A Literature Review: Akurasi Pengukuran Mid Upper Arm Circumference (MUAC) dalam Mendeteksi Malnutrisi Akut pada Ibu Hamil Literature Review: Accuracy of Mid-Upper Arm Circumference (MUAC) Measurement in Detecting Acute Malnutrition in Pregnant Women
Main Article Content
Abstract
Penelitian ini bertujuan untuk mengevaluasi akurasi pengukuran Mid Upper Arm Circumference (MUAC) dalam mendeteksi malnutrisi akut pada ibu hamil. Malnutrisi pada ibu hamil dapat berdampak serius pada kesehatan ibu dan bayi, sehingga deteksi dini sangat penting. Metode yang digunakan dalam penelitian ini adalah tinjauan sistematis dengan mengambil artikel yang telah dipublikasikan dalam 10 tahun terakhir yang berkaitan dengan malnutrisi akut pada wanita usia reproduktif, wanita hamil, dan wanita menyusui. Artikel yang relevan diidentifikasi dari Science Direct, Pubmed, Google Schoolar. Hasil penelitian menunjukkan bahwa MUAC memiliki sensitivitas yang bervariasi dalam mendeteksi malnutrisi akut, dengan batas optimal yang berbeda tergantung pada konteks populasi dan Negara masing-masing. Di Timor Leste, nilai batas MUAC yang ditentukan untuk mendeteksi malnutrisi akut adalah kurang dari 23 cm, dengan sensitivitas mencapai 70% dan spesifisitas 80%. Penelitian ini menegaskan bahwa meskipun MUAC merupakan alat yang sederhana dan efektif untuk skrining malnutrisi, perlu adanya penyesuaian cut-off berdasarkan karakteristik demografis dan sosial ekonomi negara setempat. Rekomendasi dari penelitian ini mencakup perlunya pelatihan bagi tenaga kesehatan dalam penggunaan MUAC serta pengembangan program edukasi untuk meningkatkan kesadaran masyarakat tentang pentingnya pemantauan status gizi selama kehamilan. Dengan demikian, MUAC dapat menjadi alat yang lebih efektif dalam upaya pencegahan malnutrisi akut pada kelompok ibu hamil.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
All rights reserved. This publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording.
References
Aryal, B. K., Sapkota, S., Lama, N., & Paudel, R. 2022. Factors Associated with Acute Malnutrition among Pregnant Women in Flood Affected Region. Journal of Nepal Health Research Council, 20(2), 539–545. https://doi.org/10.33314/jnhrc.v20i02.4076
Bari, A., Sultana, N., Mehreen, S., Sadaqat, N., Imran, I., & Javed, R. 2020. Patterns of maternal nutritional status based on mid upper arm circumference. Pakistan Journal of Medical Sciences, 36(3), 382–386. https://doi.org/10.12669/pjms.36.3.1331
Daures, M., Hien, J., Phelan, K., Boubacar, H., Atté, S., Aboubacar, M., Aly, A. A. G. M., Mayoum, B., Azani, J.-C., Koffi, J.-J., Séri, B., Beuscart, A., Gabillard, D., Hubert, V., Cazes, C., Kinda, M., Anglaret, X., Kangas, S., Shepherd, S., & Becquet, R. 2022. Simplifying and optimising management of acute malnutrition in children aged 6 to 59 months: study protocol for a 3 arms community-based individually randomised controlled trial in decentralised Niger. Trials, 23(1), 89. https://doi.org/10.1186/s13063-021-05955-6
Kushi, E. N., Belachew, T., & Tamiru, D. 2023. The impacts of okra consumption on the nutritional status of pregnant women, west Ethiopia. Food Science and Nutrition, 11(9), 5554–5564. https://doi.org/10.1002/fsn3.3512
Menber, Y., Belachew, T., & Fentahun, N. 2025. Diagnostic accuracy of MUAC for assessment of acute malnutrition among children aged 6-59 months in Africa: systematic review and meta-analysis. Frontiers in Nutrition, 12, 1536386. https://doi.org/10.3389/fnut.2025.1536386
Miele, M. J., Souza, R. T., Calderon, I. M., Feitosa, F. E., Leite, D. F., Rocha Filho, E. A., Vettorazzi, J., Mayrink, J., Fernandes, K. G., Vieira, M. C., Pacagnella, R. C., & Cecatti, J. G. 2021. Maternal nutrition status associated with pregnancy-related adverse outcomes. Nutrients, 13(7), 1–14. https://doi.org/10.3390/nu13072398
Patra, S., Sambharkar, S., Harode, S., Barde, K., & Pillewan, A. 2024. Acute malnutrition associated with mid-upper arm circumference among under-five children in tribal areas, India: a cross-sectional study. Public Health Nutrition, 28(1), e13. https://doi.org/10.1017/S1368980024002465
Rana, R., Barthorp, H., McGrath, M., Kerac, M., & Myatt, M. 2021. Mid-Upper Arm Circumference Tapes and Measurement Discrepancies: Time to Standardize Product Specifications and Reporting. Global Health, Science and Practice, 9(4), 1011–1014. https://doi.org/10.9745/GHSP-D-21-00273
Saleem, J., Zakar, R., Butt, M. S., Aadil, R. M., Ali, Z., Bukhari, G. M. J., Ishaq, M., & Fischer, F. 2024. Application of the Boruta algorithm to assess the multidimensional determinants of malnutrition among children under five years living in southern Punjab, Pakistan. BMC Public Health, 24(1), 167. https://doi.org/10.1186/s12889-024-17701-z
Trehan, I., Beyene, Y., Darsene, H., Adams, B. S., Wrabel, M., Gizaw, G., Legese, L. A., Cichon, B., Chitekwe, S., Shellemew, M. W., Tessema, M., & Stobaugh, H. C. 2025. The Modified Dosages for Acute Malnutrition (MODAM) study: protocol for three integrated randomized controlled trials of novel approaches for the management of childhood wasting in Ethiopia. BMC Nutrition, 11(1), 71. https://doi.org/10.1186/s40795-025-01054-w
Wakwoya, E. B., Belachew, T., & Girma, T. 2023. Effects of intensive nutrition education and counseling on nutritional status of pregnant women in East Shoa Zone, Ethiopia. Frontiers in Nutrition, 10(July), 1–11. https://doi.org/10.3389/fnut.2023.1144709
Wrabel, M., Stokes-Walters, R., King, S., Funnell, G., & Stobaugh, H. 2022. Programmatic adaptations to acute malnutrition screening and treatment during the COVID-19 pandemic. Maternal & Child Nutrition, 18(4), e13406. https://doi.org/10.1111/mcn.13406