Anthropometry Flashcards

1
Q

Anthropometry:

A
  • science that deals with measurement of size, weight and proportion of the body
  • eg. BMI, somatotyping, waist/hip ratios or body typing
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2
Q

Weight bias:

A
  • any preconceived notions you may have about an individual based on how they look
  • the (active or passive) formation unreasonable judgements based on a person’s weight
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3
Q

Examples of weight bias:

A
  • Assumptions about diet
  • Assumptions about activity patterns
  • Uncomfortable with less clothes
  • Assumption that skinny = eating disorder
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4
Q

Stigma:

A

the social implication carried by a person who is a victim of prejudice and weight bias

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5
Q

2 tools to assess your own potential weight bias:

A
  • BAOP

- ATOPS

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6
Q

BAOP:

A

Beliefs About Obese Persons Scale

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7
Q

ATOPS:

A

Attitudes Towards Obese Persons Scale

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8
Q

Desirable terms to refer to body weight:

A
  • weight
  • excess weight
  • BMI
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9
Q

Undesirable terms to refer to body weight:

A
  • fatness
  • heaviness
  • excess fat
  • unhealthy BMI
  • unhealthy body weight
  • large size
  • weight problem
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10
Q

Considerations for assessing individuals with excess weight:

A
  • private space for assessments
  • large size gowns
  • sturdy armless chairs
  • large and extra large adult and thigh blood pressure cuffs
  • wide based scale that measures > 350 lbs
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11
Q

Ensure that weighing procedures take place in a _____ location that protects _____ of individuals.

A
  • private

- confidentiality

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12
Q

Record the individual’s weight without ____ or _____. -

A
  • judgement

- comments

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13
Q

Offer individual the choice of not _____ the results if they prefer.

A

seeing

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14
Q

If an individual has a BMI > 30 (classified as obese), do not include….

A

skin-folds in assessment

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15
Q

Equipment to measure height:

A

stadiometer

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16
Q

Height is measured to the nearest ____.

A

0.5 cm

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17
Q

1 cm = ____ inches

A

0.394 inches

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18
Q

1 inch = _____ cm

A

2.54 cm

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19
Q

1 m = _____ ft

A

3.28 cm

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20
Q

1 foot = ____ cm

A

30.5 cm

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21
Q

Equipment to measure weight:

A

scale (calibrated)

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22
Q

Weight is measured to the nearest _____.

A

0.1 kg

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23
Q

1 kg = ____ lbs

A

2.20 lbs

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24
Q

1 lb = ____ kg

A

0.454 kg

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25
Q

1 g = _____ oz

A

0.035 oz

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26
Q

1 oz = ____ g

A

28 g

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27
Q

BMI =

A

body mass (kg)/height (m)^2

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28
Q

BMI is ____ independent and same for both ____.

A
  • age

- sexes

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29
Q

BMI is reasonable for use in ____ _____ and in _____ _____.

A
  • health screening

- large populations

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30
Q

Underweight: BMI:

A

< 18.50 kg/m^2

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31
Q

Normal range: BMI:

A

18.50-24.99 kg/m^2

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32
Q

Overweight: BMI:

A

> or equal to 25.00 kg/m^2

33
Q

Obese: BMI:

A

> or equal to 30.00 kg/m^2

34
Q

BMI may be useful for categorizing ___ ____, but does not indicate ____ ____.

A
  • health risk

- current health

35
Q

Need separate assessment (other than BMI) to determine ____ ____ and need for/type of _____.

A
  • current health

- intervention

36
Q

Obese class 1:

A

30.00-34.99 kg/m^2

37
Q

Obese class 2:

A

35.00-39.99 kg/m^2

38
Q

Obese class 3:

A

> or equal to 40.00 kg/m^2

39
Q

EOSS =

A

Edmonton Obesity Staging System

40
Q

Stage 0 of EOSS:

A
  • no sign of obesity-related risk factors
  • no physical symptoms
  • no psychological symptoms
  • no functional limitations
41
Q

Stage 1 of EOSS:

A
  • patient has obesity-related subclinical risk factors
  • mild physical symptoms (currently not requiring medical treatment for comorbidities)
  • mild obesity-related psychological symptoms and/or mild impairment of well-being
42
Q

Subclinical risk factors:

A
  • borderline hypertension
  • impaired fasting glucose
  • elevated liver enzymes
43
Q

Stage 0 and stage 1 obesity of EOSS:

A
  • patient does not meet clinical criteria for admission

- refer to primary care for further preventative treatment options

44
Q

Stage 2 of EOSS;

A
  • patient has established obesity-related comorbidities requiring medical intervention
  • moderate obesity-related psychological symptoms
  • moderate functional limitations in daily activities
45
Q

Stage 3 of EOSS:

A
  • patient has significant obesity-related end-organ damage
  • significant obesity-related psychological symptoms
  • significant functional limitations
  • significant impairment of well-being
46
Q

Stage 4 of EOSS:

A
  • severe (potential end stage) from obesity-related comorbidities
  • severely disabling psychological symptoms
  • severe functional limitations
47
Q

WHO classification: obese class I:

A

30-34.9 kg/m^2

48
Q

WHO classification: obese class II:

A

35-39.9 kg/m^2

49
Q

WHO classification: obese class III:

A

> or equal to 40 kg/m^2

50
Q

Identify class and stage: physically active female with a BMI of 32 kg/m^2, no risk factors, no physical symptoms, no self-esteem issues, and no functional limitations.

A
  • class I WHO

- stage 0 EOSS

51
Q

Identify class and stage: 32 year old male with a BMI of 36 kg/m^2 who has primary hypertension and obstructive sleep apnea.

A
  • class II WHO

- stage 2 EOSS

52
Q

Identify class and stage: 38 year old female with a BMI of 59.2 kg/m^2, borderline hypertension, mild lower back pain, and knee pain. Patient does not require any medical intervention.

A
  • class III WHO

- stage 1 EOSS

53
Q

Identify class and stage: 45 year old female with a BMI of 54 kg/m^2 who is in a wheel chair because of disabling arthritis, severe hyperpnea, and anxiety disorder.

A
  • class III WHO

- stage 4 EOSS

54
Q

Identify class and stage: 49 year old female with a BMI of 67 kg/m^2 diagnosed with sleep apnea, CV disease, GERD, and suffered from stroke. Patient’s mobility is significantly limited due to osteoarthritis and gout.

A
  • class III WHO

- stage 3 EOSS

55
Q

Management of stage 0 EOSS:

A
  • identification of factors contributing to increased body weight
  • counselling to prevent further weight gain through lifestyle measures including healthy eating and increased PA
56
Q

Management of stage 1 EOSS:

A
  • investigation for other (non-weight related) contributors to risk factors
  • more intense lifestyle interventions including diet and exercise to prevent further weight gain
  • monitoring or risk factors and health status
57
Q

Management of stage 2 EOSS:

A
  • initiation of obesity treatments including considerations of all behavioural, pharmacological and surgical treatment options
  • close monitoring and management of comorbidities as indicated
58
Q

Management of stage 3 EOSS:

A
  • more intensive obesity treatment including consideration of all behavioural, pharmacological and surgical treatment options
  • aggressive management of comorbidities as indicated
59
Q

Management of stage 4 EOSS:

A
  • aggressive obesity management as deemed feasible

- palliative measures include pain management, OT, and psychosocial support

60
Q

BMI is not good for….

A
  • active individuals or athletes

- especially strength trained athletes

61
Q

BMI interpretation may also be influenced by _____.

A

ethnicity (eg. Asian decent)

62
Q

Waist circumference shows…

A
  • where they carry weight
  • apple shape has higher risk than pear shape
  • central adiposity
63
Q

WHO waist circumference:

A

narrowest point around waist

64
Q

NIH waist circumference:

A

level of iliac crest

65
Q

____ waist circumference was adopted by CSEP and clinical practice guidelines.

A

NIH

66
Q

Cuttoffs for NIH WC protocol:

A
  • men > 102 cm

- women > 88 cm

67
Q

WHO: normal weight WC:

A
  • men: > or equal to 90 cm

- women: > or equal to 80 cm

68
Q

WHO: overweight WC:

A
  • men: > or equal to 100 cm

- women: > or equal to 90 cm

69
Q

WHO: obese class I WC:

A
  • men: > or equal to 110 cm

- women: > or equal to 105 cm

70
Q

WHO: obese class II WC:

A
  • men: > or equal to 125

- women: > or equal to 115 cm

71
Q

WHO: obese class III WC:

A
  • men: > or equal to 125

- women: > or equal to 125 cm

72
Q

_____ is an important variable when considering the interpretation of anthropometrics.

A

ethnicity

73
Q

Waist/hip ratio:

A

circumference of hips as well as the waist (W/H in cm)

74
Q

Waist/hip ratio accounts for ….

A

differences in overall body size

75
Q

Waist/hip ratio provides an index of ….

A

relative fat distribution (ie. how much is carried viscerally

76
Q

The greater the waist/hip ratio, the higher the ….

A

visceral fat in proportion to lower body and increased risk of disease

77
Q

Waist/hip ratios for health risk:

A
  • men > 0.89

- women > 0.78

78
Q

Waist/height ratio:

A

stratifies circumference of hips based on height (W/Ht in cm)

79
Q

Waist/height ratio value _____ is healthy.

A

~0.5