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Equations suggested by WHO to estimate height above 60 years of age do not fit Portuguese elderly: A new predictive model based on knee height

机译:世界卫生组织建议的估计60岁以上身高的方程式不适合葡萄牙老年人:基于膝盖高度的新预测模型

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Aged individuals present a high prevalence of health problems that unable the correct measuring of height (e.g.: incapacity to stand up, spine deformities, inferior limb deformities, prosthesis and amputations). In populations 60 years of age or older not studied on predicting height, the World Health Organization suggests the use of Chumlea's 1992 equations, developed in United States and based on knee height, gender and age. These equations may not be applicable in other populations, as showed in Mexico. The study assessed 299 healthy Caucasian Portuguese aged 60 to 95. Data on gender, age, height and knee height were collected. Measurements were taken with a vertical stadiometer, as in the original study. The subjects studied presented an average age of 78.3 (SD = 8.9) for men and 73.5 (SD = 8.5) for women and average stature of 162.4 cm (SD = 6.0) for men and 152.2 cm (SD = 5.6) for women. Height and knee height showed strong correlations (Pearson 0.786 in men and 0.694 in women; P < 0.001). Our subjects were older and shorter than the ones in the original study. Chumlea's equations overestimated height 4.07 cm for men and 1.58 cm for women (P < 0.001). Although this study presents several limitations, the Chumlea's equations do not appear to be applicable to elderly Portuguese. A new predictive model was developed using multiple regression models. The equations obtained were (in cm): standing height (men) = 77.61 + 1.64 knee height; standing height (women) = 73.77 + 1.64 knee height. This model showed R-2 of 0.698 for women and 0.737 for men. (C) 2012 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.
机译:老年人存在很高的健康问题,无法正确测量身高(例如:无法站立,脊柱畸形,下肢畸形,假肢和截肢)。在未研究身高预测的60岁以上人群中,世界卫生组织建议使用在美国开发的Chumlea 1992年方程式,该方程式基于膝盖的身高,性别和年龄。如墨西哥所示,这些方程式可能不适用于其他人群。该研究评估了299名60至95岁的健康白种人葡萄牙人。收集了有关性别,年龄,身高和膝盖高度的数据。如最初的研究一样,使用垂直的测速仪进行测量。研究对象显示男性平均年龄为78.3(SD = 8.9),女性平均年龄为73.5(SD = 8.5),男性平均身高为162.4 cm(SD = 6.0),女性平均身高为152.2 cm(SD = 5.6)。身高和膝盖高度之间显示出很强的相关性(男性为Pearson 0.786,女性为0.694; P <0.001)。我们的受试者比原始研究中的受试者年龄大且矮。 Chumlea方程高估了男性的身高4.07厘米,女性的身高1.58厘米(P <0.001)。尽管这项研究存在一些局限性,但Chumlea方程似乎不适用于老年葡萄牙人。使用多个回归模型开发了新的预测模型。得到的公式为(厘米):站立的身高(人)= 77.61 + 1.64膝高;站立高度(女性)= 73.77 + 1.64膝盖高度。该模型显示,女性的R-2为0.698,男性为0.737。 (C)2012 Elsevier Masson SAS和欧盟老年医学协会。版权所有。

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