Growth and malnutrition of rural Zimbabwean children (6-17 years of age)

The rural environment is an important factor in delayed growth in developing countries. The aim of this study was to investigate the effects of poor rural living conditions on the growth of a Shona sample in Zimbabwe. In total, 982 subjects aged 6-17 years were analyzed. Mean values of height, weight, skinfolds (triceps, subscapular, suprailiac, biceps, medial calf), cormic index, body mass index (BMI), arm composition (total upper arm area, upper arm muscle area, arm fat area, and arm fat index), fat percentage (%F), centripetal fat ratio (CFR), and the contribution of each skinfold to the adiposity of the trunk and upper limbs are presented. Weight, height, BMI, cormic index, SSCP, TRCP, arm circumference, and arm composition are compared with NHANES percentiles. Boys and girls showed stunting and underweight at ages 11-15 and 8-15, respectively; boys presented particularly severe malnutrition and their means of height and weight were below the 10th percentile. The means of arm circumference, UMA, UFA, and TRCP were below the 15th percentile in both sexes. The contribution of the skinfolds generally showed an overall prevalence of TRCP in both sexes; the contribution of SSCP was prevalent only for the 16- to 17-year-old boys. Males presented a higher CFR than girls after 14 years while females showed an irregular pattern. There was a high incidence of brachycormia and mesocormia in females and males, respectively. Height, weight, and BMI were similar to the values observed in other sub-Saharan countries, although body size was slightly larger than in South Africa and smaller than in Tanzania. The results provide a useful database for future comparisons.     

Childhood malnutrition and growth in a rural area of Western Kenya

An anthropometric survey was carried out on 1,383 school students aged 5-17 years in Suba district (a rural area of western Kenya). Body size and proportion were computed from height, weight, sitting height, arm circumference, and skinfolds. The aim of the study was to evaluate patterns of growth and nutritional status of the Luo population by assessment of the prevalence and trends of malnutrition among children and adolescents. Very few age-groups show significant sex differences for height, body weight, and arm muscle area. However, there are several differences in skinfold thicknesses and arm circumference, always with higher mean values in girls. Analysis of the nutritional status (weight-for-age, height-for-age, and BMI-for-age) shows significant differences among the age-groups in both sexes. Boys present lower Z-scores than girls and there are higher percentages of malnourished subjects (stunted and underweight) among the males. The Luo data were compared with those of other African populations. Their body dimensions, nutritional status, and growth are similar to those of the other sub-Saharan samples. In conclusion, the Luo children are generally undernourished at the older ages: adolescents (11-16 years of age) show the most severe undernutrition and the highest percentages of undernourished subjects. In addition to the higher risk of undernutrition in teenagers, an emerging problem of over-nutrition is evident among the younger age-groups, with a higher prevalence in females. These findings are discussed in light of sexual dimorphism in sensitivity to adverse environmental conditions.     

Reduced sexual dimorphism in upper arm muscle circumference associated with protein-deficient diet in a South American population

Animal experiments have demonstrated that individuals exhibit differing tendencies to arrest growth and resorb muscle tissue under nutritional stress. Since placental and adrenocortical hormones are active in promoting muscle tissue resorption, sex differences may exist. In order to identify such sex differences, the upper arm circumferences of 362 individuals, aged one to 60 years, living in an area of chronic protein-calorie malnutrition were compared by age and sex with published data collected from U.S. and highland Peruvian populations. Sexual dimorphism for arm muscle circumference in the malnourished population is less than in U.S. samples of comparable age-categories. The highland population is closer to U.S. samples in the degree of dimorphism. The reduction in muscle circumference of males in the malnourished population appears to be the cause of the comparatively greater similarity of the sexes where protein-calorie malnutrition is experienced from infancy through adolescence. High muscle relief and excellent tonus in these same males indicate that reduced muscle circumference is not the result of flaccidity or higher ratios of compressible fat to muscle tissue. Reduction of muscle tissue in undernourished males is a reduction in total metabolic demand. Such reductions are adaptive in areas of chronic nutritional stress.     

中国图瓦人体质特征

在新疆阿勒泰地区调查了图瓦人159例(男55, 女104)的67项体质指标(9项观察指标和58项测量指标), 计算出26项体质指数, 并对身高和11项指数进行了分型统计。研究结果表明: 1)图瓦人有上眼睑皱褶率为71.70%, 有内眦褶率为47.80%, 有耳垂率为55.97%, 肤色多为浅色, 发色黑色, 眼色褐色。鼻根多数中等或低, 男女均以中鼻型居多。鼻翼发育中等, 红唇发育中等偏薄, 男性耳垂三角形的最多, 方形次之, 女性以三角形和圆形为主。2)图瓦人男女身高均数分别为166.7cm和152.6cm, 体重均数分别为71.25kg和58.93kg。按指数分型标准, 中国图瓦人特圆头型率、高头型率、中鼻型率、宽胸型率、窄骨盆型率、中腿型率、长躯干型率、矮胖型率最高。男性还以阔头型率、中面型率、宽肩型率最高。女性还以阔面型率最高。3)图瓦人体质特征具蒙古人种北亚类型体质特点, 与柯尔克孜族、塔塔尔族、布里亚特人体质接近。     

Physical growth of St. Lawrence Island Eskimos: Body size,proportion, and composition

Growth patterns of body size, proportion, and composition were analyzed in 57 male and 56 female Eskimos from St. Lawrence Island in the Bering Sea, ranging in age from 1.23 through 19.82 years. Age-groups means for whites and blacks of the U.S. Health Examination Survey served as reference data. Relative to HES data, the Eskimo sample were shorter with lower values for leg length, while there were no differences from the reference values for sitting height. The Eskimos also had higher values of Quetelet's Index, the sitting height/height ratio, and the upper arm muscle circumference, while there were no differences in body weight or triceps skinfold thickness. Differences from the reference data were more pronounced in males than in females. The growth patterns for size and body proportion are in conformity with known relationships between morphology and climate.     

Nutritional status in two Mbyá-Guaraní communities from Misiones (Argentina)

Growth and nutritional status of children and adults in two Mbyá-Guaraní communities from Argentina, was assessed. Height, weight, sitting height, upper arm circumference, triceps and subscapular skinfold were measured on 120 individuals aged from 2 to 60 between March and May, 2001. Data were transformed to z-scores using United States references (NHANES I and NHANES II). A z-score of less than -2 was used as the cut-off point to determine the prevalence of stunting and wasting respectively. Mean z-scores for weight, height, and upper arm circumference lie below the reference (0 > Z > -3), while in sitting height ratio and muscular area for females they were above the US standard (0 < Z < 2). Skinfold thicknesses and muscular area for males were similar to the reference (2 > Z > -1). Our findings are in agreement with others South American Indian research that the prevalence of stunting (36.7%) is significantly higher than wasting (1.8%). The presence of parasitic infections and nutritional environment previously described in this population could be related to the short stature.     

仫佬族体质特征研究

本文调查了仫佬族成年人465例(男为232例,女为233例)的体质特征,计算出58项测量项目的均数和标准差、31项指数值和9项观察项目的出现率,并与国内的29群体的体质进行了比较,得出仫佬族的体质特征。仫佬族的体质特征为:上眼睑皱褶出现率较高,男为90.1%,女为91.4%。蒙古褶出现率,男为53.9%,女为53.2%。鼻根高度男低型率与中等型率接近、女多为低型。鼻翼高度多为中等。男以方型耳垂多见,女以圆型耳垂多见。发色多为黑色,眼色多为黑褐色。男性多为黄色肤色,女性多为浅黄色肤色。仫佬族男女均为中头型、高头型、狭头型、中鼻型、中腿型、中肩型、中骨盆型。男为狭面型、长躯干型、窄胸型。女为中面型、中躯干型、中胸型。男身高均数为1629.8mm,女身高均数为1514.3mm。仫佬族具有南方人群体质特征,其体质与阿昌、畲、回(海南)、黎族接近。     

Growth and nutritional status of the Bharia--a primitive tribe of Madhya Pradesh

This study is an attempt to understand the physical growth and nutritional status of Bharia, a primitive tribe of Central India. A cross sectional study was conducted on 551 children (283 boys and 268 girls) aged 4 to 18 years. Body weight, height, sitting height, head circumference, upper arm circumference, chest circumference, biceps, triceps, sub scapular and calf skin fold thickness were measured. Body Mass Index was calculated as weight/height2 to calculate chronic energy deficiency. All anthropometric measurements except skin fold measurement exhibit uniform increase with age in both the sexes. Age-specific Body Mass Index (BMI) indicated substantial changes and falls during pre-school age and rise in adolescence. The BMI according to the Indian standard was normal, but when the data was compared with the International standard malnutrition in both sexes was noticed in childhood. Boys remained undernourished after adolescence, while girls reached the normal growth patterns.     

Pattern of adolescent growth among the Brahmin girls--rural-urban variation

A cross-sectional study of adolescent growth was undertaken among the Brahmin girls residing in rural and urban areas of Sagar districts, Madhya Pradesh to evaluate the urban-rural differences. Six anthropometric measurements, such as weight, stature, sitting height, head circumference, upper arm circumference and chest girth are taken into consideration. Though the urban girls show consistently higher values of weight, stature, sitting height and chest girth than the rural girls, but in case of head circumference and upper arm circumference they show consistently lower values. The maximum increment occurs between the ages 13 and 14 years in all the six measurements in both rural and urban girls.     

布依族体质特征研究

本文调查了布依族成年人494例(男为259例,女为235例)的体质特征,计算出58项测量项目的均值和标准差、31项指数值和9项观察项目的出现率,并与国内一些群体的体质特征进行了比较,得出布依族的体质特征为:上眼睑皱褶出现率高,男为95 .4%,女为97. 0%。蒙古褶出现率低,男为30. 5%,女为35. 3%。鼻根男多为中等型,女多为低型。鼻翼高度多为中等。多为圆形耳垂。发色多为黑色,眼色多为褐色。男性多为黄色肤色,女性多为浅黄色肤色。圆头型、高头型、阔头型、阔面型、中鼻型、中躯干型、中腿型、中胸型、宽肩型、宽骨盆型出现率最高。男身高均值为158. 6cm,女身高均值为149. 4cm。     

Sexual dimorphism in schoolchildren of the Villa IAPI neighborhood (Quilmes,Buenos Aires,Argentina)

Villa IAPI is a poor neighborhood of about 5,000 inhabitants in the overpopulated conurbano bonaerense at the outskirts of the city of Buenos Aires. Most of the adult male residents are construction workers; the rest are temporary workers, underemployed, or unemployed. The inhabitants of Villa IAPI suffer the effects of many adverse socio-economic conditions, including poor nutrition, deficient sanitation, and inadequate medical care. Seven anthropometric variables were measured on 765 children from 6 to 14 years old to test for the presence of an altered pattern of sexual dimorphism. It was found that there were practically no sex differences in standing height and upper-arm muscle circumference. In some age groups, there was a weak but significant sexual dimorphism in body weight and sitting height. The greatest and most persistent dimorphism was found in head circumference, and in triceps and subscapular skinfolds. In all except two age groups, head circumference in males was significantly greater than in females. The other dimorphic variables (body weight, sitting height, and triceps and subscapular skinfolds) showed the opposite relationship. Essentially, females showed increments in subcutaneous fat, while reduced growth in muscle and bone was evident in males. The hypothesis of “better female canalization” can explain the altered dimorphic pattern found in the malnourished Villa IAPI population. © 1993 Wiley-Liss, Inc.     

Prediction of Body Fat by Anthropometry in Older Chinese People

Objective: To derive regression equations for fat percentage by using simple anthropometric measurements applicable in normal and immobile (cannot stand or walk) older people. Research Methods and Procedures: The study population comprised 352 females and 261 males, apparently well and community‐dwelling, aged 69 to 82 years. Fifty‐one females and 27 males were recruited for external validation. Body weight, standing height, arm span, triceps and biceps skinfold thicknesses (SFTs), and midarm circumference were measured. The reference method of total body fat percentage was dual‐energy X‐ray densitometry. Predictive equations for fat percentages were derived by stepwise multiple linear regression on anthropometric indices and gender. Results: Upper‐limb SFTs, body mass index, and gender yielded the more predictive equation. The SEE was 4.1% weight. There was a significant trend of underestimation in overweight subjects, especially in females. The equation using SFTs and midarm circumference was less reliable but more applicable to older immobile people and those with significant kyphoscoliosis. Conclusions: The combination of body mass index and upper‐limb SFTs gives reliable prediction of fat percentages in older Chinese people, except in the obese.     

Body measurements and somatotypes of young adult Jat-Sikh men of Punjab, India

During 1972 body measurements including height, weight, limb circumferences, skeletal diameters and skinfolds were taken on 100 unrelated and healthy Jat-Sikh men of 17 to 25 years of age, belonging to different areas of Punjab, India. The average height and weight of Jat-Sikhs is 170.4 cm and 54.5 kg, respectively. The mean Heath-Carter somatotype is 3.22-3.40-4.11. The majority of somatotypes is concentrated in endo-ectomorph and meso-ectomorph sectors of the somatochart. Comparisons with recently described data on females of the same area and population show significant sex differences in various body measurements except for the bicristal diameter. The females possess significantly more subcutaneous fat. For the rest of the measurements, the males have higher values. The Jat-Sikh males are comparable in height and weight to the contemporary pooled Punjabi, but are distinctly taller than the neighbouring populations of Himachal Pradesh and pooled all India samples. However, they are comparatively smaller and lighter as compared to European and American populations.     

49例肝硬化患者营养不良的相关因素分析

目的:探讨肝硬化患者营养不良的相关因素。方法:已确诊49例肝硬化住院患者空腹测血常规、血生化、肝纤维化、血凝分析、微量元素测定、尿常规,及人体测量学指标:身高、体重(weight)、上臂围(Mid-upperarmcir cumference,AC)、上臂肌围(Mid-upper arm muscle circumference,AMC)、肱三头肌皮褶厚度(Triceps skin fold thickness,TSF)、髂骨上皮褶厚度(Ilium skin fold thickness,ISF)、腓肠肌围((Gastrocnemius muscle circumference,GC),计算体重指数(Body mass index,BMI)、Pignete指数、比胸围(Ratio of Chest circumference and body Height,C/H)、Rohrer指数、Vervaeck指数等指标110项,采用主观全面营养评价法(Subjective global assessment,SGA)进行营养评估。结果:计量资料应用t检验、计数资料应用X2检验进行单因素分析,筛选出与肝硬化营养不良有关的因素26项,纳入Logistic回归向前逐步选择法(似然比)行多因素分析,GC、AC、ISF、阴离子间隙(AG)4项指标的降低与肝硬化患者营养不良的发生有关系。结论:在采用SGA法评估肝硬化患者营养状况时,应注意GC、AC、ISF及AG的变化。     

Relationship of testicular growth and size to age, body weight and onset of puberty in Menz ram lambs

Scrotal circumference as an index of testes size, along with body weight, wither height, heart girth and body condition score were measured fortnightly for 114 Menz ram lambs from weaning (91+/-7 SD days) until puberty, which was defined as age at first collection of an ejaculate with 50 x 10(6) spermatozoa and 10% motility. The animals were maintained on poor (n=28), low (n=29), medium (n=29) or high (n=28) levels of nutrition through grazing and supplementation. Further, half the lambs in each group were drenched for endoparasites. Daily gains in live weight, wither height, heart girth and scrotal circumference were 48.5+/-1.6 g, 0.05+/-0.01 cm, 0.07+/-0.01 cm and 0.07+/-0.03 cm, respectively for the period from weaning to puberty and varied with level of nutrition (P<0.05 to 0.001) but not with drenching or its interaction with nutrition level (P>0.10). Scrotal circumference increased linearly and was strongly correlated with age, body weight, wither height, and heart girth (r = 0.83 to 0.85, P<0.001), and lamb weight could be predicted by the equation: 6.35 + 0.53 scrotal circumference (R(2) = 0.73). Mean age, body weight and condition score at puberty were 288+/-6 days, 19.3+/-0.4 kg and 2.6+/-0.06, respectively, and varied due to season of birth, level of nutrition and weaning weight (P<0.01 to 0.001). The nutrition level also influenced (P<0.001) scrotal circumference at puberty, averaging 21.5+/-0.3 cm. It was concluded that postweaning nutrition management had a strong influence on lamb weight gain, which in turn was related to testicular growth and puberty onset in Menz ram lambs. The suitability of scrotal size measurement as a criterion for early selection of tropical ram lambs is emphasised.     

Serum albumin concentration,arm circumference,and oedema and subsequent risk of dying in children in central Africa.

OBJECTIVE--To measure the prognostic value of clinical, anthropometric, and biological indicators of protein energy malnutrition in hospitalised children. DESIGN--Hospital based follow up study from admission to discharge or death of a cohort of children. SETTING-Paediatric hospital in Zaire. SUBJECTS--1129 children consecutively admitted between August 1986 and October 1988. MAIN OUTCOME MEASURES--Height, weight, arm circumference, skinfold thicknesses, serum albumin concentration, and mortality. RESULTS--Mortality was higher in wasted children and in those with a mid-upper arm circumference < 125 mm, a serum albumin concentration < 16 g/l, and oedema. After multivariate analysis, serum albumin concentration was the best predictor of subsequent risk of dying. Mid-upper arm circumference and oedema, however, still contributed considerably to evaluation of mortality. CONCLUSIONS--In this specific environment of central Africa an isolated clinical sign such as oedema is not enough to detect children with a high risk of dying among those admitted to paediatric wards with severe protein energy malnutrition. Measurement of additional indicators such as arm circumference and serum albumin concentration seems to be of crucial importance.     

The breeding migration of Smooth and Palmate newts (Triturus vulgaris and T. helveticus) at a pond in mid Wales

The breeding population sizes of newts at Llysdinam Pond in 1981 are estimated at around 800 Palmate and 300 Smooth newts. Females were more numerous than males with sex ration of 3.0: 1 for Palamte and 2.6: 1 for Smooth newts. The movement of males of both species into the pond preceded that of females, and female Palmate newts moved out of the pond significantly later than the other classes. The number of females of both species leaving the pond was much less than the number entering, apparently as a result of mortality whilst in the pond. Females leaving the pond were significantly lighter than those entering, and for female Palmate newts the weight loss in only partly attributable to loss of egg load. Temperature and humidity were important factors influencing the number of newts active during the inward migration period, but had little effect on activity during the outward migration.     

Determination of hand surface area by sex and body shape using alginate

Hand surface area (HSA) has been utilized for burned skin area estimation in burn therapy, heat exchange in thermal physiology, exposure assessment in occupational toxicology, and the development of manual equipment/ protective gloves in ergonomics. The purpose of this study was to determine the hand surface area to the total body surface area (BSA) and derive a formula for estimating HSA. Thirty-four Korean males (20-60 years old; 158.5-187.5 cm in height; 48.5-103.1 kg in body weight) and thirty-one Korean females (20-63 years old; 140.6-173.1 cm; 36.8-106.1 kg) participated as subjects. The HSA and BSA of 65 subjects were directly measured using alginate. The measurements showed 1) the surface area of the hand had a mean of 448 (371-540) cm(2) for males, and 392 (297-482) cm(2) for females. 2) The hand as a percentage of the total body surface area for males and females was 2.5% and 2.4% respectively, showing no significant difference. 3) The hand as a percentage of BSA by body shape was 2.5% for the lean group and 2.3% for overweight people (p=0.001). 4) When estimating the surface area of a hand, formulae based on hand length or hand circumference were more valid than formulae based on height and body weight. We obtained the following formula for estimating HSA: Estimated HSA(cm(2))=1.219 Hand length(cm) x Hand circumference(cm).     

On the relationship between body dimensions and appendix length

In the last decades a lot of significant correlations between clinical and anthropometric parameters were found, e.g. the relationships between somatotypical and endocrine parameters or between body dimensions and echocardiographic heart size. During operation, surgeons often find a wide range of appendix size of patients with varying body dimensions. A goal of this work is the detection of the relationships between anthropometric characteristics (height, weight, body mass index (= BMI)), inflammation parameters (histological inflammation degree, leukocyte count and C-reactive protein (= CRP)) and the appendix length with n=167 consecutive patients (time period 1.1.2004 - 31.12.2006; range of age 7-95 years, median age 20 years; average age of men 27.7, women 26.6 years), which had to be operated because of acute appendicitis. Appendectomy was laparoscopic in 95 % of the patients and open in 5 %. The appendix length of the male patients was high-significantly longer with a mean of 7.5 cm (SD = 2.1) than those of the female patients with 6.3 cm (SD = 1.6). The following mean anthropometric values were registered: height 169.8 (SD = 15.6) cm for the males and 165.2 (SD = 9.6) cm for the females, weight 70.4 (SD = 23.4) kg for the males and 61.9 (SD = 16.1) kg for the females, BMI 24.1 (SD = 5.4) kg/m2 for the males and 22.9 (SD = 4.8) kg/m2 for the females. The mean leukocyte count was 12,700 (SD = 5500)/ml for the males and 11,600 (SD = 4900)/ml for the females, CRP was 4.3 (SD = 5.4) mg/l for the males and 4.5 (SD = 8.9) mg/l for the females. Concerning the histopathological diagnosis, n=76 patients (45.5 %) suffered from a submucous fibrosis bliteration, n 1 (12.6 ) from an acute purulent inflammation degree, n = 65 (38.9 ) from an ulcerative hlegmonous inflammation degree and n (3 ) from a perforation. While no significant Spearman's correlation coefficient between appendix length and CRP was found, the appendix length correlated highly significantly to the body weight (r = 0.25) and significantly to leukocyte count (r = 0.16), body height (r = 0.16), BMI (r = 0.17) and the histological inflammation degree (r = 0.18). Thus, the correlations found were lower than the relationships between anthropometric and endocrine or echocardiographic parameters described in literature.     

Factors affecting the work productivity of Oraon agricultural laborers of Jalpaiguri district, West Bengal

In developing countries like India, where the incidence of protein-calorie malnutrition is high and mechanization is at a minimum, human labor provides much of the power for physical activity. This study presents anthropometric measurements, somatotypes, food intakes, energy expenditures, and work outputs of Oraon agricultural laborers of the Jalpaiguri district, West Bengal, in an attempt to identify the factors that predict high work productivity. Specifically, this study investigates 1) the relationship between morphological variation (anthropometric measurements and somatotype) and work productivity, 2) the nature and extent of the relationship between nutritional status and work productivity, and 3) the best predictor variables of work output. Classification of groups on the basis of median values of work output show that in the aggregate, the high productive groups are significantly younger than low-productive groups in both sexes. Before age-adjustment, the high productive groups show higher mean values of a few body dimensions, though these differ by sex, and both males and females exhibit a normal range of blood pressure and pulse rate values. Mean values of grip strength and back strength are higher in high-output men and women. Mean values of both food intake and energy expenditure are also higher among men in high-output groups, with only food intake higher in high-output women. However, after eliminating the effects of age, the differences between low-productive groups and high-productive groups in most of the variables are not significant. Productivity predictors in males consist of age, food intake and chest girth (inhalation). Females, on the other hand, show age and grip strength (left) as work output predictors.