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Updated: Aug 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Child factor in measurement dependability
M Lampl1, L Birch, M F Picciano
1Department of Anthropology, Emory University, Atlanta, Georgia 30322, USA. mlampl@emory.edu
Insights
Child physiology and cooperation significantly impact infant length measurements, accounting for 60-70% of total error. Longitudinal growth studies must account for this substantial "child factor" in measurement reliability.
Area of Science:
- Pediatric growth research
- Biomedical measurement science
- Child development studies
Background:
- Accurate measurement is crucial for longitudinal growth studies.
- Previous research focused on technical measurement error.
- Errors related to child physiology and cooperation were understudied.
Purpose of the Study:
- To quantify measurement errors stemming from child physiology and cooperation.
- To assess the impact of the "child factor" on recumbent length measurement reliability.
- To inform analytical methods for serial growth data.
Main Methods:
- Analysis of 925 recumbent length measurement replicates.
- Measurements were taken during infant growth stasis intervals.
- Quantification of total measurement error variance.
Main Results:
- The "child factor" accounts for 60-70% of total measurement unreliability.
- Significant individual differences were observed in measurement error.
- Recommended estimate for total unreliability is 2-3 times the technical error of measurement.
Conclusions:
- Child-related factors are the primary source of unreliability in infant recumbent length measurements.
- Current analytical methods for longitudinal growth data may need revision.
- Future studies should incorporate the "child factor" for more accurate growth assessments.
Abstract:
A primary consideration in longitudinal growth studies is the identification of growth from error components. While previous research has considered matters of measurement accuracy and reproducibility in detail, few reports have investigated the errors of measurement due to aspects of the physiology and cooperation of the child. The present study directly assesses this source of measurement undependability for the first time. Investigation of total measurement error variance in 925 recumbent length replicates taken over stasis intervals in growth identifies that between 60% and 70% of total measurement unreliability is due to a child factor undependability. Individual differences are significant and longitudinal growth analyses should consider two to three times the technical error of measurement statistic as a reasonable estimate of the total unreliability for any single measurement of an infant's recumbent length. These results raise issues regarding analytic methods as applied to serial growth data.
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