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. 2021 Dec 15;73(Suppl 5):S374–S381. doi: 10.1093/cid/ciab851

Table 1.

Undernutrition Terms and Definitions

Term Definition
Malnutrition Includes undernutrition and overnutrition
Undernutrition Wasting, stunting, underweight, or micronutrient deficienciesa
Severe wasting MUAC <11.5cm (among children ≥6 mo oldb), WLZ score <−3, or presence of bipedal nutritional edema
Marasmus Form of severe wasting characterized by low MUAC or low WLZ score
Kwashiorkor Form of severe wasting characterized by bipedal nutritional edema
Marasmic kwashiorkor Form of severe wasting characterized by bipedal nutritional edema and low MUAC or WLZ score
Moderate wasting MUAC < 12.5cm but ≥11.5cm (among children ≥6 mo oldb) or WLZ score below −2 but above or equal to −3
Underweight WAZ score <−2
Stunting LAZ score < −2
LBW BW <2500 g
SGA BW-for-GA <10th centile
Prematurity Live birth before 37 weeks gestation

Abbreviations: BW, birth weight; GA, gestational age; LAZ, length-for-age z; LBW, low BW; MUAC, mid-upper arm circumference; SGA, small for GA; WAZ, weight-for-age z; WLZ, weight-for-length z.

a

Micronutrient deficiencies were outside the scope of this guidance.

b

MUAC reference standards have yet to be established for children <6 months of age.