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Alternative methods of classifying severity of malnutrition in children younger than 2 years of age with poor weight gain in resource-abundant countries[1]

Alternative methods of classifying severity of malnutrition in children younger than 2 years of age with poor weight gain in resource-abundant countries[1]
Growth parameters Mild malnutrition Moderate malnutrition Severe malnutrition
Weight-for-length z-score* -1 to -1.9 -2 to -2.9 ≤3
Mid-upper arm circumference z-score -1 to -1.9 -2 to -2.9 ≤3
Mid-upper arm circumference[2] NA <125 mm <120 mm
Decline in weight-for-length z-score ≥1 ≥2 ≥3
NA: not applicable.
* The World Health Organization weight-for-length percentiles for infants <24 months can be determined using the related UpToDate calculator.
References:
  1. Becker P, Carney LN, Corkins MR, et al. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition). Nutr Clin Pract 2015; 30:147.
  2. Hossain MI, Ahmed T, Arifeen SE, et al. Comparison of midupper arm circumference and weight-for-height z score for assessing acute malnutrition in Bangladeshi children aged 6-60 mo: An analytical study. Am J Clin Nutr 2017; 106:1232.
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