Monitoring the Adequacy of Catch-Up Growth Among Moderately Malnourished Children Receiving Home-Based Therapy Using Mid-Upper Arm Circumference in Southern Malawi
Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC)...
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| Veröffentlicht in: | Maternal and child health journal Jg. 15; H. 7; S. 980 - 984 |
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| Sprache: | Englisch |
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Springer US
01.10.2011
Springer Springer Nature B.V |
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| ISSN: | 1092-7875, 1573-6628, 1573-6628 |
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| Abstract | Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant (
P
< 0.0001). The relationship between a child’s change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child’s performance on feeding programmes in low resource settings. |
|---|---|
| AbstractList | Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant (P < 0.0001). The relationship between a child's change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child's performance on feeding programmes in low resource settings. Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant (P < 0.0001). The relationship between a child's change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child's performance on feeding programmes in low resource settings. Keywords Anthropometry * Moderate malnutrition * Home based therapy * Ready-to-use therapeutic food * Arm circumference * CMAM Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant (P < 0.0001). The relationship between a child's change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child's performance on feeding programmes in low resource settings.[PUBLICATION ABSTRACT] Erratum DOI: 10.1007/s10995-010-0607-6 Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant (P < 0.0001). The relationship between a child's change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child's performance on feeding programmes in low resource settings.Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant (P < 0.0001). The relationship between a child's change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child's performance on feeding programmes in low resource settings. Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-Upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant (P ;< 0.0001). The relationship between a child's change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child’ ;s performance on feeding programmes in low resource settings. 8 references Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to successfully treat uncomplicated childhood malnutrition on an outpatient basis. This study attempts to discern if Mid-upper Arm Circumference (MUAC) measurements collected by community-based health aides have the potential to monitor changes in nutritional status among moderately malnourished Malawian children while undergoing HBT using RUTF. Retrospective analysis was performed using the anthropometric data of 1,904 moderately malnourished children during treatment using RUTF. Changes in MUAC and changes in overall weight at 1 and 2 months of treatment were compared. Various geometric relationships were explored between the measures to find the most direct relationship. Models were developed to investigate anthropometric changes in children undergoing treatment. These data reveal that the correlation between the changes in MUAC and changes in weight over the course of treatment is statistically significant ( P < 0.0001). The relationship between a child’s change in MUAC and their change in weight is influenced by several cofactors related to their initial presentation. The power of change in weight to predict change in MUAC increases at the second month of treatment. Statistical modelling improves if children under the age of 12 months are omitted. Changes in MUAC reflect changes in overall body mass among moderately malnourished children undergoing HBT using RUTF suggesting that performance could possibly be monitored by village health aides in order to monitor a child’s performance on feeding programmes in low resource settings. |
| Audience | Academic |
| Author | Manary, Mark J. Connor, Nicholas E. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20082126$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S0140-6736(85)90753-6 10.1136/adc.2003.034306 10.1093/ajcn/81.4.864 10.1093/jn/133.1.107 |
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| DOI | 10.1007/s10995-010-0569-8 |
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| Keywords | Home based therapy CMAM Ready-to-use therapeutic food Anthropometry Moderate malnutrition Arm circumference |
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| References_xml | – volume: 4 start-page: 864 year: 2005 end-page: 870 ident: CR5 article-title: Comparison of home-based therapy with ready-to-use therapeutic food with standard therapy in the treatment of malnourished Malawian children: A controlled, clinical effectiveness trial publication-title: American Journal of Clinical Nutrition – volume: 30; 2 start-page: 1229 issue: 8466 year: 1985 end-page: 1230 ident: CR7 article-title: Measuring acute malnutrition: A need to redefine cut-off points for arm circumference? publication-title: The Lancet doi: 10.1016/S0140-6736(85)90753-6 – ident: CR6 – volume: 75 start-page: 11 issue: 1 year: 1997 end-page: 18 ident: CR8 article-title: The development of MUAC-for-age reference data recommended by a WHO Expert Committee publication-title: Bulletin of the World Health Organ – volume: 2622 start-page: 01 year: 2009 ident: CR1 article-title: Nutrition: Basis for healthy children and mothers in Bangladesh publication-title: Journal of Health, Population and Nutrition, North America – volume: 133 start-page: 107 issue: 1 year: 2003 end-page: 119 ident: CR3 article-title: Changes in child survival are strongly associated with changes in malnutrition in developing countries publication-title: The Journal of Nutrition – volume: 73 start-page: 443 issue: 4 year: 1995 end-page: 448 ident: CR2 article-title: The effects of malnutrition on child mortality in developing countries publication-title: The Bulletin of the World Health Organization – volume: 89 start-page: 557 issue: 6 year: 2004 end-page: 561 ident: CR4 article-title: Home based therapy for severe malnutrition with ready-to-use food publication-title: Archives of Disease in Childhood doi: 10.1136/adc.2003.034306 – volume: 2622 start-page: 01 year: 2009 ident: 569_CR1 publication-title: Journal of Health, Population and Nutrition, North America – volume: 73 start-page: 443 issue: 4 year: 1995 ident: 569_CR2 publication-title: The Bulletin of the World Health Organization – volume: 4 start-page: 864 year: 2005 ident: 569_CR5 publication-title: American Journal of Clinical Nutrition doi: 10.1093/ajcn/81.4.864 – volume: 89 start-page: 557 issue: 6 year: 2004 ident: 569_CR4 publication-title: Archives of Disease in Childhood doi: 10.1136/adc.2003.034306 – ident: 569_CR6 – volume: 75 start-page: 11 issue: 1 year: 1997 ident: 569_CR8 publication-title: Bulletin of the World Health Organ – volume: 133 start-page: 107 issue: 1 year: 2003 ident: 569_CR3 publication-title: The Journal of Nutrition doi: 10.1093/jn/133.1.107 – volume: 30; 2 start-page: 1229 issue: 8466 year: 1985 ident: 569_CR7 publication-title: The Lancet doi: 10.1016/S0140-6736(85)90753-6 – reference: 18831228 - J Health Popul Nutr. 2008 Sep;26(3):325-39 – reference: 15155403 - Arch Dis Child. 2004 Jun;89(6):557-61 – reference: 15817865 - Am J Clin Nutr. 2005 Apr;81(4):864-70 – reference: - Matern Child Health J. 2014 Apr;18(3):763 – reference: 7554015 - Bull World Health Organ. 1995;73(4):443-8 – reference: 12514277 - J Nutr. 2003 Jan;133(1):107-19 – reference: 9141745 - Bull World Health Organ. 1997;75(1):11-8 – reference: 2866302 - Lancet. 1985 Nov 30;2(8466):1229-30 |
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| Snippet | Each year more children die from moderate than severe malnutrition. Home-based therapy (HBT) using Ready-to-Use Therapeutic Foods (RUTF) has proven to... |
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| Title | Monitoring the Adequacy of Catch-Up Growth Among Moderately Malnourished Children Receiving Home-Based Therapy Using Mid-Upper Arm Circumference in Southern Malawi |
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