ALTERNATIVE MEASUREMENTS AND CONSIDERATIONS

Question 1

BMI (Body Mass Index)

Answer 1

STEP 1

Question 2

Use recently documented or self-reported height (If reliable and realistic)

Answer 2

If height cannot be measured

Question 3

If the subject does not know or unable to report their height, use one of these alternative measurements to estimate height

Answer 3

If height cannot be measured; (ulna, knee height or demisoan)

Question 4

Recent unplanned weight loss

Answer 4

STEP 2

Question 5

If recent weight loss cannot be calculated, use

Answer 5

use self-reported weight loss

Question 6

If height, weight, or BMI cannot be obtained, the following criteria which related to them can assist your professional judgement of the subject’s nutritional risk category

Answer 6

Subjective Criteria

Question 7

Please note these criteria should be used collectively not separately as alternatives to step 1 and 2 of ‘MUST’ and are noted signed to assign a score

Answer 7

Subjective Criteria

Question 8

Mid upper arm circumference (MUAC) may be used to estimate BMI category in order to support your overall impression of the subject’s nutritional risk.

Answer 8

Subjective Criteria

Question 9

may be used to estimate BMI category in order to support your overall impression of the subject’s nutritional risk

Answer 9

Mid upper arm circumference (MUAC)

Question 10

Clinical impression- thin, acceptable weight, overweight. Obvious wasting (very thin) and obesity (very overweight) can also be noted

Answer 10

BMI

Question 11

• Clothes and/or jewelry have become loss fitting (weight loss)
• History of disease or psycho-social/physical disabilities likely to cause weight loss

Answer 11

Unplanned weight loss

Question 12

Acute ill and no nutritional intake or likelihood of no intake for more than 5days

Answer 12

Acute disease effect

Question 13

If height cannot be obtained, use length of________to calculate height

Answer 13

forearm (ulna)

Question 14

To estimate height from ulna length, Measure between the point of the_______and the midpoint of the prominent bone of the

Answer 14

elbow (olecranon process);
wrist (styloid process) (left side if possible)

Question 15

In estimating BMI category from Mid upper arm circumference (MUAC), the subject’s left arm should be bent at the elbow at a ________, with the upper arm held.

Answer 15

90 degree angle ;
parallel to the side of the body

Question 16

In estimating BMI category from Mid upper arm circumference (MUAC), Measure the distance between the bony protrusion on the _________ and the point of the ________. Mark the________.

Answer 16

shoulder (acromion); elbow (olecranon process);
mid-point.

Question 17

n estimating BMI category from Mid upper arm circumference (MUAC), Ask the subject to let arm ________and measure around the _______making sure that the tape measure is________

Answer 17

hang loose; upper arm at the mid-point;
snug but not tight.

Question 18

If MUAC is <23.5 cm

Answer 18

BMI is likely to
be <20 kg/m^2

Question 19

If MUAC is >32.0 cm

Answer 19

BMI is likely to be
>30 kg/m^2

Question 20

Use of this provides a general indication of BMI and is not designed to generate an actual score for use with ‘MUST’.

Answer 20

MUAC