The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa Rica

[Objective]: This investigation focuses on the association between arm circumference and body mass index, and the estimation of cutoff values of this arm measurement for identifying low weight in Costa Rican residents aged 60 years and over. [Methods]: The study included a total of 2514 persons 60 y...

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Main Authors: Eduardo Aguilar-Fernández, Xinia Fernández-Rojas
Format: Article
Language:Spanish
Published: Universidad Nacional, Costa Rica 2023-09-01
Series:Uniciencia
Subjects:
Online Access:https://www.revistas.una.ac.cr/index.php/uniciencia/article/view/17157
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author Eduardo Aguilar-Fernández
Xinia Fernández-Rojas
author_facet Eduardo Aguilar-Fernández
Xinia Fernández-Rojas
author_sort Eduardo Aguilar-Fernández
collection DOAJ
description [Objective]: This investigation focuses on the association between arm circumference and body mass index, and the estimation of cutoff values of this arm measurement for identifying low weight in Costa Rican residents aged 60 years and over. [Methods]: The study included a total of 2514 persons 60 years old or older who participated in the project “Costa Rica: Study of Longevity and Healthy Aging.” The analysis included calculation of Spearman’s correlation coefficient between arm circumference and the body mass index, the area under the Receiver Operating Characteristic (ROC) curve, and sensitivity and specificity values for measurements of arm circumference corresponding to a body mass index lower than 22 kg/m2. [Results]: The Spearman’s correlation coefficient between the body mass index and the arm circumference was 0.794 (0.774 for men and 0.806 for women). The optimum cutoff point was estimated at 26.5 cm, with a Youden’s Index of 0.7256, a sensitivity of 87.79 %, and a specificity of 84.77 %. Specific cutoff points for men and women were 26.5 cm and 25.9 cm, respectively. [Conclusions]: There is a strong relationship between arm circumference and body mass index in Costa Rican residents aged 60 years and over. A first approach was established to determine an adequate cutoff point in the measurement of arm circumference that will allow the detection of persons with low weight and greater nutritional risk in this population.
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spelling doaj.art-1b3e7b254ac5427192fc66e7fa0450b92023-09-08T23:41:46ZspaUniversidad Nacional, Costa RicaUniciencia2215-34702023-09-0137111210.15359/ru.37-1.2417157The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa RicaEduardo Aguilar-Fernández0Xinia Fernández-Rojas1Universidad NacionalUniversidad de Costa Rica[Objective]: This investigation focuses on the association between arm circumference and body mass index, and the estimation of cutoff values of this arm measurement for identifying low weight in Costa Rican residents aged 60 years and over. [Methods]: The study included a total of 2514 persons 60 years old or older who participated in the project “Costa Rica: Study of Longevity and Healthy Aging.” The analysis included calculation of Spearman’s correlation coefficient between arm circumference and the body mass index, the area under the Receiver Operating Characteristic (ROC) curve, and sensitivity and specificity values for measurements of arm circumference corresponding to a body mass index lower than 22 kg/m2. [Results]: The Spearman’s correlation coefficient between the body mass index and the arm circumference was 0.794 (0.774 for men and 0.806 for women). The optimum cutoff point was estimated at 26.5 cm, with a Youden’s Index of 0.7256, a sensitivity of 87.79 %, and a specificity of 84.77 %. Specific cutoff points for men and women were 26.5 cm and 25.9 cm, respectively. [Conclusions]: There is a strong relationship between arm circumference and body mass index in Costa Rican residents aged 60 years and over. A first approach was established to determine an adequate cutoff point in the measurement of arm circumference that will allow the detection of persons with low weight and greater nutritional risk in this population.https://www.revistas.una.ac.cr/index.php/uniciencia/article/view/17157body mass indexelderlynutritional statussensitivityspecificity
spellingShingle Eduardo Aguilar-Fernández
Xinia Fernández-Rojas
The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa Rica
Uniciencia
body mass index
elderly
nutritional status
sensitivity
specificity
title The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa Rica
title_full The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa Rica
title_fullStr The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa Rica
title_full_unstemmed The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa Rica
title_short The Use of the Arm Circumference as a Measure to Detect Underweight in Individuals Aged 60 Years or Older Living in Costa Rica
title_sort use of the arm circumference as a measure to detect underweight in individuals aged 60 years or older living in costa rica
topic body mass index
elderly
nutritional status
sensitivity
specificity
url https://www.revistas.una.ac.cr/index.php/uniciencia/article/view/17157
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