Abstract:
In clinical settings, standing height measurement is often difficult to perform due to patients\' inability to stand upright. Height prediction equations derived from measurements of the length of other body segments have been published; however, they are not readily applicable to all populations since ethnic differences affect the relationship between standing height and body segment length. This cross-sectional study aimed to examine the accuracy of height prediction using the Malnutrition Universal Screening Tool (MUST) height predictive equations among Greek patients and to develop new, nationally representative equations. The study population consisted of 1198 Greek adult outpatients able to stand upright without assistance and without medical conditions that affected their height. Standing height, ulna length, knee height and demi-span measurements were obtained from 599 males and 599 females. Patients were stratified into age groups of <55 and ≥55 years, <60 and ≥60 years and <65 and ≥65 years according to the categories indicated by the MUST for height prediction from alternative measurements. There were positive correlations between standing height and ulna length and knee height and demi-span length (p < 0.001) in both sexes and all age categories. A strong correlation was observed between the measured and predicted standing height using ulna length (rho = 0.870, p < 0.001), knee height (rho = 0.923, p < 0.001) and demi-span length (rho = 0.906, p < 0.001). The average difference between the MUST indicative equations\' height predictions from alternative measurements and actual height was -3.04 (-3.32, -2.76), -1.21 (-1.43, -0.988) and 2.16 (1.92, 2.41), respectively. New height prediction equations for Greek patients were identified, with the predicted values closer to the measured standing heights than those predicted with the MUST indicative equations for height prediction from alternative measurements.
摘要:
在临床环境中,由于患者无法直立站立,站立高度测量通常难以执行。从其他身体节段长度的测量得出的高度预测方程已经发表;然而,由于种族差异会影响站立高度与身体段长度之间的关系,因此它们不适用于所有人群。这项横断面研究旨在检查希腊患者中使用营养不良通用筛查工具(MUST)身高预测方程进行身高预测的准确性,并开发新的,具有全国代表性的方程式。研究人群包括1198名希腊成年门诊患者,他们能够在没有帮助和没有影响身高的医疗条件的情况下直立站立。站立高度,尺骨长度,从599名男性和599名女性获得了膝盖高度和半跨度的测量。将患者分为<55岁和≥55岁的年龄组,<60岁和≥60岁和<65岁和≥65岁,根据MUST指示的类别,通过替代测量进行身高预测。在性别和所有年龄类别中,站立高度和尺骨长度与膝盖高度和半跨度长度之间均呈正相关(p<0.001)。使用尺骨长度(rho=0.870,p<0.001),在测量和预测的站立高度之间观察到了很强的相关性。膝盖高度(rho=0.923,p<0.001)和半跨度长度(rho=0.906,p<0.001)。TheaveragedifferencebetweentheMUSTindicatedequations\'heightpredictionsfromalternativemeasuresandactualheightwas-3.04(-3.32,-2.76),-1.21(-1.43,-0.988)和2.16(1.92,2.41),分别。确定了希腊患者的新身高预测方程,预测值比使用MUST指示方程预测的高度更接近测量的站立高度。