Monitoring nutritional status accurately and reliably in children with anorexia nervosa

Martin, Andrew C., Pascoe, Elaine M. and Forbes, David A. (2009) Monitoring nutritional status accurately and reliably in children with anorexia nervosa. Journal of Paediatrics and Child Health, 45 1-2: 53-57. doi:10.1111/j.1440-1754.2008.01427.x

Author Martin, Andrew C.
Pascoe, Elaine M.
Forbes, David A.
Title Monitoring nutritional status accurately and reliably in children with anorexia nervosa
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1034-4810
Publication date 2009-01
Sub-type Article (original research)
DOI 10.1111/j.1440-1754.2008.01427.x
Volume 45
Issue 1-2
Start page 53
End page 57
Total pages 5
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Aim: Accurate assessment of nutritional status is a vital aspect of caring for individuals with anorexia nervosa (AN) and body mass index (BMI) is considered an appropriate and easy to use tool. Because of the intense fear of weight gain, some individuals may attempt to mislead the physician. Mid-upper arm circumference (MUAC) is a simple, objective method of assessing nutritional status. The setting is an eating disorders clinic in a tertiary paediatric hospital in Western Australia. The aim of this study is to evaluate how well MUAC correlates with BMI in adolescents with AN.
Methods: Prospective observational study to evaluate nutritional status in adolescents with AN.
Results: Fifty-five adolescents aged 12–17 years with AN were assessed between January 1, 2004 and January 1, 2006. MUAC was highly correlated with BMI (r = 0.79, P < 0.001) and individuals with MUAC ≥20 cm rarely required hospitalisation (negative predictive value 93%).
Conclusions: MUAC reflects nutritional status as defined by BMI in adolescents with AN. Lack of consistency between longitudinal measurements of BMI and MUAC should be viewed suspiciously and prompt a more detailed nutritional assessment.
Keyword Adolescent
Anorexia nervosa
Mid-upper arm circumference
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 26 Jun 2012, 16:56:26 EST by Elaine Pascoe on behalf of Medicine - Princess Alexandra Hospital