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Measuring malnutrition

1 November 2016
Babies worldwide could benefit from a device that measures malnutrition

The low cost hand-held device was designed and developed by a University of Sydney research team to measure the early stages of infant malnutrition.

Baby being measured for malnutrition levels

Researchers has conducted successful trials of the NIR device in clinics in Soweto, Africa

A team jointly led by Dr Alistair McEwan, an electrical and information technologies engineer at the University, and honorary Professor Heather Jeffery, a specialist in maternal and child health, are conducting successful trials of the device in Soweto, Africa.

NIR is a highly accurate technology that uses multiple wavelengths to separate a human鈥檚 body components such as temperature, melanin, water, dermis, muscle or fat under the skin
Alistair McEwan, Associate professor electrical and information engineering

Designs of the revolutionary malnutrition screening device have been published in the journal

The unit developed by the team uses near infrared (NIR) to assess an infant鈥檚 body composition and is suitable for use in areas where there is limited electricity supply and technical expertise.

says: 鈥淭he portable and easy-to-use device uses light to measure the amount of fat under the skin so that infants don't need to be placed in a scanner or have a skin pinch test.

The device can be made inexpensively with only five sensors and the length or height of the infant does not need to be measured, avoiding a difficult measurement of infants who wriggle and protest at being held flat.

鈥淟ight in the NIR range is used where our skin is transparent; this type of light is not visible to humans for example on a TV remote control, but can be sensed by nocturnal animals and snakes.鈥

Dr McEwan explains: 鈥淣IR is a highly accurate technology that uses multiple wavelengths to separate a human鈥檚 body components such as temperature, melanin, water, dermis, muscle or fat under the skin.鈥

鈥淭he human skin is transparent in NIR light over a certain range of wavelengths. Our studies have shown that fat absorbs NIR and fat levels can be determined at five wavelengths.

Professor Heather Jeffery says: 鈥淟ow fat composition in newborns exposes them to an immediate risk of increased mortality and morbidity, and to diabetes and obesity diseases in later life.鈥

鈥淭he lack of convenient, low-cost devices for monitoring nutrition has led to difficulties for health workers trying to identify malnourished infants, and in monitoring changes in the nutritional status of an infant who has received interventions,鈥 she says.

The team that also included early career researchers Dr Angela Carberry, Dr Peter Jones and PhD candidates Jacqueline Huvanandana and Fatin Hamimi Mustafa, are working alongside the University of Oxford鈥檚 INTERBIO-21st study to test their prototype device for suitability in different skin tones and in large communities in Africa.

Dr McEwan oversees the , combining electrical engineering and biology to make inexpensive physiological monitors that reduce the strain on public health budgets.

The team鈥檚 work was support by Phase II funding through Grand Challenges Explorations, an initiative created by the Bill & Melinda Gates Foundation that enables individuals worldwide to test bold ideas to address persistent health and development challenges.