DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20200677

A comparative study of calf muscle circumference with other anthropometry measurement as a measure of low birth weight in neonates

Siddharth Kumar, Hemant Jain

Abstract


Background: India having 3rd highest incidence of low birth weight (LBW) infants (28%) in the world. Majority of deliveries in our country are conducted at home by untrained traditional birth attendants or relatives, so it is not possible for untrained birth attenders to operate weighing machine in rural areas, therefore to find an alternative method for the estimation of low birth weight we used simple anthropometric indicators like calf circumference which is easily used by rural communities.

Methods: It was a Cross-sectional study done at tertiary care center, Udaipur, Rajasthan, India during 1 year period in 2018. 150 neonates without any congenital malformation delivered at hospital irrespective of gestational age were subjected to anthropometric measurements. The different anthropometric measurements like calf circumference, chest circumference were used and data was analyzed by using Receiver Operating Characteristic curve (ROC) to find out the cut-off values with the highest sensitivity and specificity for birth weight <2500gm and <1800gm. For comparison Pearson's Correlation coefficients was used.

Results: From different anthropometric measurements, calf circumference of 9.38 cm and 7.90cm had higher sensitivity and specificity in detecting birth weight babies of <2500gm, and <1800gm respectively. The best correlation was observed in calf circumference (r=0.989) and (r=0.990) for identifying babies with birth weight group 1.21-1.80kg and group 1.81-2.50kg.

Conclusions: In the absence of a weighing machine, simple measurements like calf circumference is the best indicator in identifying low birth weight babies.


Keywords


Anthropometry, Birth weight, Calf circumference, Low birth weight

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References


Singh M. Care of newborn. 8th ed. New Delhi : Sagar Publication; 2017: 1-2, 219.

Mackintosh TF, Walkar CH. Blood viscosity in the new born. Arch Dis child. 1973;48:547-53.

Misra M, Mishra S. Epidemiology of low birth weight in an industrial area in India. J Trop Pediatr. 1995;41(6):374-6.

Suneetha B, Kavitha VK. A Study of relationship between birthweight and various anthropometric parameters in neonates. J Dental Med Sci. 2016;15(2):50-7.

Bhat IA, Dhar GM, Shah GN, Neelofar K, Shehzada A. Efficiency of various anthropometric measurements in determining low birth weight babies. Indian J Matern Child Health. 1995;6(2):40-2.

Neeluri R, Pamarthi K. Identification of an anthropometric surrogate to low birth weight in newborns: a hospital based cross sectional study. Int J Comm Med Public Health. 2018;5(5):2066-71.

Taksande MA, Lakhkar B, Gadekar A. Anthropometric measurements of term neonates in tertiary care hospital of Wardha district. Nat Lib Med Enlisted J. 2015;8(2):140-3.

Mullany LC, Darmstadt GL, Khatry SK, LeClerq SC, Tielsch JM. Relationship between the surrogate anthropometric measures, foot length and chest circumference and birth weight among newborns of Sarlahi, Nepal. Eur J Clin Nutr. 2007;61:40-6.

Narendra KS, Madhu GN, Adarsha E. Relationship of anthropometric parameters of newborn with varying period of gestational age. J Evol Med Dent Sci. 2014;3(20):84-90.

Kokku PK. Calf circumference to detect low birth weight babies: a comparative study. Int J Contemp Pediatr. 2019;6(6):2302-8.

Kumar SP, Sudarshan KP, Kumari V. A comparative study of calf circumference with other anthropometric measurements to measure low birth weight babies at risk- a hospital-based study. J Evol Med Dent Sci. 2013;2(12):1-19.

Samal GC, Swain AK. Calf circumference as an alternative to birth weight for identification of low birth weight babies. Indian Pediatr. 2001;38:275-7.

Neela J, Raman L, Balakrishna N, Rao KV. Usefulness of calf circumference as a measure for screening low birth weight infants. Indian Pediatr. 1991;28:881-4.

Virdi VS, Jain BK, Singh H. Calf circumference for identification of low birth weight babies. Indian Pediatr. 2001;38:934-5.