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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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