| 2 | 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显示文摘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 methods.Design UAL and usual anthropometric measurements were collected during a national cross-sectional nutritional survey.Children 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,respectively.Receiver 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 standard.Wasting prevalence,sensitivity and specificity of all diagnostic methods were compared.Setting This study was conducted in Mauritania.Participants National representative sample of children from 6 to 59 months old.Results In total,12590 children were included in the study.Wasting prevalence was 16.1%,5.0%and 12.5%when diagnosed by WHZ<−2,MUAC<125 mm and MUAC-UALG methods,respectively.Using the MUAC-UALG method increased the sensitivity for wasting diagnosis from 17.98%with MUAC<125 mm to 39.43%with MUAC-UALG.The specificity decreased from 97.49%with MUAC<125 mm to 92.71%with MUAC-UALG.With MUAC-height Z score and MUAC<138 mm,sensitivity was 26.04%and 69.76%and specificity were 97.40%and 75.64%respectively.Conclusion This alternative method using MUAC tape to measure UAL increases the wasting diagnosis accuracy and allows for a better estimation of wasting prevalence.This method could be used as a potential alternative method for quick surveys in emergency settings such as Corona virus disease 2019 context. | Mouhamed Barro Mohamed Daouda Baro Djibril Cisse Noel Zagre Thierno Ba Shanti Neff Baro Yacouba Diagana | 2021 | Family Medicine and Community Health2021，9，2： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员