doi:10.3900/fpj.6.3.152.e EISSN 1676-5133 Height and corporal mass measured and predicted through the Chumlea equations in elderly Original Article 1 Corpore Academia de João Pessoa/PB Mestrado em Ciência da Motricidade Humana PROCIMH 3 LABIMH/UCB-RJ 4 Departamento de Jogos – EEFD/UFRJ Luciano de Oliveira1,2 [email protected] 2 José Fernandes Filho3,4 [email protected] Oliveira L, Fernandes Filho J. Height and corporal mass measured and predicted through the Chumlea equations in elderly. Fit Perf J. 2007;6(3):152-5. ABSTRACT: The present work had as objective to verify if it exist significant difference between the measured and verified corporal mass and height through equations found in literature. A transversal, descriptive and comparative character methodology was used, with a composed sample of 30 aged women (66.6±6.68 years), where the variable corporal mass and stature had been measured, through digital scale and stadiometer, and estimates through the Chumlea equations, and this was carried through at the moment where they registered at the Corpore Academy. The statistical treatment was given through test t Student (p<0.05) and r of Pearson. In the joined results it did not have significant difference for corporal mass and got a high correlation (t=0.10; r=0.93), the same happened with the stature (t=0.16; r=0.97). The conclusion is that the prediction equations can be used for this sample. Keywords: elderly, anthropometry, prediction equation. Correspondence to: Rua Excombatente Assis Luiz, 143, João Paulo II, CEP 58076-100, João Pessoa,PB. Submitted: Octuber / 2006 Accepted: January / 2007 Copyright© 2008 Colégio Brasileiro de Atividade Física, Saúde e Esporte. 152 Fit Perf J Rio de Janeiro 6 3 135-140 May/Jun 2007 RESUMO RESUMEN Estatura e massa corporal mensurados e preditos através das equações de Chumlea em idosas Estatura y masa corporal mensuradas y predichas a través de las ecuaciones de Chumlea en mayores O presente trabalho teve como objetivo verificar se existe diferença significativa entre a massa corporal e estatura mensuradas e verificadas através de equações encontradas na literatura. Foi utilizada uma metodologia de caráter transversal, descritiva e comparativa, com uma amostra composta de 30 idosas do sexo feminino (66,6±6,68 anos), em que as variáveis massa corporal e estatura foram mensuradas, através de balança digital e estadiômetro, e estimadas através das equações de Chumlea, e isso foi realizado no momento em que elas se matriculavam na Corpore Academia. O tratamento estatístico foi dado através do teste t Student (p<0,05) e r de Pearson. Nos resultados encontrados não houve diferença significativa para massa corporal e se obteve uma correlação (t=0,10;r=0,93), o mesmo acontecendo com a estatura (t=0,16;r=0,97). Com isso conclui-se que as equações de predição podem ser utilizadas para essa amostra. Lo presente trabajo tuvo como objetivo verificar se existe diferencia significativa entre la masa corporal y estatura mensuradas y verificadas a través de ecuaciones encontradas en la literatura. Fue utilizada una metodología de carácter transversal, descriptiva y comparativa, con una muestra compuesta de 30 mayores del sexo femenino (66,6±6,68 años), en que las variables de masa corporal y estatura habían sido mensuradas, a través de balanza digital y estadiómetro, y estimadas a través de las ecuaciones de Chumlea, y eso fue realizado de momento en que ellas se matriculaban en la Corpore Academia. El tratamiento estadístico fue dado a través del test t Student (p<0,05) y r de Pearson. Los resultados encontrados no hubo diferencia significativa para masa corporal y se obtuvo una correlación (t=0,10; r=0,93), lo mismo aconteciendo con la estatura (t=0,16; r=0,97). Con eso se concluye que las ecuaciones de predicción pueden ser utilizadas para esa muestra. Palavras-chave: idoso, antropometria, equação de predição. Palabras clave: mayor, antropometría, ecuación de predicción. INTRODUCTION Research conducted by the Brazilian Institute of Geography and Statistics (IBGE) shows that the state of Paraiba is the fourth placed in figures, the resident population aged 60 and over1. In the same study, it is also reported that in 2020 the Brazilian will be the sixth country with respect to the elderly population of the planet1, making it clear the concern of the society with the wellness and health of the elderly2. From all this problematization, the objective of this study was to verify whether there are significant differences between the values of stature and corporal mass measured and found from the equations of prediction proposed by Chumlea et al. 10,11. The sedentary lifestyle, excessive time in bed and other factors, such as falls, can drop significantly the autonomy of elderly, leading him to a low quality of life, away from the coexistence in society, characterizing a social death before death biological3. The sample of this study was composed of 30 (thirty) with older age of 66.6 ± 6.68 years, which they have enrolled in the Academy Corpore, in the city of Joao Pessoa-PB, in the months of March, April and May of 2007. All signed a term of free and informed consent on procedures involving the present study, following resolution of the National Health Council in the law 196/96 with the protocol approving the ethics committee of the UCB-RJ under nº 126/06. What can soften the low quality of life, including helping to boost it, in addition to improved self-esteem, resulting in greater autonomy for the elderly, are practiced physical exercises regularly, particularly those with features aerobic and recreational4,5,6,7. For a program of physical activity may be prescribed in an appropriate manner and are tracked its results, it is necessary to conduct a general assessment and among the items evaluated, are the stature and corporal mass, as are two basic components of a anthropometric assessment and serve as allowance for various equations for predicting corporal composition. In some cases, the level of autonomy of the elderly is so low that it is impractical to estimative the measures of corporal mass and height. Due to the frequency of this situation, were created equations to predict both the stature as the body weight of the elderly, for the solution of this problem8,9. In Brazil still no reference values for elderly with regard to data that can provide anthropometry, forcing the studies that are conducted with elderly, which make use of anthropometry to use international benchmarks as a basis for classification9. Fit Perf J, Rio de Janeiro, 6, 3, 153, May/Jun 2007 MATERIALS AND METHODS In act of enrolment in college the person was informed that the search was being conducted, then was made the invitation to participate in the study as voluntary. With the accepted elderly marked up the assessment, as is done with all individuals falling in gym where the study was conducted. However, this assessment specifically, the necessary measures were added to the calculation of prediction equations of corporal mass and height, which are: Corporal mass11 = [1.27 x CP] + [0.87 x length of the leg] + [0.98 x CB] + [0.4 x PCSE] – 62.35 where CP is the circumference of the calf, CB is the circle of arms and PCSE is the sub scapular skin fold; and Height10= [1.83 x length of the leg] – [0.24 x age] + 84.88. Evaluations were performed in dependencies of the Corpore Academy, in the morning or afternoon and was always asked the participants to maintain their dietary habits. 153 Table 1. average, standard deviation, minimum and maximum for the variables measured corporal mass (MCM) and estimated corporal mass (ECM) average 59.12 57.20 MCM ECM standard deviation 4.29 4.59 minimum 51.40 48.20 maximum 67.8 67.20 Table 2. average, standard deviation, minimum and maximum for the variables measured height (MH) and estimated height (EH) average 159.50 157.12 MH EH standard deviation 6.35 6.61 minimum 150.0 146.2 maximum 172.0 170.9 Table 3. results of the tests t of Student and r of Pearson between the variables measured corporal mass (MCM) and estimated corporal mass (ECM), and measured height (MH) and estimated height (EH). ECM and MCE MH and EH t of Student 0.10 0.16 The material used was a stadiometer Brand Sanny with accuracy of 1cm, non-elastic tape measure with accuracy of 1mm of the same brand, a adipometer scientific, also of the mark Sanny, with accuracy of 1 mm and a digital scale of the mark accurately Tanita , 100g. The statistical used was, first of character description, through the calculation of mean and standard deviation, and then was given the normality of the sample using the Shapiro-Wilk test. Then, we used the test t Student to investigate whether the differences were significant and the r the Pearson to determine the correlation between variables. RESULTS In table 1 are shown the average, standard deviation, the minimum and maximum of variable corporal mass, both measured as predicted. In table 2 are shown the average, standard deviation, the minimum and maximum of variable corporal mass, both measured as predicted. Table 3 show the results the t of Student and r of Pearson in the variables corporal mass and height. DISCUSSION The results of this study indicate that both the height as the corporal mass can be verified through the equations of Chumlea10,11 for the sample, because no significant difference was found and was shown a correlation between variables. However, the work of Rabito et al.12 were found, both in height and in corporal mass, significant differences. What can explain this contradiction between the results is the difference in the composition of the sample, because if differ both in gender and in quantity. The research presented here was composed only of elderly females (n = 30), different from the work of Rabito, made with elderly of both genders (n = 368). 154 r of Pearson 0.93 0.97 However, the study of Sampaio et al. 13 also found statistically significant differences, and the reasons for divergence of these results with those presented in this study are also related to the sample, as well as the research cited above. Likewise, Leary et al.14 in their study also found significant differences between corporal mass and height, measured and predicted. In this case, the sample was composed of 30 elderly of both genders, which might explain the opposition in the findings. In the study, Mendonça-Núnes et al.15, in which the sample was composed of 736 individuals (550 women), there were statistically significant differences in the two variables. In theirs discussion, they argue that the result is due to the fact of the equations of Chumlea10,11 have been developed for a population of different used in its study. However, this study also has individuals with quite different characteristics of the study which were developed in the equation, and even then, no significant differences were reported. Still, studies de Menezes & Marucci9 and Acuña & Cruz16 recommend the use of this equation when it is not possible to assess the variables height and corporal mass so direct, because of the elderly is without condition to lift the bed, and this situation the only in which they can use the prediction. Although studies can be found, such as Peixoto et al.17, Fonseca et al. 18 and Silveira et al.19, which validated the use of corporal mass and height informed by assessed and can therefore be made with many epidemiological studies of individuals with only application of a questionnaire, and it is this kind of work that, according Peixoto et al.17, is the most found in the literature17. Meanwhile, none of these studies had a sample of just elderly. CONCLUSION It follows then that in the equations of Chumlea10,11, compared with the measurements obtained so direct, there were no statistically significant differences, and can thus be used for that sample, even with other studies12,13,14,15 showing conflicting results with this Fit Perf J, Rio de Janeiro, 6, 3, 154, May/Jun 2007 work, as discussed above, there are differences regarding the constitution of the samples. 7. Pieron M. Estilo de vida, prática de atividades físicas e esportivas, qualidade de vida. Fit Perf J. 2004;3(1):10-18. 8. Sampaio LR. Nutritional evaluation and ageing. Rev nutr. 2004;17(4):507-514. The limitations of this study were: the sample size; sample of just one genre, and the equations in question has been validated for a population of a country different from what was investigated. On completion of that presented here, has been by suggestions: propose studies with a larger sample and with both sexes, and the data obtained develop equations for predicting the height and corporal mass, to be a more accurate tool for this population. REFERENCES 1. Instituto Brasileiro de Geografia e Estatística (IBGE). [base de dados na Internet]. [acesso em 2006 nov 22]. Disponível em: http://www.ibge.gov.br. 9. Menezes TN, Marucci MFN. Antropometria de idosos residentes em instituições geriátricas, Fortaleza, CE. Rev Saúde Pública. 2005;39(2):169-175. 10. Chumlea WC, Roche AF, Steinbaugh ML. Estimating stature from knee height for persons 60 to 90 years of age. J Am Geriatr Soc. 1985;33:116-120. 11. Chumlea WC, Guo S, Roche AF, Steinbaugh ML. Prediction of body weight for the nonambulatory elderly from anthropometry. J Am Diet Assoc. 1988;88:564-568. 12. Rabito E, Vannucchi GB, Suen VMM, Castilho Neto LL, Marchini JS. Estimativa de peso e altura de pacientes hospitalizados e imobilizados. Rev. Nutr. 2006;19(6):655-661. 13. Sampaio HAC, Melo MLP, Almeida PC, Benevides ABP. Aplicabilidade das fórmulas de estimativa de peso e altura para idosos e adultos. Rev bras nutr clín. 2002;17(4):117121. 14. Leary TS, Milner QJW, Nilblett DJ. The accuracy of the estimation of body weight and height in the intensive care unit. Eur J Anaesthesiol. 2000;17(11):698-703. 2. Vale RCS, Aragão JCB, Dantas EHM. A flexibilidade na autonomia funcional de idosas independentes. Fit Pef J. 2003;2(1):23-29. 15. Mendoza-Núnes VM, Sánchez-Rodríguez MA, Cervantes-Sandoval A, Correa-Muñoz E, Vargas-Guadarrama LA. 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