Standing Height Ratio Research Articles

Skill-Specific Differences in Equipment-Related Risk Factors for ACL Injury in Male and Female Recreational Skiers.

In recreational alpine skiing, the anterior cruciate ligament (ACL) is affected in approximately 50% of serious knee injuries. There are established sex-based and skill-based differences in ACL injury risk, but the potential impact of equipment used (eg, skis, bindings, and boots) has not been evaluated. To evaluate individual and equipment-related risk factors for an ACL injury depending on sex and skill level. Case-control study; Level of evidence, 3. This was a retrospective questionnaire-based, case-control study of female and male skiers with and without ACL injuries during 6 winter seasons (from 2014-2015 to 2019-2020). Demographic data, skill level, equipment specifications, risk-taking behavior, and ownership of ski equipment were recorded. Ski geometry (ski length; sidecut radius; and widths of the tip, waist, and tail) was taken from each participant's ski. The standing heights of the front and back part of the ski binding were measured using a digital sliding caliper, and the standing height ratio was calculated. Abrasion of the ski boot sole was also measured at the toe and heel. Participants were divided by sex into less and more skilled skiers. A total of 1817 recreational skiers participated in this study, of whom 392 (21.6%) sustained an ACL injury. A greater standing height ratio and more abrasion at the toe of the boot sole were associated with increased ACL injury risk in both sexes, independent of the skill level. Riskier behavior increased the injury risk only in male skiers, independent of the skill level, and longer skis increased the injury risk only in less skilled female skiers. Older age, the use of rented/borrowed skis, and more abrasion at the heel of the boot sole were independent risk factors for ACL injury in the more skilled skiers of both sexes. Individual and equipment-related risk factors for an ACL injury partly differed according to skill level and sex. Consideration of the demonstrated equipment-related factors should be implemented in order to reduce ACL injuries in recreational skiers.

Association of personal and equipment-related factors on ACL injury risk in alpine skiers with cautious or risk-taking behaviour: A case-control study.

In recreational alpine skiing ACL injury risk depends on the interaction of individual characteristics and behaviours as well as on equipment-related factors. to evaluate if and to what extent personal characteristics and equipment-related parameters are associated with ACL injury risk in cautious and risk-taking recreational alpine skiers. A retrospective questionnaire-based, case-control study of ACL-injured and uninjured in a cohort of cautious as well as risk-taking recreational skiers was conducted. Participants self-reported their demographics, skiing skill level, and risk-taking behaviour. Ski length, side-cut radius, widths of the tip, waist, and tail were recorded from each participant's skis. Standing heights at the front and rear components of the ski binding were measured with a digital sliding caliper, and a standing height ratio between the front and rear components was calculated. Ski boot sole abrasion at the toe and heel pieces was also measured with the digital sliding caliper. In total, 1068 recreational skiers (50.8% females) with a mean age of 37.8 ± 12.3 years participated, of whom 193 (22.0%) sustained an ACL injury, and 330 (30.9%) participants reported a risk-taking behaviour. Results of the multiple logistic regression analyses revealed that a higher age, a lower skill level, a higher standing height ratio, and greater ski boot sole abrasion at the toe as well as heel pieces were independently associated with an increased ACL injury risk in both the cautious and the risk-taking group. Among cautious skiers, a longer ski length was an additional significant risk factor for sustaining an ACL injury. In conclusion, the same personal and equipment related characteristics contribute to an increase in the ACL injury risk regardless of risk-taking behaviour, with the only difference that longer skis represent an additional risk factor in cautious skiers.

A Comparison of ACL Injury Risk, Ski Geometry and Standing Height Parameters between Skiers with Rented and with Owned Skis.

Aim: to evaluate if ACL injuries are associated with recreational skiers using rented skis and whether individual factors, ski geometry parameters and standing heights differ between skiers who rented or owned skis. A retrospective questionnaire-based, case–control study of ACL-injured and uninjured recreational skiers was conducted during six winter seasons. Age, sex, body height, body weight, nationality, ownership of skis, skill level, risk-taking behavior, ski length, side-cut radius, widths of the tip, waist, and tail, and the standing heights at the front and rear components of the ski binding were assessed. Additionally, ratios between ski widths and a standing height ratio were calculated. Altogether, 1780 skiers (48.9% females) with a mean age of 39.2 ± 13.0 years participated, of whom 22.0% sustained an ACL injury and 32.3% rented skis. ACL injury risk was significantly associated with rented skis (OR 3.2, 95% CI 2.5–4.0). Compared to skiers using own skis, participants who rented skis were more likely female, smaller and lighter, tourists, less skilled and more cautious. In comparison to owned skis, rented skis showed significantly lower mean values in ski length, side-cut radius, ski widths, and for the three ski widths ratios. Additionally, standing heights were significantly lower while standing height ratio was higher for rented skis. Beside individual factors, equipment-related factors should be considered when renting skis in order to reduce ACL injury risk.

Impact of ski geometry data and standing height ratio on the ACL injury risk and its use for prevention in recreational skiers

ObjectivesTo evaluate the impact of ski geometry data and standing height ratio on anterior cruciate ligament (ACL) injury risk of male and female recreational skiers.MethodsA retrospective questionnaire-based, case–control study of...

Leg length and sitting height reference data and charts for children in the United States.

Population-specific reference data are required to interpret growth measurements in children. Sitting height and leg length (standing height minus sitting height) measurements are indicators of proportionality and can be used to evaluate children with disordered growth. NHANES III recorded sitting height and standing height measurements in a strategic random sample of the United States population from 1988 to 1994, and we have previously published reference charts for sitting height to standing height ratio in this population. In this study, we have developed separate sitting height and leg length reference charts for Non-Hispanic Black, Non-Hispanic White, and Mexican-American children in the United States. In addition, we provide mean (SD) and LMS data to support the use of these reference charts in clinical care.

Sitting Height to Standing Height Ratio Reference Charts for Children in the United States

To create reference charts for sitting height to standing height ratio (SitHt/Ht) for children in the US, and to describe the trajectory of SitHt/Ht during puberty. This was a cross-sectional study using data from the 1988-1994 National Health and Nutrition Examination Survey III, a strategic random sample of the US population. Comparison between non-Hispanic White (NHW), non-Hispanic Black (NHB) and Mexican American groups was performed by ANOVA to determine if a single population reference chart could be used. ANOVA was used to compare SitHt/Ht in pre-, early, and late puberty. NHANES III recorded sitting height and standing height measurements in 9569 children aged 2-18years of NHW (n=2715), NHB (n=3336), and Mexican American (n=3518) ancestry. NHB children had lower SitHt/Ht than NHW and Mexican American children throughout childhood (P<.001). In both sexes, the SitHt/Ht decreased from prepuberty to early puberty and increased in late puberty. Sex-specific percentile charts of SitHt/Ht vs age were generated for NHB and for NHW and Mexican American youth combined. SitHt/Ht assessment can detect disproportionate short stature in children with skeletal dysplasia, but age-, sex-, and population-specific reference charts are required to interpret this measurement. NHB children in the US have significantly lower SitHt/Ht than other children, which adds complexity to interpretation. We recommend the use of standardized ancestry-specific reference charts in screening for skeletal dysplasias and have developed such charts in this study.

The use of growth standards and corrective formulae to calculate the height loss caused by idiopathic scoliosis.

BackgroundLoss of trunk height caused by scoliosis has been previously assessed using different mathematical formulae. However, these are of differing algebraic construction and will give a range of values for the same size of scoliosis curve. As such, the following study attempted to determine the most valid published formulae for calculating height loss caused by idiopathic scoliosis based on reported growth charts.MethodsThe height and sitting height for a group with idiopathic scoliosis were measured. These were plotted on published growth standards. The size of the coronal curves and the thoracic kyphosis was measured. Height was corrected for the size of the scoliosis using the formulae and replotted on the growth standards. The data spread on the standard was analysed for significant differences between the median and the 5th or 95th centile, and between data outside the 5th and 95th centile.ResultsThe sitting to standing height ratio growth standard was used in the analysis as it minimised errors across the different growth standards, given that these standards come from different original populations. In the female group significant differences in the data spread were seen using the formulae of Bjure, Ylikoski and Hwang. Non-significant results were seen for the Kono and Stokes formulae. All formulae caused no significant differences in data spread across the growth standard in the males group.ConclusionsWhen assessing against growth standards, the formulae of Kono and Stokes are the most valid at determining height loss caused by idiopathic scoliosis.

African ancestry, lung function and the effect of genetics.

African-Americans have smaller lung function compared with European-Americans. The aim of this study was to disentangle the contribution of genetics from other variables on lung function.A cohort was followed from birth to 30 years of age in Brazil. Several variables were collected: genomic analysis based on DNA; forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) obtained by spirometry; height measured by anthropometrists; and thorax circumference evaluated by photonic scanner. Crude and adjusted linear regression models were calculated according to African ancestry.The sample comprised 2869 participants out of 3701 members of the cohort. Males with higher African ancestry by DNA analysis had a smaller FEV1 (−0.13 L, 95% CI −0.23– −0.03 L) and FVC (−0.21 L, 95% CI −0.32– −0.09 L) compared with those with less African ancestry, having accounted for height, sitting to standing height ratio and other confounders. Similar effects were seen in females.After adjustment, ancestry remained significantly associated with lung function, but the large effect of adjustment for confounding among males (but not females) does not allow us to exclude the possibility that residual confounding may still account for these findings.

Relación talla sentada/talla de pie del nacimiento a la adultez en niños españoles

For the diagnosis of patients with growth disorders, visual inspection and the measurement of body segments may provide important information. The most commonly used method is the assessment of the sitting/standing height (SH/SH) ratio and its comparison to aged matched controls.To establish the normal values of the sitting/standing height ratio in a normal Aragonese population from birth to 18 years old.Longitudinal study from birth to 18 years old. Length (up to 3 years old), standing height (as of 2 years old) and sit-ting height were recorded. Percentiles for sitting/ standing height ratio were determined.The study included 165 male children and 167 female children. The values of the sitting/standing height ratio decrease from birth both in males and females (0.656 and 0.647, respectively) until the onset of puberty (0.514 and 0.519); and later start to slightly increase until reaching the definitive adult ratio (0.52 and 0.53, respectively).Sitting/standing height ratio values are presented in normal male and female children up to 18 years old. This ratio decreases from birth to puberty and then slightly increases until reaching the final adult ratio.

Sitting/standing height ratio in Spanish children from birth to adulthood

Introduction. For the diagnosis of patients with growth disorders, visual inspection and the measurement of body segments may provide important information. The most commonly used method is the assessmentof the sitting/standing height (SH/SH) ratio and its comparison to aged matched controls. Objective. To establish the normal values of the sitting/standing height ratio in a normal Aragonese population from birth to 18 years old. Population and Methods.Longitudinal study from birth to 18 years old. Length (up to 3 years old), standing height (as of 2 years old) and sitting height were recorded. Percentiles for sitting/ standing height ratio were determined. Results. The study included 165 male children and 167 female children. The values of the sitting/standing height ratio decrease from birth both in males and females (0.656 and 0.647, respectively) until the onset of puberty (0.514 and 0.519); and later start to slightly increase until reaching the definitive adult ratio (0.52 and 0.53, respectively). Conclusion. Sitting/standing height ratio values are presented in normal male and female children up to 18 years old. This ratio decreases from birth to puberty and then slightly increases until reaching the final adult ratio.

Arm Span to Height Ratio in Relation to Severity of Dyspnea

Background: Arm span is the closest physiologic measurement to standing height. Increased arm span to standing height ratio, which indicates a possible loss of height, due to aging, often results from osteoporosis-related vertebral collapse or other causes. This has possible consequences on lung functions.Objective: To evaluate the effects of aging related loss of height to severity of dyspnea.Method: Patients visited pulmonary function test laboratoryat Baghdad teaching hospital outpatient clinic department from first of November 2009 to thirty first of December 2010 for preoperative assessment were recruited to participate in our study. All recruited subjects were evaluated with a clinical history and physical examination followed by measurements of arm span, standing height, weight, forced expiratory volume in one second (FEV1) and forced vital capacity (FVC). Patients 40 years old of age and older were included .Patients with chronic disabilities (cardiac, respiratory or systemic diseases) were excluded. Patients were classified according to their gender and Medical Research Council severity of dyspnea.Results: one hundred thirty one subjects aged 40 years and older were recruited for this study. Arm span to height ratio was significantly negatively correlated with FEV1/FVC ratio, FVC, and positively correlated with severity of dyspnea.Conclusion:There is a significant association between increased arm span to height ratio with increased severity of dyspnea. The role of arm span measurements in assessment of pulmonary function tests in older patients and the association between loss of height and dyspnea deserves further evaluation.

The Relationship Between Kinematic Determinants of Jump and Sprint Performance in Division I Women Soccer Players

The purpose of this study was to determine the relationship between measures of unilateral and bilateral jumping performance and 10- and 25-m sprint performance. Fifteen division I women soccer players (height 165 ± 2.44 cm, mass 61.65 ± 7.7 kg, age 20.19 ± 0.91 years) volunteered to participate in this study. The subjects completed a 10- and 25-m sprint test. The following jump kinematic variables were measured using accelerometry: sprint time, step length, step frequency, jump height and distance, contact time, concentric contact time, and flight time (Inform Sport Training Systems, Victoria, BC, Canada). The following jumps were completed in random order: bilateral countermovement vertical jump, bilateral countermovement horizontal jump, bilateral 40-cm drop vertical jump, bilateral 40-cm drop horizontal jump, unilateral countermovement vertical jump (UCV), unilateral countermovement horizontal jump, unilateral 20-cm drop vertical jump (UDV), and unilateral 20-cm drop horizontal jump (UDH). The trial with the best jump height or distance, reactive strength (jump height or distance/total contact time), and flight time to concentric contact time ratio (FT/CCT) was recorded to analyze the relationship between jump kinematics and sprint performance. None of the bilateral jump kinematics significantly correlated with 10- and 25-m sprint time, step length, or step frequency. Right-leg jump height (r = -0.71, p = 0.006, SEE = 0.152 seconds), FT/CCT (r = -0.58, p = 0.04, SEE = 0.176 seconds), and combined right and left-leg jump height (r = -0.61) were significantly correlated with the 25-m sprint time during the UCV. Right-leg FT/CCT was also significantly related to 25-m step length (r = 0.68, p = 0.03, SEE = 0.06 m) during the UDV. The combined right and left leg jump distance to standing height ratio during the UDH significantly correlated (r = -0.58) with 10-m sprint time. In comparison to bilateral jumps, unilateral jumps produced a stronger relationship with sprint performance.

Arm Span to Height Ratio Is Related to Severity of Dyspnea, Reduced Spirometry Volumes, and Right Heart Strain

Arm span is the closest physiologic measurement to standing height. Increased arm span to standing height ratio, therefore, indicates possible loss of height, which is a feature of aging, often resulting from osteoporosis-related vertebral collapse. We hypothesize that the discrepancy between arm span and height is associated with reduced airflow volumes, severity of dyspnea, and right-sided cardiac structural changes in older individuals with symptoms of dyspnea. Patients with conditions investigated with transthoracic echocardiography for suspected heart failure were invited to participate in our study. All subjects were evaluated with a clinical history and physical examination followed by measurements of arm span, standing height, weight, FEV(1), and FVC. Sixty-six subjects aged 71 +/- 10 years were recruited for our study. Arm span to height ratio was significantly negatively correlated with FEV(1) (r = - 0.464; p < 0.001), FVC (r = - 0.479; p < 0.001), and body weight (r = - 0.252; p < 0.05), and positively correlated with the New York Heart Association classification for dyspnea (rho = 0.309; p < 0.05). Female sex, steroid use, inhaled bronchodilators, orthopnea, paroxysmal nocturnal dyspnea, and right heart chamber dilatation were significantly associated with increased arm span to height ratio. We have found a significant association between increased arm span to height ratio, reduced respiratory airflow volumes, increased severity of dyspnea, and echocardiographic features of pulmonary heart disease in a group of predominantly elderly subjects with multiple comorbidities. The role of arm span measurements in assessments of airflow volumes in older patients and the association between loss of height and dyspnea now deserve further evaluation.

Using arm span to derive height: Impact of three estimates of height on interpretation of spirometry

BACKGROUND:When standing height required to calculate forced vital capacity (FVC) cannot be measured, it can be derived from arm span using different methods.OBJECTIVES:To compare three different estimates of height derived from arm span and investigate their impact on interpretation of spirometric data.METHODS:In a cross-sectional study, 517 subjects aged 7 to 76 years, with various respiratory diseases underwent spirometry. Three estimates of height were obtained from arm span: (a) by direct substitution (HtAS); (b) estimated height (Htest), obtained from the mean arm span:standing height ratio; and (c) predicted height (Htpred), obtained from arm span by linear regression analysis. Predicted values of forced vital capacity (FVC) obtained from these estimates were compared with those obtained from actual standing height (Htact), followed by Bland Altman analysis of agreement in the patterns of ventilatory impairment.RESULTS:The arm span was 5%-6% greater than the height. The difference increased with increasing height. HtAS and the FVC predicted from it were significantly greater than the other measures of height and the related predicted FVCs respectively. Compared to Htact, HtAS gave a misclassification rate of 23.7% in taller subjects (Htact > 150 cm) and 14.2% in shorter subjects in the patterns of ventilatory impairment. Misclassification rates were 6%-8% with Htest and Htpred. Agreement analysis showed that FVCs predicted from Htpred had the best agreement with the FVC predicted from Htact.CONCLUSIONS:Among several methods of estimating height from the arm span, prediction by regression is most appropriate as it gives least errors in interpretation of spirometric data

The bone mineral content of weight-bearing bones is influenced by the ratio of sitting to standing height in elderly gambian women

Body size is an important predictor of bone mineral content (BMC) at various anatomical sites but the influence of relative body proportions on BMC has previously been little studied. Using single- and dual-photon absorptiometry, we measured BMC at the distal and midshaft of the radius, the neck of femur, and the lumbar spine in 190 rural West African women aged 45-84 years. After regression adjustment for age, bone width and weight, sitting height and standing height were not separate significant determinants of BMC, except at the lumbar spine (standing height, p < 0.05). However, the ratio of sitting:standing height was a significant determinant of BMC at the neck of femur and lumbar spine, but not the midshaft or distal radius. The fact that sitting:standing height ratio is a positive predictor for BMC at hip and lumbar spine may reflect a higher peak bone mass or selective conservation of mineral in weight-bearing bones in subjects with a proportionately longer torso. We do not know whether the relationship is racially determined but we recommend that this simple combination of measurements be used in further studies in subjects of all races.

Normal final height after treatment for acute lymphoblastic leukemia without irradiation

In order to evaluate the influence of chemotherapy on linear growth, 28 children treated for acute lymphoblastic leukemia without irradiation were evaluated before, during and after the end of therapy. Median age at diagnosis was 4.4 years (range 2.2-12.7 years) and treatment was discontinued after a median period of 3.1 years (3.0-5.2 years). We observed a significant decrease in height SDS (p = 0.006) from diagnosis to the end of chemotherapy, followed by catch-up in height SDS from the end of chemotherapy to final observation. Catch-up growth took place mainly within the first 2 years after cessation of therapy. In 22 patients final height was reached. Final height was normal (median height SDS -0.035) and even significantly higher than mid-parental height SDS (p = 0.012). In those patients who attained adult stature, the sitting height to standing height ratio was also normal. In conclusion, in children treated for acute lymphoblastic leukemia, chemotherapy exerted a negative influence on growth, but catch-up occurred within 2 years after cessation of therapy, resulting in normal final height and body proportions.

Pulmonary microembolisation and temazepam.

<h3>Objectives</h3> To evaluate the impact of ski geometry data and standing height ratio on anterior cruciate ligament (ACL) injury risk of male and female recreational skiers. <h3>Methods</h3> A retrospective questionnaire-based, case–control study of ACL-injured and uninjured recreational skiers was conducted during six consecutive winter seasons. Ski geometry data (ski length, side-cut radius, widths of the tip, waist and tail) were recorded from each participant’s skis. Standing heights at the front and rear components of the ski binding were measured with a digital sliding calliper, and the standing height ratio between the front and rear was calculated. <h3>Results</h3> A total of 1817 recreational skiers participated in this study, of whom 392 (21.6%) sustained an ACL injury. Multiple logistic regression analysis indicates a higher age, a lower skill level and riskier behaviour as independent individual risk factors associated with an ACL injury. An increase in ski length, tip width of the ski, standing height at the rear ski binding component, and in standing height ratio were found to be independent equipment-related risk factors for an ACL injury. <h3>Conclusion</h3> Reduced ski length, narrower ski tip width, lower rear standing height and a lower standing height ratio (ie, rear component of the ski binding is more elevated compared with the front component) were associated with a reduced likelihood for ACL injury. When buying or renting skis, these parameters could be considered to reduce the likelihood of ACL injury in recreational skiers.