Screening for SAM in the community: is MUAC a simple tool?
- PMID: 23396790
- DOI: 10.1007/s13312-013-0032-1
Screening for SAM in the community: is MUAC a simple tool?
Abstract
Anthropometric data from our survey of 1,879 children in Madhya Pradesh revealed low sensitivity (17.5%) and positive predictive value (30.4%) of Mid-Upper Arm Circumference (MUAC) at the recommended cut-off of 115 mm for identifying Severe Acute Malnutrition (SAM). This led us to question the reliability of MUAC as a screening tool to identify SAM at the community level, especially in the context of very high levels of stunting.
Similar articles
-
Is Mid-upper Arm Circumference Alone Sufficient to Identify Severe Acute Malnutrition Correctly?Indian Pediatr. 2016 Feb;53(2):166-7. Indian Pediatr. 2016. PMID: 26897156
-
Validating the MUAC (Mid-upper arm circumference) Cut-off for Detection of Severe Acute Malnutrition in Children Aged 6-59 Months in Rural Maharashtra.Indian Pediatr. 2019 Mar 15;56(3):209-212. Indian Pediatr. 2019. PMID: 30954993
-
Routinely MUAC screening for severe acute malnutrition should consider the gender and age group bias in the Ethiopian non-emergency context.PLoS One. 2020 Apr 9;15(4):e0230502. doi: 10.1371/journal.pone.0230502. eCollection 2020. PLoS One. 2020. PMID: 32271790 Free PMC article.
-
A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs.Food Nutr Bull. 2006 Sep;27(3 Suppl):S7-23. doi: 10.1177/15648265060273S302. Food Nutr Bull. 2006. PMID: 17076211 Review.
-
Sensitivity and specificity of mid-upper arm circumference for assessment of severe acute malnutrition among children ages 6 to 59 months: Systematic review and meta-analysis.Nutrition. 2023 Mar;107:111918. doi: 10.1016/j.nut.2022.111918. Epub 2022 Nov 30. Nutrition. 2023. PMID: 36566609 Review.
Cited by
-
Mid-Upper Arm Circumference Assessment and Comparison With Weight for Length Z-Score in Infants ≤6 Months as an Indicator of Severe Acute Malnutrition.Cureus. 2021 Sep 21;13(9):e18167. doi: 10.7759/cureus.18167. eCollection 2021 Sep. Cureus. 2021. PMID: 34707950 Free PMC article.
-
Inconsistent diagnosis of acute malnutrition by weight-for-height and mid-upper arm circumference: contributors in 16 cross-sectional surveys from South Sudan, the Philippines, Chad, and Bangladesh.Nutr J. 2015 Aug 25;14:86. doi: 10.1186/s12937-015-0074-4. Nutr J. 2015. PMID: 26303859 Free PMC article.
-
Mid upper-arm circumference is an effective tool to identify infants and young children with severe acute malnutrition in India.Public Health Nutr. 2015 Dec;18(17):3244-8. doi: 10.1017/S1368980015000543. Epub 2015 Mar 11. Public Health Nutr. 2015. PMID: 25757562 Free PMC article.
-
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 Sep 15;17(1):79. doi: 10.1186/s12937-018-0384-4. Nutr J. 2018. PMID: 30217205 Free PMC article.
-
Comparison of Clinical Characteristics and Treatment Outcomes of Children Selected for Treatment of Severe Acute Malnutrition Using Mid Upper Arm Circumference and/or Weight-for-Height Z-Score.PLoS One. 2015 Sep 16;10(9):e0137606. doi: 10.1371/journal.pone.0137606. eCollection 2015. PLoS One. 2015. PMID: 26376281 Free PMC article. Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical