Community Medicine (PSM) · Nutrition (Macro/Micronutrients, RDA, PEM, Nutritional Programmes)

A community survey of 6–59 month-old children uses mid-upper arm circumference (MUAC) for SAM (Severe Acute Malnutrition) screening. The WHO/UNICEF cut-off for SAM by MUAC in children aged 6–59 months is:

  • A MUAC <125 mm
  • B MUAC <115 mm
  • C MUAC <110 mm
  • D MUAC <120 mm
Correct answer: B. MUAC <115 mm

Explanation

WHO/UNICEF define SAM in children 6–59 months as MUAC <115 mm (11.5 cm). Moderate Acute Malnutrition (MAM) is MUAC 115–125 mm. These cut-offs are independent of age and sex and are used for community-based management of acute malnutrition (CMAM) programmes. In India, children with MUAC <115 mm and/or bilateral pitting oedema are eligible for therapeutic feeding at Nutrition Rehabilitation Centres (NRCs). MUAC ≥125 mm is classified as not malnourished.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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