Beruflich Dokumente
Kultur Dokumente
Dr.Nishan Silva
(MBBS)
Anthropometry
• Nutritional care
• Body mass index
• Basal metabolic rate
• Recommended Daily allowances
• Physical Measurements
• Energy expenditure
The Nutrition Care Process
• Identifying and meeting a person’s nutrient and nutrition
education needs. Five steps:
1. Assess Assessment of nutritional status
2. Analyze Analyze assessment data to determine nutrient
requirements
3. Develop Develop a nutrition care plan to meet patient’s
nutrient and education needs.
4. Implement: Implement care plan
5. Evaluate: Evaluate effectiveness of care plan: ongoing
follow-up, reassessment, and modification of care plan.
Assessing Nutritional Status
• Historical Information
• Physical Examination
• Anthropometric Data
• Laboratory Analyses
CLINICAL ASSESSMENT
Good nutritional history should be
obtained
General clinical examination, with
special attention to organs like hair,
angles of the mouth, gums, nails, skin,
eyes, tongue, muscles, bones, & thyroid
gland.
Detection of relevant signs helps in
establishing the nutritional diagnosis
Anthropometric Data –
physical measurement of the body
or
wt (lb) X 705
ht (inches) 2
International classification of BMI
Measurements
Example
• Height –
1.96 m (6 ft 5 in)
• Weight –
125 kg (276 lb; 9 st 10 lb)
in 10.8 s!!!!
Measures Using Height and Weight
Cons: BMI can misclassify up to one
out of four people.
– Does not account for fat distribution
– Doesn’t account for LBM - may
misclassify frail/sedentary or very
muscular people
Other anthropometric Measurements
• Mid-arm circumference
• Skin fold thickness
• Head circumference
• Hip/waist ratio
• Head/chest ratio
Measuring weight - Video
Measuring weight
Measuring weight
Measuring Height - video
Infantometer
Stadiometer
Measuring Length - video
Circumferences - video
Skin fold thickness - video
Skin fold thickness - video
Growth percentile charts
Growth charts
What is normal
growth?
When does it
tends to change?
Drawbacks?
ADVANTAGES OF ANTHROPOMETRY
• Objective with high specificity & sensitivity
• Measures many variables of nutritional
significance (Ht, Wt, MAC, HC, skin fold
thickness, waist & hip ratio & BMI).
• Readings are numerical & gradable on
standard growth charts
• Readings are reproducible.
• Non-expensive & need minimal training
Limitations of Anthropometry
Inter-observers errors in measurement
These are:
Basal metabolic rate
(BMR),
Diet induced
Thermogenesis (DIT),
Physical
activity (PA)
Calculating
total energy
expenditure
Basal Metabolic Rate
(BMR)
• is the amount of daily energy
expended by humans (and other
animals) at rest.