Association between anthropometric criteria and body composition among children aged 6–59 months with severe acute malnutrition: a cross-sectional assessment from India
Rajesh Kumar Sinha,
Praveen Kumar,
Abner Daniel,
Hemang Shah,
Raja Sriswan,
Arun Kokane,
Aditya Mohapatra,
Vivek Kashyap,
Anil Kumar Goel,
Virendra Kumar,
Asha Kiran,
N. Arlappa,
Ankur Joshi,
Rashmi Ranjan Nayak,
Shikha Sayal,
Arjan de Wagt
Affiliations
Rajesh Kumar Sinha
National Centre of Excellence for Management of Children with Severe Acute Malnutrition (NCoE-SAM), Kalawati Saran Children’s Hospital
Praveen Kumar
Lady Hardinge Medical College and associated Kalawati Saran Children’s Hospital
Abner Daniel
UNICEF India Country Office
Hemang Shah
Children’s Investment Fund Foundation
Raja Sriswan
ICMR-National Institute of Nutrition, Beside Tarnaka Metro Station, Osmania University
Arun Kokane
All India Institute of Medical Sciences
Aditya Mohapatra
Addl Director, Department of Health and Family Welfare, Government of Odisha Annex Building, SIHFW
Vivek Kashyap
Rajendra Institute of Medical Sciences
Anil Kumar Goel
All India Institute of Medical Sciences, Raipur Gate No, 1, Great Eastern Rd, opposite Gurudwara, AIIMS Campus
Virendra Kumar
Lady Hardinge Medical College and associated Kalawati Saran Children’s Hospital
Asha Kiran
Rajendra Institute of Medical Sciences
N. Arlappa
ICMR-National Institute of Nutrition, Beside Tarnaka Metro Station, Osmania University
Ankur Joshi
All India Institute of Medical Sciences
Rashmi Ranjan Nayak
Joint Secretary, Department of Women and Child Development and Mission Shakti, Government of Odisha
Shikha Sayal
National Centre of Excellence for Management of Children with Severe Acute Malnutrition (NCoE-SAM), Kalawati Saran Children’s Hospital
Abstract A multicentric study is being conducted in which children with severe acute malnutrition (SAM) aged 6–59 months are identified with only weight-for-height z-score (WHZ) < − 3 criteria. The present study aimed to assess associations of anthropometric parameters and body composition parameters, to improve treatment of SAM. We conducted a cross-section assessment using the enrolment data of children who participated in a multi-centric longitudinal controlled study from five Indian states. Fat-free mass (FFM) and fat mass (FM) were determined by bio-electrical impedance analysis (BIA). Six hundred fifty-nine children were enrolled in the study using WHZ < -3 criteria. Available data shows that WHZ, WAZ and BMIZ were significantly associated with FFMI while MUACZ was significantly associated with both FMI and FFMI. Children with both severe wasting and severe stunting had significantly lower FFMI compared to those who were only severely wasted. All forms of anthropometric deficits appear to adversely impact FFM and FM. Trial registration The study is registered with Clinical Trial Registration of India (Registration No.: CTRI/2020/09/028013 dated 24/09/2020).
