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ISAK Antrophometric course
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1
http://www.isakonline.com/
Nikki Brown
Errors in Anthropometry Errors in anthropometry can affect:
Precision
Accuracy
Validity
3 major sources of error are significant:
1. Measurement error
2. Alterations in composition and physical properties of certain tissues
3. Use of invalid assumptions in derivation of BC from anthropometric measures
Measurement Error Random Error – limit precision or extent to which
repeat measures give same value
Can derive from examiner error:
Inadequate training
Instrument error
Difficulties in making measurement
Approaches to minimise random error:
Training
Standardised techniques
Using precise, correctly calibrated instruments
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Measurement Error Systematic Error – affect accuracy or degree to which
measurement depart from true values
Most common form results from equipment bias
Example:
2 people take SF measure on same person but use different calipers with different compressions
Timing of measures
Example:
ST growth study – progressive decrease in height though day – compromise accuracy
Anthropometric measurement never known with absolute certainty
Precision We can also establish precision (and accuracy) of
measurement technique prior to use
Poor precision reflects:
Within-examiner error
Between-examiner error – surveys with multiple
examiners?
How do we assess precision?
Technical Error Measurement (TEM)
% Technical error (%TEM)
Coefficient of reliability
TEM Gives error margin of a trait and is
therefore an accuracy index
Inter-tester or Intra-tester
Where D is the difference between the 2 measurements, and N is the sample size
Relative TEM (%TEM)
Provides estimation of error
magnitude relative to size of the
measure
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TEM Where D is the difference between the 2
measurements, and N is the sample size
Relative TEM (%)
Task – Intra TEM
Subject 1 Subject2 Subject 3 Subject 4 Subject 5
1st measurement 7.0 9.3 6.0 13.6 11.2
2nd measurement 9.2 8.8 6.2 12.4 10.0
Results of bicep skinfold taken by same anthropometrist in 5
subjects
Using the sheet provided calculate:
Intra technical error of measurement
Relative TEM (%)
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Task – Inter TEM
Subject 1 Subject2 Subject 3 Subject 4 Subject 5
1st measurer 16.0 14.6 15.0 14.0 22.6
2nd measurer 18.2 20.8 12.8 14.4 16.8
Results of abdominal skinfold taken by two different
antrhopometrists in 5 subjects
Using the sheet provided calculate:
Inter technical error of measurement
Relative TEM (%)
Interpretation and Application
of TEMs Example 1:
An athlete is measured and is found to have a triceps skinfold of
9.3mm. The anthropometrists TEM is 0.33mm. What are the
confidence limits for that athlete?
In general the TEM is the standard error of a single measure.
An approximate 68% confidence interval (1SE) for the true
value will be from:
[9.3 – 0.33] to [9.3 + 0.33] i.e. from 9.0mm to 9.6mm]
An approximate 95% confidence interval (2SE) for the true
value will be from:
[9.3 – 2(0.33)] to [9.3 + 2(0.33)] i.e. from 8.6mm to 10.0mm
Interpretation and Application
of TEMs Example 2:
An elite gymnast has her ∑7 skinfolds measured two weeks apart to monitor
her body composition (38mm and 41mm). The anthropometrist obtained a
TEM of 2.9mm.
The coach is keen for all gymnasts ∑7 to be below 40mm. Having observed
41mm at the 2nd time of measurement can the coach conclude that the true
value of ∑7 exceeded 41mm at the time of the measurement?
An approximate 95% confidence interval (2SE) for the true value will be
from:
[-41 – 2(0.29)] to [41 + 2(0.29)] i.e. from 35 mm to 47 mm]
Since 40 is within the interval it would be concluded (at the 2.5%
significance level) that the true value did not exceed 40mm.
Sig is 2.5%, rather than 5% because the test carries out is one-sided
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Summary
All body composition techniques have limitations
Anthropometric measurement never known with
absolute certainty
In order to use anthropometric data effectively must
be aware of measurement error
Inter-tester
Intra-tester
Relative TEM (%)