Adult Assessment

Adult Anthropometry

Clinical Condition & Requirement Factors

How to Use This Tool
  1. Enter Anthropometry: Start by filling in the patient's gender, age, and height. Use the estimation options like Knee Height if direct measurements are not available.
  2. Select Weight Type: Choose the appropriate method for determining the patient's weight. The tool will show the required fields for each selection (e.g., MUAC, Pre-amputation weight).
  3. Calculate Anthropometry: Click the "Calculate Anthropometry" button to see the results for height, weight, and BMI. This calculated weight will be used for the next steps.
  4. Select a Clinical Condition: Choose a condition from the dropdown. This will preset the most common energy and protein factors for that condition.
  5. Adjust Factors (If Needed): You can modify the pre-filled energy and protein factors based on your clinical judgment. For the "BMR Formula Method", you can also select the specific equation to use.
  6. Calculate Requirements: Click the "Calculate Requirements" button to see the final energy and protein goals.
About The Formulas Used

[1] Ideal Body Weight (Devine Formula)

Men: 50 kg + 0.91 × (Height in cm − 152.4)

Women: 45.5 kg + 0.91 × (Height in cm − 152.4)

[2] Adjusted Body Weight

Adjusted Body Weight = IBW + (0.25 x (Actual Weight - IBW))

[3] Estimated Post-Amputation Body Weight

Estimated Weight = Pre-amputation Weight × (1 − Sum of % Amputation)

[4] Estimated Weight (MUAC)

Men: 10 + (MUAC in cm × 2.5)

Women: 8 + (MUAC in cm × 2.3)

[5] Height Estimation (Knee Height)

Men (Age > 60): 84.88 + (1.83 × Knee Height) − (0.24 × Age)

Women (Age > 60): 64.19 + (1.91 × Knee Height) − (0.21 × Age)

Men (Age ≤ 60): 85.10 + (1.73 × Knee Height)

Women (Age ≤ 60): 75.72 + (1.57 × Knee Height)

[6] Mifflin-St Jeor Equation

Men: REE = (10 × weight) + (6.25 × height) – (5 × age) + 5

Women: REE = (10 × weight) + (6.25 × height) – (5 × age) – 161

[7] Harris-Benedict Equation

Men: REE = 66.5 + (13.75 × weight) + (5.003 × height) − (6.755 × age)

Women: REE = 655.1 + (9.563 × weight) + (1.85 × height) − (4.676 × age)

References
  1. Devine BJ. Gentamicin therapy. Drug Intell Clin Pharm. 1974.
  2. Blackburn GL, et al. Nutritional and metabolic assessment of the hospitalized patient. JPEN J Parenter Enteral Nutr. 1977.
  3. Osterkamp LK. Current perspective on assessment of human body proportions of relevance to amputees. J Am Diet Assoc. 1995.
  4. Stratton RJ, et al. 'Malnutrition Universal Screening Tool' ('MUST') for adults. Br J Nutr. 2004.
  5. Chumlea WC, et al. Prediction of stature from knee height for black and white adults and children with application to mobility-impaired or handicapped persons. J Am Geriatr Soc. 1994.
  6. Mifflin MD, St Jeor ST, et al. A new predictive equation for resting energy expenditure in healthy individuals. Am J Clin Nutr. 1990.
  7. Harris JA, Benedict FG. A biometric study of basal metabolism in man. 1919.