External validation test of body height estimation on outpatient radiotherapy clinic of Dr. Cipto Mangunkusumo General Hospital

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Wiji Lestari
Fiastuti Witjaksono
Nurul Ratna Mutu Manikam
Wahyu Ika Wardhani
Krisadelfa Sutanto


Background : Stature is required to calculate body mass index and determine the energy needs of patients in nutritional medical therapy. Difficulty was found to obtain stature data in patients who are unable to stand. Therefore, there are some height estimation formula to predict the actual height using knee height. This study aimed to validate the Chumlea formula on outpatient clinic of Dr. Cipto Mangunkusumo General Hospital, Indonesia.
Methods : This cross-sectional study used 90 respondents selected by consecutive sampling. Actual height, knee height, age and gender data were collected. Estimated height using the three of Chumlea formula. Pearson correlation was used to see the correlation between actual height and estimated height. Paired t-test were used to determine the difference significance.
Results : The average age of the subjects was  45±10 years old with actual height 157±10 cm, and knee height 48.8±3.5 cm. A strong positive correlation was found between actual height with all estimated height on male (p=0.000; r > 0.8) and female subjects (p=0.000; r > 0.6). However, comparison between actual height and estimated height showed no significant differences only in Chumlea L1 formula (p=0.087) and Chumlea L3 formula (p=0.824) on the male subjects.
Conclusions : Chumlea L1 and Chumlea L3 formula was a valid fomulation for calculating the estimated body height in adult male patients. There was no valid Chumlea’s formulation to estimate body height in female patients.


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Author Biographies

Wiji Lestari, Faculty of Medicine, University of Indonesia, Dr Cipto Mangunkusumo General Hospital

Department of Nutrition

Nurul Ratna Mutu Manikam, Faculty of Medicine, University of Indonesia, Dr Cipto Mangunkusumo General Hospital

Departmen of Nutrition

Wahyu Ika Wardhani, Faculty of Medicine, University of Indonesia, Dr Cipto Mangunkusumo General Hospital

Departmen of Nutrition

Krisadelfa Sutanto, Faculty of Medicine, University of Indonesia, Dr Cipto Mangunkusumo General Hospital

Departmen of Nutrition


1. Charani E, Gharbi M, Hickson M, Othman S, Alfituri A, Frost G, dkk. Lack of weight recording in patients being administered narrow therapeutic index antibiotics: A prospective cross-sectional study. BMJ Open 2015;5:1–6.
2. Tonder EV, Gardner L, Cressey S, Edward RT, Gerber K. Adult malnutrition: Prevalence and use of nutrition-related quality indicators in South African publicsector hospitals. SAJCN 2017;4:1–7.
3. Kubrak C, Jensen L. Malnutrition in acute care patients: A narrative review. Int J Nurs Stud2007;44:1036–54.
4. MeloA PF, Salles RK, Vieira FGK, Ferreira MG. Methods for estimating body weight and height in hospitalized adults: A comparative analysis. RBCDH 2014:475–484.
5. Rabito EI, Vannucchi GB, Suen VMM, Neto LLC, Marchini JS. Weight and height prediction of immobilized patients. Rev Nutr 2006;19:655–61.
6. Jung MY, Chan MS, Chow VSF, Chan YTT, Leung PF, Leung EMF, dkk. Estimating geriatric patient’s body weight using the knee height caliper and mid-arm circumference in Hong Kong Chinese. Asia Pac J Clin Nutr 2004;13:261–4.
7. Olguin CQ, Zuniga AES, Morales VS, Cruz MG. Validation of a new formula for predicting body weight in a Mexican population with overweight and obesity. Nutr Hosp 2013;28:690-3.
8. Chumlea WMC, Guo SS, Wholihan KMS, Cockram D, Kuczmarski RJ, Johnson CL. Stature prediction equa tions forelderly non-hispanic white, non-hispanic black, and mexican-american person developed from NHANES III data. J Am Diet Assoc 1998;98:137–42.
9. Chumlea WMC, Roche AF, Steinbaugh ML. Estimating stature from knee height for persons 60 to 90 years of age. J Am Geriatr Soc 1985; 33: 116-20
10. Chumlea WMC, Guo SS, Steinbaugh ML. Prediction of stature from knee height for black and white adults and children with application to mobility impaired or handicapped persons. J Am Diet Assoc 1994;94:1385–8.
11. Pieterse S. Anthropometric measurement method. Help age symposium report. 1997;13-8.
12. Moelyo AG, Sitaresmi MN, Julia M. Secular trends in Javanese adult height: the roles of environment and educational attainment. BMC Public Health. 2022;22(712):1-9.
13. Murbawani EA, Puruhita N, Yudomurti. Tinggi badan yang diukur dan berdasarkan tinggi lutut menggunakan rumus Chumlea pada lansia. M Med Indones 2012;46:1-6.