Mid-arm circumference and mid-arm/head circumference ratios: Standard curves for anthropometric assessment of neonatal nutritional status

Sharon R. Sasanow, Michael K. Georgieff, Gilberto R. Pereira

Research output: Contribution to journalArticlepeer-review

78 Scopus citations

Abstract

Two hundred four neonates, 25 to 42 weeks estimated gestational age (EGA), were measured on day 2 or 3 of life for upper mid-arm circumference (MAC) and head circumference. Regression analysis was used to construct standard curves for MAC versus EGA and mid-arm circumference/head circumference ratio (MAC/HC) versus EGA. Correlation coefficients were 0.93 for MAC versus EGA, and 0.84 for MAC/HC versus EGA. MAC, MAC/HC, and head circumference were also highly correlated with birth weight. These measurements may more accurately assess intrauterine growth and body proportionality at birth than weight, length, and head circumference.

Original languageEnglish (US)
Pages (from-to)311-315
Number of pages5
JournalThe Journal of pediatrics
Volume109
Issue number2
DOIs
StatePublished - Aug 1986

Bibliographical note

Funding Information:
Upper mid-arm circumference and upper mid-arm circumference/head circumference ratio reference values have been developed for infants older than 3 months of age t-3 and for children. 4 Kanawati and McLaren 3 demonstrated that these measurements are indicative of protein-calorie nutritional status. Lack of normative data has precluded the use of either MAC measurements or the MAC/HC ratio in prematurely born infants. The potential usefulness of these measurements in premature and full-term infants is twofold: (1) identification of infants affected by aberrant Presented in part at the Annual Meeting of the American College of Nutrition, September 19, 1983. Supported in part by a grant from the Commonwealth of Pennsylvania Department of Health. Submitted for publication Nov. 26, 1984; accepted March 27, 1986. Reprint requests: Sharon R. Sasanow, M.A., R.D., Division of Gastroenterology and Nutrition, The Children's Hospital of Philadelphia, 34th Street & Civic Center Blvd., Philadelphia, PA 19104. *Formerly Sharon R. Moskowitz.

Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.

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