WHO recommends 11.5 cm as a cut-off point of Mid-Upper Arm Circumference (MUAC) to detect and/or diagnose severe acute malnutrition (SAM) in under-five. MUAC is practical and useful, especially in area with limited facilities which has no standardized scale and infantometer. However, several studies showed that this cut-off need to be evaluated as it has modest detection rate for SAM. This study aims to evaluate diagnostic value of MUAC with 11.5 cm cut-off compared to WHZ as gold standard to identify SAM. The sensitivity, specificity, positive and negative predictive value of MUAC with 11.5 cm as a standard cut-off will be evaluated. This study also aim to find new cut-off value that may offer better diagnostic performance. The main research questions were: What is the diagnostic accuracy of Mid-Upper Arm Circumference (MUAC) compared to the Weight for Height Z Score (WHZ) in identifying SAM in children, and what is the optimal MUAC cut-off value for enhanced diagnostic performance?
Study Type
OBSERVATIONAL
Enrollment
421
Mid-upper arm circumference was taken using non-stretchable band SECA 202
Puskesmas Cengkareng
Jakarta, DKI Jakarta, Indonesia
RSUPN Dr Cipto Mangunkusumo
Jakarta Pusat, DKI Jakarta, Indonesia
Diagnostic value of MUAC in diagnosing SAM compare to WHZ-index
To evaluate sensitivity, specificity, positive and negative predictive value of MUAC
Time frame: 2 months
Finding new cut off value that offer better diagnostic performance using ROC
To compare sensitivity, specificity, positive and negative predictive value of MUAC with 11.5 cm as standard cut off and to new cut-off value that may offer better diagnostic performance
Time frame: 2 months
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