Nutritional Anthropometry for Amputees: Challenges for Clinicians
- 258 Downloads
Anthropometric measurements pose interesting challenges for clinicians when attempting to perform and interpet these in individuals with a lower extremity amputation. With little evidence to guide best practice, when clinicians do incorporate anthropometry into their practice they tend to apply measures with demonstrated validity in other populations. Following a comprehensive literature review, very few studies challenging the application of anthropometric measurements in those with a lower extremity amputation were identified. Largely the literature makes recommendations to continue to utilise body mass index, with complex equations developed to enable estimation of weight for the amputated limb. Alternatively the literature advocates for adopting measurements of the upper body while acknowledging that while these have correlation with measures such as body mass index, there is yet no information on whether these measures have any predictive ability in terms of health outcomes. The ideal approach is thus still controversial and research should focus on evaluating the ease and validity of various anthropometic measurements amongst those with a lower extremity amputation with a view to establish best practice recommendations for this group.
KeywordsAmputate Limb Lower Extremity Amputation Nutritional Health Transfemoral Amputation Knee Height
Body mass index
Corrected Arm Muscle Area
Health Related Quality of Life
Mid Arm Muscle Circumference
Mid Upper Arm Circumference
- NHS QIS
National Health Service Quality Improvement Scotland
National Institute for Health and Clinical Excellence
World Health Organisation
- Amputees United of Australia. 2008. Available at: http://www.monash.edu.au/rehabtech/amputee/AUA.HTM. Accessed 23 Jan 2010.
- Artificial Limb Services within Australia. Monash University. 2010. Available at: http://www.alsa.org.au/. Accessed 23 Jan 2010.
- Australian Institute of Health & Welfare. 2009. Available at: http://www.aihw.gov.au/hospitals/datacubes/datacube_proc.cfm. Accessed 17 Feb 2010.
- Council of Europe Resolution Res Ap. Food and nutritional care in hospitals: How to prevent undernutrition. Report and Recommendations of the Committee of Experts on Nutrition, Food Safety and Consumer Protection. Council of Europe Publishing; 2003.Google Scholar
- National Limb Loss Information Center. Amputation Statistics by Cause Limb Loss in the United States. 2008. Available at: http://www.amputee-coalition.org/fact_sheets/amp_stats_cause.pdf. Accessed 23 Jan 2010.
- NHS NSS. National Amputee Statistical Database for the UK. 2009. Available at: http://www.nasdab.co.uk/pdf.pl?file = nasdab/news/Final_2006_07.pdf. Accessed 12 Nov 2009.
- NHS Quality Improvement Scotland. Clinical Standards for Food, Fluid and Nutritional Care in Hospitals, 2003.Google Scholar
- NHS Quality Improvement Scotland. Clinical Standards: Food, Fluid and Nutritional Care in Hospitals. 2003. Available at: http://www.nhsqis.org/nhsqis/files/Food,%20Fluid%20Nutrition.pdf. Accessed 23 Jan 2010.
- NICE Clinical Guideline 32. Nutrition support in adults: oral nutrition support, enteral tube feeding and parenteral nutrition. 2006. Available at: http://www.nice.org.uk/nicemedia/pdf/CG032NICEguideline.pdf. Accessed 23 Jan 2010.
- NICE Clinical Guideline 43. Obesity: Guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children. 2006. Available at: http://www.nice.org.uk/nicemedia/pdf/CG43NICEGuideline.pdf. Accessed 23 Jan 2010.
- WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854. Geneva: World Health Organization; 1995.Google Scholar