Evidence map›Paper›PMID 41194056›Full record

ArticleBMC pediatrics2025

Anthropometric measurements as surrogate for identifying low birth weight: comparison with gold standard of measuring weight among neonates at a tertiary hospital in Tanzania.

Nouz-Hat Salim Abdallah N, Edward Kija, Helga Naburi, Ousseine Youssoufa, Felix Muchira Nawera, Karim Manji

Abstract readComparative Study
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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Nouz-Hat Salim Abdallah NCHN Elmaarouf, P.O. Box17, Moroni, Comoros. snouzhat9@gmail.com.
Edward KijaMUHAS, P.O. Box 65001, Dar-es-Salaam, Tanzania.
Helga NaburiMUHAS, P.O. Box 65001, Dar-es-Salaam, Tanzania.
Ousseine YoussoufaFrench National Public Health Agency, Saint- Maurice, France.
Felix Muchira Nawera, P.O.Box 60055, Dar- es-Salaam, Tanzania.
Karim ManjiMUHAS, P.O. Box 65001, Dar-es-Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReducing neonatal mortality is crucial for achieving Sustainable Development Goal 3.2. In Tanzania and other low- and middle-income countries, many babies are born at home or in primary health care settings without access to weighing scales. Other anthropometric measurements apart from weight may serve as effective surrogates for identifying low birth weight (LBW) infants and prioritizing them for care.

objectivesThis study aimed to assess the sensitivity, specificity, and accuracy of four anthropometric measurements chest circumference (CHC), occipitofrontal circumference (OFC), foot length (FL), and mid-upper arm circumference (MUAC) and determine the optimal cut-off values for detecting LBW infants.

methodsA hospital-based cross-sectional study was conducted in the neonatal unit at Muhimbili National Hospital (MNH). Newborns admitted within 24 h of birth were enrolled. A total of 471 newborns had CHC, OFC, FL, MUAC, and birth weight (BW) measured. Pearson’s correlation coefficient assessed the relationship between these measurements and birth weight. Receiver Operating Characteristics (ROC) analysis was used to determine optimal cut-off points.

resultsOf 471 newborns, 52.2% were female. The mean birth weight was 2639 g (SD = 851), with 43.1% (203) classified as LBW. A strong positive correlation of 0.90 was found between CHC and BW (p < 0.01), followed by OFC (0.82, p < 0.01). ROC analysis showed CHC (AUC = 0.97, 95% CI 0.97–0.98) and OFC (AUC = 0.94, 95% CI 0.92–0.96) as the most reliable indicators for detecting LBW. The optimal cut-off values were ≤ 29.45 cm for CHC and ≤ 32.9 cm for OFC.

conclusionOur study demonstrated that CHC with a cutoff ≤29.45 cm and OFC with a cutoff  ≤ 32.9 cm has higher sensitivity and specificity for predicting low birth weight among neonates compared to FL or MUAC, indicating greater accuracy in detecting LBW in Tanzania. Our findings apply specifically to LBW newborns; we did not classify IUGR or SGA separately, and further studies are required to validate these cut-offs in those populations.

Indexed as

AnthropometryInfant, Low Birth WeightArmBirth WeightCross-Sectional StudiesFemaleFootHumansInfant, NewbornMaleROC CurveSensitivity and SpecificityTanzaniaTertiary Care CentersThoraxAnthropometryGestational ageLow birth weight (LBW)

Identifiers

PMID41194056
PMCPMC12587538

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