Application of WHO MUAC for age -Z score chart in diagnosis of SAM in Indian children: a comparative study with IAP classification
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2016, Vol 3, Issue 12
Abstract
Background: Mid upper arm circumference (MUAC) is a quick and easy method to determine malnutrition. Though considered age independent earlier, recently World Health Organization (WHO) has prepared MUAC Z score chart for age group between 3 months to 5 years. Objective: To diagnose severe acute malnutrition (SAM) by using new WHO MUAC-Z score and to compare its efficacy with IAP classification for the diagnosis of SAM. Methods: A cross sectional study was conducted in a tertiary care center of north east India. 500 children in the age group of 1 to 5 years, attending inpatient department, were included and a detailed history, clinical examination and anthropometry were taken. SAM was defined by IAP weight for age classification as grade 3 and 4 and by WHO MAUC-Z score <-3SD. Results: Prevalence of SAM according to IAP grading was 11.8% and according to WHO MUAC was 17% with difference being significant (p<0.05). The mean values of weight and MUAC were less than WHO median values which suggest that there is significant malnutrition in the study population. Prevalence of SAM was more in <2 years of age. Conclusion: MUAC is more sensitive than IAP grading in early diagnosis of SAM and facilitate early and effective treatment. New WHO MUAC-Z score alone can be used in screening malnutrition.
Authors and Affiliations
Fahad Muhamed Shareef A T, Manoj G M
Keywords
Related Articles
- EP ID EP227433
- DOI 10.17511
- Views 139
- Downloads 0
A study of accidental ingestion of hydrocarbons in children in a medical college hospital in central Kerala
Background: The accidental ingestion of various chemicals especially the hydrocarbons are seen worldwide in the paediatric population. Inspite of all awareness programmes in the community hydrocarbons especially petrol,...
Acute pancreatitis: a rare presentation of systemic lupuserythematous (SLE) in paediatric age group
Acute pancreatitis as an initial presentation of SLE in paediatric age group is extremely rare and needs high level of suspicion to make timely diagnosis as results may be fatal when not treated on time.
Early predictors of significant hyper bilirubinemia in ABO incompatible newborns
ABO incompatibility have been singularly reported to be strong risk factors in the development of significant hyper bilirubinemia in newborns but usually a combination of these are seen to co-exist in the clinical scenar...
Unconjugated bilirubin from cord blood; an indicator for prophylactic phototherapy
Neonatal hyperbilirubinemia is a cause of concern for the parents as well as for the pediatricians as it is a leading cause behind readmission to hospital after the early discharge of mother-baby dyad.
Mortality pattern in pediatric intensive care unit patients of a tertiary care teaching hospital: a retrospective analysis
Background: A well functioning Pediatric Intensive Care Unit (PICU) contributes significantly in improving survival of critically sick children. Method: We retrospectively studied medical record of all children aged 1 mo...