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    Anthropometric measurement standardization in the US-affiliated pacific: Report from the Children's Healthy Living Program

    Access Status
    Fulltext not available
    Authors
    Li, F.
    Wilkens, L.
    Novotny, R.
    Fialkowski, M.
    Paulino, Y.
    Nelson, R.
    Bersamin, A.
    Martin, U.
    Deenik, J.
    Boushey, Carol
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Li, F. and Wilkens, L. and Novotny, R. and Fialkowski, M. and Paulino, Y. and Nelson, R. and Bersamin, A. et al. 2016. Anthropometric measurement standardization in the US-affiliated pacific: Report from the Children's Healthy Living Program. American Journal of Human Biology. 28 (3): pp. 364-371.
    Source Title
    American Journal of Human Biology
    DOI
    10.1002/ajhb.22796
    ISSN
    1042-0533
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/51050
    Collection
    • Curtin Research Publications
    Abstract

    Objectives: Anthropometric standardization is essential to obtain reliable and comparable data from different geographical regions. The purpose of this study is to describe anthropometric standardization procedures and findings from the Children's Healthy Living (CHL) Program, a study on childhood obesity in 11 jurisdictions in the US-Affiliated Pacific Region, including Alaska and Hawai'i. Methods: Zerfas criteria were used to compare the measurement components (height, waist, and weight) between each trainee and a single expert anthropometrist. In addition, intra- and inter-rater technical error of measurement (TEM), coefficient of reliability, and average bias relative to the expert were computed. Results: From September 2012 to December 2014, 79 trainees participated in at least 1 of 29 standardization sessions. A total of 49 trainees passed either standard or alternate Zerfas criteria and were qualified to assess all three measurements in the field. Standard Zerfas criteria were difficult to achieve: only 2 of 79 trainees passed at their first training session. Intra-rater TEM estimates for the 49 trainees compared well with the expert anthropometrist. Average biases were within acceptable limits of deviation from the expert. Coefficient of reliability was above 99% for all three anthropometric components. Conclusions: Standardization based on comparison with a single expert ensured the comparability of measurements from the 49 trainees who passed the criteria. The anthropometric standardization process and protocols followed by CHL resulted in 49 standardized field anthropometrists and have helped build capacity in the health workforce in the Pacific Region.

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