Mid-upper arm circumference as a screening tool for identifying children with obesity: a 12-country study

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dc.contributor.authorChaput, J-P.
dc.contributor.authorKatzmarzyk, P.T.
dc.contributor.authorBarnes, J.D.
dc.contributor.authorFogelholm, M.
dc.contributor.authorHu, G.
dc.contributor.authorKuriyan, R.
dc.contributor.authorKurpad, A.
dc.contributor.authorLambert, E.V.
dc.contributor.authorMaher, C.
dc.contributor.authorMaia, J.
dc.contributor.authorMatsudo, V.
dc.contributor.authorOlds, T.
dc.contributor.authorOnywera, V.
dc.contributor.authorSarmiento, O.L.
dc.contributor.authorStandage, M.
dc.contributor.authorTudor-Locke, C.
dc.contributor.authorZhao, P.
dc.contributor.authorTremblay, M.S.
dc.date.accessioned2016-06-09T08:49:23Z
dc.date.available2016-06-09T08:49:23Z
dc.date.issued2016
dc.descriptionResearch Articleen_US
dc.description.abstractBackground: No studies have examined if mid-upper arm circumference (MUAC) can be an alternative screening tool for obesity in an international sample of children differing widely in levels of human development. Objective: Our aim is to determine whether MUAC could be used to identify obesity in children from 12 countries in five major geographic regions of the world. Methods: This observational, multinational cross-sectional study included 7337 children aged 9–11 years. Anthropometric measurements were objectively assessed, and obesity was defined according to the World Health Organization reference data. Results: In the total sample, MUAC was strongly correlated with adiposity indicators in both boys and girls (r>0.86, p<0.001). The accuracy level of MUAC for identifying obesity was high in both sexes and across study sites (overall area under the curve of 0.97, sensitivity of 95% and specificity of 90%). The MUAC cut-off value to identify obesity was ~25 cm for both boys and girls. In country-specific analyses, the cut-off value to identify obesity ranged from 23.2cm (boys in South Africa) to 26.2cm (girls in the UK). Conclusions: Results from this 12-country study suggest that MUAC is a simple and accurate measurement that may be used to identify obesity in children aged 9–11 years. MUAC may be a promising screening tool for obesity in resourcelimited settingsen_US
dc.identifier.issn2047-6302
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/14758
dc.language.isoenen_US
dc.publisherWileyen_US
dc.subjectAdiposityen_US
dc.subjectArm circumferenceen_US
dc.subjectBody mass indexen_US
dc.subjectChildrenen_US
dc.titleMid-upper arm circumference as a screening tool for identifying children with obesity: a 12-country studyen_US
dc.typeBook chapteren_US
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