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Journal article

Reliability of anthropometric measurements in children with special needs.

Abstract:

Objectives

To determine the reliability of anthropometric and body composition measurements in children with special needs.

Design

Observational study.

Setting

Specialist support schools (primary and secondary) in Manchester, UK.

Participants

53 children with moderate-to-severe learning disability; 30 non-standers (14 boys) and 23 standers (15 boys). Mean ages were 11 years (range 3–20) for non-standers and 12.4 years (range 8–19) for standers.

Measures

Anthropometric measures included: height/length, segmental measures, weight, skinfolds, body circumferences and body composition estimated from bioelectrical impedance analysis (BIA). These were measured twice, 2–4 weeks apart.

Main outcome measures

Reliability was assessed using the technical error of measurement (TEM).

Results

The TEM for height and supine length was 0.55 cm for standers and 2.47 cm for non-standers, respectively. For non-standers, the TEMs for knee height and tibial length were 0.81 and 1.57 cm, respectively. The TEM for weight was 0.55 kg for standers and 0.75 kg for non-standers. For skinfold thickness, the TEM was smaller for non-standers than standers. The TEM for mid-upper arm circumference for standers and nonstanders was 0.91 and 0.82 cm, respectively. The TEM for BIA in standers and non-standers was 34.7 and 54.1 Ω, respectively. Some measurements, including waist circumferences, were difficult to obtain reliably.

Conclusions

Anthropometric and body composition measurements were feasible to obtain in children with special needs. However, the reliability of these measures differs between non-standers and standers and should be considered when choosing appropriate measures.

Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/archdischild-2017-314243

Authors


More by this author
Role:
Author
ORCID:
0000-0001-7393-8137
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Women's and Reproductive Health
Role:
Author


Publisher:
BMJ Publishing Group
Journal:
Archives of Disease in Childhood More from this journal
Volume:
103
Issue:
8
Pages:
757-762
Publication date:
2018-03-17
Acceptance date:
2018-02-11
DOI:
EISSN:
1468-2044
ISSN:
0003-9888
Pmid:
29550764


Language:
English
Keywords:
Pubs id:
pubs:831059
UUID:
uuid:6adc8b9a-39f5-4b16-8c4d-6c80a41c674d
Local pid:
pubs:831059
Source identifiers:
831059
Deposit date:
2018-03-26

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