Madhur Jaiswal1, Rajesh Bansal2, Ashok Agarwal2. 1. Junior Resident, Department of Paediatrics, Rohilkhand Medical College, Bareilly, Uttar Pradesh, India. 2. Professor, Department of Paediatrics, Rohilkhand Medical College, Bareilly, Uttar Pradesh, India.
Abstract
INTRODUCTION: The prevalence of obesity in adolescents and children has risen to alarming levels globally and this has led to serious public health consequences. AIM: To assess the use of Mid-Upper Arm Circumference (MUAC) in the identification of overweight and obesity in North Indian children and adolescents. MATERIALS AND METHODS: The study was conducted in Bareilly district of Uttar Pradesh, India, from October 2014 to November 2015. Anthropometric data (weight, height and MUAC) was collected from a cross-sectional sample of 875 children aged 5-14 year old. Receiver Operating Characteristic (ROC) curve analysis determined the validity of MUAC as a proxy for determining overweight and obesity. RESULTS: Area Under the Curve (AUC) results were generally high (0.92 - 0.98). The accuracy level of MUAC for identifying obesity was high in both sexes and across age groups (overall AUC of 0.95, sensitivity of 95% and specificity of 90%). The MUAC cut-off to identify BMI defined obesity was 18.8 cm and 19.4 cm for boys and girls of 5-9 age group; 23 cm and 23.3 cm for boys and girls of 10-14 age group. CONCLUSION: MUAC may have potential for clinical and surveillance applications as an accurate yet simple and widely available indicator of overweight and obesity in children and adolescents in resourcepoor settings.
INTRODUCTION: The prevalence of obesity in adolescents and children has risen to alarming levels globally and this has led to serious public health consequences. AIM: To assess the use of Mid-Upper Arm Circumference (MUAC) in the identification of overweight and obesity in North Indian children and adolescents. MATERIALS AND METHODS: The study was conducted in Bareilly district of Uttar Pradesh, India, from October 2014 to November 2015. Anthropometric data (weight, height and MUAC) was collected from a cross-sectional sample of 875 children aged 5-14 year old. Receiver Operating Characteristic (ROC) curve analysis determined the validity of MUAC as a proxy for determining overweight and obesity. RESULTS: Area Under the Curve (AUC) results were generally high (0.92 - 0.98). The accuracy level of MUAC for identifying obesity was high in both sexes and across age groups (overall AUC of 0.95, sensitivity of 95% and specificity of 90%). The MUAC cut-off to identify BMI defined obesity was 18.8 cm and 19.4 cm for boys and girls of 5-9 age group; 23 cm and 23.3 cm for boys and girls of 10-14 age group. CONCLUSION: MUAC may have potential for clinical and surveillance applications as an accurate yet simple and widely available indicator of overweight and obesity in children and adolescents in resourcepoor settings.
Entities:
Keywords:
Adiposity; Body mass index; Nutritional assesment
Authors: Vaman Khadilkar; Sangeeta Yadav; K K Agrawal; Suchit Tamboli; Monidipa Banerjee; Alice Cherian; Jagdish P Goyal; Anuradha Khadilkar; V Kumaravel; V Mohan; D Narayanappa; I Ray; Vijay Yewale Journal: Indian Pediatr Date: 2015-01 Impact factor: 1.411
Authors: J-P Chaput; P T Katzmarzyk; J D Barnes; M Fogelholm; G Hu; R Kuriyan; A Kurpad; E V Lambert; C Maher; J Maia; V Matsudo; T Olds; V Onywera; O L Sarmiento; M Standage; C Tudor-Locke; P Zhao; M S Tremblay Journal: Pediatr Obes Date: 2016-05-30 Impact factor: 4.000
Authors: Carlos A N de Almeida; Luiz A Del Ciampo; Rubens G Ricco; Sergio M Silva; Rosiane B Naves; Jennifer F Pina Journal: J Pediatr (Rio J) Date: 2003 Sep-Oct Impact factor: 2.197
Authors: M Mümtaz Mazıcıoğlu; Nihal Hatipoğlu; Ahmet Oztürk; Betül Ciçek; H Bahri Ustünbaş; Selim Kurtoğlu Journal: J Clin Res Pediatr Endocrinol Date: 2010-12-10
Authors: Efrah I Yousuf; Niels Rochow; Jenifer Li; Julia Simioni; Elizabeth Gunn; Eileen K Hutton; Katherine M Morrison Journal: Pediatr Res Date: 2022-03-16 Impact factor: 3.953
Authors: Vandana Kuniyedath Chalil; Hemchand Krishna Prasad; S A Mohamed Abdul Nassir; K V Arulalan; Thangavelu Sangaralingam; Nedunchelian Krishnamoorthy Journal: Indian J Pediatr Date: 2020-11-19 Impact factor: 1.967