dc.contributor.author | Briend, André | |
dc.contributor.author | Myatt, Mark | |
dc.contributor.author | Berkley, James A | |
dc.contributor.author | Black, Robert E | |
dc.contributor.author | Boyd, Erin | |
dc.contributor.author | Garenne, Michel | |
dc.contributor.author | Lelijveld, Natasha | |
dc.contributor.author | Isanaka, Sheila | |
dc.contributor.author | McDonald, Christine M | |
dc.contributor.author | Mwangwome, Martha | |
dc.contributor.author | O'Brien, Kieran S | |
dc.contributor.author | Schwinger, Catherine | |
dc.contributor.author | Stobaugh, Heather | |
dc.contributor.author | Taneja, Sunita | |
dc.contributor.author | West, Keith P | |
dc.contributor.author | Khara, Tanya | |
dc.date.accessioned | 2024-08-05T08:11:04Z | |
dc.date.available | 2024-08-05T08:11:04Z | |
dc.date.created | 2023-06-01T14:36:42Z | |
dc.date.issued | 2023 | |
dc.identifier.issn | 1368-9800 | |
dc.identifier.uri | https://hdl.handle.net/11250/3144358 | |
dc.description.abstract | Objective:
To compare the prognostic value of mid-upper arm circumference (MUAC), weight-for-height Z-score (WHZ) and weight-for-age Z-score (WAZ) for predicting death over periods of 1, 3 and 6 months follow-up in children.
Design:
Pooled analysis of twelve prospective studies examining survival after anthropometric assessment. Sensitivity and false-positive ratios to predict death within 1, 3 and 6 months were compared for three individual anthropometric indices and their combinations.
Setting:
Community-based, prospective studies from twelve countries in Africa and Asia.
Participants:
Children aged 6–59 months living in the study areas.
Results:
For all anthropometric indices, the receiver operating characteristic curves were higher for shorter than for longer durations of follow-up. Sensitivity was higher for death with 1-month follow-up compared with 6 months by 49 % (95 % CI (30, 69)) for MUAC < 115 mm (P < 0·001), 48 % (95 % CI (9·4, 87)) for WHZ < -3 (P < 0·01) and 28 % (95 % CI (7·6, 42)) for WAZ < -3 (P < 0·005). This was accompanied by an increase in false positives of only 3 % or less. For all durations of follow-up, WAZ < -3 identified more children who died and were not identified by WHZ < -3 or by MUAC < 115 mm, 120 mm or 125 mm, but the use of WAZ < -3 led to an increased false-positive ratio up to 16·4 % (95 % CI (12·0, 20·9)) compared with 3·5 % (95 % CI (0·4, 6·5)) for MUAC < 115 mm alone.
Conclusions:
Frequent anthropometric measurements significantly improve the identification of malnourished children with a high risk of death without markedly increasing false positives. Combining two indices increases sensitivity but also increases false positives among children meeting case definitions. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Cambridge University Press | en_US |
dc.rights | Navngivelse-Ikkekommersiell-DelPåSammeVilkår 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/deed.no | * |
dc.title | Prognostic value of different anthropometric indices over different measurement intervals to predict mortality in 6-59-month-old children | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2023 The Author(s) | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1017/S1368980023000149 | |
dc.identifier.cristin | 2150905 | |
dc.source.journal | Public Health Nutrition (PHN) | en_US |
dc.source.pagenumber | 1210–1221 | en_US |
dc.relation.project | Norges forskningsråd: 223269 | en_US |
dc.identifier.citation | Public Health Nutrition (PHN). 2023, 26 (6), 1210–1221. | en_US |
dc.source.volume | 26 | en_US |
dc.source.issue | 6 | en_US |