Brabrand

Keyword(s):

Observational Study ◽

Hospital Mortality ◽

Prospective Observational Study ◽

Sub Saharan Africa ◽

Medical Patients ◽

Upper Arm ◽

Arm Circumference ◽

Resource Poor ◽

Sub Saharan ◽

Mid Upper Arm Circumference

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

Sumatera Medical Journal ◽

10.32734/sumej.v3i3.3309 ◽

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.

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