SOP - Hip Circumference

Hip circumference measurements are taken in some sites as an expanded option to measure overweight and obesity.

To take hip circumference measurements we need : 

• constant tension tape (for example, Figure Finder Tape Measure)
• pen/pencil
• chair or coat stand for participant's to place their clothes.

A private area is necessary for this measurement. This could be a separate room, or an area that has been screened off from other people within the household. Hip measurements are taken immediately after waist circumferences.

• This measurement should be taken without clothing, that is, directly over the skin.
• If this is not possible, the measurement may be taken over light clothing (Must not be over thick or bulky clothing. This type of clothing must be removed)

This measurement should be taken:

• with the arms relaxed at the sides
• at the maximum circumference over the buttocks

Steps of measurement:

1. Stand to the side of the participant, and ask them to help wrap the tape around themselves.
2. Position the measuring tape around the maximum circumference of the buttocks.
3. Ask the participant to: 
• stand with their feet together with weight evenly distributed over both feet;
• hold their arms relaxed at the sides.Check that the tape position is horizontal all around the body and snug without constricting.
4. Measure hip circumference and read the measurement at the level of the tape to the nearest 0.1 cm.
5. Record the measurement on the participant’s instrument.

SOP - mid upper arm circumference (MUAC)

• The major determinants of MUAC are muscle and subcutaneous fat, both important determinants of survival in malnutrition and starvation. 
• MUAC is less affected than weight and height based indices (e.g. Body Mass Index) by accumulation of fluid (i.e. nutritional oedema, periorbital oedema and ascites). 
• So MUAC is a good predictor of mortality. 
• It is recommended for identifying young children with, or at risk of, severe acute malnutrition and adults with acute energy deficiency.
• In children between 6-59 months old, MUAC <110 mm indicates severe acute malnutrition and is recommended as a criterion for admission to therapeutic feeding programmes. 
• Values between 110 and 120/125 mm indicate moderate malnutrition. 
• Values below 250 mm in adults indicate severe wasting. 
(Note that MUAC is not sensitive enough to routinely monitor growth at young child clinics)

SOP

It's been quite a while since I posted something on my blog. Today while cleaning up the junk accumulated on my hard drive I came across several useful articles that I had prepared during my PG- ship.

SOP or standard operating procedures.

Sharing here are some of the articles that I found useful for public health purposes.

1. mid upper arm circumference 
2. waist circumference 
3. hip circumference 
4. height
5. weight
6. pallor