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

Autor: Becker P; Neonatal Intensive Care Unit/Nutrition Clinic, Dayton's Children's Hospital, Dayton, Ohio, USA., Abdel-Rahman S; Health Data Synthesis Institute, Kansas City, Missouri, USA., Nemet D; Meir Medical Center, Tel Aviv University, Tel Aviv, Israel., Marino LV; University Hospital Southampton, NHS Foundation Trust, and Faculty of Medicine and Health Sciences, University of Southampton, Southampton, UK., Noritz G; Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio, USA., Fisberg M; CENDA-Instituto PENSI-Sabará Children's Hospital Department of Pediatrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil., Beretich K; Medical Affairs & Research, Abbott Nutrition, Dallas-Fort Worth, Texas, USA.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2024 Dec; Vol. 39 (6), pp. 1517-1528. Date of Electronic Publication: 2024 Sep 18.
DOI: 10.1002/ncp.11208
Abstrakt: 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.
(© 2024 The Author(s). Nutrition in Clinical Practice published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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