Method for estimating body weight in persons with lower-limb amputation and its implication for their nutritional assessment

Mozumdar, Arupendra; Roy, Sarabindu

doi:10.1093/ajcn/80.4.868

Cited by 34 publications

(17 citation statements)

References 18 publications

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“…Arm span can be a reliable method used to measure height for disabled, old aged and deformed individuals (11,29) . A study by Yabanci et al (10) stated that MUAC and waist circumference were found to be moderately correlated with height, while previous work recommended the use of MUAC as a criterion standard that can be used to estimate height (30) . Others have argued that neither MUAC nor skinfold thickness has a good relationship ability with height (31) .…”

Section: Discussionmentioning

confidence: 99%

The relationships between height and arm span, mid-upper arm and waist circumferences and sum of four skinfolds in Ellisras rural children aged 8–18 years

Monyeki¹,

Sekhotha²

2015

Public Health Nutr.

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Objective: Height is required for the assessment of growth and nutritional status, as well as for predictions and standardization of physiological parameters. To determine whether arm span, mid-upper arm and waist circumferences and sum of four skinfolds can be used to predict height, the relationships between these anthropometric variables were assessed among Ellisras rural children aged 8-18 years. Design: The following parameters were measured according to the International Society for the Advancement of Kinathropometry: height, arm span, mid-upper arm circumference, waist circumference and four skinfolds (suprailiac, subscapular, triceps and biceps). Associations between the variables were assessed using Pearson correlation coefficients and linear regression models. Setting: Ellisras Longitudinal Study (ELS), Limpopo Province, South Africa. Subjects: Boys (n 911) and girls (n 858) aged 8-18 years. Results: Mean height was higher than arm span, with differences ranging from 4 cm to 11·5 cm between boys and girls. The correlation between height and arm span was high (ranging from 0·74 to 0·91) with P < 0·001. The correlation between height and mid-upper arm circumference, waist circumference and sum of four skinfolds was low (ranging from 0·15 to 0·47) with P < 0·00 among girls in the 15-18 years age group. Conclusions: Arm span was found to be a good predictor of height. The sum of four skinfolds was significantly associated with height in the older age groups for girls, while waist circumference showed a negative significant association in the same groups.

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Section: Discussionmentioning

confidence: 99%

The relationships between height and arm span, mid-upper arm and waist circumferences and sum of four skinfolds in Ellisras rural children aged 8–18 years

Monyeki¹,

Sekhotha²

2015

Public Health Nutr.

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“…Subjects were previously healthy 18-50-year-old active duty male soldiers who sustained amputation of ≥3% estimated body weight loss (%EBWL) within 12 weeks of initial trauma. Extent %EBWL was determined by Osterkamp [24] and Mozumdar and Roy [25] estimations from dual-energy X-ray absorptiometry. Exclusion criteria included staged amputations; body mass index >35 kg/m 2 ; chronic kidney disease defined as eGFR <60 ml/min/1.73 m 2 , urine albumin-to-creatinine ratio >30 mg/g creatinine, or urine protein-to-creatinine ratio of >0.3 mg/mg creatinine; burns, chronic infection, malignancy, malnourishment, cardiovascular disease, cerebrovascular disease, lack of serum in the DoDSR; and AKI with any evidence of proteinuria defined as ≥1+ on urinalysis or urine protein-to-creatinine ratio of >0.3 mg/mg creatinine, obstruction, acute tubular necrosis, kidney trauma, or failure of SCr to return to <1.5 mg/dl within 72 h of volume resuscitation.…”

Section: Methodsmentioning

confidence: 99%

Effects of Traumatic Amputation on β-Trace Protein and β2-Microglobulin Concentrations in Male Soldiers

Little

Yuan²,

Thurlow³

et al. 2015

Am J Nephrol

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Background: Serum creatinine (SCr) levels are decreased following traumatic amputation, leading to the overestimation of glomerular filtration rate (GFR). β-Trace protein (BTP) and β₂-microglobulin (B2M) strongly correlate with measured GFR and have not been studied following amputation. We hypothesized that BTP and B2M would be unaffected by traumatic amputation. Methods: We used the Department of Defense Serum Repository to compare pre- and post-traumatic amputation serum BTP and B2M levels in 33 male soldiers, via the N Latex BTP and B2M nephelometric assays (Siemens Diagnostics, Tarrytown, N.Y., USA). Osterkamp estimation using DEXA scan measurements was used to establish percent estimated body weight loss (%EBWL). Results were analyzed for small (3-5.9% EBWL), medium (6-13.5%), and large (>13.5%) amputation subgroups; and for a control group matched 1:1 to the 12 large amputation subjects. Paired Student's t test was used for comparisons. Results: Mean serum BTP levels were unchanged in controls, all amputees, and the small and medium amputation subgroups. BTP appeared to decrease following large %EBWL amputation (p = 0.05). Mean serum B2M levels were unchanged in controls, all amputees, and the small and medium amputation subgroups. B2M appeared to increase following large %EBWL amputation (p = 0.05). Conclusions: BTP and B2M levels are less affected than SCr by amputation, and should be considered for future study of GFR estimation. BTP and B2M changes following large %EBWL amputation require validation and may offer insight into non-GFR BTP and B2M determinants as well as increased cardiovascular disease and mortality following amputation. This is a work of the US Government and is not subject to copyright protection in the USA. Foreign copyrights may apply. Published by S. Karger AG, Basel

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“…Exclusion criteria included prior renal or other transplantation and any major musculoskeletal deformity (e.g. amputation) that might compromise the validity of BMI Z-scores [29]. The study was approved by the CHOP Institutional Review Board and met criteria for waiver of consent.…”

Section: Study Subjectsmentioning

confidence: 99%

Longitudinal relations between obesity and hypertension following pediatric renal transplantation

et al. 2010

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Obesity and hypertension frequently complicate renal transplantation (RTxp). The objective was to assess relations among obesity, hypertension, and glucocorticoids in pediatric RTxp recipients. A retrospective cohort study was carried out in 141 RTxp recipients, 2-21 years of age, with >or=12 months of follow-up. Body mass index Z-score (BMI-Z), systolic and diastolic blood pressure Z-scores (SBP-Z and DBP-Z), and medications at 1, 3, 6, and 12 months and annually thereafter were recorded. Quasi-least squares regression analysis was used. The prevalence of obesity (BMI>or=95th percentile) increased from 13% at baseline to >30% from 3 months onward. Greater glucocorticoid exposure (mg/kg/day) was associated with greater increases in BMI-Z (p<0.001). This association was greater in males, younger recipients, and those with lower baseline BMI-Z (all interactions p<0.02). The prevalence of systolic hypertension (SBP>or=95th percentile) was 73% at 1 month and >or=40% at all follow-up visits. Greater glucocorticoid exposure (p<0.001) and increases in BMI-Z (p=0.005) were independent determinants of SBP-Z over time. Cyclosporine (versus tacrolimus) was independently associated with greater SBP-Z and DBP-Z (p=0.001). Sustained obesity and hypertension frequently complicated pediatric RTxp. Obesity was an independent determinant of systolic hypertension. Strategies are needed to prevent obesity and its impact on hypertension, cardiovascular disease, and allograft survival.

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Method for estimating body weight in persons with lower-limb amputation and its implication for their nutritional assessment

Abstract: For persons with limb amputation, W(E) provides a better basis for appropriate nutritional evaluation than does W(O).

Cited by 34 publications

References 18 publications

The relationships between height and arm span, mid-upper arm and waist circumferences and sum of four skinfolds in Ellisras rural children aged 8–18 years

The relationships between height and arm span, mid-upper arm and waist circumferences and sum of four skinfolds in Ellisras rural children aged 8–18 years

Effects of Traumatic Amputation on β-Trace Protein and β2-Microglobulin Concentrations in Male Soldiers

Longitudinal relations between obesity and hypertension following pediatric renal transplantation

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