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

Mishra, Kumar Guru; Bhatia, Vikas; Nayak, Ranjeeta

doi:10.4103/jfmpc.jfmpc_57_20

Cited by 7 publications

(6 citation statements)

References 22 publications

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“…In an Asian study conducted by Tang et al 9 found a significant positive correlation between MUAC and birth weight of the baby with correlation coefficient of 0.34, which are in accordance to this present study. However, study conducted by Mishra et al 10 found the significant linear relation between MUAC and birth weight with correlation coefficient of 0.57 which is higher than our findings.…”

Section: Discussioncontrasting

confidence: 99%

Mid upper arm circumference in pregnant women and its relationship with birth weight

Sahu¹,

Soren

2021

PJMS

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: Mid upper arm circumference (MUAC) is considered as a good indicator of maternal nutritional status in pregnant women. Very few studies have been done to establish a relationship between MUAC and birth weight of newborn. This study was carried out to analyze the relationship between MUAC and birth weight of newborn in a tertiary health care facility.This cross sectional study was conducted in 240term pregnant women. MUAC was measured to the nearest millimeters using a non-stretchable tape at the midpoint between acromian process and olecranon process. Newborn baby weight was measured within 24 hrs of birth. The association between MUAC and birth weight was established by linear regression analysis.The mean of MUAC among pregnant women delivering LBW was 21.68±2.27 cm which was significantly low (p<0.001) compared to women delivering normal babies (23.47±2.56 cm). There wasa positive correlation(r=0.32;p<0.05)between MUAC and birth weight of newborn.The cut off value of MUAC for the prediction of LBW in our study was found to be 22.59 cm with 62.77% sensitivity and 71.55% specificity.Among the various maternal factors for the prediction of LBW, mid-upper arm circumference (MUAC) can be correlated with birth weight outcome effectively.

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Section: Discussioncontrasting

confidence: 99%

Mid upper arm circumference in pregnant women and its relationship with birth weight

Sahu¹,

Soren

2021

PJMS

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“…BMI has conventionally served as a gauge for maternal nutritional status and fetal growth prediction [29]. However, growing evidence is suggesting that MUAC could be used as an alternative in assessing pregnancy outcomes [15,30]. A study in India found a significant association (aOR = 7.91, p-value < 0.001) and also a moderate positive correlation between MUAC and BMI (r = 0.57, p < 0.001), suggesting MUAC to be a simple yet effective tool for assessing maternal nutritional status in pregnancy especially in low resource settings [30].…”

Section: Discussionmentioning

confidence: 99%

“…However, growing evidence is suggesting that MUAC could be used as an alternative in assessing pregnancy outcomes [15,30]. A study in India found a significant association (aOR = 7.91, p-value < 0.001) and also a moderate positive correlation between MUAC and BMI (r = 0.57, p < 0.001), suggesting MUAC to be a simple yet effective tool for assessing maternal nutritional status in pregnancy especially in low resource settings [30]. Results from a Zambian study assessing BMI and MUAC for predicting SGA revealed an inadequate overall predictive model (AUC BMI = 0.66, AUC MUAC = 0.68).…”

Section: Discussionmentioning

confidence: 99%

Association of maternal nutritional status and small for gestational age neonates in peri-urban communities of Karachi, Pakistan: findings from the PRISMA study

Ambreen,

Yazdani,

Alvi

et al. 2024

BMC Pregnancy Childbirth

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Background Early pregnancy nutritional status can be associated with adverse birth outcomes such as small-for-gestational age (SGA) and low birth weight (LBW). BMI (Body Mass Index) and MUAC (Mid-upper arm circumference) are easy to use assessments and are indicative of the pre-pregnancy nutritional status if obtained in the first trimester. This study primarily assesses the association of maternal nutritional status using BMI and MUAC with SGA in a community-based cohort of Pakistani women. It also aims to determine the predictive ability of MUAC and BMI in predicting SGA. Secondarily, we assessed the association between maternal nutrition and large for gestational age (LGA) and LBW. Methods This study is a secondary analysis of an ongoing pregnancy cohort “Pregnancy Risk Infant Surveillance and Measurement Alliance (PRISMA)“in Ibrahim Hyderi and Rehri Goth, Karachi. PRISMA participants who were enrolled between January 2021 to August 2022 were included given they had a gestational age < 14 weeks confirmed via ultrasound, MUAC and BMI measurements were available and birth weight was captured within 72 hours. Multivariable logistic regression was used to determine an association between maternal nutritional status and SGA. The PRISMA study was approved by the Aga Khan University Ethics Review Committee (2021–5920-15,518). Results Of 926 women included in the analysis, 26.6% (n = 247) had a low MUAC (< 23 cm) while 18.4% (n = 171) were underweight (BMI < 18.5 kg/m2). Nearly one third of low MUAC and underweight women delivered SGA infants (34.4 and 35.1% respectively). Underweight women and women with low MUAC had a statistically significant association with SGA (Underweight: OR 1.49, 95% CI 1.1,2.4; Low MUAC-OR 1.64, 95% CI 1.2,2.3) as well as LBW (Underweight: OR-1.63, 95% CI 1.1,2.4; Low MUAC-OR-1.63, 95% CI 1.2,2.3). ROC curves showed that MUAC and BMI had modest predictability for SGA (AUC < 0.7). Conclusion Maternal nutritional status as indicated by BMI and MUAC are strongly associated with adverse pregnancy outcomes including SGA, LGA and LBW. Although MUAC and BMI are widely used to determine maternal nutritional status, they have poor predictive ability for newborn size. Further research is needed to identify other tools or a combination of tools to better predict adverse birth outcomes in resource-limited settings and plan interventions.

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“…The weighing machine was checked and validated, using known weights, every day before the start of the survey. WC, HC and MUAC were measured using the measuring tape following standard methods 4 .…”

Section: Methodsmentioning

confidence: 99%

Survey of the present health & nutritional status of Shompen tribe of Great Nicobar Island

Vijayachari,

Awaradi,

Siddaraju

et al. 2024

Indian J Med Res

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Background & objectives: Shompens are one of the two mongoloid tribes of Nicobar district. There is little information about their recent health status since the last survey which was conducted in 1998. Hence, a comprehensive health and nutritional survey was conducted in March 2017 to assess the changes. The survey was carried out by a joint team of various organizations including the ICMR-Regional Medical Research Centre and Tribal Welfare and Health Department both located in Port Blair. Methods: A detailed health and nutrition survey of the Shompen community was planned by deputing a field research team. The survey included demographic data, anthropometric data, clinical examination, screening for the markers of infectious diseases, respiratory pathogens, tuberculosis and haemoglobinopathies. Results: About half of the Shompen adults (both males and females) had a body mass index (BMI) of ≥23. However, Shompen children had a good nutritional status with no child suffering from undernutrition. As per BMI for age, none of the children <5 yr were under-nourished, while in the 5-17 yr group, 12 per cent of children were undernourished. Anaemia prevalence was about 48.3 per cent, with 54 per cent prevalence in females and 43.8 per cent in males. Fungal infection of the skin, acute respiratory infection and abdominal pain were the common morbidities observed. None had active pulmonary tuberculosis. Of 38 Shompens screened for IgG (immunoglobulin G) antibodies, 42.1 and 18.4 per cent were positive for measles and rubella, respectively. Seroprevalence of Leptospira was 35.5 per cent. The prevalence of hypertension was 13.2 per cent, whereas another 28.9 per cent were pre-hypertensive. Interpretation & conclusions: The population structure of the Shompen is not skewed and under nutrition was not widely prevalent among the children of <5 yr. The other positive observations were the absence of malaria, filariasis and dengue. However, there was natural infection of measles and rubella. Fungal skin infection and intestinal parasitic infestations were widely prevalent. Although cardiovascular risk profile was low, there were signs of emerging risk of over-weight, hypertension and dyslipidaemia. These together with the high prevalence of smokeless tobacco use may have a serious effect on the cardiovascular disease susceptibility of the Shompen population in the future.

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

Cited by 7 publications

References 22 publications

Mid upper arm circumference in pregnant women and its relationship with birth weight

Mid upper arm circumference in pregnant women and its relationship with birth weight

Association of maternal nutritional status and small for gestational age neonates in peri-urban communities of Karachi, Pakistan: findings from the PRISMA study

Survey of the present health & nutritional status of Shompen tribe of Great Nicobar Island

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