title: Anthropometric measurement standardization in the US-affiliated pacific: Report from the Children's Healthy Living Program.
abstract: Anthropometric standardization is essential to obtain reliable and comparable data from different geographical regions. The purpose of this study is to describe anthropometric standardization procedures and findings from the Children's Healthy Living (CHL) Program, a study on childhood obesity in 11 jurisdictions in the US-Affiliated Pacific Region, including Alaska and Hawai'i.
  
  
  
  Zerfas criteria were used to compare the measurement components (height, waist, and weight) between each trainee and a single expert anthropometrist. In addition, intra- and inter-rater technical error of measurement (TEM), coefficient of reliability, and average bias relative to the expert were computed.
  
  
  
  From September 2012 to December 2014, 79 trainees participated in at least 1 of 29 standardization sessions. A total of 49 trainees passed either standard or alternate Zerfas criteria and were qualified to assess all three measurements in the field. Standard Zerfas criteria were difficult to achieve: only 2 of 79 trainees passed at their first training session. Intra-rater TEM estimates for the 49 trainees compared well with the expert anthropometrist. Average biases were within acceptable limits of deviation from the expert. Coefficient of reliability was above 99% for all three anthropometric components.
  
  
  
  Standardization based on comparison with a single expert ensured the comparability of measurements from the 49 trainees who passed the criteria. The anthropometric standardization process and protocols followed by CHL resulted in 49 standardized field anthropometrists and have helped build capacity in the health workforce in the Pacific Region. Am. J. Hum. Biol. 28:364-371, 2016. © 2015 Wiley Periodicals, Inc.
authors.affiliation: Department of Human Nutrition, Food and Animal Sciences, University of Hawai'i at Mānoa, Honolulu, Hawai'i.
authors.forename: Fenfang
authors.initials: F
authors.lastname: Li
authors.affiliation: Cancer Center, University of Hawai'i at Mānoa, Honolulu, Hawai'i.
authors.forename: Lynne R
authors.initials: LR
authors.lastname: Wilkens
authors.affiliation: Department of Human Nutrition, Food and Animal Sciences, University of Hawai'i at Mānoa, Honolulu, Hawai'i.
authors.forename: Rachel
authors.initials: R
authors.lastname: Novotny
authors.affiliation: Department of Human Nutrition, Food and Animal Sciences, University of Hawai'i at Mānoa, Honolulu, Hawai'i.
authors.forename: Marie K
authors.initials: MK
authors.lastname: Fialkowski
authors.affiliation: School of Nursing and Health Sciences, University of Guam, Mangilao, Guam.
authors.forename: Yvette C
authors.initials: YC
authors.lastname: Paulino
authors.affiliation: Land Grant Program, Northern Marianas College, Saipan, Northern Mariana Islands.
authors.forename: Randall
authors.initials: R
authors.lastname: Nelson
authors.affiliation: Department of Alaska Native Health, University of Alaska, Fairbanks, Alaska.
authors.forename: Andrea
authors.initials: A
authors.lastname: Bersamin
authors.affiliation: Land Grant Program, American Samoa Community College, Pago Pago, American Samoa.
authors.forename: Ursula
authors.initials: U
authors.lastname: Martin
authors.affiliation: Department of Tropical Plants and Soil Science, University of Hawai'i at Mānoa, Honolulu, Hawai'i.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Deenik
authors.affiliation: Cancer Center, University of Hawai'i at Mānoa, Honolulu, Hawai'i.
authors.forename: Carol J
authors.initials: CJ
authors.lastname: Boushey
mesh_terms: D000413:Alaska; D018948:American Samoa; D000886:Anthropometry / Q000379:methods*; D001827:Body Height; D001835:Body Weight; D002648:Child; D000067576:Child Health / Q000592:standards*; D002675:Child, Preschool; D006141:Guam; D006254:Hawaii; D006801:Humans; D008849:Micronesia; D019029:Palau; D015203:Reproducibility of Results; D055105:Waist Circumference