Mid upper-arm circumference is an effective tool to identify infants and young children with severe acute malnutrition in India

Public Health Nutrition
Víctor M AguayoKaranveer Singh

Abstract

To assess the appropriateness of current mid upper-arm circumference (MUAC) cut-offs to identify children with severe acute malnutrition in India. The analysis concerned 6307 children admitted to nutrition rehabilitation centres (2009-2011) where they received therapeutic care as per guidelines by WHO and the Indian Academy of Pediatrics. States of Jharkhand, Madhya Pradesh and Uttar Pradesh, India. Children aged 6-59 months with bilateral pitting oedema or weight-for-height Z-score (WHZ)<-3 or MUAC<115 mm at admission. Children aged 6-23 months represented ~80 % of the admissions. Among them, the proportion with WHZ<-3 was similar to that with MUAC<115 mm (85·7 % v. 81·8 %); the proportion with MUAC<115 mm whose WHZ was <-3 was 82·6 %; and the proportion with WHZ<-3 whose MUAC<115 mm was 78·8 %. MUAC<115 mm was as effective as WHZ<-3 in identifying 6-59-month-old children with medical complications (32·2 % v. 31·6 %, respectively), the most important risk factor of death among oedema-free children. Furthermore, death rates in children with MUAC<115 mm were higher than in children with WHZ<-3 (0·61 % v. 0·58 %, respectively) and 91 % of the deaths among oedema-free children were deaths of children with MUAC<115 mm. In populatio...Continue Reading

References

Jul 16, 2005·Journal of the American Academy of Dermatology·Jörg ReichrathWolfgang Tilgen
Dec 5, 2006·Lancet·Steve CollinsAlistair Hallam
Jul 5, 2007·The Journal of Family Planning and Reproductive Health Care·Stephen C Pearson, Paul Clarke
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Feb 12, 2013·Indian Pediatrics·Rajib DasguptaVandana Prasad
May 14, 2014·Journal of Child Neurology·Leanne SakzewskiAnn-Christin Eliasson

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Citations

Aug 8, 2018·Archives of public health = Archives belges de santé publique·Jovana DodosMathias Altmann
May 11, 2017·Public Health Nutrition·Ross E Michaels, Joshua M Pearce

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