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Title: | Utility of mid-upper arm circumference in pediatric malnutrition: An Australasian Society of Parenteral and Enteral Nutrition consensus statement using the Delphi method. | Authors: | Miles C. ;Fox J. ;Davis K.;Harris A.;Kwa C.;Little B.;Thomas A.;Zemrani B. | Monash Health Department(s): | Allied Health Infectious Diseases and Clinical Microbiology |
Institution: | (Miles, Fox, Zemrani) Australasian Society of Parenteral and Enteral Nutrition, Mornington, VIC, Australia (Miles, Thomas) Allied Health, Monash Children's Hospital, Clayton, VIC, Australia (Fox) Allied Health, Queensland Children's Hospital and Health Service, Herston, QLD, Australia (Davis) Infectious Diseases, Monash Children's Hospital, Clayton, VIC, Australia (Harris) Allied Health, Royal Children's Hospital, Melbourne, VIC, Australia (Kwa) General Paediatrics, Monash Children's Hospital, Clayton, VIC, Australia (Little) Allied Health, Starship Child Health, Auckland, New Zealand (Zemrani) Gastroenterology and Clinical Nutrition, Royal Children's Hospital, Parkville, VIC, Australia |
Issue Date: | 7-Oct-2024 | Copyright year: | 2024 | Publisher: | John Wiley and Sons Inc | Place of publication: | United States | Publication information: | Nutrition in Clinical Practice. (no pagination), 2024. Date of Publication: 2024. | Journal: | Nutrition in Clinical Practice | Abstract: | Background: Mid-upper arm circumference (MUAC) is a simple anthropometric tool used to screen for childhood undernutrition in humanitarian settings or low-income and middle-income countries. However, there is conflicting evidence and a lack of consensus with regard to its diagnostic use in clinical settings or population groups beyond this context. In 2023, a project officer was appointed by the Australasian Society of Parenteral and Enteral Nutrition (AuSPEN) to lead the development of a consensus review into the use of MUAC in the pediatric clinical setting. Method(s): An AuSPEN appointed multidisciplinary group of informed clinicians used the Delphi method to critically appraise the evidence and develop a series of consensus statements. Delphi surveys were anonymous and distributed electronically. Members were asked to rate their level of agreement with each consensus statement using a 5-point Likert scale. A priori definition of consensus was established as >=80% responses "agree" or "strongly agree.". Result(s): Three Delphi rounds were required to reach consensus. A total of 18 consensus statements, including rationale, were developed across the topics 'assessment and diagnosis', 'screening and monitoring' and 'clinical settings'. Conclusion(s): An evidence-based, region-specific consensus approach to the use of MUAC in pediatric malnutrition is a valuable tool for clinicians. MUAC is a straightforward, non-invasive and cost-effective tool, and may provide an advantage over traditional anthropometric tools in some clinical settings. There are limitations to the utility of MUAC and this consensus paper provides an empirical summary of advantages and limitations as they apply to the screening, assessment, diagnosis, and monitoring of pediatric malnutrition.Copyright © 2024 American Society for Parenteral and Enteral Nutrition. | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1002/ncp.11205 | PubMed URL: | 39351830 [https://www.ncbi.nlm.nih.gov/pubmed/?term=39351830] | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/52597 | Type: | Article | Subjects: | enteric feeding | Type of Clinical Study or Trial: | Review article (e.g. literature review, narrative review) |
Appears in Collections: | Articles |
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