Tesis

The Optimal Cut-off of Mid-Upper-Arm Circumference in Screening Wasting Children Aged 6-59 Months in Remote Area in Vietnam = Ambang Batas Optimal Ukuran Lingkar-Lengan-Atas (LILA) pada Screening Anak Kurus Usia 6-59 Bulan di Daerah Terpencil Vietnam.

Acute malnutrition remains extreme risk of mortality among children under five. Vietnam needs further study to establish the optimal Mid-Upper-Arm Circumference (MUAC) cutoff to improve the accuracy of MUAC indicator in screening wasting children aged 6-59 months. A survey was conducted at all 16 sub-districts across four provinces in Northern midlands and mountainous area. The data of 4764 children showed that the optimal MUAC cut-off 13.5 cm would allow inclusion of 65% of children with a Weight-forHeight z-score (WHZ) less than -3SD. MUAC less than 13.5 cm should be considered to measure in parallel an in addition to WHZ less than -3SD .
Keywords: optimal MUAC cut-off, severe acute malnutrition children, midupper-arm circumference, wasting children



Malnutrisi akut merupakan risiko tinggi kematian pada anak usia dibawah lima tahun. Vietnam memerlukan penelitian lebih lanjut untuk menentukan ambang batas optimal ukuran Lingkar-Lengan-Atas (LILA) guna meningkatkan akurasi indikator LILA pada screening anak kurus usia 6-59 bulan. Survei telah dilakukan di 16 kecamatan pada empat provinsi Midlands Utara dan daerah pegunungan. Data dari 4764 subjek anak menunjukkan bahwa ambang batas LILA optimal adalah 13,5 cm. Hal ini memungkinkan masuknya 65% anak-anak dengan skor-Z berat-untuk-tinggi ( WHZ) kurang dari -3SD. LILA kurang dari 13,5 cm perlu dipertimbangkan untuk menentukan anak kurus selain ukuran berat-untuk-tinggi ( WHZ) kurang dari -3SD.
Kata Kunci: malnutrisi, Lingkar-Lengan-Atas,anak kurus usia 6-59 bulan