{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T22:13:46Z","timestamp":1782771226589,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Standardized diagnostic indicators for malnutrition using growth percentile <jats:italic>z\u2010<\/jats:italic>scores (weight for length or body mass index [BMI]) and mid\u2010upper arm circumference (MUAC) <jats:italic>z\u2010<\/jats:italic>scores are being used in clinical practice; however, their application to the pediatric cystic fibrosis (CF) population is not well described. In this study, we aim to compare growth percentile <jats:italic>z\u2010<\/jats:italic>scores and MUAC <jats:italic>z<\/jats:italic>\u2010scores in diagnosing and classifying malnutrition in children with CF and assess the relationship between their degree of malnourishment and corresponding pulmonary function tests (PFTs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective observational outpatient study of 49 pediatric CF patients, data were collected on baseline characteristics, anthropometrics, and PFTs over 12 months. Agreement in malnutrition diagnoses was quantified by Cohen \u03ba statistics. Pearson test assessed the correlation between MUAC and BMI <jats:italic>z<\/jats:italic>\u2010scores as well as PFTs and anthropometrics. Serial anthropometrics and PFTs were obtained and compared for a subset of patients (n = 28).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Growth percentile and MUAC <jats:italic>z\u2010<\/jats:italic>scores were positively correlated in diagnosing malnutrition (Pearson correlation <jats:italic>r<\/jats:italic> = 0.87), but MUAC <jats:italic>z<\/jats:italic>\u2010scores identified more patients as malnourished compared with growth percentile <jats:italic>z<\/jats:italic>\u2010scores (49% vs 12%, Cohen \u03ba of 0.22 [95% CI, 0.04\u20130.40]). There was no significant relationship between anthropometrics and PFTs. MUAC <jats:italic>z<\/jats:italic>\u2010scores increased significantly over time, but BMI <jats:italic>z<\/jats:italic>\u2010scores did not show this trend.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our small\u2010scale data suggest a promising role for MUAC <jats:italic>z<\/jats:italic>\u2010scores in classifying malnutrition and in measuring changes in nutrition status over time in pediatric CF.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10593","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T23:02:25Z","timestamp":1603148545000},"page":"1094-1100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Utility of Mid\u2010Upper Arm Circumference in Diagnosing Malnutrition in Children With Cystic Fibrosis"],"prefix":"10.1002","volume":"35","author":[{"given":"Rachel Y.","family":"Phong","sequence":"first","affiliation":[{"name":"Department of Food and Nutrition Services University of California Davis Health  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra L.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Division of Biostatistics Department of Public Health Sciences University of California Davis  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandt A.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Critical Care and Sleep Medicine Department of Internal Medicine University of California Davis Health  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Jhawar","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Medicine Department of Pediatrics University of California Davis Health  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0176-5617","authenticated-orcid":false,"given":"Kiran","family":"Nandalike","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Medicine Department of Pediatrics University of California Davis Health  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199204303261804"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2000.107891"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.09.001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1784"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2008.02.020"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10067"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2016-3459"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1536-4801.2001.tb07464.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10018"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.08.026"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616676597"},{"key":"e_1_2_6_13_1","unstructured":"The WHO child growth standards.World Health Organization.https:\/\/www.who.int\/childgrowth\/en\/. 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