{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T15:25:05Z","timestamp":1767108305514,"version":"3.48.0"},"reference-count":29,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001862","name":"Swedish Research Council FORMAS","doi-asserted-by":"crossref","award":["2016-00272"],"award-info":[{"award-number":["2016-00272"]}],"id":[{"id":"10.13039\/501100001862","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,10,25]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The present study evaluates body circumferences as a nutrition screening tool for women of reproductive age with children less than 5\u2009years of age to improve the detection of overweight and obesity in a community setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study draws data from a community-based cross-sectional study conducted between July\u2013August 2017 and January\u2013February 2018 to account for seasonality in Addis Ababa, Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>One hundred and sixteen districts were included in Addis Ababa, Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 4914\u2009women of reproductive age with children less than 5\u2009years of age were participated in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Primary outcome measures included anthropometric indices. There were no secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The optimal cut-off points to identify overweight women of reproductive age were &gt;87.5\u2009cm for waist circumference (WC), &gt;31.7\u2009cm for neck circumference (NC) and &gt;28.0\u2009cm for mid-upper arm circumference (MUAC) based on the highest corresponding Youden index. The area under the receiver operating characteristics curve was 0.92 (95% CI: 0.91 to 0.93) for WC, 0.83 (95% CI: 0.82 to 0.84) for NC and 0.91 (95% CI: 0.89 to 0.92) for MUAC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our result shows that WC and MUAC are alternative tools to body mass index. Both WC and MUAC are effective in identifying overweight women. We recommend using MUAC in large-scale population-based assessments to identify overweight and obesity in low-income settings as it is logistically simpler and operationally feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-049602","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T11:47:31Z","timestamp":1638445651000},"page":"e049602","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Mid-upper arm circumference for identifying adult overweight in large-scale population-based surveys: empirical evaluation using data of the EAT Addis study, Ethiopia"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2387-9869","authenticated-orcid":false,"given":"Tigest","family":"Shifraw","sequence":"first","affiliation":[{"name":"Addis Continental Institute of Public Health, Addis Ababa, Ethiopia"},{"name":"Department of Women\u2019s and Children\u2019s Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden"},{"name":"Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarina","family":"Selling","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alemayehu","family":"Worku","sequence":"additional","affiliation":[{"name":"Addis Continental Institute of Public Health, Addis Ababa, Ethiopia"},{"name":"School of Public Health, College of Medicine and Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna Yemane","family":"Berhane","sequence":"additional","affiliation":[{"name":"Addis Continental Institute of Public Health, Addis Ababa, Ethiopia"},{"name":"Department of Women\u2019s and Children\u2019s Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva-Charlotte","family":"Ekstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yemane","family":"Berhane","sequence":"additional","affiliation":[{"name":"Addis Continental Institute of Public Health, Addis Ababa, Ethiopia"},{"name":"Department of Women\u2019s and Children\u2019s Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,2]]},"reference":[{"key":"2025121605185107000_11.12.e049602.1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/274905"},{"key":"2025121605185107000_11.12.e049602.2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2020-039200","article-title":"Prevalence of overweight\/obesity among the adult population in Ethiopia: a systematic review and meta-analysis","volume":"10","author":"Kassie","year":"2020","journal-title":"BMJ Open"},{"key":"2025121605185107000_11.12.e049602.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-88"},{"key":"2025121605185107000_11.12.e049602.4","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.068874"},{"key":"2025121605185107000_11.12.e049602.5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0121456","article-title":"Assessment of under nutrition of Bangladeshi adults using anthropometry: can body mass index be replaced by mid-upper-arm-circumference?","volume":"10","author":"Sultana","year":"2015","journal-title":"PLoS One"},{"key":"2025121605185107000_11.12.e049602.6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3586D"},{"key":"2025121605185107000_11.12.e049602.7","doi-asserted-by":"publisher","DOI":"10.4314\/ahs.v14i3.11"},{"key":"2025121605185107000_11.12.e049602.8","unstructured":"Casadei K , Kiel J . 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