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| Application of middle and upper arm circumference and triceps skinfold thickness in nutritional evaluation of children
with tumor |
| 1Huang Fan ，1Zheng Lan ，1Dong Qian ，2Cheng Shengbao |
| 1Department of Pediatrics Union East West Lake Hospital Wuhan 430048 Hubei China
2
The Second Department of Pediatrics
Huangpi District People's Hospital Wuhan 432200 Hubei China |
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Abstract Objective To explore the application value of mid-upper arm circumference MUAC and triceps skinfold thickness
TSFT in nutritional evaluation of children with tumor. Method From January 2020 to December 2021 162 children with tumor in
Department of Pediatrics Union East West Lake Hospital and The Second Department of Pediatrics Huangpi District People's Hospital
were selected as the research objects. According to the dual-energy X-ray absorption method the nutritional status of children was
evaluated and they were divided into malnutrition group and normal group according to their nutritional status. The levels of MUAC
TSFT body mass index albumin and prealbumin in all children were measured. Spearman correlation coefficient was used to analyze
the correlation between MUAC and TSFT levels and body mass index albumin level and prealbumin level. The value of MUAC and
TSFT levels in diagnosis of malnutrition in children with tumor alone and jointly was analyzed and compared and the diagnostic value
was expressed by Kappa value. Result The levels of MUAC TSFT BMI albumin and prealbumin in children with tumor were lower
than the reference values. Spearman analysis showed that MUAC and TSFT had correlation with body mass index albumin and
prealbumin P< 0. 05 . moreover MUAC had a stronger correlation with albumin in the normal group and the malnutrition group.
TSFT had a stronger correlation with albumin in the malnutrition group and with prealbumin in the normal group. Kappa values of
MUAC and TSFT were 0. 886 and 0. 897 respectively which were higher than 0. 860 of BMI and 0. 885 of albumin combined with
prealbumin but lower than 0. 949 of MUAC combined with TSFT P < 0. 05 . Conclusion Both MUAC and TSFT can be used in the
diagnosis of malnutrition in children with clinical tumors but their combined diagnosis has higher clinical value.
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Received: 09 September 2022
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