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Related Experiment Videos

How valid are our reference standards of nutrition?

P J Thuluvath1, D R Triger

  • 1University of Sheffield Medical School, Department of Medicine, Royal Hallamshire Hospital, United Kingdoms.

Nutrition (Burbank, Los Angeles County, Calif.)
|November 1, 1995
PubMed
Summary

Comparing nutritional assessment standards, this study found Jelliffe's tables poorly correlate with Frisancho's for triceps skinfold thickness and mid-arm muscle circumference. Frisancho's standard is recommended for better accuracy in nutritional status evaluations.

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Area of Science:

  • Nutritional Science
  • Anthropometry
  • Public Health

Background:

  • Accurate nutritional status assessment relies on appropriate anthropometric measurement standards.
  • Jelliffe's and Frisancho's tables are commonly used for triceps skinfold thickness and mid-arm muscle circumference.
  • Variability in standards can impact nutritional status evaluations.

Purpose of the Study:

  • To compare the validity of Jelliffe's and Frisancho's anthropometric standards.
  • To assess the correlation and predictive values of these standards in diverse populations.
  • To provide recommendations for selecting appropriate standards in nutritional assessments.

Main Methods:

  • Comparative analysis of Jelliffe's and Frisancho's anthropometric standards.

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  • Inclusion of healthy subjects and patients with various pathological disorders.
  • Evaluation of positive predictive values and false positive rates using Frisancho's as a reference.

    • Main Results:

    • A poor correlation was observed between Jelliffe's and Frisancho's standards.
    • Jelliffe's standards showed low positive predictive values (22% for TST, 53% for MAC).
    • Significant false positive rates were found for Jelliffe's standards (28% for TST, 27% for MAC).

    Conclusions:

    • Existing standards, particularly Jelliffe's, demonstrate limited validity for nutritional status assessment.
    • There is a critical need for population-specific anthropometric standards.
    • Frisancho's standard is recommended over Jelliffe's in the absence of tailored standards.