Anthropometric criteria for best-identifying children at high risk of mortality: a pooled analysis of twelve cohorts.
Anthropometry
Mid-upper arm circumference
Mortality
Stunting
Therapeutic feeding
Underweight
Wasting
Journal
Public health nutrition
ISSN: 1475-2727
Titre abrégé: Public Health Nutr
Pays: England
ID NLM: 9808463
Informations de publication
Date de publication:
03 Feb 2023
03 Feb 2023
Historique:
pubmed:
4
2
2023
medline:
4
2
2023
entrez:
3
2
2023
Statut:
aheadofprint
Résumé
To understand which anthropometric diagnostic criteria best discriminate higher from lower risk of death in children and explore programme implications. A multiple cohort individual data meta-analysis of mortality risk (within 6 months of measurement) by anthropometric case definitions. Sensitivity, specificity, informedness and inclusivity in predicting mortality, face validity and compatibility with current standards and practice were assessed and operational consequences were modelled. Community-based cohort studies in twelve low-income countries between 1977 and 2013 in settings where treatment of wasting was not widespread. Children aged 6 to 59 months. Of the twelve anthropometric case definitions examined, four (weight-for-age A combined case definition detects nearly all deaths associated with severe anthropometric deficits suggesting that therapeutic feeding programmes may achieve higher impact (prevent mortality and improve coverage) by using it. There remain operational questions to examine further before wide-scale adoption can be recommended.
Identifiants
pubmed: 36734049
pii: S136898002300023X
doi: 10.1017/S136898002300023X
pmc: PMC10131149
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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