Sensitivity Test Of Mid-Arm Muscle Area And Upper Arm Circumference To Assess Nutritional Status In Patient With Acute Lymphoblastic Leukemia (ALL) Induction Phase

BACKGROUND :Leukemia is the most common malignancy, with incidence of 3.7 – 4.9 case per 100.000 children and the majority are children 2 to 5 years old. There are various nutritional status and one of them depend on the measurement method. In a case presence with organomegali, mass, and ascites, the past way to measure the nutritional status is by measuring the mid-arm muscle area (MAMA) and upper arm circumference (UAC)OBJECTIVE :to assess sensitivity of MAMA and UAC to determine the nutritional status in patient with ALL induction phaseMETHODS :Cross sectional study on 35 patient with ALL that had induction phase chemotherapy. Sample were taken with consecutive sampling, and MAMA and UAC were measured. ROC analysis was performed to obtain the cut off point. Bivariate analysis was performed with chi-squareRESULT:From 35 sample that meet the inclusion and exclusion criteria, there were 20 patient with severe malnutrition by measuring the MAMA and the other 15 patient by measuring the UAC. We found the AUC values MAMA is 70%, the cut off point is 1033,07 mm2 and AUC values UAC is 87,8% with cut-off point 152,5mm by using ROC analysis.CONCLUSION :The sensitivity value of the measurement of the MAMA 47% and UAC 80% with specicity value MAMA 70% and UAC 85%. and the sensitivity value UAC 80% and specicity 85%. From result measuring MAMA not more sensitive to assess the nutritional status of ALL patients in the induction phase