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Updated: May 31, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Determination of the actual height predictors in Iranian healthy children
Tirang Reza Neyestani1, Monireh Dad-Khah, Homa Haidari
1National Research Institute and Faculty of Nutritional Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. tneyestani@nnftri.ac.ir
Insights
Arm length (AL) and tibia length (TL) are reliable predictors of height in healthy Iranian children aged 7-11. These measurements can be used to estimate height in hospitalized or disabled children when direct measurement is not possible.
Area of Science:
- Pediatrics
- Anthropometry
- Nutritional Assessment
Background:
- Accurate height measurement is crucial for assessing child nutrition.
- Challenges arise in measuring height for hospitalized or disabled children.
- Need for reliable height proxies in specific pediatric populations.
Purpose of the Study:
- To identify accurate height predictors in healthy Iranian children.
- To enable height estimation in children unable to be measured directly.
- To validate anthropometric measures as height proxies.
Main Methods:
- Cross-sectional study of 730 healthy Iranian children (7-11 years).
- Measured height, demispan (DS), halfspan (HS), arm length (AL), and tibia length (TL).
- Utilized linear regression models to establish relationships between height and predictors.
Main Results:
- Arm length (AL) and tibia length (TL) showed strong correlations with height in both boys and girls.
- Halfspan (HS) and age were also significant predictors for girls.
- Demispan (DS) was a predictor only in Tehran.
- Arm length (AL) demonstrated high concordance with actual height across percentiles.
Conclusions:
- Arm length (AL) is proposed as a reliable and practical height proxy for children aged 7-11.
- Findings support the use of AL for height estimation in clinical and field settings.
- This research provides valuable tools for nutritional assessment in challenging pediatric cases.
Abstract:
Height measurement is an important part of nutritional assessment especially in children. However, in such cases as hospitalized or certain kinds of malformations or disabilities, height cannot be measured accurately. We aimed to determine appropriate height predictors in Iranian healthy children for further use in disabled and/or hospitalized children. A total of 730 apparently healthy children aged 7-11 years old from both sexes from Tehran, Meshed and Rasht were enrolled in a cross sectional study. Height, demispan (DS), halfspan (HS), arm length (AL) and tibia length (TL) were all measured using a measuring tape. Linear regression models were established between height, DS, HS, AL and TL. For boys AL (R2=0.783) and TL (R2=0.837) and for girls AL (R2=0.720), TL (R2=0.765), HS (R2=0.771) and age (R2=0.775), respectively, entered the linear regression model. When height predictors were evaluated individually for each city, only in Tehran DS also entered the regression model. Concordance of different percentiles of height estimates based on AL with those of actual height proposed this measure as a reliable height proxy for this age group in clinical as well as field practice.
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