Anthropometric measurement standardization in the US-affiliated pacific: Report from the Children's Healthy Living Program.
Anthropometric measurement standardization in the US-affiliated pacific: Report from the Children's Healthy Living Program.
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DOI：
10.1002/ajhb.22796
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发表时间：
2016-05
期刊：
影响因子：
--
通讯作者：
Boushey CJ
中科院分区：
文献类型：
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作者：
Li F;Wilkens LR;Novotny R;Fialkowski MK;Paulino YC;Nelson R;Bersamin A;Martin U;Deenik J;Boushey CJ
人体测量标准化对于从不同地理区域获得可靠且可比较的数据至关重要。本研究的目的是描述人体测量标准化程序和儿童健康生活 (CHL) 计划的结果，该计划是一项针对美国附属太平洋地区 11 个管辖区（包括阿拉斯加和夏威夷）的儿童肥胖问题的研究。 Zerfas 标准用于比较每位学员和一位专业人体测量师之间的测量成分（身高、腰围和体重）。此外，还计算了评估者内部和评估者之间的技术测量误差 (TEM)、可靠性系数以及相对于专家的平均偏差。 2012年9月至2014年12月，79名学员至少参加了29场标准化课程中的1场。共有 49 名学员通过了标准或替代 Zerfas 标准，并有资格评估现场的所有三项测量。标准的 Zerfas 标准很难达到：79 名学员中只有 2 人在第一次培训中通过。评估者内部对 49 名学员的 TEM 估计与专家人体测量师的估计相当。平均偏差与专家的偏差在可接受的范围内。所有三个人体测量组件的可靠性系数均高于 99%。基于与单一专家比较的标准化确保了 49 名通过标准的学员测量结果的可比性。 CHL 遵循的人体测量标准化流程和协议产生了 49 名标准化现场人体测量师，并帮助建设了太平洋区域卫生人力的能力。
Anthropometric standardization is essential to obtain reliable and comparable data from different geographical regions. The purpose of this study is to describe anthropometric standardization procedures and findings from the Children’s Healthy Living (CHL) Program, a study on childhood obesity in 11 jurisdictions in the US-Affiliated Pacific Region, including Alaska and Hawai‘i. Zerfas criteria were used to compare the measurement components (height, waist, and weight) between each trainee and a single expert anthropometrist. In addition, intra- and inter-rater technical error of measurement (TEM), coefficient of reliability, and average bias relative to the expert were computed. From September 2012 to December 2014, 79 trainees participated in at least 1 of 29 standardization sessions. A total of 49 trainees passed either standard or alternate Zerfas criteria and were qualified to assess all three measurements in the field. Standard Zerfas criteria were difficult to achieve: only 2 of 79 trainees passed at their first training session. Intra-rater TEM estimates for the 49 trainees compared well with the expert anthropometrist. Average biases were within acceptable limits of deviation from the expert. Coefficient of reliability was above 99% for all three anthropometric components. Standardization based on comparison with a single expert ensured the comparability of measurements from the 49 trainees who passed the criteria. The anthropometric standardization process and protocols followed by CHL resulted in 49 standardized field anthropometrists and have helped build capacity in the health workforce in the Pacific Region.