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However, there is conflicting evidence and a lack of consensus with regard to its diagnostic use in clinical settings or population groups beyond this context. In 2023, a project officer was appointed by the Australasian Society of Parenteral and Enteral Nutrition (AuSPEN) to lead the development of a consensus review into the use of MUAC in the pediatric clinical setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An AuSPEN appointed multidisciplinary group of informed clinicians used the Delphi method to critically appraise the evidence and develop a series of consensus statements. Delphi surveys were anonymous and distributed electronically. Members were asked to rate their level of agreement with each consensus statement using a 5\u2010point Likert scale. A priori definition of consensus was established as \u226580% responses \u201cagree\u201d or \u201cstrongly agree.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three Delphi rounds were required to reach consensus. A total of 18 consensus statements, including rationale, were developed across the topics \u2018assessment and diagnosis\u2019, \u2018screening and monitoring\u2019 and \u2018clinical settings\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An evidence\u2010based, region\u2010specific consensus approach to the use of MUAC in pediatric malnutrition is a valuable tool for clinicians. MUAC is a straightforward, non\u2010invasive and cost\u2010effective tool, and may provide an advantage over traditional anthropometric tools in some clinical settings. 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