Association between admission criteria and body composition among young children with moderate acute malnutrition, a cross-sectional study from Burkina Faso.
MetadataShow full item record
AbstractChildren with moderate acute malnutrition (MAM) are treated based on low weight-for-length z-score (WLZ), low mid-upper arm circumference (MUAC) or both. This study aimed to assess associations of admission criteria and body composition (BC), to improve treatment of MAM. We undertook a cross-sectional study among 6-23 months old Burkinabe children with MAM. Fat-free (FFM) and fat mass (FM) were determined by deuterium dilution and expressed as FFM (FFMI) and FM index (FMI). Of 1,489 children, 439 (29.5%) were recruited by low MUAC only (MUAC-O), 734 (49.3%) by low WLZ and low MUAC (WLZ-MUAC) and 316 (21.2%) by low WLZ only (WLZ-O). Thus, 1,173 (78.8%) were recruited by low MUAC, with or without low WLZ (ALL-MUAC). After adjustments, WLZ-O had 89 g (95% confidence interval (CI) 5; 172) lower FFM compared to MUAC-O. Similarly, WLZ-O had 0.89 kg/m2 (95% CI 0.77; 1.01) lower FFMI compared to MUAC-O, whereas there was no difference for FMI. However, boys included by WLZ-O compared to MUAC-O had 0.21 kg/m2 (95% CI 0.05; 0.38) higher FMI. In contrast, girls included by WLZ-O had 0.17 (95% CI 0.01; 0.33) kg/m2 lower FMI compared to MUAC-O (interaction, p = 0.002). We found that different criteria for admission into MAM treatment programmes select children with differences in BC, especially FFMI.
- Midupper arm circumference and weight-for-length z scores have different associations with body composition: evidence from a cohort of Ethiopian infants.
- Authors: Grijalva-Eternod CS, Wells JC, Girma T, Kæstel P, Admassu B, Friis H, Andersen GS
- Issue date: 2015 Sep
- Stunting, wasting and breast-feeding as correlates of body composition in Cambodian children at 6 and 15 months of age.
- Authors: Skau JKH, Grenov B, Chamnan C, Chea M, Wieringa FT, Dijkhuizen MA, Ritz C, Wells JC, Berger J, Filteau S, Roos N, Michaelsen KF, Friis H
- Issue date: 2019 Mar
- Mortality and recovery following moderate and severe acute malnutrition in children aged 6-18 months in rural Jharkhand and Odisha, eastern India: A cohort study.
- Authors: Prost A, Nair N, Copas A, Pradhan H, Saville N, Tripathy P, Gope R, Rath S, Rath S, Skordis J, Bhattacharyya S, Costello A, Sachdev HS
- Issue date: 2019 Oct
- Effectiveness of food supplements in increasing fat-free tissue accretion in children with moderate acute malnutrition: A randomised 2 × 2 × 3 factorial trial in Burkina Faso.
- Authors: Fabiansen C, Yaméogo CW, Iuel-Brockdorf AS, Cichon B, Rytter MJH, Kurpad A, Wells JC, Ritz C, Ashorn P, Filteau S, Briend A, Shepherd S, Christensen VB, Michaelsen KF, Friis H
- Issue date: 2017 Sep
- Thymus size in children with moderate malnutrition: a cohort study from Burkina Faso.
- Authors: Rytter MJH, Cichon B, Fabiansen C, Yameogo CW, Windinmi SZ, Michaelsen KF, Filteau S, Jeppesen DL, Friis H, Briend A, Christensen VB
- Issue date: 2020 Jul 20