Management of severe acute malnutrition in children

Collins, Steve; Dent, Nicky; Binns, Paul; Bahwere, Paluku; Sadler, Kate; Hallam, Alistair

doi:10.1016/s0140-6736(06)69443-9

Cited by 398 publications

(391 citation statements)

References 62 publications

Supporting

Mentioning

369

Contrasting

Unclassified

Order By: Relevance

“…Studies in similar settings have also shown that use of MUAC has improved the ability of front-line health workers to screen and assess for acute malnutrition among children for community-based management of acute malnutrition services 2-4 . Studies comparing diagnostic accuracy established that MUAC correlates well with BMI in adult populations [5][6][7][8][9][10] .…”

Section: Dear Editormentioning

confidence: 99%

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India

Sethi

Parhi

Dar

et al. 2017

RRH

View full text Add to dashboard Cite

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India Rural and Remote Health 17: 4221. (Online) 2017 Available: http://www.rrh.org.au Dear EditorLack of a single, universally accepted, and widely accessible approach to diagnosing and documenting adult malnutrition has impeded accurate estimations of human and financial burdens associated with prevention and treatment of malnutrition 1 . In January 2016 we tested the feasibility of armband mid-upper arm circumference (MUAC)<23 cm as a simple screening tool for maternal nutritional status and its diagnostic accuracy during a monthly village health and nutrition day in Bihar state, India. Using standard methods, weight, height and MUAC measurements were taken for 99 adolescent and adult women by trained health workers. Measurement time for armband MUAC, MUAC by non-stretchable tape and height by a stadiometer were compared. MUAC diagnostic accuracy was tested against body mass index (BMI)<18.5 kg/m 2 as the gold standard. A total of 82.5% of participants had a BMI of less than 18.5 kg/m 2 with the mean BMI of the sample population being 16.37 kg/m 2 and the mean age 20.5±5 years. The result shows that the proportions of women with MUAC<23 cm and MUAC<21 cm were 29% and 69%, respectively. MUAC<23 cm in women (area under curve=0.75) had the highest Youden's index (0.64), which corresponds to BMI<18.5 kg/m 2 . A strong significant power of association (r) between MUAC and BMI<18.5 kg/m 2 was found in adolescent girls (r=0.64; p<0.0001), but only a slightly moderate association for adult women (r=0.47; p=0.005). Taking the MUAC cut-off, 49% adult women were found to be under-nourished compared to 51% using the BMI underweight cut-off. Similarly, 81% of adolescent girls were found to be under-nourished taking the MUAC

show abstract

Section: Dear Editormentioning

confidence: 99%

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India

Sethi

Parhi

Dar

et al. 2017

RRH

View full text Add to dashboard Cite

show abstract

“…A topical systematic review by Schoonees, Lombard, Musekiwa, Nel, and Volmink (2013) did not find variances in clinical outcomes between SAM children treated using home-based RUTF and standard diet, concluding that either RUTF or flour porridge can be used depending on availability, affordability and practicality. According to Collins et al (2006), basic ingredients for RUTF production are; a staple food preferably a cereal, a protein source; plant or animal based, vitamin and mineral mix and an energy enhancer to increase energy density. Thus, with locally available foods, communities have the capabilities to produce their own RUTF.…”

mentioning

confidence: 99%

Nutrient and Anti-nutrient Profile of a Local Formula from Sorghum, Peanut, Honey and Ghee (Metu2) for Treatment of Severe Acute Malnutrition

Andrew¹,

Yiga²,

Kuorwel³

et al. 2018

JFR

View full text Add to dashboard Cite

World over, we are still struggling with persistent acute malnutrition levels; an estimated 17 million preschool children suffer from SAM, roughly the same figures as reported in 2013, a trend depicting insufficient progress towards the 2025 World Health Assembly. One such affected area is Karamoja Region in North Eastern Uganda. Partly, the trend could be attributed to unsustainable interventions like RUTF. Formulas from locally available foods could provide not only an affordable but also a culturally acceptable and effective home based solution. Locally available sorghum, peanut, honey and ghee in North Eastern Uganda, is such a potential local formula. The nutritional and anti-nutritional profile of this local formula(metu2) was compared to plumpy-nut. Standard official analytical methods were used. Proximate composition was comparable and within the WHO recommendations for therapeutic formulas. Local formula(metu2) had a comparatively high energy content, 528kcal/100g to 509kcal in plumpynut. Vitamin A and K contents were below the WHO recommendations in local formula while Na, Mg and essential fatty acids were comparable and within the contents needed for SAM recovery. Zn was comparatively higher in plumpy-nut but levels in both formulas were below the recommendations. Trypsin inhibitors, phytates and condensed tannins were higher in local formula while aflatoxins were within the limits but not for plumpynut. Though lacking in critical K, Zn and Vitamin A, local formula(metu2) was comparable to plumpy-nut and its efficacy to sustain recovery from SAM needs to be studied.

show abstract

“…The children will experience the biggest impact caused by the infection such as iron deficiency, anemia, diarrhea, malabsorption, malnutrition, intestinal obstruction, inhibition of cognitive development and immunologic response to bacterial, viral, and protozoal infection. The community which does not apply clean and healthy lifestyle may have an influence on the high prevalence of intestinal parasitic infection [1,4,5,6,7,8]. This study aimed to explore the impact of nutrition, helminth infection, and lifestyle on elementary school students' achievement.…”

mentioning

confidence: 99%

The Impact of Nutrition, Helminth Infection, and Lifestyle on Elementary School Student’s Achievement

Buntoro

Deo

Woda

2017

JTLS

View full text Add to dashboard Cite

There is a lot of helminth infections and malnutrition cases in Indonesia. Some of the effects of helminth infection are anemia, diarrhea, malnutrition, intestinal obstruction, growth and developmental disorder, and also cognitive impairment. This study aimed to explore the impact of nutrition, helminth infection, and lifestyle on elementary school students' achievement. An observational analytical study with the cross-sectional design was used. The study was participated by 65 elementary school students grade 3, 4, and 5. The study was conducted in Pasir Panjang Elementary School, Kupang, Nusa Tenggara Timur, Indonesia. The data was analyzed using chi-square. There were 7 students (10.77%) having helminth infections:4 students (57.1%) had Ascarislumbricoides infection, 2 students (28.6%) had Enterobius vermicularis infection, and 1 student (14.3%) had Strongyloides stercoralis infection. There were no differences found on students' achievement between students with normal and low nutritional state (p = 0.917; p > 0.05) and between different lifestyle habit (p = 0.768; p > 0.05). However, a significant difference in students' achievement was found between students with and without helminth infection (p = 0.036; p < 0.05). Helminth infection had a significant impact on elementary school students' achievement, but no significant impact found for differences in nutritional state and lifestyle habit.

show abstract

Management of severe acute malnutrition in children

Cited by 398 publications

References 62 publications

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India

Nutrient and Anti-nutrient Profile of a Local Formula from Sorghum, Peanut, Honey and Ghee (Metu2) for Treatment of Severe Acute Malnutrition

The Impact of Nutrition, Helminth Infection, and Lifestyle on Elementary School Student’s Achievement

Contact Info

Product

Resources

About