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Nutritional status of children: validity of mid-upper arm circumference for screening undernutrition.
Indian Pediatr. 1996 Mar; 33(3):189-96.IP

Abstract

OBJECTIVES

To determine the nutritional status and validity of mid upper arm circumference (MAC) in diagnosing malnutrition among preschool children.

DESIGN

Cross-sectional household survey.

SETTING

47 villages in District Ambala, Haryana.

SUBJECTS

3747 children aged less than six years.

METHODOLOGY

Trained field workers recorded age, weight, length/ height and MAC of children. Prevalence of underweight, stunting, and wasting were calculated in reference to National Centre for Health Statistics (NCHS) standards. Sensitivity and specificity of MAC for detecting underweight, wasting and stunting among children aged 1 to 4 years were determined.

RESULTS

At the cut-off level of < -2.00 SD of Z-scores, 48.8% children were stunted, 49.6% were underweight and 9.1% were wasted whereas 47.6% children had neither wasting nor stunting. Prevalence of severe stunting, underweight, and wasting (Z-score < -3 SD) was 18.1%, 11.5% and 0.6%, respectively. Undernutrition showed a significant rise after 12 months of age (p < 0.0001). Stunting and underweight were significantly more among girls compared to boys (p < 0.01) but wasting was not significantly different in them. Compared to the conventional MAC cut off levels of < 13.5 cm and < 12.5 cm, sensitivity and specificity in our setting were optimum at < 13.5 cm for detection of wasting and < 14.0 cm for diagnosis of underweight and stunting, and < 13.0 cm for detection of severe wasting and < 13.5 cm for diagnosis of severe underweight and severe stunting.

CONCLUSIONS

Almost every second child was undernourished. Optimum cut off level of MAC in our setting were higher than the conventional cut off points for detection of undernutrition among children.

Authors+Show Affiliations

Department of Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8772837

Citation

Kumar, R, et al. "Nutritional Status of Children: Validity of Mid-upper Arm Circumference for Screening Undernutrition." Indian Pediatrics, vol. 33, no. 3, 1996, pp. 189-96.
Kumar R, Aggarwal AK, Iyengar SD. Nutritional status of children: validity of mid-upper arm circumference for screening undernutrition. Indian Pediatr. 1996;33(3):189-96.
Kumar, R., Aggarwal, A. K., & Iyengar, S. D. (1996). Nutritional status of children: validity of mid-upper arm circumference for screening undernutrition. Indian Pediatrics, 33(3), 189-96.
Kumar R, Aggarwal AK, Iyengar SD. Nutritional Status of Children: Validity of Mid-upper Arm Circumference for Screening Undernutrition. Indian Pediatr. 1996;33(3):189-96. PubMed PMID: 8772837.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nutritional status of children: validity of mid-upper arm circumference for screening undernutrition. AU - Kumar,R, AU - Aggarwal,A K, AU - Iyengar,S D, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 189 EP - 96 JF - Indian pediatrics JO - Indian Pediatr VL - 33 IS - 3 N2 - OBJECTIVES: To determine the nutritional status and validity of mid upper arm circumference (MAC) in diagnosing malnutrition among preschool children. DESIGN: Cross-sectional household survey. SETTING: 47 villages in District Ambala, Haryana. SUBJECTS: 3747 children aged less than six years. METHODOLOGY: Trained field workers recorded age, weight, length/ height and MAC of children. Prevalence of underweight, stunting, and wasting were calculated in reference to National Centre for Health Statistics (NCHS) standards. Sensitivity and specificity of MAC for detecting underweight, wasting and stunting among children aged 1 to 4 years were determined. RESULTS: At the cut-off level of < -2.00 SD of Z-scores, 48.8% children were stunted, 49.6% were underweight and 9.1% were wasted whereas 47.6% children had neither wasting nor stunting. Prevalence of severe stunting, underweight, and wasting (Z-score < -3 SD) was 18.1%, 11.5% and 0.6%, respectively. Undernutrition showed a significant rise after 12 months of age (p < 0.0001). Stunting and underweight were significantly more among girls compared to boys (p < 0.01) but wasting was not significantly different in them. Compared to the conventional MAC cut off levels of < 13.5 cm and < 12.5 cm, sensitivity and specificity in our setting were optimum at < 13.5 cm for detection of wasting and < 14.0 cm for diagnosis of underweight and stunting, and < 13.0 cm for detection of severe wasting and < 13.5 cm for diagnosis of severe underweight and severe stunting. CONCLUSIONS: Almost every second child was undernourished. Optimum cut off level of MAC in our setting were higher than the conventional cut off points for detection of undernutrition among children. SN - 0019-6061 UR - https://www.unboundmedicine.com/medline/citation/8772837/Nutritional_status_of_children:_validity_of_mid_upper_arm_circumference_for_screening_undernutrition_ DB - PRIME DP - Unbound Medicine ER -