Relationship between newborn mid-upper-arm circumference and birth weight
Keywords:
mid-upper-arm circumference, birth weight
Abstract
Background Recording an accurate birth weight by primaryhealth care workers has been a problem in rural areas, leading
to a search for an alternative, inexpensive, age independent and
noninvasive method to predict neonatal well being. Mid-upper-arm
circumference (MUAC) might be an alternative anthropometric
measurement useful to estimate the state of nutrition.
Objective To evaluate the relationship between MUAC and
birth weight in low birth weight (LBW) and normal birth weight
(NBW) infants.
Methods We measured birth weight and MUAC of newborn
babies of various gestational ages at Siti Fatimah Maternity and
Children's Hospital and Dr. Wahidin Sudirohusodo General
Hospital, Makassar, South Sulawesi, Indonesia. Correlation
tests and diagnostic accuracy using different cut-off points were
performed
Results There were 892 live birth newborns (117 LBW and 775
NBW) included in the study. The sensitivity, specificity, positive
predictive value, and negative value for MUACs of< 10.3 em were
94.9 %, 99.9%, 99.1%, and 99.2%, respectively. The sensitivity,
specificity, positive predictive value, and negative value for MUAC
< 10.4 em were 99.1 %, 99.6%, 97.5%, and 99.9%, respectively.
The sensitivity, specificity, positive predictive value, and negative
value for MUAC < 10.5 em were 100%,99.4%, 95.9%, and 100%,
respectively.
Conclusion There is a strong correlation between MUAC and
birth weight. Birth weight can be predicted with the following
equation: Birth weight= -1776.383 + (416.95 newborn MUAC
value). The optimal cut-off point for the newborn MUAC value for
LBW infants is< 10.5 em.
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berdasarkan lingkar lengan atas pada bayi baru lahir cukup
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ratio: standard curves for anthropometric assessment of
neonatal nutritional status. J Pediatr. 1986; 109:311-5.
1 7. Figueira BB, Segre CA. Mid-arm circumference and mid-arm/
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J. 2004; 122:53-9.
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at birth: a screening method for detection of low birth weight.
Indian Pediatr. 2002;39:838-42.
Sao Paulo MedJ. 2003;121:1-4.
2. Fuchs GJ. Low birth weight. Global Forum for Health
Research. WHO. Available from: http: //www.who.int/
reproductive.
3. Hay WW, Thureen PJ, Anderson MS. Intrauterine growth
restriction. NeoReviews. 2001; 2:cll9-28.
4. Koo WW, Walters JC, Hockman E. Body composition in
neonates: Relationship between measured and derived
anthropometry with dual-energy X-ray absorptiometry
measurement. Pediatr Res. 2004;56:694-700.
5. Kiely JL, Brett KM, Yu S, Rowley DL. Low birth weight and
intrauterine growth retardation. Available from: http: // www.
cdc.gov / reproductive- health ! dataact / pdf! birout.pdf
6. Stool BJ, Kliegman RM. The high risk infant. In: Behrman
RE, Kliegman RM, Jenson HB, editors. Nelson textbook of
pediatrics. 17'h Ed. Philadelphia: WB Saunders, 2004; p.
519-23.
7. WHO Expert Committee. Physical status: the use and
interpretation of anthropometry. WHO Technical Report
Series.1995;854: 121-55.
8. Departemen Kesehatan RI. Profit Kesehatan Indonesia 2000.
Jakarta: Departemen Kesehatan RI. 2001; p. 21-9.
9. Madjid DA. Permasalahan bayi berat lahir rendah. In: Tobing
HK, editor. Materi pelatihan penatalaksanaan bayi berat lahir
rendah. Jakarta: Perinasia. 2006; p.1-1 0.
10. Alisjahbana A, Chaerulfatah A, Usman A, Sutresnawati S.
14 • Paediatr Indones, Vol. 49, No. 1, January 2009
Anthropometry of newborn infants born in 14 teaching centers
in Indonesia. Paediatr Indones. 1992;34:62-89.
11. Mansour E, Eissa AN, Kharboush I, Wagida A, Sallam I.
Incidence and factor leading to low birth weight in Egypt.
Internat Pediatr. 2002;17:223-9.
12. Dhar B, Mowlan G, Nahar S, Islam N. Birth-weight status
of newborns and its relationship with other anthropometric
parameters in a public maternity hospital in Dhaka,
Bangladesh. J Health Popul Nutr. 2002;20(1):36-41.
13. Febriani DB. Identifikasi pertumbuhan janin terhambat
berdasarkan lingkar lengan atas pada bayi baru lahir cukup
bulan [Thesis]. Makassar: Universitas Hasanuddin; 2006.
14. Gibson RS. Principles of nutritional assesment. New York:
Oxford University Press.1990; p.155-205.
15. Hernandez M., Sanches E, Sobradillo B, Pozo J, Argente J.
Clinical evaluation of the nutritional status. Present day
aspects. Infant nutrition in specific situations. Proceedings
of the Specialized International Workshop; 1994 April8-9;
Madrid; 1994.
16. Sasanow SR, Georgiff MK, Pereira GR. Mid-arm circum-
ference and mid-arm circumference/head circumference
ratio: standard curves for anthropometric assessment of
neonatal nutritional status. J Pediatr. 1986; 109:311-5.
1 7. Figueira BB, Segre CA. Mid-arm circumference and mid-arm/
head circumference ratio in term newborn. Sao Paulo Med
J. 2004; 122:53-9.
18. Sood SL, Saiprasad GS, Wilson CG. Mid-arm circumference
at birth: a screening method for detection of low birth weight.
Indian Pediatr. 2002;39:838-42.
Published
2009-03-01
How to Cite
1.
Taufiq M, Madjid D, Lisal J, Daud D. Relationship between newborn mid-upper-arm circumference and birth weight. PI [Internet]. 1Mar.2009 [cited 19Apr.2024];49(1):11-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/449
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Received 2016-09-05
Accepted 2016-09-05
Published 2009-03-01
Accepted 2016-09-05
Published 2009-03-01
