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Updated: Jun 11, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Mid-arm circumference can be used to estimate children's weights
G N Cattermole1, P Y M Leung, P S K Mak
1Accident and Emergency Medicine Academic Unit, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong. gncattermole@cuhk.edu.hk
Mid-arm circumference offers a reliable method for estimating children's weight, outperforming age-based methods in school-aged children. This simple formula provides an alternative to existing tools for rapid weight estimation.
Area of Science:
- Pediatric Emergency Medicine
- Anthropometry
- Clinical Biometrics
Background:
- Accurate pediatric weight estimation is critical in resuscitation for drug dosing and equipment selection.
- Current methods include age-based formulas and height-based tools like the Broselow tape.
- Alternative anthropometric measures such as foot-length and mid-arm circumference have been proposed.
Purpose of the Study:
- To identify the strongest correlate of weight among age, height, foot-length, and mid-arm circumference in healthy children.
- To develop a simple weight-estimation formula based on the strongest correlate.
- To compare the performance of the new formula against existing weight-estimation tools.
Main Methods:
- A prospective observational study involving Hong Kong Chinese children aged 1-11 years.
- Measurements included weight, height, foot-length, and mid-arm circumference.
- Multiple and linear regression analyses were used to derive and validate the weight-estimation formula.
Main Results:
- Mid-arm circumference demonstrated the strongest relationship with weight, which strengthened with age.
- A formula, weight [kg]=(mid-arm circumference [cm]-10) x 3, was derived.
- This formula was comparable in accuracy and precision to the Broselow tape and superior to age-based methods in school-aged children, but not pre-schoolers.
Conclusions:
- A mid-arm circumference-based weight-estimation formula is reliable for school-aged children.
- An arm-tape utilizing this formula could serve as a viable alternative to the Broselow tape for this age group.
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