International Journal of Health and Clinical Research
Yazarlar: Deepak Verma, Ajay Gaur, Neetu Sharma
Konular:-
Anahtar Kelimeler:Mid Arm Muscular Area,Severe Acute Malnutrition,Triceps Skin Fold Thickness.
Özet: Background: Mid arm muscular area (MAMA) and triceps skin fold thickness (TSFT) were introduced for the body composition and nutritional status assessment. Currently these parameters in the identification of Severe Acute Malnutrition (SAM) are unutilized. This study compared age specific upper arm composition and nutritional status among children with normal nutrition and Severe Acute Malnutrition (SAM). Method: This case control study was conducted in Special Malnutrition Treatment Unit (S.M.T.U.) and children medical wards of a medical college hospital in Madhya Pradesh. In the age group of 6-to-59 month, 100 children with SAM and 100 normal nutritional status children as control were taken. Mid upper arm circumference (MUAC) was measured by nonflexible colour coded tape and TSFT by Harpenden skin fold calliper to calculate MAMA by formula, MAMA = (MuAC – ×TSFT)2/4. Result: Mean MAMA, mean MUAC and mean TSFT are more among controls as compared to case (p<0.001). In normal nutritional status children MUAC, MAMA and TSFT increases as the age advances, unlike in SAM children where MUAC, TSFT and MAMA were almost stationary. MAMA and MUAC are significantly correlated (p<0.001). TSFT was significantly correlated with MAMA and MUAC. Each unit change in TSFT i.e., with 1 cm increase in TSFT, severity of malnutrition (z score decreased by 10.3) decreased significantly [ z score = 7.47 – 10.31 (TSFT)]. Similarly, with each cm2 increase in MAMA, the severity of malnutrition decreased i.e., z score decreased by 0.52 which was statistically significant [ z score = 8.81 – 0.52 (MAMA)]Conclusion: The upper-arm composition can be a useful measure for the nutritional status assessment in SAM children. The MAMA is a valuable parameter that can be used to measure specifically the muscle-mass. The use of MAMA can improve the accuracy of assessment in oedematous SAM and hence seems to be a more appropriate tool in a health care setting