NUTR 442 - NUTRITION ASSESSMENT LABORATORY EXPERIMENT 1 - ANTHROPOMETRIC ASSESSMENT OBJECTIVE: To give students experience collecting and analyzing anthropometric data important in the assessment of overall nutritional status. DATA TO BE COLLECTED (for self and two lab partners): 1. 2. 3. 4. 5. 6. 7. 8. 9. Age Height (inches without shoes, using wall mounted stadiometer) Weight (pounds with very light clothing, using electronic balance) Wrist circumference (cm, using Ross Insert Tape)) Elbow Breadth (cm, using metal anthropometric caliper) Knee height (cm, using Ross Knee Height Caliper) Waist Circumference (cm, using Gulick tape measure) Hip Circumference (cm, using metal tape measure) Arm Span (cm, using metal tape measure) DETERMINE THE FOLLOWING: 1. 2. 3. 4. 5. 6. Estimation of frame size from height to wrist ratio (table 6-5, p178) Estimation of frame size based on elbow breadth (table 6-4, p178) Desirable weight range (1983 Met Life Table)(tables 6-1, frame based on H/WC, p174) Midpoint desirable weight range (1983) (“Ideal Body Weight, IBW”) The midpoint is the average of the outer range values from the Met Life Tables % of desirable weight range (1983) = (actual wt/IBW)*100 Body Mass Index (equation) and assessment based on 1998 NIH - Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (Table 6.7, p180) 7. 8. 9. 10. 11. 12. 13. Determine ‘normal weight range based on these guidelines. Normal weight would be calculated based on BMI = 18.5 for the lowest weight to BMI = 24.9 for the highest weight. Waist to Hip Ratio and recommendation based on WHR (p182) Note that any assessment based on W/H ratio is generally relevant only with BMI > 25 Waist circumference risk based on NIH Clinical Guidelines (Table 6.8, p183) Estimated height based on Knee Height (table 7-1, p221) % of height based on knee height to actual height (calculated ht/actual ht x 100) Estimated height based on arm span (height = (0.87 x arm span) + 20.54 % of height based on arm span to actual height (calculated ht/actual ht x 100) Estimation of height based on arm span Arm span is the distance between the tips of the middle fingers. With subject standing against a wall (or sitting/lying down if necessary), arms extended maximally at shoulder level, use metal tape to measure distance from tips of the middle finger across the clavicles. Collect data on yourself and two other subjects. Do the above calculations neatly (doesn't have to be typed) to show your work. Use a separate page for each subject. Based on your findings, write a SOAP note (Subjective, Objective, Assessment, Plan) describing your findings of each subject. Assume that the subject has had this assessment done as part of a complete routine physical examination. NUTR 442 - Nutrition Assessment Laboratory Experiment 1 - Anthropometric Assessment DATA: DATA Name Gender Age (yrs) Height (cm) Weight (kg) Wrist circumference (cm) Elbow breadth (cm) Knee height (cm) Waist circumference (cm) Hip circumference (cm) arm span (cm) SUBJECT #1 SUBJECT #2 SELF