Predicted implications of using percentage weight gain as single discharge criterion in management of acute malnutrition in rural southern E thiopia
Bibliographic Data
| ID | 15535774 |
|---|---|
| Authors | Emmanuel Forsén (Charité - Universitätsmedizin Berlin, corresponding author), Elazar Tadesse (0000-0002-2030-5309, Uppsala University), Yemane Berhane (0000-0002-2527-1339, Addis Continental Institute of Public Health), Eva‐Charlotte Ekström (0000-0001-5464-7756, Uppsala University) |
| Year | 2013 |
| Volume | 11 |
| Issue | 4 |
| Pages | 962-972 |
| Publication date | 2013-08-14 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Maternal and Child Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1740-8695 • E-ISSN: 1740-8709 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/mcn.12076 |
| PMID | 23941395 |
| OpenAlex | W2140301615 |
| Language | EN |
| Citations received | 1 |
| References cited | 5 |
Mid-upper arm circumference (MUAC) is increasingly used in identifying and admitting children with acute malnutrition for treatment. It is easy to use because it does not involve height assessment, but its use calls for alternative discharge criteria. This study examined how use of percentage weight gain as discharge criterion would affect the nutritional status of children admitted into a community-based management programme for acute malnutrition in rural southern Ethiopia. Non-oedematous children (n = 631) aged 6-59 months and having a MUAC of <125 mm were studied. By simulation, 10%, 15% and 20% weight was added to admission weight and their nutritional status by weight-for-height z-score (WHZ) was determined at each target. Moderate and severe wasting according to World Health Organization WHZ definitions was used as outcome. Applying the most commonly recommended target of 15% weight gain resulted in 9% of children with admission MUAC <115 mm still being moderately or severely wasted at theoretical discharge. In children with admission MUAC 115-124 mm, 10% of weight gain was sufficient to generate a similar result. Children failing to recover were the ones with the poorest nutritional status at admission. Increasing the percentage weight gain targets in the two groups to 20% and 15%, respectively, would largely resolve wasting but likely lead to increased programme costs by keeping already recovered children in the programme. Further research is needed on appropriate discharge procedures in programmes using MUAC for screening and admission
Body weight · Environmental health · Malnutrition · Weight gain · Child Nutrition and Water Access · Medicine · Poverty, Education, and Child Welfare · Gerontology · Internal Medicine · Pediatrics
Management of severe acute malnutrition in children
Maternal and child undernutrition
Mid‐upper arm circumference and weight‐for‐height to identify high‐risk malnourished under‐five children
Target weight gain for moderately wasted children during supplementation interventions – a population-based approach
The effect of body shape on weight-for-height and mid-upper arm circumference based case definitions of acute malnutrition in Ethiopian children
| Citations per year | 0.11 |
|---|---|
| Citation span | 2017 - 2017 (1) |
| Highly cited | No |