Anthropometric assessment

Anthropometric measurements are a series of quantitative measurements of the muscle, bone, and adipose tissue used to assess the composition of the body. The core elements of anthropometry are height, weight, body mass index (BMI), body circumferences (waist, hip, and limbs), and skinfold thickness

1. Mr. Abhijit Bhoyar 2 nd year M Sc Nursing SRMM CON Sawangi DEMONSTRATION ON Anthropometric assessm e nt

2. GENERAL OBJECTIVE : At the end of the procedure student will be able to understand the procedure and develop positive attitude towards it and apply this skills in clinical as well as in teaching practices.

3. SPECIFIC OBJECTIVES: Define anthropometric assessment Enlist parameters of anthropometric assessment. Enlist the purposes. Enumerate the articles needed for the assessment

4. Discuss about procedure of assessment Enlist the advantages and limitation of anthropometric assessment. Explain role of nurse

5. Introduction Anthropos  - "man" and   Metron  "measurement” A branch of anthropology that involves the quantitative measurement of the human body

6. Parameters of anthropometry Weight Height Head circumference Chest circumference Mid upper arm circumference

7. Purposes To find out the nutritional status of the child To find the growth and development pattern of the child To find any deviation in growth and development from the normal pattern

8. To help in treatment plan by assessing the current growth. To help in conformation of the diagnosis.

9. Articles needed weight machine/electronic weight machine. Spring balance or beam balance. Inch tape to measure the circumference

10. Stadio -meter to measure the height of preschool age and adolescence. Infantometer to measure the height or length of newborn. STADIO-METER INFANTOMETER

11. A bowel with cotton swab with spirit or normal saline to clean the measuring tape, weighing machine, and infantometer . Kidney tray or paper bag to discard the waste. Growth chart to plot the values, or recording, reporting articles. A clean paper or plastic sheets to spread over the pan of the weighing machine to prevent infection and injury to the infant.

12. PROCEDURE :

13. WEECH’S FORMULA 3 – 12 months = Expected weight(kg) = age (months) + 9 / 2 1- 6 yea rs = Expected weight(kg) = age (years) x 2 + 8 7 – 12 years = Expected weight(kg) = age (years) x 7 - 5 / 2  

14. MEASUREMENT OF HEIGHT AND LENGTH

15. Formula Expected height upto 12 yrs length or height (in cms ) = age in years x 6 +77 ( wheech’s formula )

16. HEAD CIRCUMFERENCE Head circumference  is a measurement of a child's  head  around its largest area. It measures the distance from above the eyebrows and ears and around the back of the  head

17. CHEST CIRCUMFERENCE Procedure Chest circumference is measured with inch tape. Place the tape and measured around the back and front at the level of both nipple, and count at mid point of chest in front. Do not keep tape measure too tight or to loose, record the findings

18. MID UPPER ARM CIRCUMFERENCE Procedure The mid upper arm circumference is measured from the left upper arm . the arm should be hang freely. The tape measure should be placed at mid point of upper arm.

19. Conti… It should be located between the tip of acromian process of scapula and olecranon process of ulna bone. While measuring the mid arm circumference, the arm should be free from any cloth. Do the recording of circumference. All the measurements should be plotted on the growth chart.

20. ADVANTAGES OF ANTHROPOMETRY Less expensive & need minimal training Readings are reproducible. Objective with high specificity & sensitivity Measures many variables of nutritional significance (Ht, Wt, MAC, HC, skin fold thickness, & BMI). Readings are numerical & gradable on standard growth charts

21. LIMITATIONS OF ANTHROPOMETRY Inter-observers errors in measurement Limited nutritional diagnosis Problems with reference standards, i.e. local versus international standards.

22. Role of nurse She should know the articles needed for the anthropometric assessment. She should check the instruments are in working condition She should explain about the procedure. She should maintain the records

23. THANK YOU