Mid-upper Arm Circumference as an Indicator of Undernutrition Among Old Age Home and Community Based Elderly in Punjab, India
Year: 2019
Type: article
Study design: Observational Study
Abstract: Objective: To use mid upper arm circumference (MUAC) as a proxy measure of undernutrition in elderly males of Punjab, India.Design and measurements: Male participants in old age homes (n=215) and community based (n=239) were measured for standing height, weight and mid upper arm circumference (MUAC) during … from different areas of Punjab.Chronic energy deficiency (CED) was determined using the WHO international guidelines as BMI<18.5 kg/m 2 and normal as BMI≥18.5 kg/m 2 .Descriptive statistics and percentiles were calculated and multiple linear regression analysis was undertaken to assess the associations between age, MUAC and BMI.Receiver-operating characteristic curve (ROC) analysis was performed to determine the best MUAC cut-off values to identify CED status.The χ2 test was used to assess significance of the difference in CED prevalence across MUAC categories.Setting: Old age homes and selected community based elderly of Punjab State, India.Participants: Elderly males in old age homes (n=215) and community based (n=239) were chosen after obtaining the informed consent.Results: MUAC cut-off value of 22.9 cm among the elderly in old age home and 23.4 cm among the community based elderly were the best cut-off points to differentiate between CED and non-CED individuals.Conclusions: The present study proposes the MUAC of 23.5 cm to differentiate between CED and non-CED male elderly individuals.There is a greater need to establish statistically appropriate MUAC cutoff values to predict undernutrition and morbidity in elderly across different ethnic groups.
Source: Care weekly
DOI: 10.14283/cw.2019.5
Institutions: Desh Bhagat University, Punjabi University, Vidyasagar University
Language: English
Subfield: Physiology (medical)
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4288934025