McDowell I, King F S
Arch Dis Child. 1982 Apr;57(4):292-6. doi: 10.1136/adc.57.4.292.
Data from a longitudinal study of 1342 Zambian children aged between 0 and 60 months are used to derive reference standards for mid-upper arm circumference. To determine the sensitivity, specificity, and predictive value of the arm circumference measurement as an indicator of nutritional status, associations between arm circumference and other anthropometric and clinical indicators of nutritional status are presented. Although none of the anthropometric indices accurately reflects the clinical judgement of nutritional status, arm circumference is shown to be similar in accuracy to weight for age and to weight for length as an indicator of clinical malnutrition; it provides a viable alternative to these more cumbersome measurements for use in field surveys.
对1342名年龄在0至60个月之间的赞比亚儿童进行纵向研究所得数据，被用于得出上臂中部周长的参考标准。为了确定作为营养状况指标的上臂周长测量的敏感性、特异性和预测价值，本文呈现了上臂周长与其他营养状况人体测量和临床指标之间的关联。尽管没有任何人体测量指数能准确反映营养状况的临床判断，但上臂周长作为临床营养不良指标，在准确性上与年龄别体重和身长别体重相似；它为实地调查中使用这些更为繁琐的测量方法提供了可行的替代方案。
