CM L3 Health in Maths Body Surface Area (BSA) Task 1a Your challenge is to estimate the body surface area of someone in your group. First make an estimate of the person’s body surface area by observing them. Now make a second estimate and use the following tools to help you, toilet rolls, flip chart paper, A3- A4 paper, plastic bags or any other way that you can think of. Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Task 1b There are other ways of working out the body’s surface area. One way involves using the formulae of mathematical shapes. Estimate using solids as above and compare to your original estimate and the estimate using toilet rolls and paper. Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Task 1b Surface Area Formulae Cylinder SA = 2πrh + 2πr2 Cone SA = πr2 + πrl Sphere SA = 4πr2 Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Task 1c Body Surface Area Formula (Mosteller formula) Another way of calculating BSA involves using Mostellar’s formula, a formula used by medical staff to help them work out the correct drug dosage to give a patient when the medicine depends on the body’s surface area eg chemotherapy. Body Surface Area (m2 ) = Height (cm) x Weight (kg) 3600 Use Mosteller’s formula to calculate body surface area, how close were you using the previous estimates? Another formula used to calculate body surface area is the DuBois and DuBois formula The DuBois and DuBois formula2 BSA (m2) = 0.20247 x Height(m)0.725 x Weight(kg)0.425 Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Use the DuBois formula and compare to Mosteller. Use the Mosteller formula to compare to DuBois for all the members of your group. Task 1d Use a scatter diagram to compare Mostellors and DuBois formulas for the whole class. State if there is a relationship and correlation between the two formulas, from this does it matter which formula you would use? Use graph paper Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Investigate further: Pearson's Correlation Coefficient Correlation is a technique for investigating the relationship between two quantitative, continuous variables, for example, age and blood pressure. Pearson's correlation coefficient (r) is a measure of the strength of the association between the two variables. The first step in studying the relationship between two continuous variables is to draw a scatter plot of the variables to check for linearity. The correlation coefficient should not be calculated if the relationship is not linear. For correlation only purposes, it does not really matter on which axis the variables are plotted. However, conventionally, the independent (or explanatory) variable is plotted on the x-axis (horizontally) and the dependent (or response) variable is plotted on the y-axis (vertically). The nearer the scatter of points is to a straight line, the higher the strength of association between the variables. Also, it does not matter what measurement units are used. Values of Pearson's correlation coefficient Pearson's correlation coefficient (r) for continuous (interval level) data ranges from -1 to +1: r = -1 data lie on a perfect straight line with a negative slope Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths r=0 no linear relationship between the variables r = +1 data lie on a perfect straight line with a positive slope Positive correlation indicates that both variables increase or decrease together, whereas negative correlation indicates that as one variable increases, so the other decreases, and vice versa. Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Computing the Pearson Correlation Coefficient One formula for the Pearson correlation coefficient r is as follows: (10.1) The following numerical example shows how the formula ( 10.1) is used: Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Use Pearsons to see if there is any correlation between the two formulas? Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths Task 1e Health questions in context: Average BSAs for children of various ages, for men, and for women, are taken to be: Neonate (newborn) Child of 2 years 9 years 10 years 12–13 years Women Men 0.25 m² 0.5 m² 1.07 m² 1.14 m² 1.33 m² 1.6 m² 1.9 m² 1. Using Mostellers formula find the BSA of a male cancer patient that is 180cm tall and weighs 75kg. Calculate the percentage difference with average BSA for men. 2. Use the DuBois and DuBois formula to calculate the body surface area of a 10 year old child who weighs 70lbs and is 4ft 7inchs. What is the percentage difference between the average BSA and the child’s BSA? 3. A male patient’s BSA using Mosteller’s formula was calculated to be 2.1236, his height is 1.91m. Rearrange Mosteller’s to find the patients weight. 4. Another way of working out body surface area is to use a table. Use the BSA table to work out BSA for a person whose height is 1.65m and weighs 47kg. Do the same for the following people, Haleema, 1.7m, 51kg; Jordan, 188cm, 73kg, Dale, 95kg, 1.82m Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session CM L3 Health in Maths 5. Using tables find the weight of a person that is 159cm tall and has a BSA of 1.99. Give their height and weight using imperial measurements. 6. Set up a spreadsheet to use Mosteller’s and DuBois formulas, use this to check all the calculations that you have done in all of the tasks. Developed and adapted by Martin Newton @ Stoke on Trent College, early adopters with Core Maths Support programme, based on an idea from NCETM MEP follow up session