A diagnostic test for malnutrition in adults: mid-upper arm circumference towards body mass index: A literature review

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Fathiyyatul Khaira
Fiastuti Witjaksono
Diyah Eka Andayani

Abstract

Body mass index is commonly used for detecting malnutrition. At certain conditions, body mass index cannot be measured, so mid-upper arm circumference can be an alternative measurement for detecting malnutrition. Several studies have proposed the cut-off point of mid-upper arm circumference in adults along with its sensitivity, specificity, and area under the ROC curve (AUC). This article aims to describe the diagnostic test for malnutrition using the upper arm circumference in adults and summarize the results of the related studies.

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References

Andreoli A, Garaci F, Pio F, Guglielmi G. Body composition in clinical practice. Eur J Radiol. 2016;85:1461–8.

Correia MITD. Nutrition screening vs nutrition assessment: What’s the difference? Nutr Clin Pract. 2018;33(1):62–72.

Gibson RS. Principles of Nutritional Assessment. New York: Oxford University Press; 2005. p. 252–91.

Tang AM, Chung M, Dong K, Wanke C, Bahwere P, Bose K, et al. Determining a global mid-upper arm circumference cutoff to assess underweight in adults (men and nonpregnant women). Washington; 2017.

Jiménez EG. Body composition : Assessment and clinical value. Endocrino Nutr. 2013;60(2):69–75.

Brito NB, Llanos JPS, Ferrer MF, García JGO, Brito I, Castro FP-G, et al. Relationship between mid-upper arm circumference and body mass index in inpatients. PLoS One. 2016;11(8):e0160480.

Jensen TG, Dudrick SJ, Johnston DA. A comparison of triceps skinfold and upper arm circumference measurements taken in standard and supine Positions. J Parenter Enter Nutr. 1981;5(6):519–21.

Centers for Disease Control and Prevention. National Health and Nutrition
Examination Survey: Anthropometry Procedures Manual. [Internet]. 2017.
Available from: https://wwwn.cdc.gov/nchs/data/nhanes/2017-
2018/manuals/2017_Anthropometry_Procedures_Manual.pdf

Mcmillan DC, Forrest LM, Gorman PO, Angerson WJ, Mcardle CS. Performance status of male and female advanced cancer patients is independently predicted by mid-upper arm circumference measurement. 2009;42(2):191–3.

Wu L, Lin Y, Kao T, Lin C, Wang C, Wang C, et al. Mid-arm circumference and all-cause, cardiovascular, and cancer mortality among obese and non-obese US adults : the National Health and Nutrition Examination Survey III. Sci Rep. 2017;7(1):2302.

Weng C, Tien C, Li C, Heureux AL, Liu C, Lin C, et al. Mid-upper arm circumference, calf circumference and mortality in Chinese long-term care facility residents : a prospective cohort study. BMJ Open. 2018;8(5):e020485.

Wijnhoven HAH, van Bokhorst-de van der Schueren MAE, Heymans MW,
de Vet Henrica CW, Kruizenga HM, Twisk JW, et al. Low mid-upper arm circumference, calf circumference, and body mass index and mortality in older persons. Journals Gerontol A Biol Sci Med Sci. 2010;65 A(10):1107–14.

Sastroasmoro S, Ismael S. Dasar-dasar Metodologi Penelitian Klinis. 4th ed. Jakarta: Sagung Seto; 2011. 219–361 p.
14. Parikh R, Mathai A, Parikh S, Chandra Sekhar G, Thomas R. Understanding and using sensitivity, specificity, and predictive values. Indian J Ophthalmol. 2008;56(1):45–50.

Bewick V, Cheek L, Ball J. Statistics review 13 : Receiver operating characteristic curves. Crit Care. 2004;8(6):508–12.

Ho PS, Goo JM, Jo CH. Receiver operating characteristic (ROC) curve: practical review for radiologists. Korean J Radiol. 2004;5(1):11–8.

Jaiswal M, Bansal R, Agarwal A. Role of mid-upper arm circumference for determining overweight and obesity in children and adolescents. J Clin Diagnostic Res. 2017;11(8):SC05–8.

Van Tonder E, Mace L, Steenkamp L, Tydeman-Edwards R, Gerber K, Friskin D. Mid-upper arm circumference (MUAC) as a feasible tool in detecting adult malnutrition. South African J Clin Nutr. 2019;32(4):93–98.

Powell-Tuck J, Hennessy EM. A comparison of mid upper arm circumference, body mass index and weight loss as indices of undernutrition in acutely hospitalized patients. Clin Nutr. 2003;22(3):307–12.

Goswami AK, Kalaivani M, Gupta SK, Nongkynrih B, Pandav CS. Usefulness of mid-upper arm circumference in assessment of nutritional status of elderly persons in Urban India. Int J Med Public Heal. 2018;8(1):34–7.

Sultana T, Karim MN, Ahmed T, Hossain MI. Assessment of undernutrition of Bangladeshi adults using anthropometry: Can body mass index be replaced by mid-upper-arm-circumference? PLoS One. 2015;10(4):e0121456.

Das P, Khatun A, Bose K, Chakraborty R. The validity of mid-upper arm circumference as an indicator of low BMI in population screening for undernutrition : a study among adult slum dwellers in eastern India. Public Health Nutr. 2018;21(14):2575–83.

Thorup L, Hamann SA, Kallestrup P, Hjortdal VE, Tripathee A, Neupane D, et al. Mid-upper arm circumference as an indicator of underweight in adults: a cross-sectional study from Nepal. BMC Public Health. 2020;20(1):1–7.

Barosa R, Roque Ramos L, Santos CA, Pereira M, Fonseca J. Mid upper arm circumference and Powell-Tuck and Hennessy’s equation correlate with body mass index and can be used sequentially in gastrostomy fed patients. Clin Nutr. 2018;37(5):1584–8.

Nguyen P, Ramakrishnan U, Katz B, Gonzalez-Casanova I, Lowe AE, Nguyen H, et al. Mid-upper-arm and calf circumferences are useful predictors of underweight in women of reproductive age in northern Vietnam. Food Nutr Bull. 2014;35(3):301–11.