Mid-arm and chest circumferences at birth as predictors of low birth weight and neonatal mortality in the community.

Bhargava, Santosh K.; Ramji, Siddharth; Kumar, Aashish; Mohan, Man; Marwah, J; Sachdev, H. P. S.

doi:10.1136/bmj.291.6509.1617

Cited by 66 publications

(68 citation statements)

References 4 publications

(1 reference statement)

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“…These findings were consistent with findings of Vaquera et al (10) who observed arm circumference had the highest correlation (r=0.92) with birth weight followed by chest circumference (r=0.86), head circumference (r=0.79) and length (0.78). The present findings were similar to findings of some other works (11-14) but were not consistent to study conducted by researchers (15,16).…”

Section: Discussionsupporting

confidence: 82%

Comparative Evaluation of Anthropometric Parameters in Detecting Low Birth Weight Infants

Das¹,

Khanam²,

Afroze³

et al. 2015

Ulutas Med J

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Background: Birth weight is an important indicator of neonatal health. Incidence of low birth weight infants in developing country like Bangladesh is high. Deliveries as 75% are conducted in rural community mainly by Traditional Birth Attendants or by relatives. Facility of birth weight recording is not existent. To overcome the problem of weight recording, it was justified to find out other simple measurements that could be used as substitute of weighing babies. Aim of the study was to examine the validity of anthropometric measurements as a screening method of low birth weight babies. Material & Methods: A cross sectional analytical study was conducted on 560 newborns over a period of 18 months in 2000-2001 in Dhaka city. Mid-arm circumference, length, head circumference, chest circumference, abdominal girth and calf circumference were considered. Results: A significant correlation was observed for birth weight with all other anthropometrical parameters (P<0.001). However, there was a higher correlation (r=0.946) between birth weight and mid-arm circumference. The study showed that in identifying newborns of <2500 gm a mid-arm circumference of <9 cm had the best sensitivity (96.2%) and specificity (97.3%). A value of <8 cm and <6.8 cm for mid-arm circumference showed highest validity for picking up newborns weighing <2000 gm and <1500 gm respectively. Cut-off values for all other parameters to screen neonates categorically were observed. Regression analysis of birth weight on all other parameters was seen. Conclusion:The work concluded that anthropometric parameters might be a valid alternative method in screening low birth weight infants.

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Section: Discussionsupporting

confidence: 82%

Comparative Evaluation of Anthropometric Parameters in Detecting Low Birth Weight Infants

Das¹,

Khanam²,

Afroze³

et al. 2015

Ulutas Med J

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“…So other anthropometric measurements like head circumference, chest circumference, mid arm circumference become important [3] and some of them like chest circumference and mid arm circumference can be used as surrogate markers for birth weight. [4] Many studies were carried out to evaluate the mid arm circumference (MAC) and chest circumference as an alternative indicator of low birth weight. So the present study attempts to establish the norms for our populations.…”

Section: Introductionmentioning

confidence: 99%

Neonatal screening by chest circumference and a study of relationship between birthweight and other anthropometric parameters

Shastry¹,

Bhat²

2015

Int Jour of Biomed Res

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Aims and objectives of the study: To record the chest circumference of the newborns as well as to find out the relationship between birth weight and other anthropometric parameters like head circumference, mid arm circumference and chest circumference. Methods: This observational study includes a total no. of 2050 consecutive live singleton infants born between 28 to 42 weeks gestation in a 1 year period. Anthropometric parameters such as birth weight, crown heel length, mid arm circumference, head circumference and chest circumference were recorded. Results: A mid arm circumference of 9cms can be used to detect low birth weight babies and chest circumference of 30cms has maximum sensitivity and specificity to detect low birth weight babies compared to other parameters. Conclusion: Chest circumference and mid arm circumference are alternate parameters to identify low birth weight babies.

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“…These studies likely overestimated the correlation between these surrogate measures and birth weight because they used limited numbers of highly trained personnel (Bhargava et al, 1985;Sharma et al, 1989;Huque and Hussain, 1991;Walraven et al, 1994;Arisoy and Sarman, 1995;Ahmed et al, 2000). Furthermore, infants born and/or measured in hospitals may not be representative of those born in the community.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, efforts have been made to identify more easily measured anthropometric surrogates for birth weight. A number of studies have focused on measuring the circumference of the head, chest, mid upper-arm, thigh or calf and observed the correlation with continuous measurements on a gold standard weighing scale (Bhargava et al, 1985;Ramji et al, 1986;Singh et al, 1988;Ngowi et al, 1993;WHO Collaborative Study of Birth Weight Surrogates, 1993;Raymond et al, 1994;Arisoy and Sarman, 1995;Kapoor et al, 1996;Dhar et al, 2002;Naik et al, 2003). In general, chest circumference has performed better than other measures and has been recommended for continued investigation (ACC/SCN, 2000), although investigators have demonstrated correlations between birth weight and mid upper-arm circumference (Sauerborn et al, 1990), calf (Gupta et al, 1996;Samal and Swain, 2001) or thigh (Sharma et al, 1989) that are as strong as with chest circumference.…”

Section: Introductionmentioning

confidence: 99%

Relationship between the surrogate anthropometric measures, foot length and chest circumference and birth weight among newborns of Sarlahi, Nepal

Darmstadt

Sk³

et al. 2006

Eur J Clin Nutr

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Background: Classification of infants into low birth weight (LBW, o2500 g) or very low birth weight (VLBW, o2000 g) categories is a crucial step in targeting interventions to high-risk infants. Objective: To compare the validity of chest circumference and foot length as surrogate anthropometric measures for the identification of LBW and VLBW infants. Subjects and setting: Newborn infants (n ¼ 1640) born between March and June 2004 in 30 Village Development Committees of Sarlahi district, Nepal. Design: Chest circumference, foot length and weight (SECA 727, precise to 2 g) of newborns were measured within 72 h after birth. The sensitivity, specificity and predictive values for a range of cutoff points of the anthropometric measures were estimated using the digital scale measurements as the gold standard. Results: Among LBW infants (469/1640, 28.6%), chest circumference measures o30.3 cm were 91% sensitive and 83% specific. Similar levels of sensitivity for foot length were achieved only with considerable loss of specificity (o45%). Foot length measurements o6.9 cm were 88% sensitive and 86% specific for the identification of VLBW infants. Conclusion: Chest circumference was superior to foot length in classification of infants into birth weight categories. For the identification of VLBW infants, foot length performed well, and may be preferable to chest circumference, as the former measure does not require removal of infant swaddling clothes. In the absence of more precise direct measures of birth weight, chest circumference is recommended over foot length for the identification of LBW infants.

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Mid-arm and chest circumferences at birth as predictors of low birth weight and neonatal mortality in the community.

Cited by 66 publications

References 4 publications

Comparative Evaluation of Anthropometric Parameters in Detecting Low Birth Weight Infants

Comparative Evaluation of Anthropometric Parameters in Detecting Low Birth Weight Infants

Neonatal screening by chest circumference and a study of relationship between birthweight and other anthropometric parameters

Relationship between the surrogate anthropometric measures, foot length and chest circumference and birth weight among newborns of Sarlahi, Nepal

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