The use of mid upper arm circumference and skinfold thickness to assess underweight and obesity among cardiac patients

Jayawardena, Ranil; Punchihewa, Pavani; Chinthanie, Sathya; Lokunarangoda, Niroshan; Pathirana, Anidu Keerthi

doi:10.4038/sjdem.v7i2.7330

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…One study from South India in pregnant women between 14–36 weeks proposed MUAC cut-offs for obesity screening as 29.2 cm [ 23 ]. In a Srilankan study (consisting of cardiac patients) this was 28.8 cm in males and 26.7 cm in females [ 24 ]. An increase of one Standard Deviation (3.13 cm) of MUAC in a study in China indicated doubling of association with central obesity and positive association with HT, low HDL and subclinical atherosclerosis [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Mid-upper arm circumference and neck circumference to screen for overweight-obesity in young adults in South India

Kiran¹,

Harshitha²,

Bhargava³

2022

Heliyon

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Section: Discussionmentioning

confidence: 99%

Mid-upper arm circumference and neck circumference to screen for overweight-obesity in young adults in South India

Kiran¹,

Harshitha²,

Bhargava³

2022

Heliyon

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“…Furthermore, it is important to acknowledge that most studies exploring the predictive potential of skinfold thickness measurements for various health outcomes have predominantly focused on children and adolescents, rather than adult cohorts [17][18][19]. Moreover, among the studies involving adult populations, a significant proportion have employed cross-sectional designs as opposed to prospective investigations [20,23,24].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Performance of the Measurement of Skinfold Thickness for Abdominal and Overall Obesity in the Peruvian Population: A 5-Year Cohort Analysis

Rios-Escalante,

Albán-Fernández,

Espinoza-Rojas

et al. 2023

IJERPH

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The escalating prevalence of overall and abdominal obesity, particularly affecting Latin America, underscores the urgent need for accessible and cost-effective predictive methods to address the growing disease burden. This study assessed skinfold thicknesses’ predictive capacity for overall and abdominal obesity in Peruvian adults aged 30 or older over 5 years. Data from the PERU MIGRANT 5-year cohort study were analyzed, defining obesity using BMI and waist circumference. Receiver operating characteristic curves and area under the curve (AUC) with 95% confidence intervals (CI) were calculated. Adults aged ≥ 30 (n = 988) completed the study at baseline, with 47% male. A total of 682 participants were included for overall and abdominal obesity analysis. The 5-year prevalence values for overall and abdominal obesity were 26.7% and 26.6%, respectively. Subscapular skinfold (SS) best predicted overall obesity in men (AUC = 0.81, 95% CI: 0.75–0.88) and women (AUC = 0.77, 95% CI: 0.67–0.88). Regarding abdominal obesity, SS exhibited the highest AUC in men (AUC = 0.83, 95% CI: 0.77–0.89), while SS and the sum of trunk skinfolds showed the highest AUC in women. In secondary analysis excluding participants with type-2 diabetes mellitus (DM2) at baseline, SS significantly predicted DM2 development in men (AUC = 0.70, 95% CI: 0.58–0.83) and bicipital skinfold (BS) did in women (AUC = 0.73, 95% CI: 0.62–0.84). The findings highlight SS significance as an indicator of overall and abdominal obesity in both sexes among Peruvian adults. Additionally, SS, and BS offer robust predictive indicators for DM2.

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Mid-upper arm circumference in pregnant women and birth weight in newborns as substitute for skinfold thickness: findings from the MAASTHI cohort study, India

Babu

Das

Lobo

et al. 2021

BMC Pregnancy Childbirth

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Background Estimating total body fat in public hospitals using gold-standard measurements such as air displacement plethysmography (ADP), deuterium oxide dilution, or dual-energy X-ray absorptiometry (DXA) is unaffordable, and it is challenging to use skinfold thickness. We aimed to identify the appropriate substitute marker for skinfold thickness to estimate total body fat in pregnant women and infants. Methods The study is part of a prospective cohort study titled MAASTHI in Bengaluru, from 2016 to 19. Anthropometric measurements such as body weight, head circumference, mid-upper arm circumference (MUAC), and skinfold thickness were measured in pregnant women between 14 and 36 weeks of gestational age; while measurements such as birth weight, head, chest, waist, hip, mid-upper arm circumference, and skinfold thickness were recorded for newborns. We calculated Kappa statistics to assess agreement between these anthropometric markers with skinfold thickness. Results We found the highest amount of agreement between total skinfold thickness and MUAC (Kappa statistic, 0.42; 95 % CI 0.38–0.46) in pregnant women. For newborns, the highest agreement with total skinfold thickness was with birth weight (0.57; 95 % CI 0.52–0.60). Our results indicate that MUAC higher than 29.2 cm can serve as a suitable alternative to total skinfolds-based assessments for obesity screening in pregnancy in public facilities. Similarly, a birth weight cut-off of 3.45 kg can be considered for classifying obesity among newborns. Conclusion Mid-upper arm circumference and birth weight can be used as markers of skinfold thickness, reflecting total body fat in pregnant women and the infant, respectively. These two anthropometric measurements could substitute for skinfold thickness in low- and middle-income urban India settings.

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The use of mid upper arm circumference and skinfold thickness to assess underweight and obesity among cardiac patients

Cited by 3 publications

References 9 publications

Mid-upper arm circumference and neck circumference to screen for overweight-obesity in young adults in South India

Mid-upper arm circumference and neck circumference to screen for overweight-obesity in young adults in South India

Diagnostic Performance of the Measurement of Skinfold Thickness for Abdominal and Overall Obesity in the Peruvian Population: A 5-Year Cohort Analysis

Mid-upper arm circumference in pregnant women and birth weight in newborns as substitute for skinfold thickness: findings from the MAASTHI cohort study, India

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