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MEASUREMENT PROFORMA

The mean of duplicate or the median of triplicate measures (when the first two measures differ by more than 5% for skinfolds and 1% for other measures) is recommended. In some situations only a single set of measures is possible, and the error of the measurer needs to be quantified as this governs the meaning and implication of the data (Pederson and Gore, 1996). This should be in the form of Technical Error of Measurement (TEM), and expressed as a percentage of the measurement value.

where x1and x2are replicate pairs of measures, n is the number of pairs and m is the mean value for that measure across the sample.

%TEM 100·TEM·m1 TEM [冱(x2x1)2]·2n1

Figure 9.1 A triceps skindfold measurement illustrating appropriate technique

Error magnitude varies with the recorder, the measurement type and site.

For serial measurements, a statistical basis for detecting real change should be included. Because the TEM equates to the standard error of a single measure-ment, then overlapping standard errors indicate no significant change in serial measures – either at the 68% (for 1SE) or 95% (for 2SE) level. Clearly, experi-enced anthropometrists with low TEMs are several times more likely to detect real change than others.

The conversion of raw data into indices may be justified in terms of fat patterning (Stewart, 2003b; Eston et al., 2005) (skinfold ratios) corrected girths (Martin et al., 1990), proportions (the ratio of segment lengths or 80 ARTHUR D. STEWART AND ROGER ESTON

Table 9.1 Skinfold measurements

Skinfold Location and landmarking Orientation Body position for measurement Tricepsa Mid-point of a straight line between Vertical Standing

the acromiale and the radiale on the Shoulder slightly

posterior aspect of the arm externally rotated

Subscapular 2 cm lateral and 2 cm inferior to the Oblique – Standing inferior angle of the scapula ~45

dipping laterally

Bicepsa Mid-point level of a straight line Vertical Standing between the acromiale and the Shoulder slightly radiale on the Anterior aspect of externally rotated the arm

Iliac crest Immediately superior to the crest of Near Standing the ilium, on the ilio-axilla line horizontal Right arm placed

across torso Supraspinale The intersection of a horizontal line Oblique Standing

drawn from the crest of the ilium, with a line joining the anterior superior iliac spine and the anterior axillary fold

Abdominal 5 cm lateral of the midpoint of the Vertical Standing umbilicus

Thigha Mid-point of the perpendicular Longitudinal Sitting with leg distance between the inguinal crease extended and foot at the mid-line of the thigh and the supported, the subject mid-point of the posterior border extends the knee and

of the patella when seated clasps hands under

with the knee flexed to 90 hamstrings and lifts gently for measurement Medial calf The most medial aspect of the calf, at Vertical Standing, foot on box,

the level of maximum girth, with with knee at 90

subject standing and weight evenly distributed

Note

a These sites ideally require a wide-spreading caliper or segmometer to locate, because curvature of the skin surface affects site location if a tape is used

Figure 9.2 Skinfold locations Source: M. Svensen

Table 9.2 Girth measurements

Girth Location Body position Notes

Chest At level of mid-sternum Arms abducted Measure at the end of

slightly a normal expiration

Waist Narrowest circumference Arms folded Mid-point between iliac between thorax and pelvis crest and 10th rib, if no

obvious narrowing Hip At the level of maximum Relaxed, feet together Measure from the side,

posterior protuberance of over clothing

buttocks

Upper arm Mid acromiale-radiale Arm abducted slightly, elbow extended

Forearm Maximum Shoulder slightly

flexed, elbow extended Mid-thigh Mid trochanterion – tibiale Weight equally

laterale level distributed

Calf Maximum Weight equally

distributed

anthropometric somatotype (Heath and Carter, 1967). Corrected girths involve subtracting the skinfold multiplied by pi from the limb girth, and are a useful surrogate for muscularity. Predicting tissue masses of fat (Sinning et al., 1985;

Stewart, 2003c) or muscle (Martin et al., 1990; Stewart, 2003a) has obvious appeal but is problematic. Numerous methodological assumptions govern the conversion of linear surface measurements into tissue mass, and sample-specificity restricts the utility of many equations. If used, they should be accompanied by the standard error of the estimate or confidence limits, as well as total error of prediction equations (Stewart and Hannan, 2000), although the use of raw anthropometric data is becoming more accepted and is to be encouraged.

REFERENCES

Durnin, J.V.G.A. and Womersley, J. (1974). Body fat assessment from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. British Journal of Nutrition, 32: 77–97.

Eston, R.G., Rowlands, A.V., Charlesworth, S., Davies, A. and Hoppitt, T. (2005).

Prediction of DXA-determined whole body fat from skinfolds: importance of including skinfolds from the thigh and calf in young, healthy men and women.

European Journal of Clinical Nutrition, 59: 695–702.

Hawes, M. and Martin, A. (2001). Human body composition. In Eston, R.G. and Reilly, T. (eds), Kinanthropometry and Exercise Physiology Laboratory Manual:

Tests, Procedures and Data. Volume 1: Anthropometry. Routledge, London, pp. 7–46.

Heath, B.H. and Carter, J.E.L. (1967). A modified somatotype method. American Journal of Physical Anthropology, 27: 57–74.

International Society for the Advancement of Kinanthropometry. (2001). International standards for anthropometric assessment. North West University (Potchefstroom Campus), Potchefstroom 2520, South Africa: ISAK (revised 2006).

Lohman, T.G., Roche, A.F. and Martorell, R. (eds) (1988). Anthropometric Standardization Reference Manual. Champaign, IL. Human Kinetics.

Martin, A.D., Spenst, L.F., Drinkwater, D.T. and Clarys, J.P. (1990). Anthropometric estimation of muscle mass in men. Medicine and Science in Sports and Exercise, 22: 729–733.

Norton, K. and Olds, T. (eds) (1996). Anthropometrica. Sydney: University of New South Wales Press, pp. 77–96.

Pederson, D. and Gore, C. (1996). Anthropometry measurement error. In K. Norton and T. Olds (eds), Anthropometrica. Sydney: University of New South Wales Press, pp. 77–96.

Reilly, T., Maughan, R.J. and Hardy, L. (1996). Body fat consensus statement of the steering groups of the British Olympic Association. Sports Exercise and Injury, 2: 46–49.

Sinning, W.E., Dolny, D.G., Little, K.D., Cunningham, L.N., Racaniello, A., Siconolfi, S.F.

and Sholes, J.L. (1985). Validity of ‘generalised’ equations for body composition analysis in male athletes. Medicine and Science in Sports and Exercise, 17: 124–130.

Stewart, A.D. (2003a). Fat patterning – indicators and implications. Nutrition, 19: 568–569.

82 ARTHUR D. STEWART AND ROGER ESTON

Stewart, A.D. (2003b). Anthropometric fat patterning in male and female subjects. In T. Reilly and M. Marfell-Jones (eds), Kinanthropometry VIII. London, Routledge, pp. 195–202.

Stewart, A.D. (2003c). Mass fractionation in male and female athletes. In T. Reilly and M. Marfell-Jones (eds), Kinanthropometry VIII. London, Routledge, pp. 203–210.

Stewart, A.D. and Hannan, W.J. (2000). Body composition prediction in male athletes using dual X-ray absorptiometry as the reference method. Journal of Sports Sciences, 18: 263–274.

Flexibility has been defined as ‘the intrinsic property of body tissues, which determines the range of motion achievable without injury at a joint or group of joints’ (Holt et al., 1996, p. 172). However the term flexibility has historically involved some confusion or contention. Inconsistencies in terminology used by varying disciplines has been a major factor, where the term often means differ-ent things to differdiffer-ent disciplines. For example, Kisner (2002) defined flexibil-ity as the abilflexibil-ity of a muscle to relax and yield to stretch. This definition emphasises the contractile component of soft tissue structures around a joint rather than the movement available at a specific joint or joints.

Before considering appropriate measures of flexibility it is therefore important to clarify what is meant by flexibility, which type of flexibility you want to measure and whether a test is appropriate for that measure. Accuracy and reliability of testing has been discussed in general in previous chapters but the type of flexibility being measured will have a major impact on the validity of any specific test. When measuring flexibility, it should not be thought of as a whole body component but as a joint or body segment specific issue. Flexibility will often be joint-specific in different sports and measurement should therefore reflect those variations.