Advanced search
1 file | 499.05 KB

Efficacy of mid-upper arm circumference in identification, follow-up and discharge of malnourished children during nutrition rehabilitation

Author
Organization
Abstract
BACKGROUND/OBJECTIVES: Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. SUBJECTS/METHODS: The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. RESULTS: Mid-upper arm circumference single cut-off (<12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. CONCLUSIONS: Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential to minimize nutrition rehabilitation costs, particularly in community therapeutic centres in developing countries.
Keywords
USE THERAPEUTIC FOOD, HOME-BASED THERAPY, recovery, weight-for-height, MUAC, nutrition rehabilitation, Malnutrition, WEIGHT-FOR-HEIGHT, ACUTE MALNUTRITION, UNDERNUTRITION, GROWTH, COMMUNITY, ACCURACY, TRIAL

Downloads

  • art Mogendi nrp-9-268.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 499.05 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Mogendi, Joseph Birundu, Hans De Steur, Xavier Gellynck, Hibbah Araba Saeed, and Anselimo Makokha. 2015. “Efficacy of Mid-upper Arm Circumference in Identification, Follow-up and Discharge of Malnourished Children During Nutrition Rehabilitation.” Nutrition Research and Practice 9 (3): 268–277.
APA
Mogendi, J. B., De Steur, H., Gellynck, X., Saeed, H. A., & Makokha, A. (2015). Efficacy of mid-upper arm circumference in identification, follow-up and discharge of malnourished children during nutrition rehabilitation. NUTRITION RESEARCH AND PRACTICE, 9(3), 268–277.
Vancouver
1.
Mogendi JB, De Steur H, Gellynck X, Saeed HA, Makokha A. Efficacy of mid-upper arm circumference in identification, follow-up and discharge of malnourished children during nutrition rehabilitation. NUTRITION RESEARCH AND PRACTICE. 2015;9(3):268–77.
MLA
Mogendi, Joseph Birundu, Hans De Steur, Xavier Gellynck, et al. “Efficacy of Mid-upper Arm Circumference in Identification, Follow-up and Discharge of Malnourished Children During Nutrition Rehabilitation.” NUTRITION RESEARCH AND PRACTICE 9.3 (2015): 268–277. Print.
@article{6861875,
  abstract     = {BACKGROUND/OBJECTIVES: Although it is crucial to identify those children likely to be treated in an appropriate nutrition rehabilitation programme and discharge them at the appropriate time, there is no golden standard for such identification. The current study examined the appropriateness of using Mid-Upper Arm Circumference for the identification, follow-up and discharge of malnourished children. We also assessed its discrepancy with the Weight-for-Height based diagnosis, the rate of recovery, and the discharge criteria of the children during nutrition rehabilitation. 
SUBJECTS/METHODS: The study present findings from 156 children (aged 6-59 months) attending a supplementary feeding programme at Makadara and Jericho Health Centres, Eastern District of Nairobi, Kenya. Records of age, weight, height and mid-upper arm circumference were selected at three stages of nutrition rehabilitation: admission, follow-up and discharge. The values obtained were then used to calculate z-scores as defined by WHO Anthro while estimating different diagnostic indices. 
RESULTS: Mid-upper arm circumference single cut-off ({\textlangle}12.5 cm) was found to exhibit high values of sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio at both admission and discharge. Besides, children recorded higher rate of recovery at 86 days, an average increment of 0.98 cm at the rate of 0.14mm/day, and a weight gain of 13.49gm/day, albeit higher in female than their male counterparts. Nevertheless, children admitted on basis of low MUAC had a significantly higher MUAC gain than WH at 0.19mm/day and 0.13mm/day respectively. 
CONCLUSIONS: Mid-upper arm circumference can be an appropriate tool for identifying malnourished children for admission to nutrition rehabilitation programs. Our results confirm the appropriateness of this tool for monitoring recovery trends and discharging the children thereafter. In principle the tool has potential to minimize nutrition rehabilitation costs, particularly in community therapeutic centres in developing countries.},
  author       = {Mogendi, Joseph Birundu and De Steur, Hans and Gellynck, Xavier and Saeed, Hibbah Araba and Makokha, Anselimo},
  issn         = {1976-1457},
  journal      = {NUTRITION RESEARCH AND PRACTICE},
  keyword      = {USE THERAPEUTIC FOOD,HOME-BASED THERAPY,recovery,weight-for-height,MUAC,nutrition rehabilitation,Malnutrition,WEIGHT-FOR-HEIGHT,ACUTE MALNUTRITION,UNDERNUTRITION,GROWTH,COMMUNITY,ACCURACY,TRIAL},
  language     = {eng},
  number       = {3},
  pages        = {268--277},
  title        = {Efficacy of mid-upper arm circumference in identification, follow-up and discharge of malnourished children during nutrition rehabilitation},
  url          = {http://dx.doi.org/10.4162/nrp.2015.9.3.268},
  volume       = {9},
  year         = {2015},
}

Altmetric
View in Altmetric
Web of Science
Times cited: