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3 . 2012

Anthropometry: the modern statistical analysis and significance for internal medicine and nutrition

AbstractAnthropometry – a technique, allowing to obtain the necessary features for the characteristic of human body’s changes in norm and at pathology. Statistical analysis of anthropometric parameters, such as – body mass, length, waist line, hip, shoulder and wrist circumferences, skin rolls of fat thickness: on triceps, under a bladebone, on a breast, on a venter and on a biceps, with calculation of indexes and an assessment of possible age influence was carried out for the first time in domestic medicine. Complexes of showing interrelations anthropometric characteristics were detected. Correlation coefficients (r) were counted and the factorial (on a method main a component with the subsequent rotation – a varimax method), covariance and discriminative analyses (with application of the Kaiser and Wilks criterions and F-test) is applied. Study of intergroup variability of body composition was carried out on separate characteristics in healthy individuals groups (135 surveyed aged 45,6±1,2 years, 56,3% men and 43,7% women) and at internal pathology: patients after a gastrectomy – 121 (57,7±1,2 years, 52% men and 48% women); after Billroth operation – 214 (56,1±1,0 years, 53% men and 47% women); after enterectomy – 103 (44,5±1,8 years, 53% men and 47% women); after mixed genesis proteinenergy wasting– 206 (29,04±1,6 years, 79% men and 21% women). The group of interlocking characteristics which includes anthropometric parameters of hypodermic lipopexia (rolls of fat thickness on triceps, a biceps, under a bladebone, on a venter) and fatty body mass was defined by results of the analysis. These characteristics are interconnected with age and growth and have more expressed dependence at women, that reflects development of a fatty component of a body, at assessment of body mass index at women (unlike men). The waist-hip circumference index differs irrespective of body composition indicators that doesn’t allow to characterize it with the terms of truncal or extremal lipopexia. Importance of anthropometry complex application of was proved at epidemiological researches for healthy individuals and patients with various diseases. The revealed morphological features confirm the necessary of the development of this medical anthropology direction for clinic of internal diseases.

Keywords:anthropometry, body composition, lean and fat body mass, body mass index, the index of waist-hip ratio, nutritional status, statistical analysis

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CHIEF EDITOR
CHIEF EDITOR
Viktor A. Tutelyan
Full Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Scientific Director of the Federal Research Centre of Nutrition, Biotechnology and Food Safety (Moscow, Russia)

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