Assessment of malnutrition among adolescents: Can BMI be replaced by MUAC

Dasgupta, Aparajita; Butt, Arindam; Saha, Tushar Kanti; Basu, Gandhari; Chattopadhyay, Amitava; Mukherjee, Anindya

doi:10.4103/0970-0218.66892

Cited by 52 publications

(50 citation statements)

References 4 publications

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“…1 Adolescence is a period, which forms the base of future health and social life. The health problems and habits acquired during this phase prove a lifelong hindrance in well-being.…”

Section: Introductionmentioning

confidence: 99%

A study of food fads and overweight in adolescents from an urban area

Dhobale

Kumbhar²,

Gore

et al. 2016

Int J Community Med Public Health

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“…1 Adolescence is a period, which forms the base of future health and social life. The health problems and habits acquired during this phase prove a lifelong hindrance in well-being.…”

Section: Introductionmentioning

confidence: 99%

A study of food fads and overweight in adolescents from an urban area

Dhobale

Kumbhar²,

Gore

et al. 2016

Int J Community Med Public Health

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“…Studies in similar settings have also shown that use of MUAC has improved the ability of front-line health workers to screen and assess for acute malnutrition among children for community-based management of acute malnutrition services 2-4 . Studies comparing diagnostic accuracy established that MUAC correlates well with BMI in adult populations [5][6][7][8][9][10] .…”

Section: Dear Editormentioning

confidence: 99%

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India

Sethi

Parhi

Dar

et al. 2017

RRH

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Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India Rural and Remote Health 17: 4221. (Online) 2017 Available: http://www.rrh.org.au Dear EditorLack of a single, universally accepted, and widely accessible approach to diagnosing and documenting adult malnutrition has impeded accurate estimations of human and financial burdens associated with prevention and treatment of malnutrition 1 . In January 2016 we tested the feasibility of armband mid-upper arm circumference (MUAC)<23 cm as a simple screening tool for maternal nutritional status and its diagnostic accuracy during a monthly village health and nutrition day in Bihar state, India. Using standard methods, weight, height and MUAC measurements were taken for 99 adolescent and adult women by trained health workers. Measurement time for armband MUAC, MUAC by non-stretchable tape and height by a stadiometer were compared. MUAC diagnostic accuracy was tested against body mass index (BMI)<18.5 kg/m 2 as the gold standard. A total of 82.5% of participants had a BMI of less than 18.5 kg/m 2 with the mean BMI of the sample population being 16.37 kg/m 2 and the mean age 20.5±5 years. The result shows that the proportions of women with MUAC<23 cm and MUAC<21 cm were 29% and 69%, respectively. MUAC<23 cm in women (area under curve=0.75) had the highest Youden's index (0.64), which corresponds to BMI<18.5 kg/m 2 . A strong significant power of association (r) between MUAC and BMI<18.5 kg/m 2 was found in adolescent girls (r=0.64; p<0.0001), but only a slightly moderate association for adult women (r=0.47; p=0.005). Taking the MUAC cut-off, 49% adult women were found to be under-nourished compared to 51% using the BMI underweight cut-off. Similarly, 81% of adolescent girls were found to be under-nourished taking the MUAC

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“…Waist circumference acts as a better indicator of visceral adiposity. 4,5 Recent studies have reported a relationship between waist circumference and BMI. 6 Another anthropometric parameter, which has gained attention recently, is waist-to-height ratio (WHtR).…”

Section: Introductionmentioning

confidence: 99%

BMI and WHtR in assessing the nutritional status of adolescent girls

Ramamani

Suganya

2018

Int J Contemp Pediatr

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Background: In spite of the fact, that, Body mass index being a most commonly used epidemiological tool for the assessment of nutritional status, it does not measure the visceral adiposity, which is the indicator for future cardio-metabolic risk. Hence the study was planned to determine whether Waist height ratio, which is an effective tool in measuring the visceral adiposity, has any relationship with the BMI, in assessing the nutritional status.Methods: The cross sectional study was carried out among 980 school going adolescent girls, studying in class VI-XII standard, in the schools present in urban field practice area of Tagore Medical College and Hospital. Anthropometric assessment was done. BMI and WHtR was calculated, to assess the nutritional status. Relationship between BMI and WHtR was found.Results: The mean age of the participants was 14±2.9 years. Number of participants, who were normal, underweight, overweight, obese based on BMI values were 227, 5, 301, 447 respectively According to the WHtR, 560 (57%) of them were obese, while 420 (43%) were non-obese. Moderate correlation exists between BMI and WHtR, with r = 0.68.Conclusions: Waist height ratio having a positive correlation with the BMI in the assessment of nutritional status, preference of WHtR over BMI should be encouraged, as it also helps in measuring the visceral adiposity, which, is a potent risk factor for various metabolic and cardiovascular diseases.

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Assessment of malnutrition among adolescents: Can BMI be replaced by MUAC

Cited by 52 publications

References 4 publications

A study of food fads and overweight in adolescents from an urban area

A study of food fads and overweight in adolescents from an urban area

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India

BMI and WHtR in assessing the nutritional status of adolescent girls

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