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Updated: May 20, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Modified anthropometry in prepubertal Israeli children while excluding the head's weight and height
I R Makhoul1, H Abulhija, T Smolkin
1Department of Neonatology, Meyer Children's Hospital, Rambam Health Care Campus, Haifa, Israel. makhoul@rambam.health.gov.il
Insights
Excluding head measurements in children
Area of Science:
- Pediatric anthropometry
- Growth assessment
- Body composition analysis
Background:
- Standard anthropometric measurements (weight, height, BMI) are affected by age-dependent head growth.
- The head's contribution to overall body weight and height changes significantly with age in children.
- This age-related bias can impact the accuracy of anthropometric assessments in pediatric populations.
Purpose of the Study:
- To evaluate the impact of head measurements on standard anthropometry in healthy children.
- To assess the contribution of head weight and height to body weight, height, and BMI.
- To determine if excluding head measurements can mitigate age-related biases in pediatric anthropometry.
Main Methods:
- Prospective study involving 300 typically growing children aged 2-9 years.
- Head-excluded (HE) height measured using a specialized stadiometer.
- Head weight estimated from head volume derived from head circumference measurements.
Main Results:
- Head-excluded/standard ratios for weight and height significantly increased with age (p < 0.001).
- The head-excluded/standard ratio for BMI did not show a significant age-related increase.
- This indicates a diminishing relative contribution of the head to total body size as children grow.
Conclusions:
- Excluding head weight and height offers a novel approach to standard anthropometry.
- This method effectively eliminates age-dependent head bias in pediatric measurements.
- Provides a more accurate assessment of body composition and growth patterns in children.
Aim:
A methodological inadequacy in anthropometric measurements of children exists because of an age-dependent decelerating contribution of the head to body weight (Wt) and height (Ht). Hence, we aimed to assess the contribution of head measurements to anthropometry (Ht, Wt and BMI) in healthy prepubertal children.
Methods:
This prospective study was conducted in 300 2- to 9-year-old typically growing children. Head-excluded (HE) Ht was determined by a stadiometer that measured the distance from the foot plate to the lower margin of protuberance occipitalis externa. Head's weight was calculated from the head volume using three different measurements of the head circumference.
Results:
In the typically growing children, the HE/standard (STD) ratios for Wt and Ht increased significantly with age (p < 0.001 for both), but the HE/STD ratio for BMI did not increase with age.
Conclusion:
Measurement of body Wt and Ht while excluding the head's Wt and Ht provides a new dimension to standard anthropometry by eliminating the age-dependent head bias with its unique pattern of growth and minimal adipose tissue.
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