Publication:
Mid-upper-arm circumference and arm-to-height ratio to identify obesity in school-age children

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Issued Date

2017

Resource Type

Article

File Type

application/pdf

ISSN

15394182

DOI

10.3121/cmr.2017.1365

Other identifier(s)

2-s2.0-85044071248

Rights Holder(s)

Scopus

Bibliographic Citation

Clinical Medicine and Research. Vol 15, No.44289 (2017), p.53-58

Suggested Citation

Rerksuppaphol S., Rerksuppaphol L. Mid-upper-arm circumference and arm-to-height ratio to identify obesity in school-age children. Clinical Medicine and Research. Vol 15, No.44289 (2017), p.53-58. doi:10.3121/cmr.2017.1365 Retrieved from: https://hdl.handle.net/20.500.14740/3979

Title

Mid-upper-arm circumference and arm-to-height ratio to identify obesity in school-age children

Author(s)

Rerksuppaphol S.
 Rerksuppaphol L.

Abstract

Background: In resource-poor settings, anthropometric parameters are evaluated as potential alternatives to the body mass index (BMI) for detecting overweight and obesity in children. To this end, the mid-upper-arm circumference (MUAC) and the mid-upper-arm circumference-to-height ratio (AHtR) were evaluated as proxies to BMI in Thai school-age children. Study design: An observational, cross-sectional study was performed on school-aged children. Participants: Children in grades 1 through 6 at all public elementary schools in the Ongkharak district, Nakhon Nayok, Thailand during May and June 2013 were included. This is a rural district with low per capita income. Methods: Weight, height, and MUAC were measured in school-age children and analyzed to identify optimal cut-off values for MUAC and AHtR for detection of overweight and obesity in comparison to BMI. Receiver operating characteristic (ROC) curve analysis determined the validity of MUAC and AHtR use. Results: Data from 3,618 children, aged 6.0–12.99 years, were analyzed. MUAC correlated with age and height (P < 0.001), but especially with body weight (r = 0.888 to 0.914) and BMI (r = 0.859 to 0.908) in both genders, while AHtR correlated with body weight and BMI (P < 0.001), but not with age. Cut-off values of MUAC for obesity diagnosis ranged from 18.9 to 25.5 cm for boys and from 19.8 to 25.4 cm for girls. Accuracy was excellent for both boys (AUC = 0.952–0.991) and girls (AUC = 0.917–0.990). Cut-off of MUAC for overweight diagnosis ranged from 17.2 to 22.4 cm for boys (AUC = 0.883–0.965) and from 18.0 to 23.2 cm for girls (AUC = 0.905–0.931). AHtR cut-off values for obesity and overweight diagnosis at 0.16 and 0.145, respectively, were determined with excellent diagnostic accuracy (AUC ranged from 0.920 to 0.975). Conclusion: MUAC and AHtR were reliable tools to detect overweight and obesity in Thai school-age children. Cut-off points for MUAC were age and gender specific, while AHtR at 0.16 and 0.145 were the optimal values for both genders, independent of age.These anthropometric measurements showed excellent accuracy in predicting overweight and obesity with high specificity and sensitivity. © 2017 Marshfield Clinic Health System.

Subject(s)

Age distribution
 Anthropometric parameters
 Arm circumference
 Arm to height ratio
 Article
 Body height
 Body mass
 Body weight
 Child
 Childhood obesity
 Correlation analysis
 Cross-sectional study
 Diagnostic accuracy
 Female
 Human
 Major clinical study
 Male
 Mid upper arm circumference
 Observational study
 Preschool child
 Primary school
 Receiver operating characteristic
 Reliability
 School child
 Sensitivity and specificity
 Sex difference
 Thailand
 Validity
 Anatomy and histology
 Anthropometry
 Area under the curve
 Arm
 Body height
 Body mass
 Body size
 Childhood obesity
 Obesity
 Anthropometry
 Area Under Curve
 Arm
 Body Height
 Body Mass Index
 Body Size
 Body Weight
 Child
 Cross-Sectional Studies
 Female
 Humans
 Male
 Overweight
 Pediatric Obesity
 Sensitivity and Specificity
 Thailand

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URI

https://hdl.handle.net/20.500.14740/3979

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Scopus: Year 1983-2021

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