Upper arm length along with mid-upper arm circumference to enhance wasting prevalence estimation and diagnosis:sensitivity and specificity in 6-59-months old children

作     者：Mouhamed Barro Mohamed Daouda Baro Djibril Cisse Noel Zagre Thierno Ba Shanti Neff Baro Yacouba Diagana 

作者机构：Nutrition and development associationNouakchottMauritania NutritionUNICEFNouakchottMauritania UNICEF West and Central Africa Regional OfficeDakarSenegal Ministry of HealthNouakchottMauritania Independent Consultant in BiostatisticsParisFrance University of NouakchottNouakchottMauritania 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2021年第9卷第2期

页      面：24-30页

学科分类：08[工学] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

主　　题：diagnosis estimation Upper 

摘      要：Objective To evaluate the added value of the use of upper arm length(UAL)along with mid-upper arm circumference(MUAC)to diagnose and estimate the prevalence of wasting in comparison to current WHO standard and other MUAC-based *** UAL and usual anthropometric measurements were collected during a national cross-sectional nutritional *** were classified into three upper arm length groups(UALGs):UALG1,UALG2 and UALG3 according to the following UAL limits:≤150,151-180 and≥181 mm,*** operating characteristic curves were used to determine the best MUAC cut-off for each group using weight-for height Z-score(WHZ)as a reference *** prevalence,sensitivity and specificity of all diagnostic methods were *** This study was conducted in *** National representative sample of children from 6 to 59 months *** In total,12590 children were included in the *** prevalence was 16.1%,5.0%and 12.5%when diagnosed by WHZ−2,MUAC125 mm and MUAC-UALG methods,*** the MUAC-UALG method increased the sensitivity for wasting diagnosis from 17.98%with MUAC125 mm to 39.43%with *** specificity decreased from 97.49%with MUAC125 mm to 92.71%with *** MUAC-height Z score and MUAC138 mm,sensitivity was 26.04%and 69.76%and specificity were 97.40%and 75.64%*** This alternative method using MUAC tape to measure UAL increases the wasting diagnosis accuracy and allows for a better estimation of wasting *** method could be used as a potential alternative method for quick surveys in emergency settings such as Corona virus disease 2019 context.