Mid-upper-arm circumference: a surrogate measure for BMI for age z-score to identify thinness among adolescent girls in Addis Ababa, Ethiopia
2024

Using Mid-Upper Arm Circumference to Identify Thinness in Adolescent Girls in Ethiopia

Sample size: 913 publication 10 minutes Evidence: high

Author Information

Author(s): Zebene Solome, Egata Gudina, Haile Demewoz

Primary Institution: Addis Ababa University

Hypothesis

This study aimed to evaluate the accuracy of mid-upper arm circumference (MUAC) in identifying thinness among adolescent girls.

Conclusion

MUAC is an effective tool for predicting thinness and severe thinness among adolescent girls in resource-limited settings.

Supporting Evidence

  • MUAC showed a strong positive correlation with BMI for age z-score (r = 0.80).
  • MUAC cut-offs of 20.1 cm and 19.7 cm were identified for detecting thinness and severe thinness, respectively.
  • MUAC demonstrated 92.1% sensitivity and 67.3% specificity for identifying moderate thinness.

Takeaway

The study shows that measuring the upper arm can help find out if young girls are too thin, which is important for their health.

Methodology

A cross-sectional study was conducted with 913 female adolescents, using stratified sampling and anthropometric measurements.

Potential Biases

Potential bias due to the exclusion of adolescents with visible physical deformities.

Limitations

The study only included school-going female adolescents, which may not represent all adolescents in Ethiopia.

Participant Demographics

Participants were female adolescents aged 10-14 years, primarily from governmental schools in Addis Ababa.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3389/fnut.2024.1506576

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