Measurement of mid-upper arm circumference to screen for childhood malnutrition: General applicability and use in special populations

Patricia Becker*, Susan Abdel-Rahman, Dan Nemet, Luise V. Marino, Garey Noritz, Mauro Fisberg, Kaitlan Beretich

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)1517-1528
Number of pages12
JournalNutrition in Clinical Practice
Volume39
Issue number6
DOIs
StatePublished - Dec 2024

Funding

FundersFunder number
Abbott Research
Southampton Academy of Research
Abbvie Pharmaceuticals
Abbott Laboratories
University Hospital Southampton NHS Foundation Trust

    Keywords

    • mid-upper arm circumference
    • nutrition assessment
    • nutrition support teams
    • paediatrics

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