ANTHOPROMETRIC MEASUREMENT of various parameter like height, weight , head circumference S SLIDES.pdf

nutrition based assessment done for age groups and described in the slides

1. 2022-2023

2. Anthropometric Measurements:
1-Weight .
2. Length . -Height
3. Head circumference.
4. Chest circumference .
5-Abdominal circumference

3. Infancy and Early Childhood
✓—Weight younger infants nude or in a clean
✓diaper on a calibrated beam or electronic scale.
✓—Weigh older infants in a clean, disposable diaper.
✓Position the infant in the center of the scale tray.
✓—Record the weight as soon as it is completed.

4. 1-weight
At birth, weight 2.700 to 4.200kg
Weight progression (1-12 month)
•First 4 month = 750 gm /month
•2nd 4 months = 500 gm /month
•3rd 4 months = 250 gm/month
Progression in days : gain 20-25 gm. daily
Progression in years: Weight (kg/years) = (age(year) ×2+8).
•Thus an average 2-year-old will weigh: (2 ×2+8) = 12kg

5. Calculate BMI
❑—The metric formula to calculate BMI is
❑weight ÷(height x height)
❑—Measure the child's weight in kilograms (not grams).
❑—Measure the child's height in centimeters (not meters).
❑—Calculate the BMI by dividing the weight by the height squared and
multiplying that total by .

6. 2-Length
•The infant until 2 years of age the
•length in supine position.
•Normal range of the length of normal new born
•(48-52 cm) average= 50 cm.
•How to calculate normal length of infant (below 2 years ).
•1st 6 Mon. Increase 2.5 cm /Month.
•2nd 6 Mon increase 1.5 cm /Month .

7. Procedure

8. Height
•Formula for calculating expected height
•(Age in year X 5) + 80.
•Preparation:
•*Told child and his parent to remove shoes, stock , any hairpiece .
•• Equipment: *Pen. *tape measure. *Hard board.

10. Head Circumference
•Normalmeasurement:33to35cm(13to14inches).
•Insomecasesofnormaldeliverheadcircumference(HC)reduce
immediatelyafterbirthbutitwillbereturntonormalsizeaftertwoto
threedays.

11. Head Circumference
•• Normal new born H-C is 33 : 35 cm
•H.C (Birth –6 months): Monthly gain—1.5 cm
•*H.C (6-12 month): Monthly gain—0. 5 cm
•Preparation :-
•• Remove any hat or hairpiece.
•• Equipment: *Measuring tape.

12. Put metal part of measuring tape in the middle of forehead just above eye
brows –around over the ear –around the occipital prominence at the back
of the skull

13. Abnormal Findings
•—HC less than 32 cm is indicative of Microcephaly
•—HC is 37cm and grater than CC is indicative of neurologic involvement
such as Hydrocephalus.
Abnormal

14. Measure Head Circumference
•We should note the following changes in the head circumference:
✓Head circumference may be somewhat less than that immediately
after birth because of the molding process that occurs during vaginal
delivery.
✓HC more than CC at birth about 2 cm during the first 1 year
✓HC equal to CC from 1-2 years after birth
✓CC more than HC after 2 year of age

15. 4-Chest circumference:
•Normal new born chest circumference is (30.5 to 33 cm ) —(12 to 13
inches)
•—Usually 2 cm less than HC.
•—The CC is measured at the level of the nipple using a tape measure.
•●Equipment:
•1-Measuring tape. 2-Cotton sponge with Alcohol.

16. Place the measuring tape in the middle point across the nipple line and
posterior across the scapula

17. Abnormal Findings
•—The CC less than 30 cm indicates prematurity.
•—An enlarged heart may make the left side of the chest larger

18. Mid-upper arm circumference (MUAC).
•The measurement around the middle of a child’s upper arm is an important
indicator of acute malnutrition in a child.
•The MUAC strip is a flexible measuring tape that measures in millimetres
(mm).
•MUAC can only be used for children 6 months–59 months.

19. Abdominal Circumference
•—Abdominal Circumference (AC) is approximately the same as chest
•circumference.
•—It is measured just above the level of the umbilicus.
•Measuring the abdominal circumference below the umbilical region is also
unsuitable because bladder status may affect the reading.
•Abnormal Findings
•—AC is not routinely measured unless there is a suspicion of abdominal
distention due to obstruction in the gastrointestinal tract.