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Updated: Aug 13, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Equipping the community to measure children's height: the reliability of portable instruments
1Southampton General Hospital.
Insights
Both inexpensive and expensive height measuring instruments show similar reliability. Inexperienced observers can measure height as reliably as experienced ones, emphasizing consistent long-term monitoring by the same individual.
Area of Science:
- Anthropometry
- Biomedical instrumentation
Background:
- Accurate height measurement is crucial for monitoring child growth and development.
- The reliability of various measuring instruments and observer experience in community settings requires investigation.
Purpose of the Study:
- To compare the reliability of expensive versus inexpensive height measuring instruments.
- To assess the reliability of experienced versus inexperienced observers in height measurement.
Main Methods:
- Children aged 5-12 years were measured multiple times using different portable instruments by experienced and inexperienced observers.
- Precision was quantified using the standard deviation of a single height measurement (SDshm).
Main Results:
- No significant precision differences were found between inexpensive and expensive instruments (SDshm 0.22-0.34 cm).
- Experienced and inexperienced observers demonstrated comparable precision in height measurements.
- Absolute height readings varied significantly between observers, even with similar techniques.
Conclusions:
- Inexpensive height measuring devices are as reliable as expensive ones when properly installed.
- Observer experience does not significantly impact measurement precision.
- Consistent, long-term monitoring by the same observer is recommended for tracking individual child progress.
Objective:
To compare (1) the reliability of two expensive and two inexpensive measuring instruments, suitable for use in the community and (2) the reliability of experienced compared with inexperienced observers.
Design:
(1) Ten children aged 5-12 years were each measured three times blindly, and in random order, by two experienced observers using four different portable instruments. (2) Four groups of four children aged 5-11 years were each measured three times blindly, and in random order by four experienced and one inexperienced measurer, using two different portable instruments.
Main Outcome Measures:
The precision of height measurements made by different observers using different instruments, expressed in each case as the standard deviation of a single height measurement (SDshm).
Results:
(1) No significant difference in precision was found between instruments, SDshm ranging from 0.22-0.34 cm. The two observers using apparently the same technique, did however record significantly different absolute heights. (2) No significant difference in precision was found between experienced and inexperienced observers.
Conclusion:
Inexpensive height measuring equipment, once accurately installed, is no less reliable than the most expensive. Inexperienced observers can, with care, measure as reliably as those with long experience. Every effort should be made, however, to ensure that the progress of individual children is monitored not only by the same observer, but on a long term basis.
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