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In determining the nutritional status of a child many investigators independently have concluded that the body build factor must be considered. Franzen 1 in a comprehensive report gives all the possible skeletal measurements and their correlations with nutrition and health. Lucas and Pryor 2a reported the use of the width-length index, which, as mentioned in a previous article,3 I have found very practical. Lucas and Pryor 2b stated : "The width-length index is an expression of the relationship of the width to the length of the body. It is obtained by measuring the diameter of the crest of the ilium and the standing height. The crest measurement is divided by the height to give the relative breadth of the body, or width-length index. This index represents width in per cent of standing height. Weight does not enter into the calculation. The size of the index increases with the relative breadth of the body."Many boys who were formerly considered underweight were found to be average or even above average when their slender-built bodies were taken into consideration. Conversely, boys who were formerly considered overweight were found to be average or even below average when their broad-built bodies were taken into consideration. Palmer 4 ingeniously explained the necessity of taking into consideration the skeletal framework of a person. "The principal reason for variation in weight either side of the average weight for height is the differing widths and depths of children's bony framework. If the pantry shelf is only four inches wide, it will hold only one row of jars of jam. If
In determining the nutritional status of a child many investigators independently have concluded that the body build factor must be considered. Franzen 1 in a comprehensive report gives all the possible skeletal measurements and their correlations with nutrition and health. Lucas and Pryor 2a reported the use of the width-length index, which, as mentioned in a previous article,3 I have found very practical. Lucas and Pryor 2b stated : "The width-length index is an expression of the relationship of the width to the length of the body. It is obtained by measuring the diameter of the crest of the ilium and the standing height. The crest measurement is divided by the height to give the relative breadth of the body, or width-length index. This index represents width in per cent of standing height. Weight does not enter into the calculation. The size of the index increases with the relative breadth of the body."Many boys who were formerly considered underweight were found to be average or even above average when their slender-built bodies were taken into consideration. Conversely, boys who were formerly considered overweight were found to be average or even below average when their broad-built bodies were taken into consideration. Palmer 4 ingeniously explained the necessity of taking into consideration the skeletal framework of a person. "The principal reason for variation in weight either side of the average weight for height is the differing widths and depths of children's bony framework. If the pantry shelf is only four inches wide, it will hold only one row of jars of jam. If
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