CLASSIFICATIONS IN ANTHROPOMETRY

Gomez classification

it is one of the earliest extent use to assess child nutrition

Gomez classification

it uses weight for age as the main index

First, second, third degrees

malnutrition classified into

First degree (Mild Malnutrition)

90-76%

Second degree (Moderate Malnutrition)

75%-61%

Third degree (Severe Malnutrition)

_<60%

Wellcome classification

it also usee weight for age but it adds one more important factor of presence of edema

Waterlow classification

uses both height for age and weight for height indices

Waterlow classification

allow us to differentiate the wasting and stunting

Wasting

is associated with impairment of mental development which may be irreversible

Wasted

generally regain body weight with proper medical care and nutritional rehabilitation

Height for age

compare linear growth with the reference showing long term malnutrition

Weight for height

reflect experience and identify

Underweight

<P5 (for adolescencents)

Mild underweight

P5 to <P15 (for adolescencents)

Normal

P15 to <P85 (for adolescencents)

Overweight

>P85 (for adolescencents)

Overweight

_> 110% (for adults)

Normal

90-109% (for adults)

Underweight, mild

85-89% (for adults)

Undermalnourished, moderate

75-84% (for adults)

Undermalnourished, severe

<75% (for adults)

CED grade |||

less than 16 (Lactating women)

CED grade ||

16.0-16.9 (Lactating women)

CED grade |

17.0-18.4

Low normal

18.5-19.9 (Lactating women)

Normal

20.0-24.9 (Lactating women)

Obese Grade |

25.0-29.9 (Lactating women)

Obese Grade ||

30.0-39.9 (Lactating women)

Obese Grade |||

40.0 and over (Lactating women)

Nutritionally at risk

<90% (pregnant women)

Not nutritionally at risk

>90% (pregnant women)

Male Waist Circumference

_> 102cm (~40 inches)

Female Waist Circumference

_>88cm (~35 inches)

Male Waist Hip Ratio

_>1.0

Female Waist Hip Ratio

_>0.85

Normal

>13.5 (Mid upper arm circumference)

Possibly mildly malnourished

12.5-13.5 (Mid upper arm circumference)

Malnourished

<12.5 (Mid upper arm circumference)

MUAC for height (QUAC stick)

it is a practical sealed tool

MUAC for height (QUAC stick)

gives an immediate indication of malnourishment without requiring that the child height can be actually measured at all

Weight for heights wall chart

identifies the extend of wasting in a very simple manner

Red

70-80% (weight for height wall chart)

Yellow

80-90% (weight for height wall chart)

Green

90-110% (weight for height wall chart)

Calf circumference

indicates changes in muscle mass due to age and inactivity

Calf circumference

it is used to estimate muscle mass in elderly population

Unintentional weight loss

indicates potential health problems in an adult and is useful in clinical assessment of an individuals overall health

% IBW= current body weight (CBW)/IBW x 100

formula for ideal body weight

UBW= CBW/UBW x 100

formula for usual body weight