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The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children

Severe acute malnutrition (SAM) remains a main cause of mortality among children under five years old. Vietnam needs further study to establish the optimal mid-upper-arm circumference (MUAC) cutoff for improving the accuracy of the MUAC indicator in screening SAM children aged 6–59 months. A survey...

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Autores principales: Hai, Tran Thi, Bardosono, Saptawati, Wiradnyani, Luh Ade Ari, Hop, Le Thi, Ngan, Hoang T. Duc, Phuong, Huynh Nam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AIMS Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109525/
https://www.ncbi.nlm.nih.gov/pubmed/32258199
http://dx.doi.org/10.3934/publichealth.2020016
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author Hai, Tran Thi
Bardosono, Saptawati
Wiradnyani, Luh Ade Ari
Hop, Le Thi
Ngan, Hoang T. Duc
Phuong, Huynh Nam
author_facet Hai, Tran Thi
Bardosono, Saptawati
Wiradnyani, Luh Ade Ari
Hop, Le Thi
Ngan, Hoang T. Duc
Phuong, Huynh Nam
author_sort Hai, Tran Thi
collection PubMed
description Severe acute malnutrition (SAM) remains a main cause of mortality among children under five years old. Vietnam needs further study to establish the optimal mid-upper-arm circumference (MUAC) cutoff for improving the accuracy of the MUAC indicator in screening SAM children aged 6–59 months. A survey was conducted at all 16 subdistricts across four provinces in Northern Midlands and mountainous areas. The data of 4,764 children showed that an optimal MUAC cutoff of 13.5 cm would allow the inclusion of 65% of children with weight-for-height z-scores (WHZs) below −3SD. A combination of MUAC and WHZ may achieve a higher impact on therapeutic feeding programs for SAM children. The MUAC cutoff of 13.5 cm (65% sensitivity and 72% specificity) should be used as the cutoff for improving and/or preventing SAM status among children under 5 in the Midlands and mountainous areas in Vietnam.
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spelling pubmed-71095252020-04-01 The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children Hai, Tran Thi Bardosono, Saptawati Wiradnyani, Luh Ade Ari Hop, Le Thi Ngan, Hoang T. Duc Phuong, Huynh Nam AIMS Public Health Research Article Severe acute malnutrition (SAM) remains a main cause of mortality among children under five years old. Vietnam needs further study to establish the optimal mid-upper-arm circumference (MUAC) cutoff for improving the accuracy of the MUAC indicator in screening SAM children aged 6–59 months. A survey was conducted at all 16 subdistricts across four provinces in Northern Midlands and mountainous areas. The data of 4,764 children showed that an optimal MUAC cutoff of 13.5 cm would allow the inclusion of 65% of children with weight-for-height z-scores (WHZs) below −3SD. A combination of MUAC and WHZ may achieve a higher impact on therapeutic feeding programs for SAM children. The MUAC cutoff of 13.5 cm (65% sensitivity and 72% specificity) should be used as the cutoff for improving and/or preventing SAM status among children under 5 in the Midlands and mountainous areas in Vietnam. AIMS Press 2020-03-23 /pmc/articles/PMC7109525/ /pubmed/32258199 http://dx.doi.org/10.3934/publichealth.2020016 Text en © 2020 the Author(s), licensee AIMS Press This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
spellingShingle Research Article
Hai, Tran Thi
Bardosono, Saptawati
Wiradnyani, Luh Ade Ari
Hop, Le Thi
Ngan, Hoang T. Duc
Phuong, Huynh Nam
The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children
title The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children
title_full The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children
title_fullStr The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children
title_full_unstemmed The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children
title_short The optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in Vietnamese children
title_sort optimal mid-upper-arm circumference cutoffs to screen severe acute malnutrition in vietnamese children
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7109525/
https://www.ncbi.nlm.nih.gov/pubmed/32258199
http://dx.doi.org/10.3934/publichealth.2020016
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