{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:47:36Z","timestamp":1786999656510,"version":"build-2736575974"},"reference-count":60,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2022,1,17]],"date-time":"2022-01-17T00:00:00Z","timestamp":1642377600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980022000143_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to synthesise the existing evidence on the performance of mid-upper arm circumference (MUAC) to identify children and adolescents with overweight and obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980022000143_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Systematic review and meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980022000143_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>We searched PubMed, EMBASE, SCOPUS, Cochrane Library, Web of Science, CINAHL and Google scholar databases from their inception to December 10, 2021, for relevant studies. There were no restrictions regarding the language of publication. Studies reporting measures for the diagnostic performance of MUAC compared with a reference standard for diagnosing overweight and obesity in children and adolescents aged 2\u201319 years were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980022000143_as4\">\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>A total of 54 381 children and adolescents from twenty-one studies were reviewed; ten studies contributed to meta-analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980022000143_as5\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In boys, MUAC showed a pooled AUC of 0\u00b792 (95 % CI 0\u00b789, 0\u00b794), sensitivity of 84\u00b74 (95 % CI 84\u00b76, 90\u00b78) and a specificity of 86\u00b70 (95 % CI 79\u00b72, 90\u00b78), when compared against BMI z-score, defined overweight and obesity. As for girls, MUAC showed a pooled AUC of 0\u00b793 (95 % CI 0\u00b790, 0\u00b795), sensitivity of 86\u00b74 (95 % CI 79\u00b78, 91\u00b70), specificity of 86\u00b76 (95 % CI 82\u00b72, 90\u00b71) when compared against overweight and obesity defined using BMI z-scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980022000143_as6\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In comparison with BMI, MUAC has an excellent performance to identify overweight and obesity in children and adolescents. However, no sufficient evidence on the performance of MUAC compared with gold standard measures of adiposity. Future research should compare performance of MUAC to the \u2018golden standard\u2019 measure of excess adiposity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1368980022000143","type":"journal-article","created":{"date-parts":[[2022,1,17]],"date-time":"2022-01-17T04:23:13Z","timestamp":1642393393000},"page":"607-616","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":20,"title":["The performance of mid-upper arm circumference for identifying children and adolescents with overweight and obesity: a systematic review and meta-analysis"],"prefix":"10.1017","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9310-8170","authenticated-orcid":false,"given":"Binyam Girma","family":"Sisay","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6485-4193","authenticated-orcid":false,"given":"Hamid Yimam","family":"Hassen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beshada Rago","family":"Jima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Atlantis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seifu Hagos","family":"Gebreyesus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,1,17]]},"reference":[{"key":"S1368980022000143_ref30","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-8-201110180-00009"},{"key":"S1368980022000143_ref41","first-page":"269","article-title":"Discriminatory ability of mid-upper arm circumference in identifying overweight and obese adolescents: findings from the comprehensive national nutrition survey, India","volume":"65","author":"Nitika","year":"2021","journal-title":"na J Public Health"},{"key":"S1368980022000143_ref59","first-page":"1","article-title":"Prevalence of overweight and obesity among selected schoolchildren and adolescents in Cofimvaba, South Africa","volume":"34","author":"Otitoola","year":"2020","journal-title":"South Afr J Clin Nutr"},{"key":"S1368980022000143_ref55","doi-asserted-by":"publisher","DOI":"10.1177\/014107680309600622"},{"key":"S1368980022000143_ref51","first-page":"114","article-title":"Predictive utility of anthropometric based cut-offs in assessing excess adiposity among preschool children in a multiethnic population","volume":"69","author":"Ramcharitar-Bourne","year":"2021","journal-title":"West Indian Med J"},{"key":"S1368980022000143_ref39","first-page":"SC05","article-title":"Role of mid-upper arm circumference for determining overweight and obesity in children and adolescents","volume":"11","author":"Jaiswal","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"S1368980022000143_ref6","first-page":"2048004016633371","article-title":"A clinical perspective of obesity, metabolic syndrome and cardiovascular disease","volume":"5","author":"Han","year":"2016","journal-title":"JRSM Cardiovasc Dis"},{"key":"S1368980022000143_ref23","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980020003869"},{"key":"S1368980022000143_ref1","unstructured":"1. 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Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}