{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:41:03Z","timestamp":1777527663070,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T00:00:00Z","timestamp":1727568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>Infants are more vulnerable to malnutrition as compared with older children. Prevalence of severe wasting in Indian infants under 6 months of age (U6M) is 14.8% (National Family Health Survey 4, 2015-2016). Weight for length z-score (WLZ) and mid-upper arm circumference (MUAC) are 2 anthropometric parameters for detecting severe acute malnutrition (SAM) in children aged 6 months to 5 years. But in infants U6M, currently no accepted MUAC criteria are present for SAM. Calculating WLZ is practically difficult and cumbersome as compared with measuring MUAC. We tried to find out whether MUAC can be used in detecting SAM in infants aged 1 to 6 months also. The area under ROC curve was computed to evaluate the accuracy of MUAC in detecting SAM (taking WLZ as reference test). Level of accuracy was found out to be \u201cgood.\u201d Optimal MUAC cut-off with best diagnostic accuracy was identified as \u226411.5 cm, using the highest Youden index of 0.55.<\/jats:p>","DOI":"10.1177\/00099228241284880","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T01:00:23Z","timestamp":1727658023000},"page":"642-649","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Performance of Mid-Upper Arm Circumference (MUAC) in Detection of Severe Acute Malnutrition (SAM), in Young Infants Aged 1 to 6 Months"],"prefix":"10.1177","volume":"64","author":[{"given":"Tanya","family":"Goel","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Prayagraj, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukesh Vir","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Prayagraj, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Maurya","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Prayagraj, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0938-500X","authenticated-orcid":false,"given":"Nandita","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Prayagraj, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9600-0667","authenticated-orcid":false,"given":"Shahid Akhtar","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Sarojini Naidu Children Hospital, Moti Lal Nehru Medical College, Prayagraj, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richa","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Moti Lal Nehru Medical College, Prayagraj, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.15406\/jpnc.2023.13.00507"},{"key":"e_1_3_2_3_2","unstructured":"ReliefWeb. Management of Acute Malnutrition (MAMI) project technical review: current evidence policies practices & programme outcomes ReliefWeb. Accessed March 20 2023. https:\/\/reliefweb.int\/report\/world\/management-acute-malnutrition-infants-mami-project-technical-review-current-evidence"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.191882"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12866"},{"key":"e_1_3_2_6_2","unstructured":"National Family Health Survey-5 (NFHS-5) Compendium Of Fact Sheets Key Indicators India and 14 states\/UTs (Phase-2). 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A Joint Statement by the World Health Organization and the United Nations Children\u2019s Fund","author":"World Health Organization","year":"2009","unstructured":"World Health Organization. United Nations International Children\u2019s Emergency Fund. WHO Child Growth Standards and the Identification of severe Acute Malnutrition in Infants and Children. A Joint Statement by the World Health Organization and the United Nations Children\u2019s Fund. 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Field Exchange. 2021;64:64.","journal-title":"Field Exchange"},{"issue":"9","key":"e_1_3_2_17_2","article-title":"Mid-upper arm circumference assessment and comparison with weight for length Z score in infants\u2264 6 months as an indicator of severe acute malnutrition","volume":"13","author":"Zehra M","year":"2021","unstructured":"Zehra M, Saleem A, Kazi Z, Parkar S. Mid-upper arm circumference assessment and comparison with weight for length Z score in infants\u2264 6 months as an indicator of severe acute malnutrition. Cureus. 2021;13(9):e18167.","journal-title":"Cureus"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.17511\/ijpr.2020.i08.07"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-013-0032-1"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.59566\/IJBS.2012.8140"},{"issue":"1","key":"e_1_3_2_21_2","first-page":"6","article-title":"Mid upper arm circumference and weight for height z-score as screening tools for acute malnutrition in underweight children<5 years of age","volume":"16","author":"ur Rehman M","year":"2020","unstructured":"ur Rehman M, Bibi S, Imran I, Anwar H, Alam T, Mohammed K. Mid upper arm circumference and weight for height z-score as screening tools for acute malnutrition in underweight children<5 years of age. 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