Mid Upper Arm Circumference as a Predictor of Risk of Mortality in Children in a Low Resource Setting in India

Citation: Taneja S, Rongsen-Chandola T, Mohan SB, Mazumder S, Bhandari N, Kaur J, et al. (2018) Mid upper arm circumference as a predictor of risk of mortality in children in a low resource setting in India. PLoS ONE 13(6): e0197832. https://doi.org/10.1371/journal.pone.0197832
Published: June 1, 2018

Abstract
Objective: In this secondary analysis of data from an intervention trial, we assessed the performance of Mid Upper Arm Circumference (MUAC) as a predictor of mortality in children aged 6–59 months from Delhi, India, one year after their initial MUAC measurements were taken. Additionally, we assessed MUAC as an absolute value and MUAC z-scores as predictors of risk of mortality.
Methods: In the trial, children were screened using MUAC prior to referral to the study clinic. These children were revisited a year later to ascertain their vital status. Baseline MUAC and MUAC z-scores were used to categorize children as severely (MUAC <115 mm, MUAC z-score <-3SD) or moderately (MUAC 115 to <125 mm, MUAC z-score <-2SD) malnourished. The proportion of malnutrition, risk of mortality, relative risk estimates, positive predictive value and area under the curve (AUC) by MUAC and MUAC z-scores were calculated.
Results: In the resurvey, the first 36159 children of the 48635 in the initial survey were contacted. Of these, vital status of 34060 (94.2%) was available. The proportion of severe malnutrition by MUAC (<115 mm) was 0.5% with an associated mortality of 4.7% over a one year period and an attributable mortality of 13% while the proportion of the severe malnutrition by MUAC z-score (<-3SDwas 0.9% with an associated mortality of 2.2%.
Conclusions: MUAC is a significant predictor of subsequent mortality in under-five children. In settings where height measurement is not feasible, MUAC can be used as a screening tool for identifying severely malnourished children for management.

...

Log in or register for free to continue reading
Register Now For Free Already Registered? Log In
This entry was posted in Featured, Pediatrics, Pediatrics Featured 1 and tagged , , , .

Post a Comment

You must be logged in to post a comment.