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Updated: Sep 20, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Correlation between standing height, sitting height, and arm span as an index of pulmonary function in 6-10-year-old
Lídia A G M M Torres1, Francisco E Martinez, José C Manço
1Department of Pediatrics, University Hospital, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil. lidiatorres@directnet.com.br
Insights
This study found that standing height and arm span are closely related in children, suggesting arm span can estimate standing height. Sitting height is a better predictor for children with limb differences.
Area of Science:
- Pediatric Pulmonology
- Anthropometry
- Biometrics
Background:
- Pulmonary function assessment is crucial in pediatric health.
- Anthropometric measurements like height and arm span are often used as proxies for lung function estimation.
- Standardized protocols are essential for reliable measurements in children.
Purpose of the Study:
- To investigate the relationship between pulmonary volumes and flows and anthropometric variables (standing height, sitting height, arm span) in healthy children aged 6-10 years.
- To determine the best anthropometric predictor for pulmonary function in children.
- To explore the interchangeability of standing height and arm span measurements.
Main Methods:
- 100 healthy children aged 6-10 years were recruited.
- Standardized measurements of standing height, sitting height, and arm span were performed.
- A comprehensive set of pulmonary function parameters were measured, including vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV(1)), residual volume (RV), and total lung capacity (TLC).
- Simple linear regression analysis was used to assess correlations.
Main Results:
- Significant correlations were found between anthropometric measurements and pulmonary function parameters.
- Forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV(1)) showed the strongest correlations with anthropometric variables.
- Standing height and arm span demonstrated a significant positive correlation, suggesting potential interchangeability.
- Residual volume (RV) exhibited the weakest correlation with anthropometric measures.
Conclusions:
- Arm span can be used as a reliable substitute for standing height in estimating pulmonary function when direct height measurement is not feasible.
- For children with limb deformities, sitting height may provide a more accurate estimation of pulmonary function.
- These findings aid in the non-invasive assessment of pediatric lung health using readily available anthropometric data.
Abstract:
The present study evaluates the relationships of pulmonary volumes and flows and the anthropometric variables of standing height, sitting height, and arm span in 100 6-10-year-old children. To be included in the study, all children were required to be healthy and above the 3rd percentile of the curve of Tanner et al. (Arch Dis Child 1966;41:454-471; Arch Dis Child 1966;41:613-635) for height and weight. Standing height, sitting height, and arm span were measured according to standard protocol. The pulmonary function measurements were: tidal volume, minute respiratory volume, respiratory rate, expiratory reserve volume, inspiratory capacity, vital capacity, residual volume (RV), functional residual capacity, total lung capacity (TLC), forced vital capacity (FVC), forced expiratory volume in 1 sec of FVC (FEV(1)), forced expiratory flow measured between 25-75% of FVC, and FEV(1)/FVC and RV/TLC ratios. Simple linear regression best expressed the correlation between pulmonary function and the anthropometric variables. Significant correlations between anthropometric and pulmonary function measurements were observed, with FVC and FEV(1) showing the highest and RV the lowest r(2) values. There was a significant positive correlation between standing height and arm span according to linear regression and Bland-Altman comparison (Bland and Altman, Lancet 1968;8:307-310). Our results suggest that when an accurate determination of standing height cannot be obtained, arm span could be used interchangeably, using the same regression equation. However, for patients with limb deformities, regression equations of pulmonary function measurements in relation to sitting height may be a better choice for estimating pulmonary function.
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