TY - JOUR
T1 - Measurement of mid-upper arm circumference to screen for childhood malnutrition
T2 - General applicability and use in special populations
AU - Becker, Patricia
AU - Abdel-Rahman, Susan
AU - Nemet, Dan
AU - Marino, Luise V.
AU - Noritz, Garey
AU - Fisberg, Mauro
AU - Beretich, Kaitlan
N1 - Publisher Copyright:
© 2024 The Author(s). Nutrition in Clinical Practice published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.
PY - 2024/12
Y1 - 2024/12
N2 - Since the development of consensus-recommended indicators for pediatric malnutrition in 2014, screening and diagnosis of pediatric malnutrition have improved, but the indicators are not always used; malnutrition continues to be underdiagnosed in some community and healthcare settings. In particular, mid-upper arm circumference (MUAC) is underused as a screening indicator for pediatric malnutrition, despite its unique advantages and usefulness in several clinical situations. In December 2022, a scientific roundtable was held to bring together several experts in pediatric malnutrition. One of the goals of the scientific roundtable was to discuss the clinical use of anthropometric measures as screening tools for pediatric malnutrition status, with a focus on the use of MUAC. This article arose from that event and is intended as an educational tool to aid clinicians in implementing MUAC measurements. In addition to describing the use of MUAC as a screening tool, the article discusses several clinical situations in which MUAC is especially useful. Additionally, the article reviews practical aspects of measuring and interpreting MUAC values, provides links to additional educational resources, and briefly reviews areas in which further research is needed regarding the use of MUAC for screening of nutrition status in children.
AB - Since the development of consensus-recommended indicators for pediatric malnutrition in 2014, screening and diagnosis of pediatric malnutrition have improved, but the indicators are not always used; malnutrition continues to be underdiagnosed in some community and healthcare settings. In particular, mid-upper arm circumference (MUAC) is underused as a screening indicator for pediatric malnutrition, despite its unique advantages and usefulness in several clinical situations. In December 2022, a scientific roundtable was held to bring together several experts in pediatric malnutrition. One of the goals of the scientific roundtable was to discuss the clinical use of anthropometric measures as screening tools for pediatric malnutrition status, with a focus on the use of MUAC. This article arose from that event and is intended as an educational tool to aid clinicians in implementing MUAC measurements. In addition to describing the use of MUAC as a screening tool, the article discusses several clinical situations in which MUAC is especially useful. Additionally, the article reviews practical aspects of measuring and interpreting MUAC values, provides links to additional educational resources, and briefly reviews areas in which further research is needed regarding the use of MUAC for screening of nutrition status in children.
KW - mid-upper arm circumference
KW - nutrition assessment
KW - nutrition support teams
KW - paediatrics
UR - http://www.scopus.com/inward/record.url?scp=85204486841&partnerID=8YFLogxK
U2 - 10.1002/ncp.11208
DO - 10.1002/ncp.11208
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C2 - 39292197
AN - SCOPUS:85204486841
SN - 0884-5336
VL - 39
SP - 1517
EP - 1528
JO - Nutrition in Clinical Practice
JF - Nutrition in Clinical Practice
IS - 6
ER -