摘要：

严重的急性营养不良（Sam）是在低资源环境中为期五岁以下儿童的主要沉默杀手。它也被视为饥饿的社区疾病。因此，在SAM下评估和分类个体营养状况是通过人体测量法来决定身体测量值的。可测量变量:年龄、性别、体重、身高和6-59个月儿童中上臂围(MUAC)。Sam以可见的浪费和双侧水肿为特征，在婴儿<6个月内。然而，缺少母亲或母乳喂养不足等社会标准可以预测营养风险。再次采用体重-身高(WFH)、MUAC和双侧水肿等营养指标评估U5的SAM。使用5-19岁儿童bmi年龄加临床体征。怀孕期间最好使用MUAC。世卫组织2007年的增长标准建议在NCHS 1978年。Z-Scors的营养指数反对中位数百分比。 Median off use in classifying individual’s nutritional status. Methods and protocols for assessment of children 6-59 months are more developed than for other age. Therefore, best practice to produce functional outcomes is needed. The level of malnutrition at admission phase influences hospitals stay. Evidence suggests that, malnutrition is more frequent and severe among males than females. Implications, no special consideration in severe acute malnutrition admitted in a critical phase”. Protocols to discharge patients up on recovery needs harmonization. MUAC misdiagnose Kwashiorkor children due to fluid retention but remains a reliable tool. Ready-to-use-therapeutic food (RUTF) used for management of SAM. Study aim to evaluate the effectiveness of screening tools, therapeutic interventions and shed light on risk factors associated SAM. A later effect includes but not limited to mental retardation, poor school performance, and low self-esteem.