Welcome!

Welcome to the MUAC Community Website! This is a free and open site for the dissemination and discussion of issues related to the use of mid-upper-arm circumference (MUAC) including, but not restricted to, case-definitions, surveys, and patient monitoring.

Access policy : Anyone can view the stories and comments on this site and view / download files attached to stories. Authenticated users can create and edit their own stories, upload and attach files to their own stories, delete their own stories, and comment on their own and other's stories.

Joining the MUAC Community : To create an account click the Create new account link. You will need to provide a user name and a valid e-mail address. Your membership will be confirmed by an e-mail to the specified e-mail address which will also include your account password. You can change your account password or e-mail address at any time by clicking on the My account link and then clicking the Edit link.

Anti-SPAM policy : Members e-mail addresses will be used solely for communications regarding the administration of this site and will not be communicated to third parties. Members that post spam to this site will have their accounts blocked and, after a short period, deleted. All spam will be removed. If you try to create an account using an e-mail address that has been used to post spam to this site or any other site then the account will be deleted.

For those unfamiliar with MUAC : MUAC is the circumference of the left upper arm, measured at the mid-point between the tip of the shoulder and the tip of the elbow (olecranon process and the acromium). MUAC is used for the assessment of nutritional status. It is a good predictor of mortality and in many studies, MUAC predicted death in children better than any other anthropometric indicator. This advantage of MUAC was greatest when the period of follow-up was short. The MUAC measurement requires little equipment and is easy to perform even on the most debilitated individuals. Although it is important to give workers training in how to take the measurement, the correct technique can be readily taught to minimally trained health workers and community-based volunteers. It is thus suited to screening admissions to feeding programs during emergencies. MUAC is recommended for use with children between six and fifty-nine months of age and for assessing acute energy deficiency in adults during famine. The major determinants of MUAC, arm muscle and sub-cutaneous fat, are both important determinants of survival in starvation. MUAC is less affected than weight and height based indices (e.g. WHZ, WHM, BMI) by the localised accumulation of fluid (i.e. bipedal or nutritional oedema, periorbital oedema, and ascites) common in famine and is a more sensitive index of tissue atrophy than low body weight. It is also relatively independent of height and body-shape.