{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T01:23:20Z","timestamp":1790385800828,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,30]],"date-time":"2016-05-30T00:00:00Z","timestamp":1464566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Coca-Cola Company"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>No studies have examined if mid\u2010upper arm circumference (MUAC) can be an alternative screening tool for obesity in an international sample of children differing widely in levels of human development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Our aim is to determine whether MUAC could be used to identify obesity in children from 12 countries in five major geographic regions of the world.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This observational, multinational cross\u2010sectional study included 7337 children aged 9\u201311\u2009years. Anthropometric measurements were objectively assessed, and obesity was defined according to the World Health Organization reference data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the total sample, MUAC was strongly correlated with adiposity indicators in both boys and girls (<jats:italic>r<\/jats:italic>\u2009&gt;\u20090.86, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The accuracy level of MUAC for identifying obesity was high in both sexes and across study sites (overall area under the curve of 0.97, sensitivity of 95% and specificity of 90%). The MUAC cut\u2010off value to identify obesity was ~25\u2009cm for both boys and girls. In country\u2010specific analyses, the cut\u2010off value to identify obesity ranged from 23.2\u2009cm (boys in South Africa) to 26.2\u2009cm (girls in the UK).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Results from this 12\u2010country study suggest that MUAC is a simple and accurate measurement that may be used to identify obesity in children aged 9\u201311\u2009years. MUAC may be a promising screening tool for obesity in resource\u2010limited settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijpo.12162","type":"journal-article","created":{"date-parts":[[2016,5,30]],"date-time":"2016-05-30T10:52:43Z","timestamp":1464605563000},"page":"439-445","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Mid\u2010upper arm circumference as a screening tool for identifying children with obesity: a 12\u2010country study"],"prefix":"10.1111","volume":"12","author":[{"given":"J.\u2010P.","family":"Chaput","sequence":"first","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. T.","family":"Katzmarzyk","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center  Baton Rouge USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. D.","family":"Barnes","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Fogelholm","sequence":"additional","affiliation":[{"name":"Department of Food and Environmental Sciences University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Hu","sequence":"additional","affiliation":[{"name":"Pennington Biomedical Research Center  Baton Rouge USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Kuriyan","sequence":"additional","affiliation":[{"name":"St. Johns Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kurpad","sequence":"additional","affiliation":[{"name":"St. Johns Research Institute  Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. V.","family":"Lambert","sequence":"additional","affiliation":[{"name":"Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Maher","sequence":"additional","affiliation":[{"name":"Alliance for Research in Exercise Nutrition and Activity (ARENA), School of Health Sciences University of South Australia  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Maia","sequence":"additional","affiliation":[{"name":"CIFI2D, Faculdade de Desporto University of Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Matsudo","sequence":"additional","affiliation":[{"name":"Centro de Estudos do Laborat\u00f3rio de Aptid\u00e3o F\u00edsica de S\u00e3o Caetano do Sul (CELAFISCS)  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Olds","sequence":"additional","affiliation":[{"name":"Alliance for Research in Exercise Nutrition and Activity (ARENA), School of Health Sciences University of South Australia  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Onywera","sequence":"additional","affiliation":[{"name":"Department of Recreation Management and Exercise Science Kenyatta University  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O. L.","family":"Sarmiento","sequence":"additional","affiliation":[{"name":"School of Medicine Universidad de los Andes  Bogota Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Standage","sequence":"additional","affiliation":[{"name":"Department for Health University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Tudor\u2010Locke","sequence":"additional","affiliation":[{"name":"Department of Kinesiology University of Massachusetts Amherst  Amherst USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Zhao","sequence":"additional","affiliation":[{"name":"Tianjin Women's and Children's Health Center  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. S.","family":"Tremblay","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute  Ottawa Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the ISCOLE Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60460-8"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2010.222"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.043497"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyi272"},{"key":"e_1_2_9_6_1","first-page":"81","article-title":"The use of mid upper arm circumference in the assessment of nutritional status: the Mursi","volume":"21","author":"Turton P","year":"1985","journal-title":"Midwife Health Visit Community Nurse"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.4274\/jcrpe.v2i4.144"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedneo.2013.05.004"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305137"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-900"},{"key":"e_1_2_9_11_1","volume-title":"Anthropometric Standardization Reference Manual","author":"Lohman TG","year":"1988"},{"key":"e_1_2_9_12_1","volume-title":"Waist Circumference and Waist\u2013Hip Ratio: Report of a WHO Expert Consultation","author":"World Health Organization","year":"2011"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2047-6310.2012.00122.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2105-12-77"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.594929"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj063"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7244.1240"},{"key":"e_1_2_9_19_1","first-page":"1","article-title":"2000 CDC growth charts for the United States: methods and development. National Center for Health Statistics","volume":"11","author":"Kuczmarski RJ","year":"2002","journal-title":"Vital Health Stat"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.242"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.267"}],"container-title":["Pediatric Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijpo.12162","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fijpo.12162","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijpo.12162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T15:22:57Z","timestamp":1696000977000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijpo.12162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,30]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1111\/ijpo.12162"],"URL":"https:\/\/doi.org\/10.1111\/ijpo.12162","archive":["Portico"],"relation":{},"ISSN":["2047-6302","2047-6310"],"issn-type":[{"value":"2047-6302","type":"print"},{"value":"2047-6310","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,30]]},"assertion":[{"value":"2015-12-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}