In our facility-based SAM treatment center, we have observed that over the treatment period, along with the weight, the height of a child increases too. At the end of 8 weeks, when the new W/H z-score is considered, some children still seem to be SAM, even after gaining considerable weight. What is the interpretation?
Why aren't there any MUAC to identify SAM in children between 5 years - 12 years?
In a facility based management centre for SAM, how much MUAC increase is expected in a child in 2 weeks after starting him on RUTF such as Plumpy Nut if ...
1. The child gains between 0-5% of admission weight
2. Between 5-10% of admission weight
3. 10-15% of admission weight
4. >15% of admission weight
5. Achieves target weight of 15%
The cut-off for MUAC has been changed from <110 mm to <115 mm after the switch from NCHS references to WHO2006 references for W/H. Has there been any adaptation for the MUAC-based case definition for MAM?
After several trainings, reliability of MUAC at field level is still a concern in some of our projects. Is someone working in other types of tapes / strips or other more reliable tools to measure MUAC?
Why is the left arm hightlighted in most articles and training on MUAC? Is there evidence behind this. Is it that most are right arm dominant? If you can share evidence on this, I would appreciate it. I need the information for training materials. Thanks.
The attached document shows how to make an "equal pull" MUAC strap from Brixton Health / VALID International Ltd. (and other) design MUAC straps using very cheap and readily available materials (i.e. an elastic band, a staple, and a ball-point pen - you will also need a marker pen for other designs).
The attached study entitled Review of Nutrition and Mortality Indicators for the IPC - Reference Levels and Decision-making was commissioned by the SCN Task Force on Assessment, Monitoring and Evaluation (TF/AME) and the Integrated Food Security Phase Classification (IPC) Global Partnership.
Here is an official guideline from the United Nations Standing Committee on Nutrition (SCN) on the assessment of the nutritional status of adults in emergency-affected populations. This guidelines reviews the use of BMI, MUAC, clinical, and mixed indicator methods.
Here is an article on the use of arm muscle indicators to predict creatinine excretion in children. An interesting finding is that arm muscle measured my MUAC, or MUAC and triceps skin-fold, provides a useful index of body muscle in children.