PMID- 29982172
OWN - NLM
STAT- MEDLINE
DCOM- 20191125
LR  - 20191125
IS  - 1468-2044 (Electronic)
IS  - 0003-9888 (Linking)
VI  - 104
IP  - 2
DP  - 2019 Feb
TI  - Is mid-upper arm circumference in Dutch children useful in identifying obesity?
PG  - 159-165
LID - 10.1136/archdischild-2017-313528 [doi]
AB  - BACKGROUND: Mid-upper arm circumference (MUAC) is suggested as being a valid 
      measure in detecting overweight/obesity in children and adolescents, due to the 
      strong relation with weight. We examined this relation and compared MUAC to body 
      mass index (BMI) according to the International Obesity Task Force (IOTF) in 
      children. METHODS: Anthropometric data including MUAC were collected in 2009 by 
      trained healthcare professionals in the context of the fifth Dutch Nationwide 
      Growth Study, in a sample of 6167 children (2891 boys and 3276 girls) aged 2-18 
      years of Dutch origin. We propose MUAC SDS cut-off values for overweight and 
      obesity, and compared MUAC with BMI IOTF in sex-specific and age-specific 
      categories (2-5, 6-11, 12-18 years). RESULTS: The area under the curve is used as 
      a measure of diagnostic accuracy; the explained variance (R(2)) is good to 
      excellent (0.88-0.94). Sensitivity ranges from 51.8% to 95.3% and specificity 
      from 71.4% to 93.8%. Across age and gender groups, 65.1% to 89.0% participants 
      are classified by both MUAC and BMI as normal weight, overweight or obese. We 
      constructed three equations to predict weight using MUAC, with small differences 
      between observed and predicted weight with an explained variance ranging from 
      0.88 to 0.94. CONCLUSIONS: Compared with BMI, MUAC is a valid measure for 
      detecting overweight and obesity and thus a good alternative for BMI. When weight 
      has to be estimated, it can be accurately predicted using MUAC. Based on our 
      observations, we recommend developing diagrams with international (IOTF) cut-offs 
      for MUAC SDS similar to BMI.
CI  - (c) Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and 
      permissions. Published by BMJ.
FAU - Talma, Henk
AU  - Talma H
AD  - Department Public and Occupational Health, Amsterdam Public Health, Child Health 
      and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.
FAU - van Dommelen, Paula
AU  - van Dommelen P
AD  - Statistics, Netherlands Institute of Applied Sciences TNO, Leiden, The 
      Netherlands.
FAU - Schweizer, Joachim J
AU  - Schweizer JJ
AD  - Department of Paediatric Gastroenterology, Willem-Alexander Children's 
      Hospital/Leiden University Medical Centre, Leiden, The Netherlands.
FAU - Bakker, Boudewijn
AU  - Bakker B
AD  - Department of Pediatrics, Reinier de Graaf Gasthuis, Delft, The Netherlands.
FAU - Kist-van Holthe, Joana E
AU  - Kist-van Holthe JE
AD  - Department Public and Occupational Health, Amsterdam Public Health, Child Health 
      and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.
FAU - Chinapaw, J Mai M
AU  - Chinapaw JMM
AD  - Department Public and Occupational Health, Amsterdam Public Health, Child Health 
      and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.
FAU - Hirasing, Remy A
AU  - Hirasing RA
AD  - Department Public and Occupational Health, Amsterdam Public Health, Child Health 
      and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180707
PL  - England
TA  - Arch Dis Child
JT  - Archives of disease in childhood
JID - 0372434
SB  - IM
MH  - Adolescent
MH  - *Anthropometry
MH  - Arm/*anatomy & histology
MH  - Body Mass Index
MH  - Child
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Linear Models
MH  - Male
MH  - Netherlands
MH  - Overweight/*diagnosis
MH  - Pediatric Obesity/*diagnosis
MH  - Sensitivity and Specificity
OTO - NOTNLM
OT  - adolescent health
OT  - comm child health
OT  - epidemiology
OT  - health services research
OT  - obesity
COIS- Competing interests: None declared.
EDAT- 2018/07/10 06:00
MHDA- 2019/11/26 06:00
CRDT- 2018/07/09 06:00
PHST- 2017/06/08 00:00 [received]
PHST- 2018/05/15 00:00 [revised]
PHST- 2018/06/19 00:00 [accepted]
PHST- 2018/07/10 06:00 [pubmed]
PHST- 2019/11/26 06:00 [medline]
PHST- 2018/07/09 06:00 [entrez]
AID - archdischild-2017-313528 [pii]
AID - 10.1136/archdischild-2017-313528 [doi]
PST - ppublish
SO  - Arch Dis Child. 2019 Feb;104(2):159-165. doi: 10.1136/archdischild-2017-313528. 
      Epub 2018 Jul 7.