Muac Fabienne Vautier 04.06.99
Muac David Morley 10.06.99
cut-off points for MUAC in adults Ann Burgess 09.07.99

Fabienne Vautier (MSF)

Date: Fri, 04 Jun 99 16:06:33 +0100

Subject: MUAC


Dear Nngonutters

In emergency situation, middle upper arm circumference (MUAC)is used for several purposes in the children population. First for the screening of children to refer them for weight and height checking. Then as admission criteria in Therapeutic feeding center for the children with a MUAC below 110 mm. And MUAC is often an indicator collected during nutritional survey.

It is assumed that the size of arm circumference is relatively stable from the age of 6 months to 59 months old. Nevertheless several studies show an age-dependent increase of around 2 cm between the age of 6 month and the age of 59 months. Some studies indicate that age-dependent increase is mainly from 6 months to 1 year.

The question is what age group is it recommanded to include for screening process; for admission criteria in therapeutic feeding centers; and for eligibility in nutrition survey ?

I will be very interested to receive any advices and coments on this topic.

Greetings Fabienne Vautier (MSF)

Date: Thu, 10 Jun 1999 19:58:42 +0100

From: David Morley <>

Subject: Muac


Dear Ngonutters, In reponse to Fabienne Vaautier, Delighted Mid Upper Arm Circumfernec MUAC is increasing in popularity. With a little training workers can recognise a reduced Muac by feel, see page 178 to 181 in 'See how they grow' Macmillans (published 1979), will send anyone a photocopy if they wish. TALC has a well tried insertion tape for Muac costs only 25P. US$ 0.40cents.


David Morley,Emeritus Professor of Tropical Child Health, University of London.

Tel: & Fax. 44 (0) 1582 712199.

Preferred Address; 51 Eastmoor Park, Harpenden, AL5 1BN. UK.

From: "Ann Burgess" <>

Subject: cut-off points for MUAC in adults

Date: Fri, 9 Jul 1999 11:35:30 +0100


Can anyone tell me whether there are agreed recommended cut-off points for measuring the nutritional status of adults and adolescents (females - preg/non-preg; males) using MUAC? Teaching Aids at Low Cost (TALC) who sells arm circumference tapes has asked me for this information. It would be useful to also have the references for any data supplied.

Many thanks


Ann Burgess

Craiglea Cottage, Glenisla, Blairgowrie PH11 8PS, Scotland, UK

+44 1575 582218