Measurement of mid‐upper arm circumference to screen for childhood malnutrition: General applicability and use in special populations

IF 2.1 4区医学 Q3 NUTRITION & DIETETICS

Nutrition in Clinical Practice Pub Date : 2024-09-18 DOI:10.1002/ncp.11208

Patricia Becker, Susan Abdel‐Rahman, Dan Nemet, Luise V. Marino, Garey Noritz, Mauro Fisberg, Kaitlan Beretich

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引用次数: 0

Abstract

Since the development of consensus‐recommended indicators for pediatric malnutrition in 2014, screening and diagnosis of pediatric malnutrition have improved, but the indicators are not always used; malnutrition continues to be underdiagnosed in some community and healthcare settings. In particular, mid‐upper arm circumference (MUAC) is underused as a screening indicator for pediatric malnutrition, despite its unique advantages and usefulness in several clinical situations. In December 2022, a scientific roundtable was held to bring together several experts in pediatric malnutrition. One of the goals of the scientific roundtable was to discuss the clinical use of anthropometric measures as screening tools for pediatric malnutrition status, with a focus on the use of MUAC. This article arose from that event and is intended as an educational tool to aid clinicians in implementing MUAC measurements. In addition to describing the use of MUAC as a screening tool, the article discusses several clinical situations in which MUAC is especially useful. Additionally, the article reviews practical aspects of measuring and interpreting MUAC values, provides links to additional educational resources, and briefly reviews areas in which further research is needed regarding the use of MUAC for screening of nutrition status in children.

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测量中上臂围以筛查儿童营养不良：一般适用性和在特殊人群中的使用

自2014年制定了共识推荐的儿科营养不良指标以来，儿科营养不良的筛查和诊断得到了改善，但这些指标并不总是被使用；在一些社区和医疗机构中，营养不良的诊断仍然不足。尤其是中上臂围（MUAC），尽管它具有独特的优势，在一些临床情况下非常有用，但作为儿科营养不良的筛查指标却未得到充分利用。2022 年 12 月，儿科营养不良方面的多位专家举行了一次科学圆桌会议。科学圆桌会议的目标之一是讨论将人体测量指标作为儿科营养不良状况筛查工具在临床中的应用，重点关注MUAC的使用。本文即源于此次活动，旨在作为一种教育工具，帮助临床医生实施 MUAC 测量。除了介绍将 MUAC 用作筛查工具外，文章还讨论了 MUAC 特别有用的几种临床情况。此外，文章还回顾了测量和解释 MUAC 值的实用方面，提供了其他教育资源的链接，并简要回顾了在使用 MUAC 筛查儿童营养状况方面需要进一步研究的领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrition in Clinical Practice 医学-营养学

CiteScore

6.00

自引率

9.70%

发文量

128

审稿时长

3 months

期刊介绍： NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).