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首页> 外文期刊>Transactions of the Royal Society of Tropical Medicine and Hygiene >Is mid-upper arm circumference alone sufficient for deciding admission to a nutritional programme for childhood severe acute malnutrition in Bangladesh?
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Is mid-upper arm circumference alone sufficient for deciding admission to a nutritional programme for childhood severe acute malnutrition in Bangladesh?

机译：仅靠上臂中段就足以决定是否接受孟加拉国儿童严重急性营养不良的营养计划？

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摘要

Mid-upper arm circumference (MUAC) and weight-for-height Z-score (WHZ) identify different populations of children with severe acute malnutrition (SAM) with only some degree of overlap. In an urban slum in Bangladesh, we conducted a prospective cohort study on children assessed as being severely malnourished by WHZ (<-3) but not by MUAC (>115 mm), to: 1. Assess their nutritional outcomes, and 2. Report on morbidity and mortality.Children underwent 2-weekly prospective follow-up home visits for 3 months and their anthropometric evolution, morbidity and mortality were monitored.Of 158 children, 21 did not complete follow-up (six were lost to follow-up and 15 changed residence). Of the remaining 137 children, nine (7%) required admission to the nutrition programme because of: MUAC dropping to <115 mm (5/9 children), weight loss ≥ 10% (1/9 children) and severe medical complications (3/9 children, of whom one died). Of the remaining 128 children who completed follow-up, 91 (66%) improved in nutritional status while 37 (27%) maintained a WHZ of <-3. Cough was less frequent among those whose nutritional status improved.It seems acceptable to rely on MUAC as a single assessment tool for case finding and for admission of children with SAM to nutritional programmes.
机译：上臂中段（MUAC）和身高体重Z分数（WHZ）可以识别出不同程度的重症急性营养不良（SAM）儿童，并且仅存在一定程度的重叠。在孟加拉国的一个城市贫民窟，我们进行了一项前瞻性队列研究，研究对象是被WHZ（<-3）而非MUAC（> 115 mm）评估为严重营养不良的儿童，以：1.评估他们的营养结果，以及2.报告对儿童进行为期2周的前瞻性随访，为期3个月，并对其人体测量学的演变，发病率和死亡率进行了监测。在158名儿童中，有21名未完成随访（6名因失访而失去随访）。 15号居住地）。在其余的137名儿童中，有九名（7％）由于以下原因而需要接受营养计划：MUAC降至<115 mm（5/9名儿童），体重减轻≥10％（1/9名儿童）和严重的医疗并发症（3 / 9名儿童，其中一名死亡）。在剩余的128名完成随访的儿童中，有91名（66％）的营养状况得到改善，而37名（27％）的WHZ维持在<-3。营养状况得到改善的人中咳嗽的频率较低。依靠MUAC作为单一评估工具来发现病例和让患有SAM的儿童接受营养计划似乎是可以接受的。

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