ArticleBMC nutrition2021
Use of modified composite index of anthropometric failure and MUAC-for-age to assess prevalence of malnutrition among school-age children and adolescents involved in the school feeding program in Addis Ababa, Ethiopia.
Article in BMC nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 16 citations in OpenAlex.
- Association Between Hydration Status, Nutrition, and Cognitive Performance in School-Age Children in Kumasi, Ghana: A Cross-Sectional Study.Health science reports · 2026Article
- Anaemia, anthropometric status and associated factors among electronic waste recyclers, women and children residents of Agbogbloshie, Ghana.Discover public health · 2026Article
- Assessment of the Effect of School Feeding on Dropout Rate in Kolfe Keranio Public Primary School, Addis Ababa, Ethiopia: A Quasi-Experimental Study.Scientifica · 2026Article
- Composite index anthropometric failures and associated factors among school adolescent girls in Debre Berhan city, central Ethiopia.BMC research notes · 2025Article
- Co-Occurrences of Forms of Child Undernutrition in India: Insights from the National Family Health Survey.Nutrients · 2025Article
- The performance of upper arm circumference for age in diagnosing severe acute malnutrition in children aged 6 to 59 months in South Kivu, Eastern Democratic Republic of Congo: Lwiro Cohort.BMC public health · 2025Article
- Household livelihood, diet, and nutritional status of adolescent schoolchildren in Kuyu District, North Shewa, Oromia, Ethiopia.Journal of nutritional science · 2025Article
- School feeding in Ethiopia: a scoping review.BMC public health · 2024Article
- Perceived benefits and challenges of school feeding program in Addis Ababa, Ethiopia: a qualitative study.Journal of nutritional science · 2024Article
- Impact of school meals on educational outcomes in Addis Ababa, Ethiopia.Public health nutrition · 2022Article
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8 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMalnutrition hampers educational performance of schoolchildren coming from low-income families. School feeding program was, thus, launched in public primary schools in Addis Ababa very recently. It is, thus, important to measure the initial nutritional status of participating students to see the effect of the program on their nutritional wellbeing.
methodsThe first-round survey was made at the initiation of the program. A multi-stage stratified sampling from 50 schools located in the ten sub cities of Addis Ababa yielded 4500 children and adolescents of ages five to 19 years. Data was collected on age, height, weight and MUAC of the schoolchildren. Nutritional status was evaluated using conventional anthropometric indicators, modified Composite Index of Anthropometric Failure (mCIAF), and MUAC-for-age. Receiver Operating Characteristic (ROC) curve was used to examine classification of malnourishment by MUAC-for-age versus BMI-for-age and mCIAF versus MUAC-for-age. Multilevel mixed effects model was applied to investigate variations in the prevalence of malnutrition across sub cities.
findingsThe area under the ROC curves (AUC) for MUAC-for-age against BMI-for-age z-scores was 0.68 and that of mCIAF against MUAC-for-age was 0.70, respectively, indicating an overall better classification of malnourishment. Mixed effects model showed significant variations in nutritional status of schoolchildren across sub cities. Conventional measures showed that prevalence of stunting, thinness, or underweight among the sample children and adolescents was 23.4, 18.4, and 16.5%, respectively. Assessment by mCIAF, instead, showed a higher prevalence of overall malnutrition (43.4%). MUAC-for-age indicated an acute malnutrition measurement of 33.4%. Significant differences (p < 0.0001) in nutritional status were seen between boys and girls, and among age groups as measured by mCIAF.
interpretationConventional measures of nutritional status undermined level of malnutrition. Instead, mCIAF and MUAC-for-age gave higher estimates of the magnitude of the existing prevalence of malnutrition among the school children and adolescents.
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