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At least 19 recordsLinked to original sources

Nasal dimensions in normal subjects: conventional anthropometry versus computerized anthropometry.

The aim of the current investigation was to compare computerized measurements of nasal linear distances (nasal tip protrusion, height of the cutaneous upper lip, length of the nasal bridge) collected from 705 healthy individuals from Northern Italy (age range 6-60 years) using an electromagnetic digitizer with conventional anthropometric measurements: one set obtained on individuals of central European origin (Zankl et al.), and one set collected from North American Caucasians (Farkas et al.). On average, the present lengths of the nasal bridge were always significantly smaller than the European data (P < 0.01, Student's t for independent samples). Nevertheless, only in one sex and age group of 18 the discrepancy between the two mean values was larger than 10 mm. In other 10 groups, the mean values differed less than 5 mm. More limited differences (up to 6.5 mm) were found in comparison to the American data. For nasal tip protrusion, digital and conventional data were significantly different (up to 4 mm) in 18 instances of 30. On average, the present heights of the cutaneous upper lip were always smaller than the European data (up to 2.9 mm). The differences were statistically significant in 14 groups of 18. Minor discrepancies (less than 1 mm in nine groups of 12) were found in comparison to the American data. Statistical significance was reached only in seven comparisons. In conclusion, the conventional anthropometric and the digital data compared in the current study, though not superimposable, seemed sufficiently interchangeable, at least from a clinical point of view.

Adolescent↗

Body composition analysis by dual energy x-ray absorptiometry and anthropometry in adults with childhood-onset growth hormone (GH) deficiency before and after six months of recombinant GH therapy.

Measurements of total body fat (BF) and fat free mass (FFM) obtained by anthropometry, using the Durnin and Womersley (DW) equations, and by total body dual energy x-ray absorptiometry (DXA) were compared in 8 adults with childhood-onset GH deficiency (GHD) and in 9 healthy subjects. The sensitivity of these two methods in detecting the changes in body composition produced by six months of GH therapy in patients with GHD was also compared. Anthropometric determination of percent BF was calculated from the sum of biceps, triceps, subscapular and suprailiac skinfolds, using the appropriate DW and Siri equations for body density and percent fat estimation. FFM was calculated by subtracting BF from body mass (BM). BF and FFM were also determined by DXA (QDR 1000/W, Hologic Inc). The data obtained from the GHD patients were compared with those recorded in a control group of healthy males, matched for sex, age and physical activity. Body composition obtained by anthropometry: before GH treatment, significant differences existed between patients and controls in terms of BM (mean +/- SD: 45.8 +/- 10.0 vs 71.7 +/- 6.6 kg), percent BF (21.0 +/- 3.2 vs 17.1 +/- 3.7%) and FFM (36.0 +/- 6.5 vs 59.3 +/- 3.7 kg), while body mass index (BMI, kg/m2) values were similar in the two groups. Six months of GH therapy did not change BM and BMI, but caused a significant reduction of percent BF (from 21.0 +/- 3.2 to 18.6 +/- 4.0%) and a rise of FFM (from 36.0 +/- 6.5 to 38.0 +/- 6.7 kg). After treatment, no significant differences were found between percent BF values of patients and controls. Body composition obtained by DXA: BF (22.0 +/- 3.9%) and FFM (37.2 +/- 8.0 kg) of patients significantly differed from those of controls (16.8 +/- 3.7% and 59.8 +/- 3.7 kg) before treatment; after GH treatment, percent BF values (17.7 +/- 4.9%) of patients were similar to those of controls. Anthropometry vs DXA: high correlation (p < 0.001-0.0001, R2 = 0.784-0.988) was found between the percent BF and FFM determined by anthropometry and by DXA for both patients, before and after treatment, and controls. It is noteworthy that, for both BF and FFM, most values were evenly distributed along the identity line, showing no systematic overestimation or underestimation by anthropometry. The relation between DXA and anthropometry was maintained even after GH treatment. These results indicate that body fat and FFM assessment by anthropometry are comparable to those by DXA. GH-induced changes in body composition in hypopituitary adults are detected with the same level of accuracy by the two techniques. The reliability, practicality and low cost of anthropometry favour its use for the assessment of body composition even in GHD patients.

Absorptiometry, Photon↗

Body composition in renal transplant patients: bioimpedance analysis compared to isotope dilution, dual energy X-ray absorptiometry, and anthropometry.

Whether multifrequency bioelectrical impedance analysis (MF-BIA), a relatively new method for measuring body composition, is also applicable for accurate body composition measurements in renal transplant (RTx) patients is not known. Therefore, the use of MF-BIA is validated in 77 RTx patients with a stable renal function at least 2 yr posttransplantation. MF-BIA is compared to isotope dilution techniques for measurement of body water compartments, and to dual energy x-ray absorptiometry (DEXA) and anthropometry for measurement of fat and fat free mass. Finally, DEXA and anthropometry are compared to each other. Method agreement is assessed by intraclass correlation coefficients (ICC) and plotted by Bland and Altman analysis. MF-BIA significantly underestimates total body water (TBW, 0.7+/-2.1 L) and overestimates the extracellular water (ECW, 3.3+/-1.8 L) compared to isotope dilution; the ICC between both techniques is 0.943 for TBW and 0.846 for ECW. The percentage body fat (BF) measured by MF-BIA is significantly higher than both BF measured by DEXA (3.4+/-4.7%) or by anthropometry (5.5+/-5.2%). The ICC between MF-BIA and DEXA is 0.887 and between MF-BIA and anthropometry 0.856. BF measured by DEXA is significantly higher than BF measured by anthropometry (2.1+/-4.4%); their ICC is 0.913. In conclusion, MF-BIA seems to be suitable for measurement of TBW in RTx patients; however, method agreement between isotope dilution and MF-BIA for the measurement of ECW is not satisfactory. In the assessment of fat and fat free mass, the reliability of MF-BIA appears to be questionable. Method agreement between DEXA and anthropometry seems to be slightly better.

Absorptiometry, Photon↗

Estimation of thigh muscle and adipose tissue volume using magnetic resonance imaging and anthropometry.

Thigh muscle volume is a useful determinant of functional fitness. However, anthropometric prediction of muscle content is influenced by the variability of adipose tissue accumulation. The aims of this study were to predict thigh muscle and adipose tissue volumes from anthropometry and to assess the validity of the method by examining the various components of the measurements and the assumptions involved. The 19 participants (9 men, 10 women; age 23-49 years) varied in adiposity. They all underwent magnetic resonance imaging (MRI) of the upper leg and the eight men and two women with the lowest adiposity underwent detailed anthropometry involving girths and skinfolds. Using MRI as the reference method, muscle volume was predictedfrom anthropometry using a circular concentric model, and the assumptions inherent in the method were tested further using the MRI data alone. Muscle volume was best predicted by anthropometry in the 10 leanest participants using a five-slice truncated cone model that overestimated the mean MRI value by 30% (R2 = 0.95; standard error of estimate = 288 cm3; P < 0.001). A single skinfold plus girth measurement at the mid-thigh almost matched its predictive ability, but with an increased bias. Measurements of leg circumference by means of the two techniques agreed well. The assumption of a circular cross-section was valid. In contrast, the agreement between skinfold thickness measured by caliper and superficial adipose tissue thickness by MRI was poor, contributing to the scatter of fat and lean area comparisons. An anterior skinfold thickness measurement underestimated the area of superficial adipose tissue at that level, particularly at the most proximal and distal sites. Although these limitations increase the uncertainties of muscle volume determination by anthropometry, they do not prevent its valid prediction in leaner individuals. The prediction of superficial adipose tissue was poorer.

Adipose Tissue↗

Body mass index and agreement between bioimpedance and anthropometry estimates of body compartments in anorexia nervosa.

BACKGROUND: In 74 women with anorexia nervosa (body mass index [BMI] 10-17.5 kg/m(2)), a progressive disagreement between anthropometry and bioelectrical impedance analysis (BIA) estimates of fat (FM) and fat-free mass (FFM) was documented with a BMI <15 kg/m(2). Below this threshold, an abnormal body composition was detected with vector BIA independent on body weight (useful tool at the bedside). Both anthropometry and BIA are used for body composition assessment. We evaluated the agreement between their estimates of FFM and FM in extremely lean subjects with anorexia nervosa. METHODS: Observational study in 74 women (age 15-45 years; BMI 10.0-17.5 kg/m(2)) with anorexia nervosa. Anthropometry FM and FFM were estimated by skinfold thicknesses. Whole-body impedance vector components, resistance (R) and reactance (X(c)), were measured at the same time (BIA-101 analyzer, 50-kHz frequency; Akern/RJL Systems, Clinton Twp., MI). BIA estimates of FFM and FM were obtained with Sun's equations (BMI 14-39 kg/m(2)). Vector BIA was performed with the RXc graph method. The frequency of disagreement between anthropometry and BIA was evaluated as a function of increasing BMI (receiver operating characteristic curve). RESULTS: The correlation coefficient between methods was 0.80-0.90. The BMI cutoff value of 15 kg/m(2) predicted disagreement of FM and FFM in patients with a BMI <15 kg/m(2). In the RXc graph, the distribution of vectors from patients with disagreement was significantly shifted out of the right border of the reference tolerance ellipses. CONCLUSIONS: Anthropometry and BIA equations should not be used in anorexic patients with a BMI <15 kg/m(2). The distribution of vectors from patients with disagreement of methods was shifted out of the right border of the reference tolerance ellipses and was superposed to vectors from patients with a BMI <15 kg/m(2). The identified impedance pattern for anorexia could be useful for feedback in individual patient refeeding (vector back into the 75% reference ellipse).

Adipose Tissue↗

Leptin concentrations in the umbilical vein and artery. Relationship to maternal and neonatal anthropometry.

OBJECTIVE: To determine the relationships between serum leptin levels in the umbilical vein (UV) and artery (UA) and the anthropometry of mothers and neonates. STUDY DESIGN: Blood was taken from 61 pregnant women who were admitted for delivery and from the umbilical vein and artery just before delivery of the placenta. Leptin level was measured by immunoradiometric assay. Comparisons between serum leptin concentrations in UVs and both maternal and neonatal anthropometry were made according to neonatal sex. RESULTS: Mean leptin UA and UV concentrations in female infants were significantly higher than those in male infants (both, P = .002). Leptin concentrations in UVs of the total infants were related to maternal body weight and body mass index preconceptionally as well as at birth, to neonatal birth weight, to gestational age, to Kaup index and to body fat content of the infants. CONCLUSION: A sex difference was observed not only in serum leptin concentrations UA and UV but also in the degree of significance between the relationship of cord leptin and both maternal and neonatal anthropometry. Also, the UA leptin level had a closer relationship to neonatal anthropometry, but the UV leptin level was more closely related to maternal anthropometry.

Adult↗

Introduction of a three-dimensional anthropometry of the viscerocranium. Part I: measurement of craniofacial development and establishment of standard values and growth functions.

BACKGROUND AND OBJECTIVE: The analysis of lateral cephalograms is based on many vague landmarks that vary intra- and inter-individually. Exposure to radiation and high-quality equipment are essential, while identical object positioning is almost impossible. Anthropometry as presented in the literature is time consuming and cannot reproduce cranial three-dimensionality. Poor landmark definitions and resilience of the soft tissue foster systematic measurement errors. We used few easily detectable and accessible landmarks that are closely related to underlying bone. The distances measured were visualized three-dimensionally. MATERIAL AND METHODS: Measurements from 540 volunteers were reconstructed. Reliability was assessed through repeated measurements. Corresponding distances were measured in lateral cephalograms taken the same day. RESULTS: The age- and sex-related mean values and 95%-percentiles were visualized as growth functions. The intra-individual relative error in anthropometry was 3.7%, in roentgenocephalometry 0.9%. The inter-individual error was 5.8% for anthropometry and 3.6% for roentgenocephalometry. CONCLUSION: Applied anthropometry as described in the paper is reliable and valid for measuring craniofacial growth, arriving at a diagnosis and 'monitoring' treatment results. The relative measurement error in anthropometry appear to be smaller than the systematic magnification and distortion found in lateral cephalograms.

Adolescent↗

Facial morphology as determined by anthropometry: keeping it simple.

Anthropometry remains an efficient, noninvasive method for describing craniofacial morphology in spite of the appearance of more sophisticated technologies. The major advantage afforded by anthropometry is its technical simplicity, a fact which makes it a readily available tool for evaluating patients, planning facial surgery, or delineating basic features of craniofacial syndromes. Anthropometry lacks the detail of more powerful technologies, but it is better suited for populational studies because of the availability of comparative, normal databases. The standard z-scores produced by such comparisons lend themselves to multivariate analysis. This type of comparative analysis is not yet possible for computerized tomography, three-dimensional imaging, or photogrammetry. To illustrate the utility of this technique an example is cited from an ongoing study of hypohidrotic ectodermal dysplasia (HED) in which anthropometry reveals details of facial morphology overlooked in previous studies. These include the presence of reduced facial height and a striking reduction in the size of the facial features in spite of the fact that facial widths are comparatively normal. Gene carriers show a similar though nonidentical pattern of defects. Like all morphometric approaches, anthropometry has its limitations. Well-designed protocols minimize these limitations by incorporating multiple facial dimensions in the analysis and by emphasizing careful collection of data with standard instruments and methodology.

Cephalometry↗

Resting energy expenditure in patients with cirrhosis of the liver measured by indirect calorimetry, anthropometry and bioelectrical impedance analysis.

Energy expenditure was investigated in 15 patients with liver cirrhosis and 20 healthy controls by three methods: indirect calorimetry, anthropometry using the Harris-Benedict equation and bioelectrical impedance analysis. The energy expenditure was expressed in kcal/day, kcal/kg BW/day (BW - body weight), kcal/kg LBM/day (LBM - lean body mass, derived by bioelectrical impedance analysis) or in kcal/m2/day. We did not find statistical differences between values of resting energy expenditure obtained in patients with cirrhosis of the liver and healthy controls whichever method we used. We also did not find statistical differences between values obtained by indirect calorimetry, anthropometry and bioelectrical impedance analysis. There was a significant correlation between indirect calorimetry and anthropometry in both groups. We found significant correlations between indirect calorimetry and anthropometry, and between indirect calorimetry and bioelectrical impedance analysis, in the control group only. We can conclude that (1) resting energy expenditure of patients with cirrhosis of the liver is not changed when compared with healthy controls, and (2) bioelectrical impedance is a useful method to calculate body composition from which energy expenditure is derived; however, it gives an appropriate result only in healthy people, and only approximate values in patients with cirrhosis.

Adult↗

[Evaluation of the body composition by anthropometry and bioelectric impedance in a group of elderly patients recovering from cerebrovascular accidents].

Body composition was assessed by bioelectrical impedance and anthropometry in 25 subjects, 13 men and 12 women aged 68 +/- 9 with approximately 1 year of recovering from stroke. Most of them with a high independence in their diary activities. The main purpose of this study is to know the body composition of elderly patients with this pathology and how affects the two compartments, fat mass and fat free mass when they are measured by two different techniques anthropometry and BIA. Body Mass Index was higher in women than in men and correlation coefficient (r = 0.6) with body fat per cent was similar with both methods: BIA and anthropometry. The body fat per cent values obtained by BIA showed the same trend to be lower for men than for women and in general were higher than the anthropometric values; the high correlation between the body fat per cent by anthropometry and by BIA support this tendency (r = 0.748, p < 0.01). The comparative studies of ours results in elderly subjects recovered from stroke and the literature data in healthy elderly subjects suggests that this pathology do not lean to important changes in body composition. However, further research is necessary to confirm these results.

Aged↗

A comparison of skinfold anthropometry and bioelectrical impedance analysis for measuring percentage body fat in patients with cirrhosis.

Percentage body fat was determined by skinfold anthropometry and bioelectrical impedance analysis in 60 patients with cirrhosis, 30 of whom had overt fluid retention, and in 60 age- and sex-matched healthy volunteers. In the control population the mean +/- 1SD percentage body fat assessed using bioelectrical impedance analysis, 22.6 +/- 6.5%, and skinfold anthropometry, 22.5 +/- 6.9%, were comparable. However, there was considerable variation in individual values such that measurements made using bioelectrical impedance analysis could be from 9% less to 8% more than the corresponding anthropometric values. In patients with cirrhosis the mean percentage body fat assessed using bioelectrical impedance analysis, 24.4 +/- 8.9%, was significantly greater than the value obtained using skinfold anthropometry, 20.3 +/- 8.4% (p < 0.01) for the whole group and for the subgroup of patients with fluid retention, 24.5 +/- 8.5% cf. 18.4 +/- 7.1% (p < 0.005); estimates of body fat in the subgroup of patients without overt fluid retention were comparable between methods, 24.4 +/- 9.4% cf. 22.1 +/- 9.2%. In the whole patient group individual measurements made using bioelectrical impedance analysis could be from 10% less to 18% more than the corresponding anthropometric values; similar degrees of variation in individual values were observed in the two patient subgroups. Bioelectrical impedance analysis should not be used interchangeably with skinfold anthropometry for assessment of percentage body fat in patients with cirrhosis, irrespective of their state of hydration.

Adipose Tissue↗

Body composition in pregnancies of adolescents and mature women and the relationship to birth anthropometry.

OBJECTIVE: To investigate differences in body composition between adolescent girls and mature women during pregnancy and the relationship to newborn anthropometry. DESIGN: A prospective study. SETTING: The antenatal clinic at the University Hospital of the West Indies, Kingston, Jamaica. SUBJECTS: Four hundred and twenty-five women were invited to join the study. Three hundred and sixty-one women (84.9%) completed the study. INTERVENTIONS: Study participants were divided into two groups: adolescents and mature women, who were all less than 15 weeks pregnant and had no systemic illness at the time of entry into the study. A questionnaire was administered which retrieved information on demographics, age, marital status, menstrual history, parity, socio-economic status, medical history and smoking/drinking habits. Anthropometric measurements including weight, height, triceps, biceps, subscapular and suprailiac skinfolds, as well as blood pressure measurements and urine analysis were performed at the first antenatal visit and repeated at 15, 25 and 35 weeks gestation. Anthropometric measurements of the newborn were performed at birth. RESULTS: There were significant differences between anthropometry and skinfold thickness at the first antenatal visit between the adolescents and the mature women where the adolescents had lower measurements compared to the mature women. In the newborn anthropometry, the only significant difference seen was in the triceps skinfold thickness and the mid-upper arm circumference where the newborn of the adolescents had significantly smaller values (P=0.04; P=0.02, respectively). The percentage fat, fat mass and lean body mass were significantly lower in the adolescent compared to the mature women (P<0.0001), both at the first antenatal visit and at 35 weeks gestation. A greater gain was seen in these measurements throughout the pregnancy in the adolescents (P<0.0001). Linear regression analyses showed that the gain in lean body mass was the most important predictor of birth anthropometry. CONCLUSION: Body composition differs in pregnancy between adolescents and mature woman, and if adequate weight and lean body mass are attained, it impacts positively on birth size irrespective of age.

Adolescent↗

Clinical anthropometry and medical genetics: a compilation of body measurements in genetic and congenital disorders.

Anthropometry has become an important tool in the study of genetic conditions, particularly as a diagnostic aid for the clinical geneticist. However, many practicing physicians do not do anthropometry of patients for several reasons, such as: appropriate measurements in a given situation are unknown; normative reference data are unavailable; or analysis and interpretation of the data are confusing. In this review we present an annotated compilation of informative measurements for hereditary and congenital disorders and a guide to normative anthropometric data of use in evaluation and diagnosis of such disorders. Further development of multivariate approaches will enhance the application of anthropometry as a means of identifying and classifying a syndrome and documenting the natural history of many disorders. Continued cooperation among physicians, geneticists, and anthropologists for the collection and assessment of patient and normative data is essential if these goals are to be realized.

Anthropometry↗

Thyroid function is more strongly associated with body impedance than anthropometry in healthy subjects.

Since fat-free tissues are responsible for 95% of basal energy expenditure, fat-free mass is expected to be a better determinant of thyroid size and function than anthropometry. We tested the hypothesis that fat-free tissues as qualitatively determined by body resistance (R) at 50 kHz are more strongly associated with TSH than anthropometric indicators in healthy subjects. A number of 78 euthyroid adults of both sexes were consecutively studied. R was the best single predictor of TSH (R2(adj)=0.65, p<0.0001). It explained 36% more variance than bw (R2(adj)=0.29, p<0.0001), the most accurate anthropometric predictor. Sex had no effect on the relationship between TSH, bioelectrical impedance analysis and anthropometry. After the contribution of R to TSH was taken into account, anthropometric indicators were not able to explain any additional part of TSH variance. We conclude that in healthy subjects, bioelectrical resistance is a better indicator of thyroid function than anthropometry, probably because of its more direct relationship with fat-free tissues. Further studies are needed to test whether this relationship holds in under- and over-weight subjects.

Adipose Tissue↗

Match between school furniture dimensions and children's anthropometry.

The purpose of the study was to examine whether school furniture dimensions match children's anthropometry. Children aged 6-18 years (n=274), divided into 3 groups on the basis of the used furniture size, were subjected into anthropometric measurements (shoulder, elbow, knee and popliteal height, buttock-popliteal length and hip breadth). Combinational equations defined the acceptable furniture dimensions according to anthropometry and match percentages were computed, according to either the existing situation--where children use the size assigned for their grade--or assuming that they could use the most appropriate of the sizes available. Desk and seat height were bigger than the accepted limits for most children (81.8% and 71.5%, respectively), while seat depth was appropriate for only 38.7% of children. In conclusion, the assumption that children could use the most appropriate yet available size significantly improved the match, indicating that the limited provision of one size per cluster of grades does not accommodate the variability of anthropometry even among children of the same age.

Adolescent↗

Determination of body composition in children with cerebral palsy: bioelectrical impedance analysis and anthropometry vs dual-energy x-ray absorptiometry.

The object of this study was to determine whether bioelectrical impedance analysis (BIA) and anthropometry can be used to determine body composition for clinical and research purposes in children with cerebral palsy. Eight individuals with cerebral palsy (two female, mean age=10 years, mean gross motor function classification=4.6 [severe motor impairment]) recruited from an outpatient tertiary care setting underwent measurement of fat mass, fat-free mass, and percentage body fat using BIA, anthropometry (two and four skinfold equations), and dual-energy x-ray absorptiometry. Correlation coefficients were calculated for fat mass, fat-free mass, and percent body fat for these measures as determined by BIA and anthropometry when compared with dual-energy x-ray absorptiometry. Correlation coefficients were excellent for determination of fat-free mass for all methods (ie, all were above 0.9). Correlations were moderate for determination of fat mass and percent body fat (range=0.4 to 0.8).

Absorptiometry, Photon↗

Accuracy of blood pressure measurement and anthropometry among volunteer observers in a large community survey.

The Busselton Survey is a population survey that is held about every three years. In 1994-1995 a re-survey was held of all past participants and 8,502 attended. Financial constraints precluded employing staff for data collection for blood pressure and anthropometry, these therefore were collected by unpaid lay volunteers. Quality control by a health professional was critical to the assessment and maintenance of accuracy in these measurements. For blood pressure three readings were taken simultaneously by a quality control person and the volunteer using a dual stethoscope. Duplicate anthropometric measurements were taken by a criterion anthropometrist and the volunteer. Inter and intra-observer technical errors of measurement (TEM) were calculated. Sixty-two volunteers were trained to take BP measurements; of these, 38 collected data, and 63 were trained in anthropometry; of these, 30 were suitable as measurers. Training was conducted on a group and individual basis by the quality assurance person for the study both in the Perth metropolitan area and rural Busselton. The TEM for SBP was 1.6 mm Hg (SD 1.0 mm Hg) and 1.5 mm Hg (SD 0.8) for DBP. For skin-folds intra-observer TEM ranged from 0.6 mm to 1.0 mm. Between-observer TEM ranged from 2.1 mm to 5.4 mm. For limb and waist circumferences, intra-observer TEM ranged from 0.3 cm to 1.6 cm. Between-observer TEM for circumferences ranged from 0.5 cm to 1.9 cm. Unpaid volunteer measurers can, if carefully trained and supervised, provide acceptable blood pressure data and anthropometry in large population surveys.

Anthropometry↗