Reliability and technical error of Calf Circumference and Mid-half Arm Span measurements for nutritional status assessment of elderly persons in Malaysia

Haniff Jamaiyah, A. Geeta, M. N. Safiza, N. F. Wong, Chee Cheong Kee, A. Z. Ahmad, Suzana Shahar, Rahmah Rasat, G. L. Khor, Ruzita Abd. Talib, W. S. Chen, M. Rajaah, A. Faudzi

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Abstract

This study sought to examine the reliability of two measurements; Calf Circumference (CC) and Mid-half Arm Span (MHAS). A sample of 130 elderly persons aged 60 years and above seen consecutively in the Kuala Lumpur Hospital outpatient clinic during the period of December 2005 to January 2006, tipon consent, were recruited to the study. There was a high degree of reliability for both inter- and intra-examiner (r dose to 1). For inter-examiner, on average the CC measurements taken by the first examiner were 0.3 cm lower than that of the second examiner. The upper, and lower limit of the differences were +0.4 to-0.9 cm respectively. Inter-examiner MHAS measurements on average by the first examiner were 0.2 cm lower than that of the second examiner. The limits were +1.7 to -2.1 cm: By comparison, the inter-examiner CC measurements were more reliable than the MHAS measurements. For intra-examiner, on average the CC measurements at Time 1 were consistent with Time 2 (mean difference=10) with limits of the difference at ± 0.5 cm. MHAS measurements at Time 1 were on average 0.1 cm less than at Time 2 with limits at + 1.7 and -1.8 cm. The technical error of measurement (TEM) and coefficient of variation of CC and MHAS for both inter-examiner and intra-examiner measurements were within acceptable limits with the exception of MHAS TEM. This study suggests that CC and MHAS measured in elderly persons 60 years and above, using Seca Circumference Tape ® 206, Germany (0.05 cm) are reliable and can be used in a community survey.

Original languageEnglish
Pages (from-to)137-150
Number of pages14
JournalMalaysian Journal of Nutrition
Volume14
Issue number2
Publication statusPublished - 2008

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Nutrition Assessment
Malaysia
Nutritional Status
nutritional status
Hospital Outpatient Clinics
Germany
calf circumference

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

Jamaiyah, H., Geeta, A., Safiza, M. N., Wong, N. F., Kee, C. C., Ahmad, A. Z., ... Faudzi, A. (2008). Reliability and technical error of Calf Circumference and Mid-half Arm Span measurements for nutritional status assessment of elderly persons in Malaysia. Malaysian Journal of Nutrition, 14(2), 137-150.

Reliability and technical error of Calf Circumference and Mid-half Arm Span measurements for nutritional status assessment of elderly persons in Malaysia. / Jamaiyah, Haniff; Geeta, A.; Safiza, M. N.; Wong, N. F.; Kee, Chee Cheong; Ahmad, A. Z.; Shahar, Suzana; Rasat, Rahmah; Khor, G. L.; Abd. Talib, Ruzita; Chen, W. S.; Rajaah, M.; Faudzi, A.

In: Malaysian Journal of Nutrition, Vol. 14, No. 2, 2008, p. 137-150.

Research output: Contribution to journalArticle

Jamaiyah, H, Geeta, A, Safiza, MN, Wong, NF, Kee, CC, Ahmad, AZ, Shahar, S, Rasat, R, Khor, GL, Abd. Talib, R, Chen, WS, Rajaah, M & Faudzi, A 2008, 'Reliability and technical error of Calf Circumference and Mid-half Arm Span measurements for nutritional status assessment of elderly persons in Malaysia', Malaysian Journal of Nutrition, vol. 14, no. 2, pp. 137-150.
Jamaiyah, Haniff ; Geeta, A. ; Safiza, M. N. ; Wong, N. F. ; Kee, Chee Cheong ; Ahmad, A. Z. ; Shahar, Suzana ; Rasat, Rahmah ; Khor, G. L. ; Abd. Talib, Ruzita ; Chen, W. S. ; Rajaah, M. ; Faudzi, A. / Reliability and technical error of Calf Circumference and Mid-half Arm Span measurements for nutritional status assessment of elderly persons in Malaysia. In: Malaysian Journal of Nutrition. 2008 ; Vol. 14, No. 2. pp. 137-150.
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abstract = "This study sought to examine the reliability of two measurements; Calf Circumference (CC) and Mid-half Arm Span (MHAS). A sample of 130 elderly persons aged 60 years and above seen consecutively in the Kuala Lumpur Hospital outpatient clinic during the period of December 2005 to January 2006, tipon consent, were recruited to the study. There was a high degree of reliability for both inter- and intra-examiner (r dose to 1). For inter-examiner, on average the CC measurements taken by the first examiner were 0.3 cm lower than that of the second examiner. The upper, and lower limit of the differences were +0.4 to-0.9 cm respectively. Inter-examiner MHAS measurements on average by the first examiner were 0.2 cm lower than that of the second examiner. The limits were +1.7 to -2.1 cm: By comparison, the inter-examiner CC measurements were more reliable than the MHAS measurements. For intra-examiner, on average the CC measurements at Time 1 were consistent with Time 2 (mean difference=10) with limits of the difference at ± 0.5 cm. MHAS measurements at Time 1 were on average 0.1 cm less than at Time 2 with limits at + 1.7 and -1.8 cm. The technical error of measurement (TEM) and coefficient of variation of CC and MHAS for both inter-examiner and intra-examiner measurements were within acceptable limits with the exception of MHAS TEM. This study suggests that CC and MHAS measured in elderly persons 60 years and above, using Seca Circumference Tape {\circledR} 206, Germany (0.05 cm) are reliable and can be used in a community survey.",
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AU - Ahmad, A. Z.

AU - Shahar, Suzana

AU - Rasat, Rahmah

AU - Khor, G. L.

AU - Abd. Talib, Ruzita

AU - Chen, W. S.

AU - Rajaah, M.

AU - Faudzi, A.

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