Mid-upper arm circumference as a substitute of the body mass index for assessment of nutritional status among adult and adolescent females: learning from an impoverished Indian state

Das, Aritra; Saimala, G.; Reddy, Navuluri Kranthi Kumar; Mishra, Prabhaker; Giri, Rakesh; Kumar, Amrendra; Raj, Aradhna; Kumar, G. Pradeep; Chaturvedi, Sharad; Babu, Senbagavalli Prakash; Srikantiah, Sridhar; Mahapatra, Tanmay

doi:10.1016/j.puhe.2019.09.010

Cited by 39 publications

(40 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As per current practices, BMI is taken as a measure to determine undernutrition in pregnancy. This study suggests that MUAC can be replaced as a marker to determine undernutrition, as it is an easier and convenient method independent to the changes during the period of gestation with lesser cost, easy to carry in field settings, and does not require many instruments or any expertise, training, or calculations as also supported by Das et al [ 26 ] [ Appendix 1 ]…”

Section: Discussionmentioning

confidence: 76%

“…This is supported in the study conducted by Kumar et al where non-PW were considered as the study participants with correlation coefficient of r = 0.860 ((0.831-0.883); P < 0·001) and Das et al who also found a significant positive correlation between BMI and MUAC ( r = 0.81, P < 0.0001). [ 12 26 ] Elshiby et al had also in their study observed that social class did not affect the BMI. [ 27 ] However, in some studies it has been reported that BMI is significantly associated with age, gravid status, and disease conditions.…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

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

Mishra

Bhatia

Nayak

2020

J Family Med Prim Care

View full text Add to dashboard Cite

Background: Underweight/ Undernourished is a state when the body mass index (BMI) falls below 18.5 kg/m2 and as per National Family and Health Survey-4, 22.9% of women in the reproductive age group fall into this category. Despite being considered as an important anthropometry marker, it is not measured in most of the healthcare facilities across India due to lack of basic amenities and resources. In such instances, how helpful other indicators like mid-upper arm circumference (MUAC) can be to measure the undernourished status of pregnant needs to be determined. Objectives: To estimate the prevalence of undernutrition in pregnant women (PW) based on baseline BMI and MUAC and to determine the association between them. Materials and Methods: A cross-sectional study was conducted in Tangi Block of Odisha among 440 PW (in the first trimester) from July 2018 to November 2018 using a pre-tested, validated questionnaire and anthropometric instruments. Results: PW having BMI <18.5 kg/m2 were found to be 16.6% and having MUAC <23.5 cm were 19.5%. A significant association was found between BMI and MUAC [aOR 7.91 (4.27–14.65)]. Also, a moderate correlation was established between the indicators (r = 0.57). Conclusion: MUAC can be used instead of BMI as it is easier to measure, cheaper, does not require any training or calculations, and insensitive to changes during the period of gestation unlike BMI. This can be beneficial to the healthcare workers at primary level who are in resource-limited settings.

show abstract

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 94%

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

Mishra

Bhatia

Nayak

2020

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…The preparation of the enteral nutrition was performed as reported in our previous study. 13 In brief, all ingredients were powdered, mashed using blender, and then filtered using pharmaceutical strainer. Nutrition content was analyzed in each powdered ingredient.…”

Section: Methodsmentioning

confidence: 99%

The Effects of Local Food-Based Enteral Nutrition to Improve Nutritional Status of Post-Stroke Patients

Setyopranoto

Lestari

Wijayanti

et al. 2021

JNRP

View full text Add to dashboard Cite

Objective We used local-based enteral formula for post-stroke patients to see its effects on the nutritional status. Materials and Methods This is an experimental research with a pre- and post-test study design in post-stroke patients. Participants underwent clinical and laboratory examinations to assess their nutritional status before and after the enteral nutrition supplementation. The enteral formula preparation, containing arrowroot powder, cork fish, tempeh (fermented soybeans), nondairy creamer, and pumpkin, was performed in a nationally standardized Food Processing Technology Laboratory in Yogyakarta, Indonesia. The enteral formula was given twice a day for 3 consecutive weeks in addition to the patients’ daily meal. Statistical Analysis Nutritional indices before and after enteral nutrition supplementation were analyzed using t-test. All statistical analyses were at 5% significance level. Results Of the 22 post-stroke patients, we used the cutoff point of National Institutes of Health Stroke Scale ≥3 and Barthel Index <90 to represent dependency. Our findings showed significantly reduced mid-upper arm circumference and increased body mass index in independent post-stroke patients after the enteral nutrition supplementation. The tendency of increasing total cholesterol level should be carefully watched in dependent post-stroke patients. Conclusion Local food-based enteral nutrition supplementation for 3 consecutive weeks in post-stroke patients may improve their nutritional status.

show abstract

“…This method is noninvasive and inexpensive with less training and efforts, therefore it is widely used in any health survey and at clinic to minimize the time duration for evaluating nutritional status in developing country. 11,12 BMI cut off values 18.5-24.9 kg/m 2 is considered as good sign of nutritional status and BMI <18.5 kg/m 2 considered underweight less reliable for energy storage in body. Their energy intake considered equal to energy expenditure and more prone to chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

“…13 Research studies proposed that BMI is a responsive indicator for nutritional deficiencies and considered a critical determinant of morbidities connected with malnutrition 14 , and also an indicator of low socio-economic status of a family of a country. 12,15 MUAC, a wellliked anthropometric measurement method for evaluating the nutritional status of less than five years of age children, can also been used in resource-limited community for assessing nutritional status. 16,17 For anthropometric measurement MUAC usage was considered most reliable with lesser equipment required and less time consuming than BMI for assessment of underweight and is being used since a long time.…”

Section: Introductionmentioning

confidence: 99%

Assessment of malnutrition by different anthropometric method and effect of poverty and maternal education as a barrier to healthy nutritional status among children under five years of age.

Ali

Khan²,

Ali³

et al. 2020

TPMJ

View full text Add to dashboard Cite

Objectives: Pakistan is facing double burden of malnutrition. The purpose of current study was to access the nutritional status by different anthropometric methods and common barriers that affect the nutritional status of children. Study Design: Cross Sectional study. Setting: Children Hospital & Institute of Child Health Multan, Pakistan. Period: From 1st March 2019 to 1ST January 2020. Material & Methods: The study contained of 405 children with 216 boys and 187 girls. The data was collected by trained nutritionist in OPD of Children Hospital & Institute of Child Health and data was analyzed by using SPSS version 21.0. Results: The study showed that malnutrition is caused by poor socioeconomic status and low education level of care giver. The data showed that 318 (78.51%) participants involved in this study were malnourished. Nutritional status mostly affected during first birthday (36.79%). In this study 50.12% participants belonged to poor nutritional status and 47.65% mother were uneducated. Conclusion: The mother education and good socioeconomic status can prevent children from malnutrition. Feeding practices and weaning starting time also play role in defining nutritional status of children. Children under five year of age are at very sensitive of age and more prone to diseases so well balance diet and mother feeding upto-2 years of age can prevent children from chronic diseases and improve nutritional status.

show abstract

Mid-upper arm circumference as a substitute of the body mass index for assessment of nutritional status among adult and adolescent females: learning from an impoverished Indian state

Cited by 39 publications

References 22 publications

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

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

The Effects of Local Food-Based Enteral Nutrition to Improve Nutritional Status of Post-Stroke Patients

Assessment of malnutrition by different anthropometric method and effect of poverty and maternal education as a barrier to healthy nutritional status among children under five years of age.

Contact Info

Product

Resources

About