Use of body segments for assess growth and nutritional status in children and adolescents

Authors

  • Maria de las Mercedes Ruiz Brunner Escuela de Nutrición - Facultad de Ciencias Médicas - UNC
  • María Elisabeth Cieri Escuela de Nutrición - Facultad de Ciencias Médicas - UNC
  • Antonella Melisa Ferrero Escuela de Nutrición - Facultad de Ciencias Médicas - UNC
  • María Dania Zárate Escuela de Nutrición - Facultad de Ciencias Médicas - UNC
  • Florencia Bainotti Escuela de Nutrición - Facultad de Ciencias Médicas - UNC
  • Eduardo Cuestas Facultad de Ciencias Médicas - UNC

DOI:

https://doi.org/10.31053/1853.0605.v75.n3.19462

Keywords:

child, height, weight, anthropometry

Abstract

Introduction: Weight and height are essential information to assess growth and nutritional status in pediatrics. The determination of them by direct method is difficult in hospitalized patients. The objective was to analyze the correlation between weight and mid arm circumference (MAC), and between height and knee height (KH) of children and teenagers so it can be used to asses growth and nutritional status in hospitalized children. Population and methods: An observational, descriptive and cross-sectional study was carried out. We included children and teenagers of both gender of 2 and 19 years old. To establish the correlation, the correlation coefficient r and determination R2 were calculated with a significance of p <0.05, plotting the correlation. The MedCalc V12.5.0.0 software was used to analyze the data. Results: Data from 861 subjects were collected. 484 females (56.2% CI95% 52.8-59.5), and 377 males (43.8% CI 95% 40.4-47.2) aged between 2 and 19 years. A correlation was obtained between the KH and the height of r = 0.98 for both sexes, (R2 = 0.96 females and R2 = 0.97 in males), p <0.001. The MAC showed a correlation with the weight of r = 0.92 (R2 = 0.76) in males and r = 0.87 (R2 = 0.85) in females, both with p <0.001. Conclusions: Body segments KH and MAC have a high correlation with height and weight, respectively. That is why we propose to use them for the assessment of growth and nutritional status in hospitalized children with functional limitations.

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References

Lejarraga H. Consideraciones sobre el uso de tablas de crecimiento en la Argentina. Arch Argent Pediatr. 2007;105(6):545–51.

Flegal KM, Wei R, Ogden C. Weight-for-stature compared with body mass index-for-age growth charts for the United States from the Centers for Disease Control and Prevention. Am J Clin Nutr [Internet]. 2002 Apr 1 [cited 2016 Feb 18];75(4):761–6. Available from: http://ajcn.nutrition.org/content/75/4/761.long

Hogan SE. Knee height as a predictor of recumbent length for individuals with mobility-impaired cerebral palsy. J Am Coll Nutr. 1999;18(2):201–5.

Guzmán Hernández C, Reinoza Calderón G, Hernández Hernández R a. Estimación de la estatura a partir de la longitud de pierna medida con cinta métrica. Nutr Hosp. 2005;20(5):358–63.

Rabito EI, Vannucchi GB, Suen VMM, Neto LLC, Marchini JS. Weight and height prediction of immobilized patients. Rev Nutr. 2006;19(6):655–61.

Borba de Amorim R, Coelho Santa Cruz MA, Borges de Souza-Júnior PR, Corrêa da Mota J, González H. C. Medidas de estimación de la estatura aplicadas al índice de masa corporal (IMC) en la evaluación del estado nutricional de adultos mayores. Rev Chil Nutr. 2008;35(1):272–9.

Jaswant S, Nitish M. Use of upper-arm anthropometry as measure of body-composition and nutritional assessment in children and adolescents (6-20 years) of Assam, Northeast India. Ethiop J Health Sci [Internet]. 2014;24(3):243–52. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4141228&tool=pmcentrez&rendertype=abstract

Chowdhury SD, Ghosh T. The upper arm muscle and fat area of Santal children: an evaluation of nutritional status. Acta Paediatr. 2009;98(1):103–6.

Myatt M, Duffield A, Seal A, Pasteur F. The effect of body shape on weight-for-height and mid-upper arm circumference based case definitions of acute malnutrition in Ethiopian children. Ann Hum Biol. 2009;36(1):5–20.

Hurtado-López EF, Larrosa-Haro A, Vásquez-Garibay EM, Macías-Rosales R, Troyo-Sanromán R, Bojórquez-Ramos MC. Liver function test results predict nutritional status evaluated by arm anthropometric indicators. J Pediatr Gastroenterol Nutr. 2007;45(4):451–7.

Abdel-Rahman SM, Paul IM, James LP, Lewandowski A. Evaluation of the Mercy TAPE: Performance Against the Standard for Pediatric Weight Estimation. Ann Emerg Med. 2013;62(4):332–9.

Bell KL, Davies PSW. Prediction of height from knee height in children with cerebral palsy and non-disabled children. Ann Hum Biol. 2006;33(4):493–9.

Stevenson RD. Use of segmental measures to estimate stature in children with cerebral palsy. Arch Pediatr Adolesc Med. 1995;149(3):658–62.

Henríquez-pérez G, Rached-paoli I. Efectividad de la circunferencia del brazo para el despistaje nutricional de niños en atención primaria . Mid-Arm Circumference Effectiveness for the Nutritional Screening of Children in Primary Care . Introducción. An Venez Nutr. 2011;24(1):5–12.

Olga Martin A, Rosa A Hernández H. Ecuaciones de predicción del peso corporal para adultos venezolanos. Antropo [Internet]. 2013;29:133–40. Available from: http://www.didac.ehu.es/antropo/29/29-14/Martin.pdf

Lejarraga H, Orfila G. Estándares de peso y estatura para niñas y niños argentinos desde el nacimiento hasta la madurez. Arch Argent Pediatr. 1987;85:209–13.

Del Pino M, Bay L, Lejarraga H, Kovalskys I, Pino M. Artículo original Peso y estatura de una muestra nacional de 1 . 971 adolescentes de 10 a 19 años : las referencias argentinas continúan vigentes. Arch Argent Pediatr. 2005;103(4):323–30.

World Health Organization and the United Nations Children’s Fund. Child growth standards and the identification of severe acute malnutrition in infants and children. WHO Libr. 2009;1–12.

Sociedad Argentina de Pediatría. Guía para la evaluación del crecimiento físico. Tercera Ed. República Argentina: Comité Nacional de Crecimiento y Desarrollo; 2013. 139 p.

Yousafzai a K, Filteau SM, Wirz SL, Cole TJ. Comparison of armspan, arm length and tibia length as predictors of actual height of disabled and nondisabled children in Dharavi, Mumbai, India. Eur J Clin Nutr. 2003;57:1230–4.

Gauld LM, Kappers J, Carlin JB, Robertson CF. Height prediction from ulna length. Dev Med Child Neurol [Internet]. 2004 Feb 13 [cited 2016 Feb 18];46(7):475–80. Available from: http://doi.wiley.com/10.1111/j.1469-8749.2004.tb00508.x

Ernesto Guevara de la Serna F, del Río Policlínico Manuel González P, Odelkis Alonso Lago D, Daris González Hernández DI, Gladys Abreu Suárez D. Malnutrición proteico-energética en niños menores de 5 años. Rev Cuba Pediatr [Internet]. 2007 [cited 2017 Sep 18];79(2). Available from: http://www.bvs.sld.cu/revistas/ped/vol79_02_07/ped02207.pdf

WHO. WHO child growth standards: head circumference-for-age, arm circumference-for- age, triceps skinfold-for-age and subscapular skinfold-for-age: methods and development. [Internet]. WHO Library. World Health Organization; 2007. Available from: http://www.who.int/childgrowth/standards/second_set/technical_report_2.pdf

Cogill B. Anthropometric Indicators Measurement Guide. Food and nutrition technical asistance proyect. 2001. 1-97 p.

Briend A. Use of MUAC for Severe Acute Malnutrition [Internet]. CMAM Forum. 2012. Available from: http://www.cmamforum.org/Pool/Resources/FAQ-1-Use-of-MUAC-Briend-Eng-June-2012(1).pdf

Published

2018-09-02

How to Cite

1.
Ruiz Brunner M de las M, Cieri ME, Ferrero AM, Zárate MD, Bainotti F, Cuestas E. Use of body segments for assess growth and nutritional status in children and adolescents. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2018 Sep. 2 [cited 2024 Jul. 18];75(3):176-82. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/19462

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Section

Original Papers