{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:04:56Z","timestamp":1790715896464,"version":"4.1.0"},"reference-count":53,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T00:00:00Z","timestamp":1543795200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T00:00:00Z","timestamp":1543795200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S136898001800318X_abs1\" sec-type=\"general\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate whether children with concurrent wasting and stunting require therapeutic feeding and to better understand whether multiple diagnostic criteria are needed to identify children with a high risk of death and in need of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S136898001800318X_abs2\" sec-type=\"general\">\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Community-based cohort study, following 5751 children through time. Each child was visited up to four times at 6-month intervals. Anthropometric measurements were taken at each visit. Survival was monitored using a demographic surveillance system operating in the study villages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S136898001800318X_abs3\" sec-type=\"general\">\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Niakhar, a rural area of the Fatick region of central Senegal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S136898001800318X_abs4\" sec-type=\"general\">\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Children aged 6\u201359 months living in thirty villages in the study area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S136898001800318X_abs5\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Weight-for-age\n                      <jats:italic>Z<\/jats:italic>\n                      -score (WAZ) and mid-upper arm circumference (MUAC) were independently associated with near-term mortality. The lowest WAZ threshold that, in combination with MUAC, detected all deaths associated with severe wasting or concurrent wasting and stunting was WAZ &lt;\u22122\u00b78. Performance for detecting deaths was best when only WAZ and MUAC were used. Additional criteria did not improve performance. Risk ratios for near-term death in children identified using WAZ and MUAC suggest that children identified by WAZ &lt;\u22122\u00b78 but with MUAC\u2265115 mm may require lower-intensity treatment than children identified using MUAC &lt;115 mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S136898001800318X_abs6\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A combination of MUAC and WAZ detected all near-term deaths associated with severe anthropometric deficits including concurrent wasting and stunting. Therapeutic feeding programmes may achieve higher impact if WAZ and MUAC admission criteria are used.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s136898001800318x","type":"journal-article","created":{"date-parts":[[2018,12,3]],"date-time":"2018-12-03T02:19:22Z","timestamp":1543803562000},"page":"862-871","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":40,"title":["Improving screening for malnourished children at high risk of death: a study of children aged 6\u201359 months in rural Senegal"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1119-1474","authenticated-orcid":false,"given":"Mark","family":"Myatt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Khara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel","family":"Dolan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Garenne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Briend","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,12,3]]},"reference":[{"key":"S136898001800318X_ref50","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115450"},{"key":"S136898001800318X_ref17","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.112.047639"},{"key":"S136898001800318X_ref15","volume-title":"Global Nutrition Report 2016: From Promise to Impact: Ending Malnutrition by 2030","year":"2016"},{"key":"S136898001800318X_ref4","volume-title":"The Management of Acute Malnutrition at Scale: A Review of Donor and Government Financing Arrangements. 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