Utility of Mid‐Upper Arm Circumference in Diagnosing Malnutrition in Children With Cystic Fibrosis Article Swipe
Rachel Y. Phong
,
Sandra L. Taylor
,
Brandt A. Robinson
,
Sanjay Jhawar
,
Kiran Nandalike
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/ncp.10593
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/ncp.10593
Background Standardized diagnostic indicators for malnutrition using growth percentile z‐ scores (weight for length or body mass index [BMI]) and mid‐upper arm circumference (MUAC) z‐ scores are being used in clinical practice; however, their application to the pediatric cystic fibrosis (CF) population is not well described. In this study, we aim to compare growth percentile z‐ scores and MUAC z ‐scores in diagnosing and classifying malnutrition in children with CF and assess the relationship between their degree of malnourishment and corresponding pulmonary function tests (PFTs). Methods In this retrospective observational outpatient study of 49 pediatric CF patients, data were collected on baseline characteristics, anthropometrics, and PFTs over 12 months. Agreement in malnutrition diagnoses was quantified by Cohen κ statistics. Pearson test assessed the correlation between MUAC and BMI z ‐scores as well as PFTs and anthropometrics. Serial anthropometrics and PFTs were obtained and compared for a subset of patients (n = 28). Results Growth percentile and MUAC z‐ scores were positively correlated in diagnosing malnutrition (Pearson correlation r = 0.87), but MUAC z ‐scores identified more patients as malnourished compared with growth percentile z ‐scores (49% vs 12%, Cohen κ of 0.22 [95% CI, 0.04–0.40]). There was no significant relationship between anthropometrics and PFTs. MUAC z ‐scores increased significantly over time, but BMI z ‐scores did not show this trend. Conclusions Our small‐scale data suggest a promising role for MUAC z ‐scores in classifying malnutrition and in measuring changes in nutrition status over time in pediatric CF.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ncp.10593
- OA Status
- green
- Cited By
- 23
- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W3093232617
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3093232617Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/ncp.10593Digital Object Identifier
- Title
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Utility of Mid‐Upper Arm Circumference in Diagnosing Malnutrition in Children With Cystic FibrosisWork title
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-10-19Full publication date if available
- Authors
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Rachel Y. Phong, Sandra L. Taylor, Brandt A. Robinson, Sanjay Jhawar, Kiran NandalikeList of authors in order
- Landing page
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https://doi.org/10.1002/ncp.10593Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/7688066Direct OA link when available
- Concepts
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Medicine, Anthropometry, Malnutrition, Percentile, Body mass index, Standard score, Pediatrics, Growth chart, Cystic fibrosis, Weight for Age, Malnutrition in children, Internal medicine, Statistics, MathematicsTop concepts (fields/topics) attached by OpenAlex
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23Total citation count in OpenAlex
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2025: 3, 2024: 6, 2023: 8, 2022: 4, 2021: 1Per-year citation counts (last 5 years)
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28Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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