Early Detection and Referral of Children with Malnutrition
Detection and Referral of Children with Acute Malnutrition
Adolescents: Assessment of Nutritional Status in Emergency-affected Populations
Adults: Assessment of Nutritional Status in Emergency-Affected Populations
Assessing micronutrient deficiencies in emergencies - Current practice and future directions, October 2007 (pdf*: 326 KB)
WHO child growth standards and the identification of severe acute malnutrition in infants and children
A Joint Statement
||The statement presents the recommended cut-offs, summarizes the rationale for their adoption and advocates for their harmonized application in the identification of 6 to 60 month old infants and children for the management of severe acute malnutrition. It reviews the implications on patient load, on discharge criteria and on programme planning and monitoring. It also recommends the increase of the MUAC cut-off for defining severe acute malnutrition in children 6 months to 5 years of age from 110 mm to 115 mm.
Authors: World Health Organization, United Nations Children's Fund
Number of pages: 11
Publication date: 2009
Languages: English, French
ISBN: 978 92 4 159816 3
Downloads: Full document - pdf 257.14kB
MUAC and WHZ scores as indicators of SAM:
A consultation for operational agencies and academic specialists to better understand the evidence, identify knowledge gaps and to inform operational guidance
ENN - en-net search
ENN - MUAC search - also an excellent discussion group
How to "assess" malnutrition - since there are different types / measures of malnutrition.
It's important to consider WHY/for what purpose it's being assessed. i.e. if for entry to a CMAM (Community Management of Acute Malnutrition) programme, then don't use weight-for-age as it leads to confusion/rejected referrals/loss of confidence in a health system
A good framework/ discussion of "right measure" for "right purpose"
A review of methods to detect cases of severely malnourished children in the community for their admission into community-based therapeutic care programs.
Myatt M, Khara T, Collins S.
MUAC is also a promising tool for infants aged <6 months (though exact cutoffs are not yet clear..need to get right balance of sens and spec!)
Mid-upper arm circumference at age of routine infant vaccination to identify infants at elevated risk of death: a retrospective cohort study in the Gambia. Bulletin of the World Health Organization. 2012;90(12):887-94.
Mwangome MK, Fegan G, Fulford T, Prentice AM, Berkley JA.
Use of mid-upper arm circumference for determining overweight and overfatness in children and adolescents
MUAC may have potential for clinical and surveillance applications as an accurate yet simple and widely available indicator of overweight and overfatness in children and adolescents in resource-poor settings.
6 March, 2016