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1000 Titel
  • Low mid-upper arm circumference identifies children with a high risk of death who should be the priority target for treatment
1000 Autor/in
  1. Briend, André |
  2. Alvarez, José-Luis |
  3. Avril, Nathalie |
  4. Bahwere, Paluku |
  5. Bailey, Jeanette |
  6. Berkley, James A. |
  7. Binns, Paul |
  8. Blackwell, Nikki |
  9. Dale, Nancy |
  10. Deconinck, Hedwig |
  11. Delchevalerie, Pascale |
  12. Dent, Nicky |
  13. Gallagher, Maureen |
  14. Guerrero, Saul |
  15. Hanson, Kerstin |
  16. Kerac, Marko |
  17. Manary, Mark |
  18. Mwangome, Martha K. |
  19. Myatt, Mark |
  20. Phelan, Kevin P. Q. |
  21. Pietzsch, Silke |
  22. Ubach, Núria Salse |
  23. Shepherd, Susan |
  24. van der Kam, Saskia |
  25. Vargas, Antonio |
  26. Whitney, Sophie |
1000 Erscheinungsjahr 2016
1000 Art der Datei
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2016-10-21
1000 Erschienen in
1000 Quellenangabe
  • 2:63
1000 Copyrightjahr
  • 2016
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s40795-016-0101-7 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • BACKGROUND: Severe acute malnutrition (SAM) is currently defined by the WHO as either a low mid-upper arm circumference (i.e. MUAC <115 mm), a low weight-for-height z-score (i.e. WHZ <− 3), or bilateral pitting oedema. MUAC and WHZ do not always identify the same children as having SAM. This has generated broad debate, as illustrated by the recent article by Grellety & Golden (BMC Nutr. 2016;2:10). DISCUSSION: Regional variations in the proportion of children selected by each index seem mostly related to differences in body shape, including stuntedness. However, the practical implications of these variations in relation to nutritional status and also to outcome are not clear. All studies that have examined the relationship between anthropometry and mortality in representative population samples in Africa and in Asia have consistently showed that MUAC is more sensitive at high specificity levels than WHZ for identifying children at high risk of death. Children identified as SAM cases by low MUAC gain both weight and MUAC in response to treatment. The widespread use of MUAC has brought enormous benefits in terms of the coverage and efficiency of programs. As a large high-risk group responding to treatment, children with low MUAC should be regarded as a public health priority independently of their WHZ. CONCLUSION: While a better understanding of the mechanism behind the discrepancy between MUAC and WHZ is desirable, research in this area should not delay the implementation of programs aiming at effectively reducing malnutrition-related deaths by prioritising the detection and treatment of children with low MUAC.
1000 Sacherschließung
lokal Severe acute malnutrition
lokal Public health priority
lokal Weight-for-height
lokal Mortality
lokal Mid-upper arm circumference
1000 Fachgruppe
  1. Medizin |
  2. Ernährungswissenschaften |
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