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RE: [pronut-hiv] Practical screening tools for severely malnourished children (2)


  • From: "Mizan Siddiqi" <msiddiqi@voxiva.net>
  • Date: Wed, 3 Aug 2005 14:48:06 -0400


Couple of community based studies conducted in rural Bangladesh at ICDDR,B
by L Chen, Andre Briend and R Bariagi in early '90s found MUAC as a strong
predictor of death at various cut-off points and correlated well with weight for height z score. It would be interesting to see the cut-off points used in this study.

Can anyone post or send the article for details? Thanks.


Dr.Mizan Siddiqi
MBBS MSC DCH
Technical Advisor (Health, Nutrition and HIV/AIDS)
and Director M&E
Voxiva Inc.
1725 K Street NW Suite 900
Washington DC 20006
Tel. 202 419 0197 Fax:202 419 0131

-----Leela McCullough wrote:

Practical screening tools for severely malnourished children in sub-Saharan
Africa
<http://www.jamamedia.org>http://www.jamamedia.org

03 Aug 2005

Even though severe malnutrition is a major cause of death among many
hospitalized children in sub-Saharan Africa, the current recommended
assessment method using weight for height to determine if a child is
malnourished is not always feasible in these clinical settings.

In this study, researchers evaluated an assessment using mid upper arm
circumference (MUAC) and the clinical sign "visible severe wasting" to
predict the probability of death among malnourished children at a district
hospital as compared to the currently recommended weight-for-height z score
(WHZ).

The researchers found that MUAC and visible severe wasting performed as well
as the recommended WHZ method in predicting inpatient death.

They suggest that when also considering cost and practicality, MUAC may be
more appropriate than WHZ for identifying severe malnutrition in children
aged between one and five years who are admitted to African district
hospital.

(JAMA. 2005; 294:591-597)

James Berkley, M.D.
jberkley@kilifi.mimcom.net
JAMA and Archives Journals
<http://www.jamamedia.org>http://www.jamamedia.org



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