title: Estimation of stature by measuring fibula and ulna bone length in 2443 older adults.
abstract: Estimation of Stature by Measuring Fibula and Ulna Bone Length in 2443 Older Adults.
  
  
  OBJECTIVE
  Knee height has been commonly used to estimate stature but may not always be possible in the frail older adults with compromised posture. Measurement of fibula and ulna bone length could be an alternative method. We attempted to develop and validate regression models to predict measured and reported height using age, fibula length, ulna length, hip circumferences and body weight.
  
  
  METHODS
  A cross-sectional survey.
  
  
  METHODS
  The study was conducted in the Jockey Club Centre for Osteoporosis Care and Control, School of Public Health, The Chinese University of Hong Kong.
  
  
  METHODS
  Two thousand four hundred and forty three community-dwelling older Chinese aged from 65 to 98 years were recruited.
  
  
  METHODS
  The standing height, fibula length, ulna length, hip circumference and body weight were measured and the reported height was recorded. Three separate multiple linear regression models were developed to predict measured-height and reported-height respectively.
  
  
  RESULTS
  In predicting measured-height by the bone-length model, the mean errors were +0.52 cm (over-estimation) in men and +0.45 cm (over-estimation) in women and the SDs were +/- 3.5 cm in both genders. The 95% limits of agreement were: -6.65 to +7.70 cm for men and -6.59 to +7.49 cm for women.
  
  
  CONCLUSIONS
  The accuracy and precision of stature estimation by fibula and ulna bone length is comparable to that by knee height. This may be an acceptable alternative method when knee height measurement is difficult or when the knee height caliper is not available.
authors.affiliation: Department of Medicine and Geriatrics, Tuen Mun Hospital, Hong Kong. auyeungtw@cuhk.edu.hk
authors.forename: T W
authors.initials: TW
authors.lastname: Auyeung
authors.forename: J S W
authors.initials: JS
authors.lastname: Lee
authors.forename: T
authors.initials: T
authors.lastname: Kwok
authors.forename: J
authors.initials: J
authors.lastname: Leung
authors.forename: P C
authors.initials: PC
authors.lastname: Leung
authors.forename: J
authors.initials: J
authors.lastname: Woo
mesh_terms: D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry / Q000379:methods*; D001827:Body Height / Q000502:physiology*; D001835:Body Weight / Q000502:physiology*; D003430:Cross-Sectional Studies; D005260:Female; D005360:Fibula / Q000033:anatomy & histology*; D016330:Frail Elderly; D006615:Hip / Q000033:anatomy & histology; D006723:Hong Kong; D006801:Humans; D016014:Linear Models; D008297:Male; D008433:Mathematics; D011187:Posture; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D014457:Ulna / Q000033:anatomy & histology*