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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Mid-upper arm circumference and weight-for-height to identify high-risk malnourished under-five children
Maternal and Child Nutrition, Volume 8, No. 1, Year 2012
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Description
The World Health Organization and UNICEF define non-oedematous severe acute malnutrition (SAM) either by a mid-upper arm circumference (MUAC) less than 115mm or by a weight-for-height z-score (WHZ) less than -3. The objective of this study was to assess whether there was any benefit to identify malnourished children with a high risk of death to combine these two diagnostic criteria. Data of a longitudinal study examining the relationship between anthropometry and mortality in rural Senegal and predating the development of community-based management of SAM were used for this study. First, the receiver operating characteristic (ROC) curves of MUAC and of WHZ to predict mortality were drawn, and then the points corresponding to WHZ less than -3 and/or MUAC less than 115mm were positioned in relation to these curves. MUAC had the highest ROC curve, which indicates that it identifies high-risk children better than WHZ. Both points representing WHZ less than -3 and/or MUAC less than 115mm were below the MUAC ROC curve. It is concluded that to identify high-risk malnourished children, there is no benefit in using both WHZ less than -3 and/or MUAC less than 115mm, and that using MUAC alone is preferable. © 2011 Blackwell Publishing Ltd.
Authors & Co-Authors
Briend, André
Finland, Tampere
University of Tampere, Medical School
Maire, Bernard
France, Montpellier
Ird Centre de Montpellier
Fontaine, Olivier
Switzerland, Geneva
Organisation Mondiale de la Santé
Garenne, Michel L.
France, Marseille
Ird Institut de Recherche Pour le Developpement
Statistics
Citations: 161
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1111/j.1740-8709.2011.00340.x
ISSN:
17408709
Research Areas
Food Security
Maternal And Child Health
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Senegal