E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India

Manoj Rajanna Talapalliwar, Bishan S Garg.

Cited by (4)

Abstract
Background: Mid-upper arm circumference (MUAC) is used to diagnose severe acute malnutrition (SAM) and moderate acute malnutrition. The performance of MUAC measurements in terms of sensitivity and specificity was varied.

Objective: To evaluate the cutoff values of MUAC for screening SAM among tribal children of Melghat.

Materials and Methods: The cross-sectional study was carried out in the villages of Melghat block of Amravati district, Maharashtra, India. A total of 446 children in the age group 660 months from the study area were assessed by anthropometric measurements using newly developed WHO growth standard. Data were analyzed by using ANTHRO, EPI_INFO 2007, and R software. Sensitivity and specificity of WHO/UNICEF suggested cutoff of MUAC were calculated. Receiver-operating curve (ROC) and Youden Index was calculated to find out the best possible cutoff value of MUAC for diagnosing SAM in these tribal children.

Result: The sensitivity and specificity of MUAC < 11.5 cm was 13.6% and 99.3%, respectively. The best cutoff for screening SAM was obtained at MUAC < 12.8 cm where the sensitivity and specificity was 50% and 90.8%, respectively.

Conclusion: The present cutoff of MUAC < 11.5 cm captures only a small proportion of all children with SAM cases. There is an urgent need to revise cutoff value of MUAC to higher value to improve its sensitivity for detecting children with SAM.

Key words: Severe acute malnutrition (SAM), children, diagnosis, mid-upper arm circumference (MUAC), tribal


 
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REFERENCES
1. Briend A, Garenne M, Maire B, Fontaine O, Dieng K. Nutritional status, age and survival: the muscle mass hypothesis. Eur J Clin Nutr 1989;43(10):715–26. [Pubmed]   
2. WHO, UNICEF. WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children. A Joint Statement by the World Health Organization and the United Nations Children's Fund. Geneva: WHO, 2009. Available at: http://www.who.int/nutrition/publications/severemalnutrition/9789241598163_eng.pdf
3. Myatt M, Khara T, Collins S. A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs. Food Nutr Bull 2006;27(3 Suppl):S7–23. [DOI via Crossref]    [Pubmed]   
4. Government of India. Operational Guidelines on Facility Based Management of Children with Severe Acute Malnutrition. New Delhi: Ministry of Health and Family Welfare Government of India, 2011.
5. Dasgupta R, Sinha D, Jain SK, Prasad V. Screening for SAM in the community: is MUAC a 'simple tool'? Indian Pediatr 2013;50:154–5. [DOI via Crossref]    [Pubmed]   
6. Dairo MD, Fatokun ME, Kutti M. Reliability of the mid upper arm circumference for the assessment of wasting among children aged 12-59 months in urban Ibadan, Nigeria. Int J Biomed Sci 2012;8(2):140–4. [Pubmed]    [PMC Free Fulltext]   
7. Berkley J, Mwangi I, Griffiths K, Ahmed I, Mithwani S, English M, et al. Assessment of severe malnutrition among hospitalized children in rural Kenya comparison of weight for height and mid upper arm circumference. JAMA 2005;294(5):591–7. [DOI via Crossref]    [Pubmed]   
8. Shekhar S, Shah D. Validation of mid upper arm circumference cut offs to severe wasting in Indian children. Indian Pediatr 2012;49:496–7. [Pubmed]   
9. Fernández MAL, Delchevalerie P, Van Herp M. Accuracy of MUAC in the detection of severe wasting with the new WHO growth standards. Pediatrics 2010;126(1):e195–201. [DOI via Crossref]    [Pubmed]   
10. Prasad V, Sinha D, Sridhar S. Falling between two stools: operational inconsistencies between ICDS and NRHM in the management of severe malnutrition. Indian Pediatr. 2012;49:181–6. [DOI via Crossref]    [Pubmed]   
11. Government of India. Census 2001. 2001 Available at: URL: www.censusindia.org (last accessed on September 2008).
12. Talapalliwar MR, Garg BS. Nutritional status and its correlates among tribal children of Melghat, central India. Indian J Pediatr 2014;81:1151–7. [DOI via Crossref]    [Pubmed]   
13. National Family Health Survey India (NFHS-3). 2005–2006. Available at: http://www.nfhsindia.org (last accessed on September 12, 2008).
14. World Health Organization. Training Course on Child Growth Assessment. Version 1. Geneva: WHO, 2006. Available at: http://www.who.int/entity/childgrowth/training/module_h_directors_guide.pdf
15. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser 1995;854:1–452. [Pubmed]   
16. Monika B, Elaine B, de Onis M, Onyango A, Siyam A, Yang H, et al. WHO Anthro: Beta Version Feb 17th: Software for Assessing Growth and Development of the World's Children. 2006. Geneva: WHO, 2005. Available at: URL: http://www.who.int/childgrowth/software/en/ (last accessed on March 2009).
17. World Health Organization. The WHO Child Growth Standards. Geneva: WHO, 2006. Available at: URL: http://www.who.int/childgrowth/en/ (last accessed on October 23, 2008).
18. Youden WJ. Index for rating diagnostic tests. Cancer 1950; 3(1):32–5. [DOI via Crossref]   

This Article Cited By the following articles

Evolution of Anthropometry in Malnutrition
IJN 2020; 4(4): 25.

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Nutr Res Pract 2019; 13(3): 247.

2
 
Severely malnourished children with a low weight-for-height have a higher mortality than those with a low mid-upper-arm-circumference: I. Empirical data demonstrates Simpson’s paradox
Nutr J 2018; 17(1): .

3
 
Severely malnourished children with a low weight-for-height have similar mortality to those with a low mid-upper-arm-circumference: II. Systematic literature review and meta-analysis
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How to Cite this Article
Pubmed Style

Manoj Rajanna Talapalliwar, Bishan S Garg. Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India. Int J Med Sci Public Health. 2016; 5(7): 1317-1321. doi:10.5455/ijmsph.2016.04092015195


Web Style

Manoj Rajanna Talapalliwar, Bishan S Garg. Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India. http://www.ijmsph.com/?mno=200864 [Access: September 28, 2020]. doi:10.5455/ijmsph.2016.04092015195


AMA (American Medical Association) Style

Manoj Rajanna Talapalliwar, Bishan S Garg. Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India. Int J Med Sci Public Health. 2016; 5(7): 1317-1321. doi:10.5455/ijmsph.2016.04092015195



Vancouver/ICMJE Style

Manoj Rajanna Talapalliwar, Bishan S Garg. Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India. Int J Med Sci Public Health. (2016), [cited September 28, 2020]; 5(7): 1317-1321. doi:10.5455/ijmsph.2016.04092015195



Harvard Style

Manoj Rajanna Talapalliwar, Bishan S Garg (2016) Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India. Int J Med Sci Public Health, 5 (7), 1317-1321. doi:10.5455/ijmsph.2016.04092015195



Turabian Style

Manoj Rajanna Talapalliwar, Bishan S Garg. 2016. Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India. International Journal of Medical Science and Public Health, 5 (7), 1317-1321. doi:10.5455/ijmsph.2016.04092015195



Chicago Style

Manoj Rajanna Talapalliwar, Bishan S Garg. "Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India." International Journal of Medical Science and Public Health 5 (2016), 1317-1321. doi:10.5455/ijmsph.2016.04092015195



MLA (The Modern Language Association) Style

Manoj Rajanna Talapalliwar, Bishan S Garg. "Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India." International Journal of Medical Science and Public Health 5.7 (2016), 1317-1321. Print. doi:10.5455/ijmsph.2016.04092015195



APA (American Psychological Association) Style

Manoj Rajanna Talapalliwar, Bishan S Garg (2016) Diagnostic accuracy of mid-upper arm circumference (MUAC) for detection of severe and moderate acute malnutrition among tribal children in central India. International Journal of Medical Science and Public Health, 5 (7), 1317-1321. doi:10.5455/ijmsph.2016.04092015195





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