Could mid-upper arm circumference be a valid proxy to the body mass index for elderly persons?

dc.contributor.authorGoswami, Anil Kumaren_US
dc.contributor.authorSathiyamoorthy, Ramadassen_US
dc.contributor.authorMani, Kalaivanien_US
dc.contributor.authorKant, Shashien_US
dc.contributor.authorGupta, Sanjeev Kumaren_US
dc.date.accessioned2023-08-09T06:10:28Z
dc.date.available2023-08-09T06:10:28Z
dc.date.issued2022-12
dc.description.abstractIntroduction: In elderly persons, due to physiological, anatomical, and functional changes, body mass index (BMI) may not be suitable for the assessment of nutritional status. Mid-upper arm circumference (MUAC) can be a proxy indicator to identify underweight and overweight/obesity among elderly persons. This study aimed to estimate the correlation between MUAC and BMI, and the cutoffs for MUAC using receiver operating characteristic (ROC) analysis. Material and Methods: This survey was carried out in a resettlement colony of Delhi. The participants were residents of the area who were aged 60 years or older, and selected by a simple random sampling technique. The arm span, weight, and MUAC of the participants were measured. The correlation between MUAC and BMI for gender and age group was calculated. The ROC curve was also constructed. Results: A total of 946 eligible participants were enrolled. The correlation between MUAC and BMI was 0.67 (P < 0.001) and 0.76 (P < 0.001) among men and women, respectively. The MUAC cutoff for underweight was <25 cm with a sensitivity of 68.8% and specificity of 84.9%. The area under the curve (AUC) was 0.84 (0.80–0.88). The MUAC cutoff for overweight/obesity was ?27 cm with a sensitivity of 83.9% and specificity of 64.9%, and AUC was 0.78 (0.75–0.82). Conclusion: The MUAC of the participants increased as the BMI of the participants increased. MUAC cutoff was determined using the ROC curve for underweight and overweight/obesity among elderly persons.en_US
dc.identifier.affiliationsCentre for Community Medicine, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.citationGoswami Anil Kumar, Sathiyamoorthy Ramadass, Mani Kalaivani, Kant Shashi, Gupta Sanjeev Kumar. Could mid-upper arm circumference be a valid proxy to the body mass index for elderly persons?. Indian Journal of Community & Family Medicine. 2022 Dec; 8(2): 143-147en_US
dc.identifier.issn2395-2113
dc.identifier.issn2666-3120
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/221879
dc.languageenen_US
dc.publisherWolters Kluwer-Medknow Publicationsen_US
dc.relation.issuenumber2en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.4103/ijcfm.ijcfm_23_22en_US
dc.subjectBody mass indexen_US
dc.subjectelderly personsen_US
dc.subjectmid-upper arm circumferenceen_US
dc.subjectnutritional assessmenten_US
dc.titleCould mid-upper arm circumference be a valid proxy to the body mass index for elderly persons?en_US
dc.typeJournal Articleen_US
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