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Anthropometric Equations to Determine Maximum Height in Adults ≥ 60 Years: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095072. [PMID: 35564467 PMCID: PMC9101954 DOI: 10.3390/ijerph19095072] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/17/2022] [Accepted: 04/19/2022] [Indexed: 01/12/2023]
Abstract
Although it is common to measure bone lengths for study, methodological errors in data measurement and processing often invalidate their clinical and scientific usefulness. This manuscript reviews the validity of several published equations used to determine the maximum height in older adults, since height is an anthropometric parameter widely employed in health sciences. A systematic review of original articles published in the English, Spanish, or Portuguese languages was performed in PubMed, ScienceDirect, EBSCO, Springer Link, and two institutional publisher integrators (UACJ and CONRICYT). The search terms were included in the metasearch engines in a combined way and text form using the Boolean connectors AND and OR {(Determination OR Estimation OR Equation) AND Height AND (Elderly OR "Older adults")}. Eleven manuscripts were selected from 1935 records identified through database searching after applying the following criteria: (1) original articles that designed and validated equations for the determination of height by anthropometric methods in adults 60 years of age and older and (2) manuscripts that presented robust evidence of validation of the proposed regression models. The validity of the reported linear regression models was assessed throughout a manuscript review process called multi-objective optimization that considered the collection of the models, the prediction errors, and the adjustment values (i.e., R2, standard error of estimation, and pure error). A total of 64 equations were designed and validated in 45,449 participants (57.1% women) from four continents: America (85.3%, with 46 equations), Asia (8.1%, with 10), Europe (4.6%, with 7), and Africa (2.0%, with 1); the Hispanic American ethnic group was the most numerous in participants and equations (69.0%, with 28). Due to various omissions and methodological errors, this study did not find any valid and reliable equations to assess the maximum height in older adults by anthropometric methods. It is proposed to adjust allometric mathematical models that can be interpreted in the light of ontogenetic processes.
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Amidu N, Banyeh M, Bani SB, Adam Y, Dapare PPM, Zogli KE. Models for predicting height from percutaneous lengths of the ulna and femur in a Ghanaian population. CANADIAN SOCIETY OF FORENSIC SCIENCE JOURNAL 2021. [DOI: 10.1080/00085030.2021.1880725] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Nafiu Amidu
- Department of Biomedical Laboratory Science, University for Development Studies, Tamale, Ghana
| | - Moses Banyeh
- Department of Biomedical Laboratory Science, University for Development Studies, Tamale, Ghana
| | - Simon Bannison Bani
- Department of Biomedical Laboratory Science, University for Development Studies, Tamale, Ghana
| | - Yussif Adam
- Department of Biomedical Laboratory Science, University for Development Studies, Tamale, Ghana
| | - Peter Paul M. Dapare
- Department of Biomedical Laboratory Science, University for Development Studies, Tamale, Ghana
| | - Kervin Edinam Zogli
- Department of Biomedical Laboratory Science, University for Development Studies, Tamale, Ghana
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Souza GMM, Juvanhol LL, Pereira PF, Rezende FAC, Franceschini SDCC, Ribeiro AQ. Equation of height estimation from knee height: Performance in the composition of body adiposity INDICES in older adults. Clin Nutr ESPEN 2020; 41:281-286. [PMID: 33487277 DOI: 10.1016/j.clnesp.2020.11.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 11/06/2020] [Accepted: 11/25/2020] [Indexed: 12/01/2022]
Abstract
AIM To propose an equation to estimate height and evaluate it's performance in the composition of adiposity indicators in community-dwelling older adults in Brazil. METHODS It is a cross-sectional study with 675 community-dwelling older adults (≥60 anos). Interviews and anthropometric measurements were taken at subjects' homes. Body mass index (BMI), body adiposity index (BAI), waist height ratio (WHR), and conicity index (CI) were calculated. The height estimation equation was obtained by multiple linear regression. Concordance between height and the indicators measured and estimated was evaluated by the intraclass correlation coefficient (ICC) and Cohen's Kappa and Weighted Kappa indexes. Concordance was also evaluated by the Bland and Altman graphical approach. RESULTS Equations of height estimation composed of knee height, sex, and schooling were proposed and stratified by age group (60-74 years and ≥75 years). In both age groups, almost perfect agreement (ICC ≥ 0.915 and Kappa ≥0.81) was found between height and adiposity indicators estimated and measured. CONCLUSION The equation proposed is suitable to estimate height of the older adults, and can be a valuable tool for the evaluation of the nutritional status of Brazilian older adults in the community.
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Affiliation(s)
- Glória Maria Moraes Souza
- Federal University of Viçosa: Department of Nutrition, Federal University of Viçosa, Av. Peter Henry Rolfs, S/n., Campus, Viçosa, MG, 36570-000, Brazil.
| | - Leidjaira Lopes Juvanhol
- Federal University of Viçosa: Department of Nutrition, Federal University of Viçosa, Av. Peter Henry Rolfs, S/n., Campus, Viçosa, MG, 36570-000, Brazil.
| | - Patricia Feliciano Pereira
- Federal University of Viçosa: Department of Nutrition, Federal University of Viçosa, Av. Peter Henry Rolfs, S/n., Campus, Viçosa, MG, 36570-000, Brazil.
| | - Fabiane Aparecida Canaan Rezende
- Federal University of Tocantins: Department of Nutrition, Federal University of Tocantins, Av. NS 15, 109 Norte, Plano Diretor Norte, Campus, Palmas, TO, 77001-090, Brazil.
| | - Sylvia do Carmo Castro Franceschini
- Federal University of Viçosa: Department of Nutrition, Federal University of Viçosa, Av. Peter Henry Rolfs, S/n., Campus, Viçosa, MG, 36570-000, Brazil.
| | - Andréia Queiroz Ribeiro
- Federal University of Viçosa: Department of Nutrition, Federal University of Viçosa, Av. Peter Henry Rolfs, S/n., Campus, Viçosa, MG, 36570-000, Brazil.
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Cantone M, Lanza G, Vinciguerra L, Puglisi V, Ricceri R, Fisicaro F, Vagli C, Bella R, Ferri R, Pennisi G, Di Lazzaro V, Pennisi M. Age, Height, and Sex on Motor Evoked Potentials: Translational Data From a Large Italian Cohort in a Clinical Environment. Front Hum Neurosci 2019. [PMID: 31214003 DOI: 10.3389/fnhum.2019.00185.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction Motor evoked potentials (MEPs) to transcranial magnetic stimulation (TMS) are known to be susceptible to several sources of variability. However, conflicting evidences on individual characteristics in relatively small sample sizes have been reported. We investigated the effect of age, height, and sex on MEPs of the motor cortex and spinal roots in a large cohort. Methods A total of 587 subjects clinically and neuroradiologically intact were included. MEPs were recorded during mild tonic contraction through a circular coil applied over the "hot spot" of the first dorsal interosseous and tibialis anterior muscles (TAs), bilaterally. Central motor conduction time (CMCT) was estimated as the difference between MEP cortical latency and the peripheral motor conduction time (PMCT) by cervical or lumbar magnetic stimulation. Peak-to-peak MEP amplitude to cortical stimulation and right-to-left difference of each parameter were also measured. Results After Bonferroni correction, general linear (multiple) regression analysis showed that both MEP cortical latency and PMCT at four limbs positively correlated with age and height. At lower limbs, an independent effect of sex on the same measures was also observed (with females showing smaller values than males). CMCT correlated with both age (negatively) and height (positively) when analyzed by a single regression; however, with a multiple regression analysis this significance disappeared, due to the correction for the multicollinearity within the dataset. Conclusion Physical individual features need to be considered for a more accurate and meaningful MEPs interpretation. Both in clinical practice and in research setting, patients and controls should be matched for age, height, and sex.
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Affiliation(s)
- Mariagiovanna Cantone
- Department of Neurology, Sant'Elia Hospital, ASP Caltanissetta, Caltanissetta, Italy
| | - Giuseppe Lanza
- Department of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.,Department of Neurology IC, Oasi Research Institute - IRCCS, Troina, Italy
| | - Luisa Vinciguerra
- Department of Neurology and Stroke Unit, IRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy
| | - Valentina Puglisi
- Department of Neurology and Stroke Unit, IRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy
| | - Riccardo Ricceri
- Department of Internal Medicine, Sant'Anna Hospital, AUSL Reggio Emilia, Castelnovo ne' Monti, Italy
| | - Francesco Fisicaro
- Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
| | - Carla Vagli
- Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
| | - Rita Bella
- Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
| | - Raffaele Ferri
- Department of Neurology IC, Oasi Research Institute - IRCCS, Troina, Italy
| | - Giovanni Pennisi
- Department of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
| | - Vincenzo Di Lazzaro
- Research Unit of Neurology, Neurophysiology and Neurobiology, Università Campus Bio-Medico, Rome, Italy
| | - Manuela Pennisi
- Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy
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Cantone M, Lanza G, Vinciguerra L, Puglisi V, Ricceri R, Fisicaro F, Vagli C, Bella R, Ferri R, Pennisi G, Di Lazzaro V, Pennisi M. Age, Height, and Sex on Motor Evoked Potentials: Translational Data From a Large Italian Cohort in a Clinical Environment. Front Hum Neurosci 2019; 13:185. [PMID: 31214003 PMCID: PMC6558095 DOI: 10.3389/fnhum.2019.00185] [Citation(s) in RCA: 56] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Accepted: 05/20/2019] [Indexed: 02/05/2023] Open
Abstract
INTRODUCTION Motor evoked potentials (MEPs) to transcranial magnetic stimulation (TMS) are known to be susceptible to several sources of variability. However, conflicting evidences on individual characteristics in relatively small sample sizes have been reported. We investigated the effect of age, height, and sex on MEPs of the motor cortex and spinal roots in a large cohort. METHODS A total of 587 subjects clinically and neuroradiologically intact were included. MEPs were recorded during mild tonic contraction through a circular coil applied over the "hot spot" of the first dorsal interosseous and tibialis anterior muscles (TAs), bilaterally. Central motor conduction time (CMCT) was estimated as the difference between MEP cortical latency and the peripheral motor conduction time (PMCT) by cervical or lumbar magnetic stimulation. Peak-to-peak MEP amplitude to cortical stimulation and right-to-left difference of each parameter were also measured. RESULTS After Bonferroni correction, general linear (multiple) regression analysis showed that both MEP cortical latency and PMCT at four limbs positively correlated with age and height. At lower limbs, an independent effect of sex on the same measures was also observed (with females showing smaller values than males). CMCT correlated with both age (negatively) and height (positively) when analyzed by a single regression; however, with a multiple regression analysis this significance disappeared, due to the correction for the multicollinearity within the dataset. CONCLUSION Physical individual features need to be considered for a more accurate and meaningful MEPs interpretation. Both in clinical practice and in research setting, patients and controls should be matched for age, height, and sex.
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Affiliation(s)
- Mariagiovanna Cantone
- Department of Neurology, Sant’Elia Hospital, ASP Caltanissetta, Caltanissetta, Italy
| | - Giuseppe Lanza
- Department of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
- Department of Neurology IC, Oasi Research Institute – IRCCS, Troina, Italy
- *Correspondence: Giuseppe Lanza, ;
| | - Luisa Vinciguerra
- Department of Neurology and Stroke Unit, IRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy
| | - Valentina Puglisi
- Department of Neurology and Stroke Unit, IRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy
| | - Riccardo Ricceri
- Department of Internal Medicine, Sant’Anna Hospital, AUSL Reggio Emilia, Castelnovo ne’ Monti, Italy
| | - Francesco Fisicaro
- Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
| | - Carla Vagli
- Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
| | - Rita Bella
- Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
| | - Raffaele Ferri
- Department of Neurology IC, Oasi Research Institute – IRCCS, Troina, Italy
| | - Giovanni Pennisi
- Department of Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
| | - Vincenzo Di Lazzaro
- Research Unit of Neurology, Neurophysiology and Neurobiology, Università Campus Bio-Medico, Rome, Italy
| | - Manuela Pennisi
- Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy
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de Lima MFS, de Oliveira LP, Cabral NLDA, Liberalino LCP, Bagni UV, de Lima KC, Lyra CDO. Estimating the height of elderly nursing home residents: Which equation to use? PLoS One 2018; 13:e0205642. [PMID: 30352073 PMCID: PMC6198959 DOI: 10.1371/journal.pone.0205642] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 09/28/2018] [Indexed: 11/19/2022] Open
Abstract
Estimating equations can be used when measuring the height of elderly persons is not possible. However, such methods are not always applicable; therefore, it is necessary to consider several aspects, such as sex, age, and ethnicity of the studied population to generate these equations. This study aimed to compare and validate methods of estimating the height of the Brazilian elderly nursing home residents. An accuracy study was conducted with 168 elderly persons. A total of 23 equations were quantitatively evaluated by plotting the differences in means, the Student's t-test for paired samples, the coefficient of determination (R2), the root-mean-square error (RMSE), the interclass correlation coefficient (ICC), and by graphic analysis of the residuals. A significance value of p <0.05 was adopted. An equation was considered applicable when it had R2 >0.7, the lowest RMSE among the equations evaluated, ICC >0.7, and a confidence interval of 95%, with the smallest difference between the upper and lower limits. A greater mean height was noted among younger elderly persons and elderly men compared to up to 80 years and women elderly. Quantitative analysis revealed that equation for Puerto Ricans, using knee height and age, was the most applicable for the overall population (ICC = 0.802). The same equation was applicable for the elderly Brazilian male participants (ICC = 0.838) and for those aged 60-69 years (ICC = 0.895). None of the equations used were applicable for the height estimation of elderly women or individuals aged 70 years or more.
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Affiliation(s)
| | | | | | | | - Ursula Viana Bagni
- Department of Nutrition, Federal University of Rio Grande do Norte, Natal, Brazil
| | - Kenio Costa de Lima
- Department of Dentistry, Federal University of Rio Grande do Norte, Natal, Brazil
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Kuiti B, Bose K. Predictive equations for height estimation using knee height of older Bengalees of Purba Medinipur, West Bengal, India. ANTHROPOLOGICAL REVIEW 2016. [DOI: 10.1515/anre-2016-0004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
For nutritional assessment work for older population, it is important to be able to estimate body height based on knee height. The present report describes three equations for height estimation among older Bengalees based on knee height and compares the results with knee height based formulae developed for several other populations. Anthropometric measurements were analyzed from 114 (62 men and 52 women) older subjects aged >= 55 years. The subjects were randomly selected from two blocks (Contai I and Ramnagar I), at coastal area of Purba Medinipur District in West Bengal, India. A population specific formula for height was created based on knee height of the subjects. These estimated formulae from the present study and fourteen other previously reported formulae were also applied to these older population and the mean estimation errors were statistically compared. Analysis indicated that our derived formulae gave accurate estimation of height among the subjects.
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Affiliation(s)
- Binoy Kuiti
- Department of Anthropology, Vidyasagar University, West Bengal, India
| | - Kaushik Bose
- Department of Anthropology, Vidyasagar University, West Bengal, India
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CLOSS VE, FEOLI AMP, SCHWANKE CHA. Altura do joelho como medida alternativa confiável na avaliação nutricional de idosos. REV NUTR 2015. [DOI: 10.1590/1415-52732015000500002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Objetivo:Avaliar o uso da altura do joelho como medida alternativa confiável na avaliação nutricional de idosos atendidos em um ambulatório de geriatria.Métodos:Estudo transversal com idosos atendidos em ambulatório de geriatria de um hospital universitário, entre novembro de 2009 e novembro de 2010. Variáveis investigadas: gênero, idade, peso, estatura, altura do joelho, estatura estimada através das equações de Chumlea, índice de massa corporal para as medidas de estatura aferida e estimada e classificado segundo Lipschitz, e dados sociodemográficos. Na análise descritiva dos dados foram usadas medidas de tendência central, dispersão e proporção; a homogeneidade entre as medidas foi verificada através do coeficiente de correlação intraclasse e do gráfico de Bland e Altman e a concordância entre a avaliação nutricional baseada no índice de massa corporal calculado a partir da estatura aferida e a avaliação nutricional baseada no índice de massa corporal calculado a partir da estatura estimada foi avaliada através do coeficiente Kappa ponderado com pesos quadráticos.Resultados:Foram avaliados 186 idosos com média de idade de 74,3±7,1 anos. A média do índice de massa corporal aferido e estimado foi 28,96±5,86 kg/m2e 27,95±5,47 kg/m2, respectivamente, e a prevalência de sobrepeso foi de 59,7% para o índice de massa corporal aferido e 53,2% para o estimado. Foi observada uma boa concordância (Kappa=0,79; p<0,001) entre as duas avaliações.Conclusão:Os resultados mostraram ser possível utilizar a altura do joelho na estimativa da estatura para cálculo do índice de massa corporal em idosos atendidos em ambulatório, alternativa útil para aqueles que apresentam limitações na aferição das medidas, sendo esta uma medida alternativa importante na avaliação nutricional de idosos.
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Matamala JM, Núñez C, Lera L, Verdugo RJ, Sánchez H, Albala C, Castillo JL. Motor evoked potentials by transcranial magnetic stimulation in healthy elderly people. Somatosens Mot Res 2013; 30:201-5. [PMID: 23767989 DOI: 10.3109/08990220.2013.796922] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
INTRODUCTION Transcranial magnetic stimulation (TMS) is a non-invasive, safe, and painless method for evaluating the corticospinal pathway. The population of older adults is growing, along with the prevalence of neurological diseases common to this group. Latency and amplitude of motor evoked potentials (MEPs) vary among healthy subjects and no reference normal values for MEPs in healthy older adults are available. OBJECTIVE To create a reference value for MEPs by TMS for healthy older adults. METHODS Descriptive study in 36 healthy 70-year-old and older subjects. A 90-mm circular coil Magstim® magnetic stimulator was applied over Cz and Fz. Recording was done in the abductor pollicis brevis and tibialis anterior muscles, at rest and during sustained tonic contraction. Central motor conduction time (CMCT) was derived from MEP latency and peripheral motor conduction time (PMCT). Values were related to age, gender, standing height, and knee height. RESULTS Mean age was 73.3 ± 2.4 years (58% female). In the upper extremity, average MEP latency was 23.3 ± 1.9 ms at rest and 19.9 ± 1.9 ms during tonic contraction. In the lower extremity, average MEP latency was 30.6 ± 2.5 ms at rest and 27.2 ± 2.3 ms during tonic contraction. There was a significant correlation between MEP latency and standing height, greater in the lower extremities. Female gender appeared as an independent factor determining lower MEP latency, but not CMCT, in upper and lower extremities. CONCLUSION We have provided clinically useful reference values for MEPs by TMS in healthy adults older than 70 years of age. As in the younger population, standing height is important in defining normal MEPs. The difference between genders might be due to the lower height of women.
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Affiliation(s)
- José Manuel Matamala
- Department of Neurological Science, Faculty of Medicine, University of Chile , Santiago , Chile and
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Do Class III patients have a different growth spurt than the general population? Am J Orthod Dentofacial Orthop 2012; 142:679-89. [PMID: 23116509 DOI: 10.1016/j.ajodo.2012.07.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2011] [Revised: 07/01/2012] [Accepted: 07/01/2012] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Understanding the timing and length of the growth spurt of Class III prognathic patients is fundamental to the strategy of interceptive orthopedic orthodontics as well as to the timing of orthognathic surgery. Consequently, this study was undertaken to determine whether there are any significant differences in the stature growth pattern of Class III subjects compared with non-Class III subjects and the general population. METHODS Twelve-year longitudinal stature growth data were collected for 402 randomly selected adolescents in the general population, 55 Class III mandibular prognathic patients, and 37 non-Class III patients. The growth data were analyzed by using the traditional linear interpolation method and nonlinear growth functions. The 6 stature growth parameters were measured: age at takeoff, stature at takeoff, velocity at takeoff, age at peak height velocity, stature at peak height velocity, and velocity at peak height velocity. Comparisons in the stature growth parameters and 15 cephalometric variables among the general population, Class III subjects, and non-Class III subjects were made with multivariate analysis. RESULTS Patients with Class III prognathism did not have different growth parameters compared with Class II subjects or the general population. CONCLUSIONS This study does not allow meaningful conclusions with regard to the relationship of mandibular size and stature growth pattern. The application of nonlinear growth curves vs the traditional linear interpolation method was also discussed.
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Dunsky A, Zach S, Zeev A, Goldbourt U, Shimony T, Goldsmith R, Netz Y. Prediction of standing height among Israeli older adults: results from a national survey. Ann Hum Biol 2012; 39:499-504. [PMID: 23067342 DOI: 10.3109/03014460.2012.718795] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND An accurate measurement of full height while standing is sometimes not possible among older adults, in particular among the frail elderly. For such cases, the use of knee height (KH) and ulna bone length (UL) has been suggested for standing height estimation. Studies have shown that predictive equations of height were ethnic-specific. AIM This study attempted to develop representative equations to predict standing height based on KH, UL and waist circumference (WC) for older adult Israeli women and men. SUBJECTS AND METHODS A random sample of 1500 older adults (aged 74.48 ± 6.09 years old). Participants were interviewed in their homes and measurements of Standing height, KH, UL and WC were taken. A quadratic regression analysis, for each sex separately, was performed to predict standing height based on age, KH, UL and WC. RESULTS The adjusted r (2) standing height prediction equations were 0.51 and 0.67 for women and men, respectively. CONCLUSIONS The prediction of the standing height of frail elderly Israelis, by KH, UL, WC and age, may be an alternative method when actual standing height is difficult or not possible to measure.
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Affiliation(s)
- Ayelet Dunsky
- Zinman College for Physical Education and Sport Sciences, Wingate Institute, Netanya, Israel
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Cereda E, Bertoli S, Vanotti A, Battezzati A. Estimated height from knee-height in Caucasian elderly: implications on nutritional status by mini nutritional assessment. J Nutr Health Aging 2010; 14:16-22. [PMID: 20082049 DOI: 10.1007/s12603-010-0004-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To investigate if the use of estimated height (EH) by currently available prediction formulas might affect the screening and outcome prediction attitudes of both the Mini Nutritional Assessment (MNA) and its short-form version (MNA-SF). DESIGN A 6-month observational study. SETTING Two long-term cares of the province of Como. PARTICIPANTS 266 resident elderly (102 men, 164 women; mean age +/- SD: 80.4 +/- 8.6 years). MEASUREMENTS Subjects were studied by anthropometry (weight, standing height, knee-height, arm and calf circumferences, triceps skinfold) and biochemistry (albumin and prealbumin). Nutritional status was assessed using both MNA and MNA-SF. At 6 months, major outcome were: death, infections and bedsores. RESULTS In overall population, prediction formulas significantly underestimated real height. The bias by Italian-specific equation was higher than that by nationally-representative formulas for white Americans. The use of EHs produced significant differences in body mass index (BMI) but these did not affect nutritional status scoring by MNA and MNA-SF (r > or =0.99, p < 0.0001). Cohen's kappa statistic also showed an almost perfect concordance (kappa > 0.9). Moreover, similar degrees of correlation were found between nutritional parameters and both MNA and MNA-SF scores by BMI from SH and EHs. After 6 months, major complications occurred in twenty-eight patients (11.6%). The use EHs did not affect the distribution of events among MNA and MNA-SF nutritional classes. CONCLUSION In Italian elderly, height prediction by nationally representative equations for white Americans should be preferred to that by ethnic-specifc formula. However, the use of both models does not seem to affect nutritional screening and outcome prediction by MNA and MNA-SF.
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Affiliation(s)
- E Cereda
- International Center for the Assessment of Nutritional Status (ICANS), University of Milan, Milan, Italy.
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Davidson J, Randall GK, Getz MA. Self-Reported Height, Calculated Height, and Derived Body Mass Index in Assessment of Older Adults. ACTA ACUST UNITED AC 2009; 28:359-71. [DOI: 10.1080/01639360903393507] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Lee SJ, An H, Ahn SJ, Kim YH, Pak S, Lee JW. Early stature prediction method using stature growth parameters. Ann Hum Biol 2008; 35:509-17. [PMID: 18821328 DOI: 10.1080/03014460802286942] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND The creation of an accurate growth prediction method for human stature at a stage of growth has been an interesting challenge in medical science and human biology. AIM The aim of this study was to develop a non-radiographic final stature prediction method that is applicable in the early pubertal growth period. SUBJECTS AND METHODS Randomly selected 12-year serial stature growth data for 400 Koreans were fitted with two nonlinear growth curves: Preece and Baines model 1 (PB1) and Jolicoeur-Pontier-Pernin-Sempe (JPPS) functions. Five biological parameters, including take-off (TO) related parameters, were derived by differentiation of the two curves, respectively. Those five variables were composed into a multiple linear regression equation for final stature prediction. In the cross-validation subjects, TO-related variables were estimated by linear interpolation from the partial growth data prior to estimation age, then incorporated into the prediction equation. RESULTS The final stature prediction model had excellent validity and accuracy when applied to the cross-validation samples. Prediction accuracy increased according to increasing years after take-off. CONCLUSIONS This study suggests that a final stature prediction method using multiple regression analysis that includes biological parameters can predict stature growth with sufficient validity and accuracy. Incorporation of TO-related parameters allowed us to develop earlier growth evaluation and prediction methods compared with other previous methods.
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Affiliation(s)
- Shin-Jae Lee
- Dental Research Institute, Seoul National University, Seoul, Korea
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15
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Thomas JM, Isenring E, Kellett E. Nutritional status and length of stay in patients admitted to an Acute Assessment Unit. J Hum Nutr Diet 2007; 20:320-8. [PMID: 17635309 DOI: 10.1111/j.1365-277x.2007.00765.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND The Redesigning Care initiative at Flinders Medical Centre aimed to improve access to timely, consistent, quality care. This led to the creation of an Acute Assessment Unit (AAU) where all patients are assessed by the Allied Health team on admission. This study aimed to: (i) determine the nutritional status of patients admitted to the AAU using the scored Patient Generated-Subjective Global Assessment (PG-SGA); and (ii) determine the association between nutritional status and length of stay (LOS). METHODS A prospective, observational study was conducted in 64 patients (mean age 79.9 +/- 11 years, 76% female). Nutritional status was assessed within 48 h of admission and LOS data were collected prospectively. RESULTS According to PG-SGA global rating, 53% (n = 34) of patients were malnourished. There was a weak association between PG-SGA score and LOS (r = 0.250, P = 0.046). The malnourished patients had a longer LOS by 1 day compared to well-nourished patients, and while this did not reach statistical significance (Z = -0.988, P = 0.323), it has implications for health care costs. LOS overall was short at a median of 4.5 days (range 1-24). CONCLUSIONS A significant proportion of patients admitted to the AAU is malnourished. There was a trend for these patients to have a longer LOS, indicating a critical need for nutritional management; however LOS as a whole was short. While nutrition support in hospital is useful in reinforcing dietary education, the short LOS emphasized the importance of discharge education and follow-up.
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Affiliation(s)
- J M Thomas
- Department of Nutrition and Dietetics, Flinders University, Bedford Park, Adelaide, SA 5041, Australia.
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