Department of Public Health, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.
Department of Nutrition and Dietetics, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
J Nutr Sci. 2022 Nov 10;11:e101. doi: 10.1017/jns.2022.98. eCollection 2022.
Mid-upper arm circumference (MUAC) is simple to use and inexpensive in Ethiopia; both MUAC and target weight are employed, although the time to cure for MUAC is not indicated. The present study is aimed to determine cure time of MUAC for children in outpatient therapeutic program. A prospective cohort study was conducted among 414 severe acute malnourished under-five children admitted to selected health twenty-two posts from 1 February to 30 July 2021, in Oromia, Ethiopia. Data were coded, entered to Ep-data version 4.2 software, and transferred to SPSS for windows version 25 software for analysis. The Multivariate Cox Proportional Hazards model was used to fit independent determinants of time to cure. All tests were two-sided and statistical implications at -values < 0⋅05. In the present study, the minimum week for a cure was 4 weeks, the maximum was 16 weeks and the overall time to cure severe acute malnutrition as measured by MUAC is judged to be 10 at 95 % CI (9⋅65-10⋅35). Families with six or more members are 2⋅16 times more at risk, children from homes with the lowest wealth index are at 1⋅4 times more risk, and children from food insecure families were 2⋅61 times more likely to require long-term treatment for MUAC. In the present study, the time to cure severe acute malnutrition by MUAC is determined as 10 weeks. Moreover, family size, low wealth index, and household food insecurity were risks to delay in cure time MUAC.
上臂中部周长(MUAC)在埃塞俄比亚使用简单且价格低廉;MUAC 和目标体重都被采用,尽管 MUAC 的治愈时间没有显示。本研究旨在确定门诊治疗方案中 MUAC 治疗儿童的治愈时间。一项前瞻性队列研究在埃塞俄比亚奥罗米亚的 22 个选定卫生岗位对 414 名 5 岁以下严重急性营养不良儿童进行,研究时间为 2021 年 2 月 1 日至 7 月 30 日。数据进行编码、输入 Ep-data 版本 4.2 软件,并转移到 SPSS for windows 版本 25 软件进行分析。使用多变量 Cox 比例风险模型来确定治愈时间的独立决定因素。所有检验均为双侧检验,具有统计学意义的 P 值 < 0.05。在本研究中,治愈的最短时间为 4 周,最长时间为 16 周,通过 MUAC 测量严重急性营养不良的整体治愈时间被判断为 10 周,95%CI(9.65-10.35)。有 6 个或更多成员的家庭患病风险高 2.16 倍,来自财富指数最低家庭的儿童患病风险高 1.4 倍,来自粮食不安全家庭的儿童需要长期接受 MUAC 治疗的可能性高 2.61 倍。在本研究中,MUAC 治愈严重急性营养不良的时间被确定为 10 周。此外,家庭规模、低财富指数和家庭粮食不安全是 MUAC 治愈时间延迟的风险因素。