■历史上,上臂中围(MUAC)有助于识别生活在资源受限环境中的5岁以下儿童的营养不良。不太关注风险,学龄青年。更新和验证儿科年龄和性别特异性MUAC生长曲线扩大了营养不良筛查机会(2个月-18岁),包括超重/肥胖。建立了创新的合作伙伴关系,将MUACz分数测量培训和筛选整合到皇家马德里基金会(RMF)的社会体育学校(S3)计划中,为资源不足的社区提供体育和健康计划。这项工作旨在研究利用非医疗保健专业人员(非HCP)来识别作为RMFS3一部分的营养不良风险的可行性。
■这个全球性的,营养不良风险识别的两部分计划包括培训成人促进者和筛查参加RMFS3的儿童.RMF主持人接受了关于营养不良的说教讲座的培训,和实际动手学习正确的MUACz-score磁带测量。记录促进者的汇总数据和正确使用MUACz磁带的次数。收集儿童营养不良风险筛查的综合数据。
■九个国家代表欧洲参加,亚太,非洲,拉丁美洲,和北美。总的来说,143名RMF主持人接受了培训,在11个地点对318名儿童进行了筛查。超过一半的主持人是男性(56%,n=80),大多数是教练(41.3%,n=59),其次是员工(25.2%,n=36),和志愿者(16.1%,n=23)。对于适当的MUACz评分给药,促进者尝试的范围为1至4次,平均为2.12(±0.86)。RMF促进者类型之间的尝试没有显着差异(p=0.10)。16%(n=51)的筛查儿童被推荐进行HCP转诊,在亚太地区的浓度(68%,n=35),拉丁美洲(24%,n=12),非洲(8%,n=4)。
■我们样本的研究结果表明,将基于MUACz评分的营养不良风险筛查整合到非HCP的社区体育和健康计划中是可行的,一些不太经常获得常规医疗保健的地区可能会从这些计划中获得更大的好处。为社区体育和健康计划中的非HCP主持人配备营养不良筛查培训,可以与他们居住的资源不足的家庭会面,开始就营养不良风险进行对话,并希望建立更多的护理途径。
UNASSIGNED: Historically, mid-upper arm circumference (MUAC) has been instrumental to identifying malnutrition in children under 5 years living in resource restricted settings. Less attention is directed to at-risk, school-aged youth. Updated and validated pediatric age- and gender-specific MUAC growth curves expand malnutrition screening opportunities (2 months-18 years) including overweight/obesity. An innovative partnership was created to integrate MUAC z-score measurement trainings and screenings in the Real Madrid Foundation\'s (RMF) Social Sports Schools (S3) program, which provide sports and wellness programming to under-resourced communities. This work aimed to investigate the feasibility of leveraging non-healthcare professionals (non-HCPs) to identify malnutrition risk as part of RMF S3.
UNASSIGNED: This global, two-part program on malnutrition risk identification included training adult facilitators and screening children attending RMF S3. RMF facilitators were trained with didactic lectures on malnutrition, and practical hands-on learning of proper MUAC z-score tape measurement. Aggregate data on facilitators and the number of times to correctly administer the MUAC z-tape were recorded. Aggregate data on child malnutrition risk screenings were collected.
UNASSIGNED: Nine countries participated representing Europe, Pacific Asia, Africa, Latin America, and North America. In total, 143 RMF facilitators were trained, and 318 children were screened across 11 sites. More than half of facilitators were male (56%, n = 80), and majority were coaches (41.3%, n = 59), followed by staff (25.2%, n = 36), and volunteers (16.1%, n = 23). Facilitator attempts ranged from 1 to 4 times for proper MUAC z-score administration with mean 2.12 (± 0.86). There were no significant differences for attempts among RMF facilitator types (p = 0.10). Sixteen percent (n = 51) of children screened were recommended for HCP referral, with concentrations in Pacific Asia (68%, n = 35), Latin America (24%, n = 12), and Africa (8%, n = 4).
UNASSIGNED: Findings from our sample demonstrate that integration of MUAC z-score based malnutrition risk screening within community sports and wellness programming among non-HCPs is feasible, and that some regions with less frequent access to routine health care may experience greater benefit from these programs. Equipping non-HCP facilitators in community sports and wellness programs with training on malnutrition screening provides a means to meet under-resourced families where they live to begin conversations around malnutrition risk with the hope of establishing additional pathways to care.