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 (2)

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 6–60 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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This Article Cited By the following articles

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): .

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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: August 24, 2019]. 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 August 24, 2019]; 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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