Association between mid-upper arm circumference and body mass index in pregnant women to assess their nutritional status

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).

Download Full-text

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

Kesmas National Public Health Journal ◽

10.21109/kesmas.v7i2.67 ◽

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

Download Full-text

Mid-upper arm circumference as a substitute of the body mass index for assessment of nutritional status among adult and adolescent females: learning from an impoverished Indian state

Public Health ◽

10.1016/j.puhe.2019.09.010 ◽

2020 ◽

Vol 179 ◽

pp. 68-75 ◽

Cited By ~ 1

Author(s):

A. Das ◽

G. Saimala ◽

N. Reddy ◽

P. Mishra ◽

R. Giri ◽

...

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Body Mass ◽

Adolescent Females ◽

The Body ◽

Upper Arm ◽

Arm Circumference ◽

Indian State ◽

Mid Upper Arm Circumference

Download Full-text

Potential of mid-upper arm circumference to replace body mass index as a screening tool for assessment of nutritional status: A study among a rural elderly population in eastern India

National Journal of Physiology Pharmacy and Pharmacology ◽

10.5455/njppp.2018.8.1247426122017 ◽

2018 ◽

pp. 1

Author(s):

Shobhit Garg ◽

Bijit Biswas ◽

Swanya Maharana ◽

Aparajita Dasgupta

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Body Mass ◽

Elderly Population ◽

Screening Tool ◽

Rural Elderly ◽

Eastern India ◽

Upper Arm ◽

Arm Circumference ◽

Mid Upper Arm Circumference

Download Full-text

Mid-upper arm circumference: A surrogate for body mass index in pregnant women

South African Medical Journal ◽

10.7196/samj.2017.v107i7.12255 ◽

2017 ◽

Vol 107 (7) ◽

pp. 606 ◽

Cited By ~ 16

Author(s):

Ahminah Fakier ◽

Gregory Petro ◽

S Fawcus

Keyword(s):

Body Mass Index ◽

Pregnant Women ◽

Body Mass ◽

Upper Arm ◽

Arm Circumference ◽

Mid Upper Arm Circumference

Download Full-text

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.

Download Full-text