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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

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Family Medicine and Community Health 2021年第2期9卷 24-30页

作者： mouhamed barro Mohamed Daouda Baro Djibril Cisse Noel Zagre Thierno Ba Shanti Neff Baro Yacouba Diagana Nutrition and development association NouakchottMauritania Nutrition UNICEFNouakchottMauritania UNICEF West and Central Africa Regional Office DakarSenegal Ministry of Health NouakchottMauritania Independent Consultant in Biostatistics ParisFrance University of Nouakchott NouakchottMauritania

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,MUAC<125 mm and MUAC-UALG methods,*** the MUAC-UALG method increased the sensitivity for wasting diagnosis from 17.98%with MUAC<125 mm to 39.43%with *** specificity decreased from 97.49%with MUAC<125 mm to 92.71%with *** MUAC-height Z score and MUAC<138 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.

关键词： diagnosis estimation Upper

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A Cross-Sectional Survey on Non-Communicable Diseases and Risk Factors in the Senegalese Army

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Health 2016年第14期8卷 1529-1541页

作者： Abdoul Aziz Ndiaye Alioune Badara Tall Boubacar Gueye Ibrahima Soce Fall Sidy mouhamed Seck Amady barro Mbodj Ndeye Fatou Ngom-Gueye Awa Gaye Anta Tal-Dia Community Health Department University Alioune Diop of Bambey Bambey City Senegal Army Health Service Camp Dial Diop Dakar Senegal WHO Bamako Mali Faculty of Health Sciences Gaston Berger University Saint-Louis Senegal Public Health Department Cheikh Anta Diop University Dakar Senegal

Background: The non-communicable diseases (NCDs) have become a public health priority. The objectives of this study were to measure the prevalence and to assess the risk factors of NCDs among the Senegalese military population to initiate an intervention program. Methods: A cross-sectional survey was conducted in 2014. Two-level stratification was used to sample participants. Data were collected following the protocol recommended by the World Health Organization. Data were managed using Epi-Info 6 software and analyzed using R software. Results: A total of 1224 participants were recruited, of whom 96.9% were men. Their ages ranged from 25 to 60 years with a mean of 39.7 ± 9.2 years. Of participants, 17.2% were active smokers. Average duration of active smoking was 19.9 ± 9 years. The prevalence of current alcohol consumption was 11.5%, with an average of 4 ± 2.7 glasses a day. 97.17% of participants consumed fewer than 5 servings of fruits and vegetables a day. 18.63% had insufficient physical activity. The overall prevalence of high blood pressure was 26.9%. The proportion of those who were overweight was 27.2%;3.3% were obese. 3.0% of participants had diabetes and 44.1% had hypercholesterolemia. After adjusting for waist circumference, the risk of high cholesterol was 2.42 in the 35 - 44 age group and 2.86 in the 45 - 60 age group in comparison with the 25 - 34 age group. 32% were classified as having stage 2 chronic kidney. Conclusions: The findings of this study indicate the importance of risk factors for NCDs in the Senegalese military population. Intervention based on prevention and health promotion is needed.

关键词： Risk Factors NCDs Military

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HBsAg seroprevalence among Senegalese militaries

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Journal of Medical Colleges of PLA(China) 2014年第4期29卷 203-207页

作者： Abdoul Aziz Ndiaye Ibrahima Socé Fall Gora Lo Sidy mouhamed Seck Alioune Badara Tall Boubacar Gueye Amady barro Mbodj Anta Tal-Dia Community Health Department University Alioune Diop of Bambey Army Health Service Camp Dial Diop DakarSenegal WHO Mali Faculty of Health Sciences Gaston Berger University Public Health Department Cheikh Anta Diop University

Background: Chronic hepatitis is a major public health problem. The hepatitis B virus is the primary cause, and Hepatitis B and C together are responsible for 60% of cirrhosis and 80% of hepatocellular carcinomas. This study measured the prevalence of HBsAg among Senegalese military to develop a strategy to prevent cirrhosis and hepatocellular carcinoma in the ***: We conducted a descriptive cross-sectional study among Senegalese army staff aged 25 to 60 years and divided this group into three strata: 25-34, 35-44 and 45-60 years. A sample of 1224 participants was selected following a two-level stratification. The mark of surface HBs antigen(Ag) was performed on 1195 participants using chemiluminescence(qualitative Architect HBsAg of Abbott Diagnostics Laboratories Germany) and enzyme immunoassay(Determines HBsAg) methods. The presence of HBsAg was analyzed according to age, marital status, alcohol consumption and glomerular filtration rate. Epi-info6 and R software were used, respectively, for data capture and analyses. A Chi-square test was performed to compare proportions considering an alpha significance level of 5% and a confidence interval of 95%.Results: The average age was 39.8±9.2 years. Participants in the age groups of 25-34 years, 45-60 years and 35-44 years were 30.7%, 34.4% and 34.9% of the sample, respectively. Married persons accounted for 82.6% of participants, and 17.08% were single. Most participants were educated(99%), and 56% had reached at least the secondary school level. Alcohol consumption was at 11.5%. The HBsAg prevalence rate was 10.8% [9.1% to 12.7%] with a significant difference between age groups(P<0.001), which ranged from 5.6% for 45-60 years, 9.62% in the 25-34 years group and 16.9% for the 35-44 years group. Marital status and alcohol consumption did not affect the carriage of HBsAg. The prevalence of HBsAg was more common among participants who had a glomerular filtration rate greater than 90 ml/min. Transaminases rate ex

关键词： Seroprevalence HBsAg Military Chronic diseases

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