Professional Documents
Culture Documents
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PROPOSED SUPERVISORS
RECOMMENDATION:
The Postgraduate Education Committee at its meeting held on Wednesday, 11 th May 2005,
considered the application and recommended it to the Academic Board. The Provost is
recommending the application on behalf of the Academic Board to the Board of Postgraduate
Studies for necessary action.
Professor S. O. Elesha Dr. (Mrs) A. F. Fagbenro- Beyioku
Provost Chairman, Postgraduate Education Committee.
UNIVERSITY OF LAGOS
DEPARTMENT OF ANATOMY
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4. Potential Worth of the Content of the Research Material for purposes of Publication.
SECTION D
WORK
III.
IV. DEPARTMENT: ANATOMY PHYSIOLOGY
1.1 INTRODUCTION
The physical structure of the growing child has been systematically studied for over 150
years (Tanner, 1981). The basic concepts are built on a strong historical foundation in the
medical, anthropological and human biological sciences. These studies are often
intertwined with studies of physical activity, performance and fitness of children and
adolescents whose foundation is largely built on what was traditionally called physical
education and what is now called kinesiology, human kinetics, the physical activity
sciences or exercise and sports sciences. These aspects of human biology have been
studied at the level of the individual as well as in samples of children within communities
one hand, and between growth and adult health on the other. This association, in turn,
emphasizes the need to continue studies of growth into the adult years. Early sexual
maturity has been associated with several cancers in adulthood. Overweight adolescents
tend to become overweight adults. Although association does not demonstrate causality,
the results emphasize the need to consider risk factors for adult diseases within a life span
In addition to the foregoing, the study of growth and maturation has provided basic
information relative to several more specific issues. These include: status, progress,
• Growth- this is an increase in the size of the body as a whole and or the size
Hyperplasia, hypertrophy and accretion all occur during growth, but the
predominance of one or another process varies with age and the tissue involved.
The increase in number is a function of cell division (mitosis), which involves
into functional and identical cells. The increase in cell size involves an increase in
especially evident in the muscular hypertrophy that occurs during growth and
substances are both organic and inorganic, and they often function to bind or
• Postnatal life – this is defined as life after the first month of birth. It is
commonly, although somewhat arbitrarily, divided into three or four age periods.
• Infancy - this is the first year of life, up to but not including the first birthday.
• Childhood - extends from the end of infancy (the first birthday) to the start of
• Early childhood - this includes the preschool years. In the context of public
health, early childhood extends from the first birthday through 4 years of age (1.0
to 4.99 years). Early childhood continues the rapid growth and development of
• Middle childhood - this generally includes the elementary school years into
primary five and six. Middle childhood extends from 5 years to the beginning of
infancy and early childhood is used for the estimation of infant and childhood
mortality, both of which are accepted universally as indicators of the health and
age because of the variation in the time of its onset and termination. The World
Suwa et al., 1992; Roche and Guo, 2001; Malina, Bouchard and Bar-0r, 2004)
regard the age ranges of 8 to 19 years in girls and 10 and 22 years in boys as are
more appropriate limits for normal variation in the onset and termination of
adolescence.
In this period, most bodily systems become adult both structurally and
acceleration in the rate of growth in stature, which marks the onset of the
adolescent growth spurt. The rate of growth in height reaches a peak, then
neuroendocrine system before overt physical changes and terminates with the
• Status - This is defined as the attained size or level of maturity attained at a given
point in time.
compares with other children of the same age and sex. It also refers to the status
of a group of children in a community. This approach has often been used in the
context of surveys of nutritional status, physical fitness and general health status.
According to the WHO, for instance, the growth status of children is perhaps the
who grows 6cm over a period of 1 year would have a growth rate of 6cm/year.
(advanced), late (delayed) or average (appropriate or “on time”) for the child’s
do those who are delayed in maturity relative to chronological age and who
specific and sex-specific averages of growth characteristics for boys and girls.
They do not portray the wide range of normal individual variability apparent in
any group of children. The pattern of age changes tends to be generally similar in
all children, but the size attained at a given age and the timing of the adolescent
the growth and maturity status of a large sample of healthy children free from
overt disease. When a group of children are studied, they are compared either with
reference data or with other groups of children of the same age and sex.
• Somatic growth. This is growth of the external body organs including skin,
• Body weight - This is a measure of body mass. However, the term weight is
entrenched in the literature. Therefore, the terms body mass and weights are used
distance from the floor or standing surface to the top (vertex) of the skull. The two
the head.
• Sitting height – This refers to the height while sitting. It is measured as the
distance from the sitting surface to the top of the head with the child seated in a
standard position. This measure is most valuable when used with stature.
• Leg length (subischial length, or lower extremity length) – This measure refers to
of the day. Body weight and stature show diurnal variation (Reilly, Tyrell and
• Biacromial breadth measures the distance across the right and left acromial
while
• Biepicondylar femur breadth is a measure of bone breadth across the knee. Both
skeleton.
• Skinfold Thickness – This refers to the thickness of a double fold of skin and
of body sites.
considered low, 3 to 5 are moderate, 5.5 to 7 are high and 7.5 and above are very
systematically taking measurements of the body and parts of the body, that is, for
(Ross and Marfell-Jones, 1991, Carter and Ackland, 1994; Norton and Olds, 1996).
• Secular trend – this refers to changes in a physical characteristic that occur from one
Overview of measurements
1.1.2.1 General
The measurements described herein are the traditional dimensions utilized in growth
studies. They provide information on the size of the child as a whole (weight and stature)
and of specific parts and tissues. Skeletal breadths describe the overall robustness of the
include both the trunk and the extremities. Individuals may be similar in overall body size
and yet can vary in shape, proportions, and tissue distribution. Other dimensions may be
measured, but the choice of measurements depends on the information desired in the
context of a study.
Implicit in studies using anthropometry is the assumption that every effort is made to
Also implicit is the assumption that the measurements are taken by trained individuals.
These conditions are essential to obtain accurate and reliable data and to enhance the
utility of the data from a comparative perspective. Reliable and accurate are especially
critical in serial studies, in which the same child is followed longitudinally over time,
either short-term or long-term, and in the definition of rather small changes may be
necessary and technical errors associated with measurement can mask true changes.
Error is the discrepancy between the measured value and its true quantity. Measurement
and results from variation within and between individuals in technique of measurement,
nondirectional- it may be above or below the true dimension. In large- scale surveys,
random errors tend to cancel each other and ordinarily are not a major concern.
Systematic error, on the other hand, results from the tendency of a technician or a
directional and introduces bias into the data. In addition, the child under observation may
Replicate measurements of the same subject are used to estimate variability or error in
measurement. Replicate measurements are taken independently from the same individual
by the same technician after a period of time has lapsed, or they are taken from the same
measurements is too long (e.g., about 1 month) growth may be a factor that contributes to
(Malina et al., 1973). It is defined as the square root of the squared differences of
replicates divided by twice the number of pairs (i.e., the within-subject variance):
σ = √ ∑ d² / 2N
The statistic assumes that the distribution of replicate differences is normal and that errors
of all pairs can be pooled. It indicates that about two-thirds of the time, the measurement
in question should fall within the TEM (Mueller and Martorell, 1988).
Technical errors are reported in the units of the specific measurement. Within-technician
anthropometric dimensions in national surveys and several more local studies are
short interval of time, it may underestimate the true measurement error. Variation within
measurements. This source may be the result of normal variation in physiology (for
example, muscle tension) and other factors specific to the child (for instance,
undependability is the child factor or the child effect (Lampl et al., 2001).
1.1.2.3.1. General
related to each other as indices or ratios. Ratios are influenced by the relationship
between the two dimensions, and the two dimensions are assumed to change in a linear
manner. Ratios may yield spurious results when they are based on different types of
dimensions, such as weight and stature or arm circumference and stature, or when the
standard deviations of the dimensions differ considerably. The ratio may be between
Ratios based on weight and heights have a long tradition in studies of growth and body
1.1.2.3.3 Weight-for-height.
This ratio is commonly used with preadolescent children especially in the context of
severe malnutrition (for example, kwashiorkor and marasmus) as soft tissues that
constitute body weight (largely muscle and fat) are wasted. The same occurs in
individuals with anorexia nervosa, a severe eating disorder related to the fear of
becoming fat. Weight-for- stature is also used in the context of overweight. Youngsters
who are overweight have a high weight-for-stature; the excess weight is related to
fatness. However, not all children with excess weight-for-stature are fat, because muscle
mass and other nonfat tissues may contribute to the increase in weight relative to stature.
During the adolescent growth spurt, the relationship between stature and weight is
temporarily changed. The growth spurt occurs, on the average, first in stature and then in
weight, so the relationship between the two measurements is altered. After growth has
adjusted to account for the relationship between the two measurements. The adjustment
has taken several forms, for example, weight divided by height squared (weight/height²,
the body mass index, BMI or Quetelet index), height divided by the cube root of
index).
Except for ratios of weight and height, the ratios described subsequently are based on
similar measurements (e.g., two lengths or two skeletal breadths). These ratios are
ordinarily calculated by dividing the larger measurement into the smaller measurement.
These ratios provide information on shape and proportions. Three ratios commonly used
This is the next most widely used ratio in growth studies. It is calculated as:
This ratio, also known as the Skelic index (Meredith, 1979; Monyeki, Pienaar and de
Ridder, 1997; Kekana and Monyeki, 1998), provides an estimate of relative trunk length.
It basically asks the question: what percentage of height while standing is accounted for
by height while sitting? By subtraction, the remaining percentage is accounted for by the
lower extremities. Of two children with same stature, one may have a Skelic index of
54% and the other 51%. In the first child, sitting height accounts for 54% of stature, and
by subtraction, the lower extremities account for 46%. This child is said to have relatively
short legs-for-stature. In contrast, sitting height account for 51% of stature in the second
child, and by subtraction, the legs account for 49%. The second child has relatively long
The ratio of biiliocristal to biacromial breadths is also used in growth studies. It relates
the breadths of the hips (lower trunk) to that of the shoulders (upper trunk):
This ratio (also known as Androgyny Index) illustrates proportional changes in shoulder
and hip relationships, which become especially apparent during adolescence. Shoulder-
hip relationships also vary among young athletes in several sports (e.g., track and field,
gymnastics and water sports). Young athletes in these sports generally have
proportionally wider shoulders compared to their hips, and female athletes tend to have
Ratios of skinfold thickness measured on the trunk and extremities are often used to
estimate relative subcutaneous adipose tissue distribution. The ratio of waist and hip
area. The waist-hip ratio is often used with adults, but it has limited validity as an
Stature and weight are the most commonly used measurements in growth studies. Both
dimensions are often routinely measured on a regular basis (e.g., in hospitals, schools and
From birth to early adulthood, both stature and weight tend to follow a four-phase
growth pattern: rapid gain in infancy and early childhood, rather steady gain in
middle childhood, rapid gain during the adolescent spurt, and slow increase until
growth ceases with the attainment of adult stature. Body weight, however, usually
The results of several studies from around the world suggest that both sexes tend to
follow the same course of growth. Sex differences before the adolescent spurt are usually
consistent although minor. Boys, on the average, tend to be taller and heavier than girls.
During the early part of the adolescent spurt, girls are temporarily taller and heavier
because of their earlier growth spurt. Girls soon lose the size advantage as the adolescent
spurt of boys occurs; boys catch up with and eventually surpass girls in body size, on the
average. Given the normal range of individual variation, overlap exists between the sexes
throughout growth and in young adulthood. Hence, some girls are taller and heavier than
Distance curves are commonly used for assessing the growth status of a single child or a
sample of children. In making such assessments, the size attained by a child or the
average size of a group of children is compared and evaluated relative to growth data
derived from a large sample of healthy children free from overt disease. These data are
referred to as reference data. They are points of reference in assessing the growth status
reference “… as a tool for grouping and analyzing data and provides a common basis for
and suggests the way things ought to be, and, as such it has an associated value judgment.
Reference data are most often presented in the form of several curves representing
the age. Percentiles of reference data are smooth and ranges are quite broad. Growth
charts used in the United States include the 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentile
while those used in the United Kingdom and South Africa include the 3rd and 97th
have been regularly conducted since the 1960s. The surveys are based on complex,
multistage stratified sampling procedures that result in the selection of a sample that is
Examination Survey (NHES II and NHES III, 1963-1970), the National and Nutrition
adequate numbers of children and adolescents of Black (African American) and White
Americans and Mexican Americans compared with their numbers in the total population
of the U.S. in 1990. Since 1999, NHANES has become a continuous survey; the first 2
years of NHANES data collection (1999-2000) have been used to evaluate changes in
overweight among American children and adolescents (Ogden et al., 2002) and adults
In constructing growth charts for American children, data from the different ethnic groups
were combined for two reasons. First, the differences in stature among Blacks, whites,
and Mexican Americans was rather small and, second, the sample sizes for each ethnic
group are not satisfactory to meet the statistical requirements for empirically deriving the
percentiles at the extremes of the distribution (Roche et al., 1996). In addition, it is not
clear whether the apparent growth differences among the three ethnic groups were
genetic. Given the ethnic heterogeneity of the American population, ethnic- specific
Secular trends
The attainment of larger size and the acceleration of maturation over several generations
are collectively labeled as the secular trend. In this context, the secular trend actually
includes several trends- increase in height and weight during childhood and adolescence,
reduction in the age at menarche and ages at attaining other indicators of biological
maturity, and increase in adult stature- that have occurred over several generations in
Europe and Japan and in areas of the world largely inhabited by populations of European
ancestry (United States, Canada and Australia). The time at which secular changes are
satisfactory data for earlier samples in some populations and because of differential rates
Secular trends are complex phenomena that reflect the remarkable sensitivity, or
Secular trends may be positive, negative or absent. For instance, the observation that
children today are, on average, taller and heavier and mature earlier than children of
several generations ago indicates a positive secular trend. On the other hand, in some
parts of the developing world, children and adults are shorter than those of a generation
or two ago, or girls attaining menarche later, indicating a negative secular trend (Tobias,
1985). Lack of change in size or age at menarche over several generations indicates the
absence of a secular trend, which reflects different situations (Malina, Bouchard and Bar-
Or, 2004).
Secular trends are not universal and have been shown to be reversible. This is especially
evident in times of war. The positive secular trend in the heights of children and
adolescents have been temporarily stopped and even reversed in some countries during
World Wars I and II in Europe (van Wieringen, 1986) and during World War II in Japan
(Takaishi, 1995; Ali and Ohtsuki, 2000). When conditions improved after the wars,
positive secular changes in height resumed. More recent examples of the reversibility of
secular trends are apparent in the slightly later ages at menarche during the period of
social and political change after the collapse of the Soviet dominated communist system
in Poland in the 1980s (Hulanicka et al., 1993) and during the war conditions that
characterized the political breakup of the former Yugoslavia in the 1990s (Prebeg and
Bralic, 2000).
Socioeconomic status
The socioeconomic position or status has been defined as the relative position of a family
or individual in a social structure, based on their access to scarce and valued resources
such as education, wealth and prestige (adapted from Western, 1983). Three broad
status and disadvantage) have been discussed at length in the sociological, educational,
medical and health literature. An overview of the major issues which have a bearing on
presented in a number of general papers on the history of, and current approaches to, the
(Graetz, 1995b) and higher education (McMillan and Western, 2000; Western et al.,
1998).
Several studies have been published in central Europe (Farkas, 1978, 1979, 1980, 1982,
1986; Eiben, 1989, 1994; Eiben et al 1991; Romon et al., 2005), the United States (Adler
et al., 1994; Adler and Ostrove,1999; Averett and Korenman,1999; Lohman et al., 2000;
Mayer et al., 2005; Rouse and Barrow, 2006), the United Kingdom (Townsend et al.,
1998; Saxena et al., 2004; Wardle et al.,2003, 2004, 2005, 2006), the Meditteranean
(Garcia et al., 1993; Rebato et al, 2003), Australia (Norgan, 1994; Marks et al., 2000;
Adams et., 2002) central Asia (Leung et al., 1996; Ahmed et al., 1998; de Onis et al.,
2001; Wang, 2001), Latin America ( Spurr et al., 1983; Delgado and Hurtado, 1990;
Martinez et al., 1993) and Africa (Toriola, 1990; Cameron, 1992; Simondon et al., 1997;
Benefice et al., 1999; Pawloski, 2002; Gillett and Tobias, 2002; Prista et al., 2003; Brabin
et al., 1997, 2003) that analyze and demonstrate the relationship between environmental
factors such as nutrition, energy expenditure associated with physical work and the
sociocultural lifestyle and the adolescent child’s physical development. Many of them
suggest that remarkable differences in body dimensions and maturity status may exist
between children when their social background is dissimilar. When material resources
available to the family are ample, the children are often taller and heavier and reach their
respective stages of maturity at a younger age than their less privileged peers. One of the
probable mechanisms through which these environmental factors may exert their
the socio-economic status of the parents reliably (Townsend et al., 1998; Wardle et al.,
al., 2003; Michel et al., 2006; Hagquist, 2007), parental profession or occupation
(Vrijheid et al., 2000; Halldórsson et al., 2002; Wright and Parker, 2004), family size
(Wright, 2000; Blair et al., 2004; Khang and Kim, 2005), per-capita income (Woodroffe
et al., 1993; Pattenden et al., 1999; Vrijheid et al., 2000; Alvarez-Dardet and Ashton,
2005;), the grade of provision with modern conveniences of the habitat (Cooper et al.,
1998; Saxena and Majeed, 1999; Saxena et al., 2002), the settlement’s level of
Population, Censuses and Surveys. 1993; Forrester et al., 1996; Office for National
Statistics, 2002), the level of health care and access to medical services (Newton and
2002; Office for National Statistics, 2002; Petrou and Kupek, 2005).
The socio-economic status of the family is often reflected in the type of school attended
by the children in the family ((McMurray et al., 2002; Wardle et al., 2006 etc).
Economically advantaged families often prefer fee-paying, private school to minimal fee-
paying public school because the former tend to be better funded to provide adequate
the discriminatory tendency in the funding pattern of public schools in various countries
has been well documented (Hedges et al., 1989, 1994; Hanushek 1996; Ellwood and
the poorer segments of the society. Socioeconomic disadvantage has been measured in
ownership, quality and amenities, income) and by area-based indicators which are indices
based on an array of social characteristics of residential areas drawn from census data or
aggregate income (Krieger et al., 1997; Geronimus and Bound, 1998; Geyer and Peter,
2000). This would have implications for the attainment of the full educational,
psychological and physical growth potential of the adolescent child (Barrow and Rouse,
2004; Spencer, 2005). Although different by definition, social class and socioeconomic
status are closely intertwined (Graetz 1995a; Jones & McMillan 2000; Western 1993).
However, their combined roles in influencing the health and growth status of children
especially in Africa is more readily apparent because the public welfare institutions
expected to provide the social support services that could ameliorate the effects of social
inequality are either moribund or non-existent (Spencer et al., 1999; Marks et al., 2000;
Snyder et al., 2003; Hanushek et al., 2005). In several countries, attempts have been made
to address this problem comprehensively but differ in specific actions or in the focus of
their educational reforms (Rouse, 1997; Marks et al., 2000; Howell and Peterson, 2002;
Mullis et al., 2002; Bifulco and Ladd, 2004; Hanushek et al., 2005). Two options,
decentralization of the school system and free school choice, have become a part of the
global trend in educational reform (Chapman, 1996; Gonnie van Amelsvoort and
Scheerens, 1997). The methods used have varied with the countries (Liberatos et al.,
1988; Durkin et al., 1994; Statistics Norway, 1984), with the age group of children
(Mueller and Parcel, 1981; Anderssen, 1995; Currie et al., 1997) and with the nature of
study (Abramson, 1982). Some studies measured or classified the socioeconomic status
(DETYA, 1999; Marks et al., 2000; Rouse and Barrow, 2006). Commonly- adopted
procedures include such parameters as the facilities provided by the school (Hedges et al.,
1994; Hanushek, 1996; Snyder et al., 2003; Aaronson et al., 2005) and the demographic
characteristics of its geographical location (Australia Board of Studies 1990, 1994, 1998).
Sometimes the classification may be census-based (Ross, 1983; Ross et al., 1988)
wherein the process is integrated into the country’s national demographic survey (Linke
et. al. 1988; Western et. al. 1998). In other situations, it has been determined by the
socioeconomic status of the parents of the schoolchildren (Chen et al., 2006). Some
authorities recommend that the socioeconomic status of the parental breadwinner only or
the entire family income (Morris et al., 2004; Dahl and Lochner, 2005) or a scored-index
representing the combination of a number of criteria (Graetz 1995; Townsend et al., 1988;
DETYA, 1998; Wardle et al., 2002) be used to determine the socioeconomic status for the
study. Other authorities have considered the characteristics of the school only as an
adequate indicator of the socio-economic status of the study children, thereby avoiding
the intrusiveness often associated with trying to obtain accurate information about a
family’s wealth (Finn and Achilles, 1990; Angrist and Lavy, 1999; DETYA, 1999; Hoxby,
2000; Snyder et al., 2003). Sometimes the information has been obtained from the child’s
self-reporting of father’s income (Looker, 1989; West et al., 2001; Lien et al., 2001). The
the specific study (Starfield, 1985; Ainley & Marks 1999; DETYA, 1999; Janssen et al.,
2006). A review of relevant literature from different regions of Africa (Pawloski, 2002;
Prista et al., 2003) and Nigeria (Omololu et al., 1981; Brabin et al., 1997; Abidoye and
Nwachie, 2001) suggests that usually it is the minimal criteria that have been adopted
The Nigeria DHS EdData Survey (2004), jointly published by the National Populations
Commission of Nigeria (NPC) and the Federal Ministry of Health in collaboration with
ORC Macro of Calverton, Maryland, USA and the United States Agency for International
Development (USAID) presents health and demography data for the Nigerian population
based on the 1991 Census data. In accordance with the WHO recommendation,
schoolchildren have been compared with the international reference population defined
by the US National Centre for Health Statistics (NCHS) and accepted by the Center for
Disease Control and Prevention (CDC). Each of the status indices has been expressed in
standard deviation units (z-scores). The use of this reference population was based on the
finding that well-nourished children from all populations (where data exist) follow very
similar growth patterns up to the onset of puberty (Drake et al., 2002; Partnership for
Child Development, 2000). Consequently, the NDES has not used data for children older
than 9 years 11 months. The age range of the current dissertation is from 9 years 6
and, when anthropometrically-derived, expressed to the nearest one-tenth rating, e.g, 1.4-
considered low, 3 to 5 are moderate, and 5.5 to 7 are high and 7.5 and above are very
Kinanthropometry
education, exercise physiology, sports science, sports medicine, and nutrition, pediatrics,
medical disciplines into close alliance. Thus, its scope and applications are broad (Carter,
1996).
perspectives, its application to movement, and those factors which influence movement,
shape, and maturation, motor abilities and cardiorespiratory capacities, physical activity
includes the measurement of absolute dimensions of the body, both external and internal;
shape refers to the assessment of the form of the body; proportion refers to the relative
size or relationship of body parts of one another or to the whole body; composition
includes the assessment of the various tissues, fluids and compartments of the body;
maturation refers to the assessment of the biological age or maturity status of the person;
and gross function includes performance in sports, events, tasks, occupation or fitness
tests. Although kinanthropometrists often examine the technology within one of the
above areas, a kinanthropometric study would have at least one element of morphology
or structure along with gross motor performance or application in one of the areas of
Uses of Kinanthropometry
variety of ways including: somatotyping, fractionation of body mass into bone, muscle,
fat and residual components, body proportionality estimates, prediction of body density
and estimation of growth indices in children and the youth, prediction and assessment of
adult stature, prediction of performance, health and survival in the general population,
and garments, design of orthopedic and physiotherapy aids and gadgetry, design of indoor
and outdoor fitness and wellness equipment, management of life insurance policies and
production and revalidation of reference values, (Astrand and Rodahl, 1970; Ross and
The protocols for specific measurements have been discussed in Lohman et al. (1988),
Ross and Marfell-Jones (1991), and Norton and Olds (1996). Anthropometry depends
international standards bodies. Anthropometry is a very old science, and like many old
sciences, has followed a variety of paths. The diversity of anthropometric paths is both its
traditions has been the lack of standardization in the identification of measurement sites,
and in measuring techniques. This has made comparison across time and space extremely
difficult.
In the year 2001, the International Society for the Advancement of Kinanthropometry
Assessment, as a practical tool for use in teaching, in the laboratory and in the field.
Anthropometrica, edited by Norton and Olds (1996) as well as from a series of classic
textbooks and congress reports generated throughout the 20th century, this reference
manual was developed over a period of five years after extensive consultation within its
Executive council, with all ISAK Criterion Anthropometrists and many ISAK Level 3
Organization (UNESCO) and the Supreme Council for Sports in Africa (SCSA) for use
during the 8th All-Africa Games in Abuja, Nigeria (October 4- 18, 2003) by the Nigeria
The anthropometric sites and measurement procedures preferred for the current study are
which could be used to derive additional computations such as: estimates of relative body
fat (using a large number of prediction equations), estimates of bone, muscle, adipose and
residual masses using fractionation of body mass techniques (Drinkwater and Ross, 1980;
Kerr, 1992), calculation of skeletal mass and skeletal muscle mass by various methods
(Martin et al., 1990; Martin, 1991; Janssen et al., 2000; Lee et al., 2000).
CHAPTER TWO
A review of the history of the study of growth suggests that the earliest published work
on the subject was based on data generated from North America and Europe. A detailed
account was published in Origins of the Study of Human Growth, (Boyd, 1980), and A
History of the Study of Human Growth, (Tanner, 1981). Boyd (1980) was based on the
unfinished manuscripts of Richard Scammon, which were first reported in 1923 in the
11th edition of Morris’ Anatomy and subsequently republished in his 1930 Sigma XI
lecture (Scammon, 1930). Boyd (1980) considered early discussions of the life cycle
(including description of prenatal and postnatal stages) from antiquity to 1700 and then
more specific studies of growth in Europe and North America from 1700 to 1940. Tanner
(1981) briefly considered the ancient world, the middle Ages, and the Renaissance and
then presented a comprehensive discussion of growth studies from the 18th century
Earlier reports provide an excellent background to the relatively long history of the study
of growth in Europe and the United States. Meredith (1936) reviewed American research
compilation of European and North American growth studies before 1940, focusing
primarily on data from the 1920s and 1930s. The compilation also included several
studies of active youth and of motor performance. Krogman (1950, 1955) also presented
a syllabus of concepts and techniques for the study of growth, including motor skills,
which was followed by a summary of related literature published between 1950 and
1955. Meredith (1969, 1971, and 1987) also reported summaries of data from different
areas of the world dealing with specific body dimensions in specific age groups between
Roche and Malina (1983) provide detailed tabular summaries for a variety of indicators
Manual of Physical Status and Performance in childhood. Eveleth and Tanner’s (1990)
maturation from many regions of the world and also includes a discussion of factors that
2.1.2.1 United States Studies. Several longitudinal studies were begun in the United
States in the 1920s and early 1930s: the Harvard School of Public Health in the Boston
area; the Brush Foundation Study at the Western Reserve University (now Case Western
Reserve University) in Cleveland, Ohio; the Fels Research Institute in Yellow Springs, in
south-central Ohio (now a part of the Wright State University School of Medicine); the
Child Research Council in Denver, Colorado; and the Guidance Study of the University
of California at Berkeley (Tanner 1948, 1981). These major United States studies
included children between 11 and 17 years of age (Espenschade, 1940; Jones, 1949).
Two more recent American longitudinal studies of growth took a different approach than
the traditional studies. The first was based on a longitudinal series of about 340 middle-
class girls from Newton, Massachusetts, followed from 9 or 10 years of age to young
adulthood. The study was begun in 1965 and included stature and weight and age at
menarche. This study is unique in that the data were reported by the mothers of the girls
in questionnaires sent at monthly or 6-week intervals. The reported data were
physical education department of the local school system, beginning when the girls were
5 or 6 years of age. Measurements of growth and maturity that span childhood and
adolescence provide the basis for many longitudinal analyses. Other growth studies, some
of which of which included a longitudinal component, were carried out since 1917 at the
Iowa Child Welfare Research Station at the University of Iowa in Iowa City. The
Philadelphia Center (now the W.M. Krogman Center) for Research in Child Growth at
American Black (African American) and White (European American) children from the
Many of the subjects of the Fels study were followed into adulthood in a series of studies
that continues at present (Roche, 1992). Data from the Fels and Harvard studies are also
being analyzed in the context of tracking of fatness and other risk factors for disease from
adulthood (Casey et al., 1992; Must et al., 1992; Guo et al., 1994).
In addition to the Guidance Study at the University of California, a second study, the
Adolescent Growth Study of children in Oakland, California, was conducted. This study
age (Zacharias and Rand, 1983). The second study, the Harvard Six Cities Study, is part
of an examination of the health effects of indoor and outdoor pollution on children from
six regions of the United States (localities in Massachusetts, Tennessee, Ohio, Missouri,
Wisconsin and Kansas). Annual examinations included height and weight measurements,
2.1.2.2 European Studies. After the initial series of longitudinal studies in the United
States, the emphasis on longitudinal growth studies shifted to Europe. The Harpenden
Growth Study in the suburbs of London was begun in 1948 and included measurements
of size, physique, body composition and maturation (Tanner, 1981). The setting for the
study was a children’s home. Before entering the home, most of the children had
probably lived under socially disadvantageous conditions. However, the children were
well cared for at the home and lived in relatively small cottages or family groups.
The Harpenden Growth Study was followed by a series of longitudinal studies in several
European cities that were begun in the mid-1950s. The studies were coordinated by the
Brussels, London, Paris, Stockholm and Zurich (Tanner, 1981). These studies focused
primarily on growth and maturation from birth through adolescence. Another European
Center, was the Wroclaw Growth Study in southwestern Poland, which was begun in
1961. A large cohort of boy and girls was followed from 8 to 18 years of age (Bielicki
and Waliszko, 1975; Waliszko and Jedlinska, 1976). The study also focused primarily on
Some other European studies require mention. Height, weight, and secondary sexual
characteristics of about 700 urban schoolchildren from several centers in Sweden were
monitored from 10-16 years of age in girls and from 10-18 years in boys between 1964
and 1971 (Lindgren, 1979). In a similar study, about 1400 schoolchildren in Newcastle-
upon- Tyne, England, were followed from 9 to 17 years of age beginning in 1971
(Billewicz et al., 1983). The variables included measures of growth and secondary sex
half-yearly intervals.
Two generally similar longitudinal studies were begun in the Netherlands in the 1970s,
the Nijmegen Growth Study (Prahl-Andersen et al., 1979) and the Study of the Growth
and Health of Teenagers in Amsterdam (Kemper, 1995). The Amsterdam Study includes
physical activity and also continues into adulthood with a cohort of males and females
followed at about 21, 27 and 30 years of age. A sampling procedure that allows for the
this particularly multicultural metropolis makes the study quite unique. This effort later
inspired the commencement, in South Africa, of the Ellisras Longitudinal Study in 1996,
the first of its kind in sub- Saharan Africa (Monyeki et al., 1999).
2.1.2.3 Risk Factors for Disease in Longitudinal Studies. Given concern for coronary
heart disease in adults, several relatively recent studies have focused on the development
of risk factors for coronary heart disease (e.g., high levels of serum lipids with abnormal
lipoprotein profile, hypertension and obesity) in children and youth. Coronary heart
disease is one the leading causes of death in North American adults, and many of the risk
factors for the disease develop during childhood (Berenson, 1986; Kannel et al., 1995).
Several studies have attempted to track or follow the development of risk factors during
childhood and adolescence; the studies thus have a longitudinal component. These studies
include, for example, the Bogalusa Heart Study of black and White children in Louisiana
(Berenson et al., 1995), the Muscatine Study of primarily White Iowa school children
(Lauer et al., 1993), and the Cincinnati Lipid Research Clinic’s study of Black and White
children in the Princeton school district (Morrison et al., 1979). The studies were begun
in the 1970s and include a variety of coronary heart disease risk factors in addition to
The studies so far described all include a longitudinal component, but given the logistical
problems encountered in doing such studies and the relatively large data sets involved,
the studies are basically mixed-longitudinal. Results of the longitudinal and mixed-
maturation and the range of normal variation inherent in any group of children.
Omololu et al. (1981) reported a transverse- longitudinal study of heights and weights of
children in a Nigerian village. In May 1996, the University of the North, Sovenga, in the
Northern Province of South Africa, initiated a longitudinal study in the Ellisras rural
community in the Northern Province (now Limpopo Province) of South Africa. This
study examined physical growth patterns, nutritional status and socioeconomic indices of
rural children. Three years later, the Vrije University, Amsterdam, in the Netherlands,
joined the project and then other lifestyle related parameters such as blood pressure, 24-
hours recall of nutritional intake of children and oral glucose tolerance test were included
in the project (Monyeki, 2003). Subsequently, a 3-year prospective study on high levels
of habitual physical activity in West African adolescent girls and relationship to
maturation, growth, and nutritional status, was reported from Senegal (Benefice, Garnier
sectional studies provide important information. These studies include several national
surveys. For example, nationwide surveys of height, weight and sexual maturation of
Dutch children in the Netherlands were conducted in 1955, 1965 and 1980 (Roede and
van Wieringen, 1985). In Western Australia, the Busselton Survey is a population survey
that has been held every three years in the Perth metropolitan area and rural Busselton
since the 1970s. In 1994-1995 a re-survey was held of all past participants and 8,502
attended. The measurements included stature, body weight, skinfolds, limb and trunk
circumferences and blood pressure. The significance of this survey is that financial
constraints have precluded the employment of full-time staff for data collection and is,
Since the 1960s, the United States National Center for Health Statistics has conducted
national surveys on a regular basis. Most of the surveys include height and weight, and
several include a more extensive series of body measurements. These national surveys are
unique in that all of them use a sampling design that permits estimates for the total United
States population or for specific ethnic groups. Data from the United States national
surveys provide the basis for charts of height, weight and other dimensions or indices that
are used to assess the growth status of children and adolescents around the world.
2.1.3.2. African Studies. A number of studies have examined stature and weight in
working in South Africa, summarized adult stature from 123 samples and noted that there
was no secular trend. However, a reduced sexual dimorphism did exist with respect to
groups in South Africa led by Cameron (Cameron, 1984, 1991, 1992; Cameron et al.,
1992; Cameron and Getz, 1997; Monyeki, 1999, 2000; Monyeki et al., 1999, Monyeki et
al., 2000) and Walker (Walker et al., 1979; Walker et al., 1989; Walker et al., 1990) have
composition parameters such as obesity, body fat patterning, lipidemias and other risk
factors for adult diseases. Other more recent cross-sectional studies include the
rural Senegal (West Africa) and Martinique (Caribbean) (Benefice, Caius and Garnier,
2004), the nutritional status, growth and sleep habits among Senegalese adolescent girls
(Benefice, Garnier and Ndiaye, 2004), the impact of the health and living conditions of
migrant and non-migrant Senegalese adolescent girls on their nutritional status and
growth (Garnier et al., 2003), and the timing of reproductive maturation in rural versus
urban Tonga and Zambia boys (Campbell, Gillett-Netting and Meloy, 2004). Several
other studies including the influence of urban migration on physical activity, nutritional
activity.
2.1.3.3. Nigerian Studies. The profile of growth studies conducted in Nigeria is not very
illustrious. The earliest known report of any related study was that of the prevalence of
obesity among Nigerian school children living in the Abeokuta metropolis in southwest
Nigeria by Akesode and Ajibode (1983). Other reports are few and far between. Owa and
percentage, body mass index and mid-upper arm circumference taken by anthropometric
aged 5-15 years resident in Ile- Ife, also in Southwest Nigeria. More recent studies by
Ansa et al. (2001) examined the profile of body mass index and obesity in Nigerian
children and adolescents aged 6-18 years resident in Calabar, in the deep-south Nigerian
region, while the freshly published report on the body composition of normal and
malnourished children aged 3-11 years in the Niger Delta region by Eboh and Boye
(2005) has given an indication of current research directions. However, since the pioneer
efforts of Toriola and Igbokwe (1985) in determining the relationship between perceived
physique and somatotype characteristics of 10-18 year old boys and girls resident in
Iseyin in rural southwest Nigeria, only the singular report by Owolabi and Makpu (1994)
on the body composition and somatotype of “professional” Nigerian division one male
soccer and basketball players have been cited in the literature regarding the study of the
shape and physique of Nigerian children and youth. These observations, therefore,
underscore the depth of the inadequacy of information regarding the growth, maturation,
The American Alliance for Health, Physical Education and Recreation (1976) has
conducted national surveys of the motor fitness of American school-age children in 1958,
1965, and 1975, and the President’s Council on Physical Fitness and Sport (Reiff et al.,
1986) conducted a similar survey in 1985. National surveys of the health-related physical
fitness of children 6 to 9 and 10 to 17 years of age, respectively, the first and second
National Children and Youth Fitness Surveys, were conducted in 1984 and 1986 (Pate
and Shephard, 1989). Motor fitness focuses on performance in a variety of tasks, whereas
and fatness. The National Children and Youth Fitness Surveys also included indicators of
habitual physical activity. The Canadian Fitness Survey (1985), carried out in 1981,
included measurements of physical activity, body size, fatness, physical performance and
physical activity for a nationally representative sample of children and youth. A sub-
sample of the Canada Fitness Survey was measured again 7 years later (Stephens and
Craig, 1990).
The Africa Association for Health, Physical Education, Recreation, Sport and Dance
(AFAHPER-SD), modeled after the pattern of the American Alliance, organized its first
conference was published in the same year as “Health, Physical Education, Recreation
and Dance in Africa” (Amusa, 1994). Subsequently, the African Journal for Physical,
publication of the association, was established. The first issue of this journal was released
in April 1995. The journal has since become a cornerstone in the literature and an
Another significant direct consequence of the Gaborone meeting was the establishment of
the All- Africa Games Kinanthropometry Project (AAGKiP) by top researchers from all
over Africa based in Southern Africa. Work commenced in October 1995 at the 6th All-
characteristics of the elite Africa athletes participating at those Games were profiled. This
was the first of its kind anywhere in Africa, by African researchers on African athletes.
The Supreme Council for Sport in Africa (SCSA) endorsed the project. It was modeled
after the protocols used to assess athletes attending the Olympic Games, beginning in
1928, and later modified by Carter and his colleagues at the Montreal Olympics in 1976
and also at the 1991 World Swimming Championships, Melbourne, Australia. The
success of the Harare AAGKiP encouraged the team to repeat the exercise at the 1999
edition held in Johannesburg, South Africa. By this time, the project had come to enjoy
the additional and full support of the United Nations Educational and Scientific
Organization (UNESCO). Prior to the commencement of the 3rd edition of the project at
the 8th All-Africa Games held in Abuja, Nigeria in October 2003, the International
Society for the Advancement of Kinanthropometry (ISAK) held its first ever
Anthropometry Accreditation and Certification Course for Level 2 Technicians in Africa
in the month of September, 2003 in Abuja. This course, moderated by J.E.L. Carter, was
designed to train the anthropometry technicians in preparation for the Nigeria All-Africa
Games Kinanthropometry Project (NAAGKiP) and to upgrade the protocol used at the
previous two editions (de Ridder, 2003). Through encouragement and careful guidance
by the late A.O. Ajiduah, the exercise physiologist and Professor of Human Kinetics and
Health Education in the University of Lagos, this investigator was able to receive training
Games Kinanthropometry Project, therefore, has become Africa’s first continental survey
for performance and physical activity. It is pertinent to note, however, that the effort has
been directed at generating data from the adult, elite athlete and not the junior, growing
athlete.
The uses of anthropometry as a tool for investigating the relationship between growth,
maturity, physical activity, health and performance has been much more vigorously
exercise physiology and sports medicine. Investigators in these fields of endeavor interact
known as the Nigeria Association for Sports Science and Medicine (NASSM) and the
results of these efforts are published regularly in their journal, the Nigerian Journal of
Sports science and Medicine. However, their efforts have usually been directed towards
the care of the injured athlete and other factors related to health, fitness, physical activity
and performance, with very limited input from investigators involved in growth research.
Only a few papers have appeared in the literature in recent times (Musa and Lawal, 2001;
Emiola, 2002; Okuneye et al., 2004; Okuneye, Ogunleye and Ibeabuchi, 2004), which
reported on children.
Although national surveys are cross-sectional, they are useful because the subjects
whole. Such samples are known as national probability samples. Results of such large-
scale national or continental surveys are the primary source for the construction of
reference data used in comparing and evaluating the growth, maturity and performance
status of children.
Thus, it has been shown that the study of growth and maturation has a long history
spanning over 150 years in the disciplines of medicine, human biology, biological
anthropology and the sports sciences (Krogman, 1970; Meredith, 1971, 1987; Malina,
1978; Garn, 1980; Tanner, 1981, 1989; Malina and Roche, 1983; Roche and Malina,
1983; Faulkner and Tanner, 1986; Eveleth and Tanner, 1990; Roche, 1992). The concepts
and principles that underlie the study of growth and maturation during the first two
decades of postnatal life have been well elaborated and developed in the early part of the
20th century (Scammon, 1930; Krogman, 1948). The major sources of information,
longitudinal and cross-sectional studies for the understanding of growth and maturation,
have also been identified (Krogman, 1970; Meredith, 1971, 1978, 1987; Bielicki and
Waliszko, 1975; Eveleth and Tanner, 1976, 1990; Waliszko and Jedlinska, 1976; Malina,
1978; Lindgren, 1979; Tanner, 1981; Malina and Roche, 1983; Roche, 1992; Guo et al.,
Malina and Roche, 1983; Tanner, 1989). The systematic study of these features, which
are characteristic for every individual, requires measurements taken at different ages
during infancy, childhood and adolescence and continuing into young adulthood
(Lohman, Roche and Matorell, 1988; Mueller and Matorell, 1988; Malina, 1995; Norton
and Olds, 1996; ISAK, 2001; Lampl et al., 2001). Measurements commonly used in
growth studies have been described and the changes in body size and specific dimensions
and body proportions that occur as the individual passes from infancy through childhood
and adolescence into young adulthood have been reviewed and summarized (Malina,
Hamill and Lemeshow, 1973, 1974; Meredith, 1978; Roche and Himes, 1980; Tanner
1981; Matorell et al., 1988; Lindgren et al., 1994; Kuczmarski et al., 2000). Two
measurements that are basic to most growth studies, height and weight, and more
recently, the body mass index (BMI, weight/ height² ) have been used in many nutritional
surveys (Tanner, Whitehouse and Takaishi, 1966; Roche, 1972; Roche, Guo and Yeung,
1989; Kuczmarski and Johnson, 1991; Roche, Guo and Moore, 1997). Size attained
provides an indicator of growth status, and if the individual is followed over time, an
Generally, however, corresponding data for other body dimensions are very limited
(Walker, 1979; Johnson et al., 1981; Roche et al., 1987; WHO, 1995). Most body
dimensions, however, with the exception of subcutaneous adipose tissue and dimensions
of the head and face, tend to follow the same pattern of growth as height and weight
(Bloom, 1964; Tanner and Whitehouse, 1982), whereas body proportions show different
The evaluation of growth status requires reference data or “growth charts” (WHO, 1995).
The new growth charts for United States children and adolescents developed in 2000 by
the National Center for Health Statistics (NCHS) in collaboration with Centers for
Disease Control and Prevention (CDC) have become norm reference worldwide (Roche
et al., 1996; Roche, 1999; Kuczmarski et al., 2000; Roche and Guo, 2001; Ogden et al.,
2002) and now include BMI-for-age percentiles for boys and girls from age 2 to 20 years
of age (CDC, 2000). The evidence from these data suggests that height and weight are
rather stable (i.e. they track well across childhood and adolescence), although low
BMI curves show that most changes have their origin during the first years of life. The
BMI also tracks well but interpretation of the BMI as an indicator of fatness in children
Rolland-Cachera 1993; Siervogel, 1991; Guo et al., 1994; Power et al., 1997; Dietz and
Robinson, 1998; Cole et al., 2000). Nutrition affects fatness and stature, but the
percentile levels on reference charts after about 2 or 3 years of age until adolescence
(Cameron, 1984, 1991, 1992). However, before this period, percentile levels of individual
children often change. Shifts usually occur between adjacent channels or percentiles on
the growth chart but may occasionally cross two or more percentile lines. Such a shift in
To some extent body composition reflects nutritional status. It is also influenced by age,
sex, race, physical activity and disease. The method used to measure body composition
depends on the variable to be quantified. It may also depend on the practical conditions of
absorptiometry (DEXA) give more accurate information, but they are commonly based
preferred to weight for height as age is taken into account. In addition, the BMI pattern
reflects real changes in body shape, and early in life it is an indicator of later
usually carried out. The triceps skinfold is usually recommended and widely used as it is
better than the subscapular skinfold to predict percent body fat, although some of the
popular algorithms factorize the two skinfolds. Trunk skinfolds, such as the subscapular,
iliac crest, supraspinale and abdominal are better than extremity skinfolds for their
association with internal fat and their good correlations with risk factors and response to
nutritional interventions. However, many authorities, nowadays, prefer the sum of four to
eight skinfolds taken directly as a measure of body fat to percent fat because it eliminates
the problems arising from assumptions factorized into the derivation of the equations.
Body density (Db) declines in males from about 8 to 10 years but then increases more or
less linearly to about 16 to 17 years of age. In females on the other hand, Db decreases
from about 8 to 11 years of age, then increases only slightly, and finally reaches a plateau
by about 14 years of age. Both sexes also show a slight decline in Db in late adolescence
and young adulthood (Malina et al., 1988; Malina, 1989). The results of pooled samples
taken from Japanese adolescent children 11 to 18 years of age grouped by age and sex are
The accurate application of the principles and methods for estimating body composition
to children requires that a determination be made as to when, during growth, adult values
for the primary components of the fat-free mass are attained. This idea led to the
of the body during growth can be appreciated in a comparison of the infant and young
adult reference males (Brozek, 1963; Fomon, 1966; Forbes, 1986). The point of chemical
maturity, defined by Moulton (1923) as “the point at which the concentration of water,
proteins and mineral salts becomes comparatively constant in the fat-free cell”, does not
occur until after puberty, but most changes occur early in life. At present, chemical
composition data for a young adult reference female or for the years between infancy and
adulthood are not available (Forbes, 1987; Malina, Bouchard and Bar-Or, 2004).
However, presently available longitudinal data suggests that the fat-free mass tracks
moderately well from childhood through adolescence in both sexes, whereas fat mass and
percent body fat are less stable characteristics (Fomon et al. 1982; Houtkooper et al.
Tracking is the maintenance of an individual in the same percentile range across age and
varies according to the growth parameter and to the period of growth. Low tracking of
fatness (up to the age of 8 years) corresponds to the period of rapid chemical changes.
The accumulation of body fat and changes in the relative distribution of fat, both
subcutaneous and visceral, associated with differential timing of sexual maturation, are
implicated as risk factors for overweight and/or obesity. Earlier studies (Forbes, 1964;
Cheek, 1970) as well as more recent efforts (Malina and Bouchard, 1988; Malina et al.,
1989, 1995; Beunen et al., 1994; Kuczmarski et al., 2000) indicate that obese children are
taller, on the average, and more advanced in skeletal maturity compared with non-obese
subcutaneous adipose tissue on the trunk during adolescence compared with females.
Although the exact mechanism is not clear, hormonal factors have been implicated
(Horswill et al., 1997). A history of obesity during childhood and adolescence also has
obesity in adults in many countries throughout the world (WHO, 1998; British Nutrition
Foundation 1999; Flegal and Troiano, 2000; Flegal et al., 2002; Katzmarzyk, 2002a,
2002b). The age at “adiposity rebound” has also been identified as a risk factor for adult
fat is a known risk factor in the development of several diseases in adults, such as adult
onset dependent diabetes mellitus and cardiovascular diseases (Guo et al., 1994; Gutin
and Barbeau, 2000). However, studies done on African populations are sparsely reported
profile of fat deposition have been associated with the metabolic properties of the
adipocytes (fat-secreting cells). The traditional view of the adipose cell was one in which
the cell provided a storage structure for fatty acids in the form of triacylglycerol
molecules and for the release of fatty acids when metabolic fuel was needed. Of course
fat cells are responsible for these critical functions. However, the adipose cell is now
better appreciated as a complex organ whose functions are not limited to storage of
unneeded calories and delivery of metabolic fuel in times of fasting or starvation or other
kinds of biological passivity. Its functions are now known to include the regulation of
energy balance, glucose and insulin metabolism, lipid metabolism, immunity, feedback
(Ailhaud and Hauner, 1998; Romanski et al., 2000; Fruhbeck et al., 2001). The
reporting of the discovery of Leptin in 1994 has resulted in the opening of an entirely
new chapter in the biological sciences (Zhang et al., 1994). The understanding that leptin,
in most people, is implicated in the regulation of food intake, energy expenditure, glucose
and lipid metabolism, puberty, reproductive functions, angiogenesis, and other processes
imaging (MRI) now permit differentiation of subcutaneous and visceral adipose tissue in
the abdominal area, and a sex difference in visceral adiposity appears to occur during late
adolescence when males accumulate proportionately more visceral adipose than females
Ratios of trunk and extremity skinfolds suggest that subcutaneous fat distribution is not
stable during childhood. During growth, some fat individuals move away from the high
fatness categories, whereas some lean children move into these categories (Katzmarzyk
et al., 1999; Campbell et al., 2001). However, few studies have examined the stability of
The course of growth in stature and weight from birth to 19 years of age has been amply
curves (Tanner, Whitehouse and Takaishi, 1966) in several authoritative texts, journal
reports and growth charts (Flegal et al., 2002; Malina, Bouchard and Bar-Or, 2004).
Other curves already generated are distance curves for body mass index (Rolland-
Cachera et al., 1991) as well as growth patterns for other body dimensions such as sitting
height and leg lengths (Martorell et al., 1988), biacromial and biiliocristal breadths
(McCammon, 1970; Roche and Malina, 1983), distance curves for arm and calf
circumference (Johnson et al., 1981). Ratios such as sitting height as percentage of stature
(Roche and Malina, 1983) and biiliocristal to biacromial breadths (Roche and Malina,
1983) are also available. Percentile curves useful in evaluating the growth status of
individual children have been developed and revised since the late 1950s in the United
States (U.S.) as the National Health Examination Survey (NHES, 1959-1970), National
Health and Nutrition Examination Survey (NHANES, 1971-2000), and Hispanic Health
and Nutrition Examination Survey (HHANES, 1982-1984). Some of these data have been
incorporated into these percentile growth charts developed and also revised by the U.S.
Center for Disease Control and Prevention (CDC Growth Charts 1973, 1988 and 2000).
The curves represent age-specific and sex-specific averages for boys and girls and do not
portray the wide range of normal individual variability apparent in any group of children.
The pattern of changes is generally similar in all children, but the size attained at a given
age and the timing of the adolescent growth spurt varies considerably from child to child.
From birth to early adulthood, both stature and weight follow a four-phase growth
pattern: 1) rapid gain in infancy and early childhood, 2) rather steady gain during middle
childhood, 3) rapid gain during the adolescent spurt, and 4) slow increase until growth
ceases with the attainment of adult stature (Kuczmarski et al., 2000). Body weight,
variation in the time of its onset and termination. The World Health Organization (WHO)
defines the age of adolescence as between 10 and 18 years, but the age ranges 8 to 19
years in girls and 10 and 22 years in boys are more appropriate as limits for normal
variation in the onset and termination of adolescence. In this period, most bodily systems
become adult both structurally and functionally, i.e. they reach maturity. Structurally,
marks the onset of the adolescent growth spurt. The rate of growth in height reaches a
peak, then begins a slower or decelerative phase, and finally terminates with the
maturity, which actually begins with changes in the neuroendocrine system before overt
physical changes and terminates with the attainment of mature reproductive function.
From a biological perspective, the period of adolescence includes two major events, the
adolescent growth spurt (somatic maturation) and sexual maturation. Youth enter this
phase of growth at varying ages (differential timing) and proceed through it at variable
rates (differential tempo). Timing and tempo are highly individual characteristics and are
unrelated. Girls are, on average, in advance of boys in the timing of maturation, but
performance, and aerobic power also show well-defined adolescent spurts, but the time of
the respective spurts varies relative to peak height velocity in both sexes and relative to
menarche in girls.
generations that are mediated by genes. The role of specific genes and mutations in
normal variation in body height (Comings et al., 1993; Arinami, 1999), bone size
(Bouchard et al., 1997), skeletal muscle (Bouchard et al., 1986; Arden and Spector, 1997;
Nguyen et al., 1998; Gibbons et al., 1998), physique (Perusse et al., 1988), adipose tissue
(Buemann et al., 1997; Bouchard et al., 1998; Katzmarzyk et al., 1999; Peru et al., 2001),
elucidated, in part because of the measures of growth and maturation that are complex,
multifactorial phenotypes (Sing and Boerwinkle, 1987). The genetics of growth and
maturation has been examined primarily through studies of different kinds of relatives,
most often twins, siblings, parents and offspring, and spouses (Fischbein, 1977; Bergman,
1988; Konianek, 1988; Loesch et al., 1995). The available data indicate a major role for
the genotype in body size and body composition and in the timing, tempo and sequence
(Bouchard, Malina and Perusse, 1997; Watanabe, 2000) and responses to training
(Bouchard et al., 1997; Bouchard et al., 1999; Bouchard et al., 2000), but genetic effects
are not as strong as those for measures of growth and maturation. Much can be learned
from the study of children who have a specific genetic deficiency. Such studies reveal
that a partial or complete invalidation of a single gene can result in death, failure to
Assessment of physique
The second part of this study is the assessment of the physique or body build of
form, the configuration of the entire body rather than its specific features (Malina,
Bouchard and Bar-Or, 2004). The study of physique is one single aspect of an area of
study sometimes labeled human constitution, which involves the interrelationships and
characteristics (Tanner, 1953, 1988; Barton and Hunt, 1962; Sheldon, Lewis and Tenney,
1969; Damon, 1970; Hunt, 1980). Physique is probably the single aspect of human
constitution that is most amenable to systematic study because it can be readily observed
(Sheldon, Stevens and Tucker, 1940; Sheldon, Dupertius and McDermott, 1954; Parnell,
1958; Heath and Carter, 1967; Carter and Heath, 1990). The development of physique
has central importance in the study of growth, maturation, and performance. The study of
performance variables, primarily in adults (Hunt, 1972, 1981; Malina, 1969; Malina et
al., 1997). However, the development of physique during childhood and adolescence, and
its relationships with other variables such as biologic maturity, performance, and
behavior, has been studied less extensively (Sheldon and Stevens, 1942; Sheldon, Hartl
and McDermott, 1949; Parnell, 1958; Sheldon, Lewis and Tenney, 1969; Malina and
Rarick, 1973). Relationships between components of physique and risk factors for
cardiovascular disease evident in adults are also apparent in children and adolescents
(Malina et al., 1997; Katzmarzyk et al., 1998), and relationships between physique and
performance are generally similar in youth and adults (Malina and Rarick, 1973; Malina,
1992). Data for young athletes in gymnastics and diving, for example, indicate that those
who are successful tend to have physiques that are similar to adult athletes in these sports
(Carter and Heath, 1990), which suggests that physique is a significant selective factor
Methods for the assessment of physique and their applicability to children and youth have
been described primarily within the context of the somatotype (Sheldon, Stevens and
Tucker, 1940; Sheldon, Dupertius and McDermott, 1954; Parnell, 1958; Barton and Hunt,
1962; Heath, 1963; Heath and Carter, 1967; Claessens et al., 1980; Carter and Heath,
given point in time (Ross and Marfell-Jones, 1991). Variation in somatotype among
children and adolescents is considerable (Tanner, 1953; Zuk, 1958; Hunt and Barton,
1959; Walker, 1962, 1978; Petersen, 1967; Tanner and Whitehouse, 1982) and the
adolescence have been described on the basis of observations from several cross-
sectional and longitudinal studies (Walker, 1962; Petersen 1967; Carter and Parizkova,
1978; Tanner and Whitehouse, 1982; Carter et al., 1997). Somatotype is a moderately
stable characteristic of the individual from late childhood on (Parizkova and Carter, 1976;
Claessens, Beunen and Simons, 1986; Hebbelinck, 1995). But the wide variation in
somatotype during adolescence is associated with individual differences in the timing and
The assessments of somatic (structural) growth and maturation during adolescence are
often considered within the context of the physical status (size attained at any point in
time) as well as the somatotype (physique or body-build attained at any point in time).
several of the more commonly used anthropometric indicators of somatic growth are
described. The protocols for specific measurements as well as the algorithms for
estimating of the somatotype for each individual child with the Heath-Carter
anthropometric protocol have been considered in Lohman et al. (1988), Carter and Heath
(1990), Norton and Olds (1996) and International Society for the Advancement of
Kinanthropometry (2001).
Normative data for African populations are not readily available at the present time
(Carter, 1996). A small number of studies from Southern Africa have examined stature
and weight in selected populations, as well as growth and development in children.
Tobias (1975) summarized adult stature from 123 samples and noted that there was no
secular trend. However, there was a reduced sexual dimorphism with respect to stature in
(1991, 1992) have been quite instructive for research in human growth and morphology
in sub-Saharan Africa. They make several relevant points that provide a background for
studies in growth and maturation biology. First, it was noted that human biologic
diversity in Africa today reflects the diversity of the continent’s many environments
rather than the variability inherent in its peoples, and that this adult diversity, while
having a major genetic component, is generally interpreted as being the result of the
features of the growth patterns of African children throughout the continent commonly
illustrated in many studies reflect the effects of malnutrition and disease that mask ‘the
underlying growth pattern’. Therefore our knowledge of the growth of African children is
based on data that are tainted by the adverse environment of Africa. Third, his studies of
Vaalwater and Ubombo children which compared them to USA norms for “Blacks”
which, whilst they start off at the age of five years somewhere near the 50th percentile,
their growth rate is slightly below normal so that by early adolescence, about the take-off
point in growth velocity, they are, on average, at or near the 3rd percentile” (Cameron
1992: 265).
More recent growth studies in Africa, with the a few exceptions (Cameron et al., 1998)
have been conducted within the context of investigation of nutritional status, performance
or physical activity of children (Monyeki, van Lanthe and Steyn, 1999; Monyeki et al.,
2001; Matsena, Monyeki and Toriola, 2002). These studies, including the examples cited
above, often create the, most probably, erroneous impression that only problems related
globalization over the last two decades has been substantial alteration in the lifestyle and
overweight and obesity readily visible among the adult population as well as children and
including overnutrition, have been investigated, somewhat vigorously, in the last 25 years
in Southern Africa (Walker et al., 1979; Walker et al., 1989; Walker, Walker and Manetsi,
1990; Cameron et al., 1992; Cameron and Getz, 1997; Monyeki, 1999; Monyeki,
Cameron and Getz, 2000; Monyeki, Steyn and Monyeki, 2002; Matsena et al., 2003).
maturation in Africa (Carter, 1996). With the exception of South Africa, the literature
biologic growth (Cameron et al., 1998; Kekana and Monyeki, 1998; Monyeki, 1999) and
maturation from Africa in general (Toriola, 1988; Cameron, 1991; Cameron and Getz,
1997). The Ellisras Longitudinal Study, commenced in the Ellisras rural community in
the Limpopo Province of South Africa in 1996 by the University of the North to examine
the physical growth patterns, nutritional status and socioeconomic indices of the rural
children, has received some international attention especially after the Vrije University,
Amsterdam, Netherlands, joined the project and included other lifestyle related
parameters such as blood pressure, 24-hour nutritional intake recall of children and oral
glucose tolerance test into the project (Monyeki, Cameron and Getz, 2000; Monyeki,
2000).
underutilized. Thus in Nigeria, the earliest efforts to have received international attention
are those of Akesode and Ajibode (1983) and Toriola and Igbokwe (1985). Other
significant reports such as Owa and Adejuyigbe (1997) in Ile- Ife, Osun State, Ansa et al.
(2001) in Calabar, Cross- River State, and a most recent effort by Eboh and Boye (2005),
in Abraka, in Delta State, are few and far between. The picture of the Nigerian situation
becomes even more desperate given a population estimate of more than 120 million
people projected for 2005. This estimate was derived from the official figure of 88
million declared at the 1991 population census and was based on a projected annual
growth/birth rate of 3.2 per cent (data source: www.prb.ng.org). Given also the variety in
physical topography of the country stretching to include at least four distinct climatic
regions (tropical rain forest in the deep South near her Atlantic coast, Sahel savannah
grasslands in the Middle-Belt regions, semi-arid climate in the far Northern reaches as
well as the near-temperate montane climatic conditions of the Jos/ Mambilla Plateaus and
the Adamawa/Obudu Highlands), it is simply amazing that there are hardly any scientific
equipment, data generated by interested workers in the field may have escaped the
attention of the international scientific community (Carter, 1996). Thus, the need to
commence studies on the growth and maturation of children in Nigeria has become
imperative.
THE RATIONALE
In a scientific paper titled Physical status: the use and interpretation of anthropometry.
Technical Report Series (1995), the abstract commences thus, “Anthropometry provides
the single most portable, universally applicable, inexpensive and non-invasive technique
for assessing the size, proportions, and composition of the human body. It reflects both
health and nutritional status and predicts performance, health and survival. As such, it is a
valuable, but currently underused, tool for guiding public health policy and clinical
decisions.”
Normative data for African populations are not readily available at the present time
(Carter, 1996). The profile of growth studies conducted in Nigeria is not very illustrious.
The earliest report of any related study was that of the prevalence of obesity among
Akesode and Ajibode (1983). Other reports are few and far between. Owa and
percentage, body mass index and mid-upper arm circumference taken by anthropometric
aged 5-15 years resident in Ile- Ife, also in Southwest Nigeria. A more recent report by
Ansa et al. (2001) examined the profile of body mass index and obesity in Nigerian
children and adolescents aged 6-18 years resident in Calabar. Furthermore, since the
pioneer efforts of Toriola and Igbokwe (1985) in determining the relationship between
perceived physique and somatotype characteristics of 10-18 year old boys and girls
resident in Iseyin in rural southwest Nigeria, the record of research about the body build
information regarding the physical status, body composition, physique as they relate to
The CDC Growth Charts developed for the American population has been norm-
reference data around the world primarily because of the exhaustive and comprehensive
methods used for its development, review and presentation. In several research analyses,
these data are often compared with data developed from other continents and countries
and results have consistently indicated that the American data does not adequately
describe other populations outside the United States in several different situations. This
has thus led to the recommendation that individual countries develop databases
childhood and adolescent growth developed for the teeming Nigerian population is a
Nigeria, a country located on the west coast of Africa with southern Atlantic coastline
extending around the Gulf of Guinea (8° 45N 8º 00E), its centre in the Sahel savannah, its
northernmost part reaching as far as the Sahara desert and with a human population
numerous and diverse ethnic nationalities whose fairly well defined socio-cultural habits
and life-styles have been established for many centuries. European colonization,
urbanization and modernization since the early 20th century, however, have caused huge
the rural population from its traditional and mainly agrarian lifestyle into quasi-industrial
townships and cities with the attendant evolution of ghettos and urban slums. This
massive overhauling of age-old social structures, values, privileges and lifestyles has
created new and often entirely different kinds of loci for physical and social interactions
through such places as the work, school and residential environment. Changes in job and
business opportunities across the various social strata appear to have resulted in a socio-
economic paradigm shift that could be defined in terms of new or westernized lifestyles.
Two major and direct consequences of this development have been the change in the
the genotypic and phenotypic disposition of children raised in such communities which
This process, that is, the dispersion of native genetic characteristics of ancient
genetic variability in Africa, apparently not limited to Nigeria but also occurring in
several other countries in the West African sub-region that have also experienced similar
patterns of western colonization. The review of the available literature suggests very
sub-region. In contrast, the use of anthropometry in the evaluation of similar trends has
been advanced and extensively reported in the literature, especially among the children of
other lands.
The city of Lagos, a sprawling metropolis and the commercial hub of Nigeria, with an
estimated population of over fifteen million inhabitants, is probably the most physically
and culturally intense entrêport into Africa. A natural harbor in the tropical rain forest
climatic zone, it lays on the Atlantic coast of West Africa (6° 27N 3° 25E) surrounded by
an intricate network of lagoons and inland waterways which extend westwards towards
the Republic of Benin and eastwards towards the Niger Delta to empty into the seaways
of five hundred years of socioeconomic interaction with the Portuguese and other
European and Mediterranean maritime traders, two hundred years as a major trans-
Atlantic slave trade seaport, a century of British colonization and the final destination of
more than one hundred years of intense rural-urban migration of people from native
Yoruba groups as well as non-native Nigerian ethnic nationalities, has transformed the
The profile of growth studies conducted in Nigeria is not illustrious. Majority norms of
body dimensions for adolescent children are not readily available at the present time.
There is inadequate information about biologic growth and maturation in children and
applicable, inexpensive and non-invasive technique for assessing the size, proportions,
and composition of the human body and reflects health and nutritional status, predicts
performance, health and survival, it is a currently underused tool for guiding public
It has been observed that human biologic diversity in Africa today reflects more the
diversity of the continent’s many environments rather than the variability inherent in its
peoples. This adult diversity, while having a major genetic component, is generally
countries. Further, a most striking feature of the growth patterns of African children
throughout the continent commonly illustrated in many studies reflect the effects of
malnutrition and disease that probably masked the underlying growth pattern. Therefore
much of what is currently known of the growth of African children is based on data that
Several studies published in central Europe have demonstrated the relationship between
work and the sociocultural lifestyle and the child’s physical development. Many of these
suggest that remarkable differences in body dimensions and maturity status may exist
In studying these aspects, research often considers factors that have been shown to reflect
the socio-economic status of the parents reliably. Previously employed indicators include
parental level of education, parental profession, family size, per-capita income, the grade
urbanization, the number of inhabitants living in the community, the level of health care
and access to medical services. Oftentimes, it has been difficult to authenticate the
reliability of the sources of the information being provided. It has, therefore, become
necessary to develop simpler and more readily-verifiable criteria for classifying the
being investigated that would eliminate the clumsiness so often encountered while
The socio-economic status of the family is commonly reflected in the type of school
attended by the children in the family. Economically advantaged families often prefer
fee-paying, private school to minimal fee- paying public school because the former tend
useful indicator of the socio-economic status and, therefore, a lifestyle variable that may
Since the pioneer efforts of Toriola and Igbokwe in 1985 in determining the relationship
between perceived physique and somatotype characteristics of 10-18 year old boys and
girls in rural southwest Nigeria, the record of research about the body build or physique is
scanty.
The overall aims of this study are to characterize and compare the somatotype
distribution and the physical growth patterns of adolescent children resident in urban
Lagos.
University of Lagos should take the credit for creating the enabling environment that has
made this study possible, with all the obvious immediate and long-term benefits that may
The results of this study may provide useful data for clinical decision-making as regards
the sizes, ratios and proportions specific to the Nigerian adolescent population. These
decisions may include the determination of appropriate age-related drug dosages and
nutritional requirements.
The identification of adult disease risk factors in this age group may improve prognosis
as a result of the early institution of intervention measures. This fact may be useful to
The results may also help manufacturers in the garments industry in the accurate
The results may further provide useful baseline data for sports and fitness coaches
interested in the physical characteristics of the adolescent youth for the purposes of talent
identification, the monitoring of the effect of training programmes and the scientific
Clinical and sport psychologists may find somatotyping useful in body-image analysis,
especially among adolescents with various kinds of psychological disorders arising from
their perception of the changes in their physical appearance associated with the different
Finally, the potential of this study to advance into a longitudinal study at the university,
city, state and nationwide levels with the possible consequence of a study comparable
with the Ellisras, Nijmegen, Harpenden, Fels and Harvard projects, needs to be explored.
In that likely eventuality, the cohort of this study should form the baseline or reference
adolescent Nigerian boys and girls attending both private and public secondary
adolescent Nigerian boys and girls attending both private and public secondary
Nigerian boys and girls attending both private and public secondary schools in
urban Lagos.
5. To determine the relative fatness in the two sample series under study.
6. To compare the data derived from our Lagos sample series with those derived
METHODOLOGY
THE SUBJECTS
The sample
subjects for this study were selected using a stratified, systematic, multistage and
randomized sampling technique to arrive at the final sample for the study. The Institute of
Child Health made available the list of all secondary schools (including all registered,
private and public) located in Lagos State. This list is serialized by local government area
and ward for quick identification. The Institute also provided the sampling frame used to
class lists before the sampling commenced. This enhanced the effective application of the
The sample consisted of 3499 volunteer males and females aged between 10-16 years
(age as at last birthday) drawn from a total of eight secondary schools. These consisted of
four private, school fee-paying schools representing the high and middle income class
and four public, non-school fee-paying schools representing the low income class. These
were private schools where a minimum of fifteen thousand naira (N15, 000.00) per term
was charged as tuition fees. All the schools were located in five local government areas in
metropolitan or urban Lagos including: - Surulere, Mushin, Lagos Mainland, Kosofe and
Ikeja. They were randomly selected from the total of twenty local government areas
approved for Lagos State in the 1999 Constitution of the Federal Republic of Nigeria.
Ethical Clearance
Ethical clearance to conduct this study was obtained prior to the commencement of
sampling and measurement in all the schools (see appendix). The study was collaboration
between the Department of Anatomy and the Institute of Child Health and Primary Care
of the College of Medicine of the University of Lagos, and carried out during the
Maternal and Child Health course for the 600-Level Bachelor of Medicine, Bachelor of
Surgery (MBBS) undergraduate degree programme. The project, therefore, enjoyed the
statutory consent of the University of Lagos (see appendix 2). However, necessary
written approvals had to be obtained (through the Institute of Child Health) from each of
the authorities at the Local Education Districts supervising the administration of the
selected public secondary schools. Written authorization was also obtained (again,
through the Institute) from the proprietors of the private schools after the due process had
Informed Consent
We sought and obtained informed consent from the subjects and their parents that
participated in the study. This was after the purpose and procedure of measurement had
acceptance to participate was received from them (see appendix 3). We ensured strict
compliance with local or institutional rules regarding consent for every individual
Exclusion Criteria
All the subjects were normally resident either in metropolitan Lagos or the suburbs of the
city. The sample included children from a multi-social and multi-religious mixture of
ethnic Nigerian parentage. Thirty-six percent of the children were from ethnically mixed
parentage. The ethnic groups represented included Yoruba, Ibo, Hausa-Fulani, Nupe,
Idoma, Tiv, Edo, Urhobo, Itsekiri, Ijaw, Ibibio/Efik, A small percentage (less than five
percent) were Nigerian children born of mixed- parentage whereby one parent was a
West-African national from Ghana, Togo, Benin Republic and Cameroun. Another small
percentage was Nigerian children born of mixed parentage whereby one parent was of
Caucasoid or Asiatic races (half-castes). Pure-breed Caucasian, African and Near East
Semitics (Arabs) and Far East Asian children were excluded from the study.
The acutely-ill and the physically challenged were excluded. Children on any form of
continuous medication or those with various types of poor health conditions or immune
disorders that manifest with signs of stunted growth or physical emaciation were
excluded. Excessively obese children were also excluded to avoid potentially excessive
errors and for whom exposure before other children might cause unnecessary
ANTHROPOMETRY
The study was conducted in two phases. The first phase (phase 1) involved the organizing
of a training programme to select and prepare the anthropometrists. The second phase
(phase 2) involved visits to the private and public secondary schools selected for the
measurements. This study was initiated in mid-January, 2005. Phase 1 and part of phase 2
first week of February 2005. The second part of phase 2 (measurement of children of
University of Lagos schools) had to await ethical clearance from the College of Medicine
Financial constraints precluded employing staff for data collection for anthropometry.
Data, therefore, was collected by the author with the assistance of one female ISAK-
certified anthropometrist and unpaid senior medical student volunteers. Two hundred and
the standard of level 1 Technician (ISAK, 2001). One hundred were found suitable and
then selected as measurers. The quality assurance person for the study conducted training
Quality control assurance by the certified anthropometrists was critical to the assessment
undertake reliability testing as part of their training and to achieve technical errors within
internationally accepted limits (Ross, 1984; Cameron, 1984; De Ridder, 1993; Carter et
al., 1994; Kekana and Monyeki, 1998). Subject selection was done at the various school
locations. Measurements were taken in carefully selected clean, well-lit and well-
ventilated rooms in the school premises. Measurements were taken in the morning hours
between 9.00 a.m. and 12.00 a.m. each day. Duplicate anthropometric measurements
were subsequently taken by both the certified anthropometrist (the author) and each
calculated. The measurements were taken using the flow diagram (steeplechase) format,
which allowed for quicker movements and fewer delays between measurement spots. The
measurer, an observer and a recorder manned each spot. The subject was required to
rotate through the steeplechase twice so that the measurer repeated each measurement
blind. This was to allow for the determination of the intra-observer (intra-class)
These measurements included: body mass, stature and sitting height; six skinfolds
including triceps, biceps, subscapular, supraspinale, front thigh and medial calf skinfolds;
five breadths including the biacromial (shoulder), biiliocristal (pelvic), humerus and
femur bone breadths and transverse chest breadth; four girths including the arm flexed
and tensed, medial calf, waist and the gluteal girth; foot length. A full description of each
DATA ANALYSIS
These measurements were used in combination and with the appropriate algorithms
(equations) to derive the ratios, proportions and indices usually utilized to determine the
adolescent males and females in the different study groups. A list of all algorithms used is
given in appendix 6.
Heath-Carter somatotypes were calculated to the nearest 0.1 for each component from
anthropometry using the algorithms in Carter and Heath (1990). Endomorphy was
calculated with a height correction. Somatotypes for all adolescents were plotted on
separate somatocharts according to chronological age and gender. The mean somatotypes
for each age category were then plotted on one somatochart. The frequencies and relative
were analyzed for differences between the dispersion (scatter) of somatotypes about their
mean in three dimensions using the somatotype attitudinal distance (SAD) to calculate
somatotypes (S1 –S2 –S3) were calculated using the procedures in Carter et al. (1983)
Distance curves were constructed for the following body structure indicators: 1) Stature,
2) Body mass, 3) Body mass index (BMI), 4) Sitting height and Leg length, 5)
Biacromial (shoulder) breadth and Biiliocristal (hip) breadth, 6) size attained for Arm and
Calf circumferences.
Distance curves were also constructed for body proportionality indicators including: 1)
biacromial width.
Body composition estimates were also determined and presented as tables of descriptive
statistics. Relative fatness was expressed as percent body fat (% fat), sum of four
skinfolds [∑4SF] and sum of six skinfolds [∑6SF]. Thereafter, fat mass (FM), fat-free
mass (FFM) and FFM per unit height for each child were derived using the appropriate
algorithms (see appendix 6). These estimates were then presented as distance curves
according to gender.
Statistical Analysis
Statistical analysis was performed using the SPSS 11.0 for Windows statistical software
Medicine of the University of Lagos. This package has been shown to be adequate for use
in the analysis of anthropometric data. The analyzed data was thereafter double-checked
for systematic and random errors by comparing the results with the same data analyzed
developed in the Department for the presentation of the descriptive statistics of all the
anthropometric parameters analyzed. Descriptive statistics for the children of both public
and private schools were calculated for the relevant variables for this study. One-way
analysis of variance (ANOVA) was computed for comparison among the boys and girls
of either category of schools. When F-ratios were significant (p<0.05), the post hoc
Scheffe test procedure was applied to determine which group means differed. Sub-group
means are ordered from low to high and presented from the left to the right in the post
hoc analysis. The groups sharing a common underline are not significantly different
variables were needed to predict (separate) the various groups of children. The
discriminatory power of the classification functions was established using the jack-knife
classification matrix. With the classification matrix the children were classified back into
their original groups and the percentage of children classified correctly into their original
RESULTS
10.6-11.5 147.5 (8.1) 143.7 (8.1) 152.0 (7.4) 143.6 (8.2) <5%
11.6-12.5 153.7 (8.4) 145.5 (7.1) 155.2 (7.5) 148.5 (7.9) <5%
12.6-13.5 158.3 (9.5) 149.6 (8.6) 158.8 (7.6) 153.3 (8.1) <5%
13.6-14.5 164.4 (9.4) 156.6 (9.0) 161.2 (7.8) 155.3 (6.6) <5%
14.6-15.5 171.2 (7.7) 162.9 (9.3) 164.4 (6.8) 155.6 (6.2) <5%
15.6-16.5 172.8 (8.2) 167.6 (8.0) 162.0 (6.0) 158.2 (5.3) <5%
school boys, PRG = Private school girls, PUG = Public school girls.
9.6-10.5 35.2 (7.8) 28.8 (4.1) 36.4 (9.2) 31.4 (6.1) <5%
10.6-11.5 39.3 (10.1) 33.8 (6.2) 44.6 (10.8) 33.8 (6.5) <5%
11.6-12.5 43.4 (12.3) 35.8 (7.8) 46.3 (9.5) 40.9 (9.0) <5%
12.6-13.5 46.8 (12.0) 37.8 (8.0) 49.8 (12.2) 43.8 (9.2) <5%
13.6-14.5 52.1 (11.7) 44.8 (8.2) 54.5 (11.7) 47.1 (7.9) <5%
14.6-15.5 58.2 (11.1) 51.8 (10.2) 57.2 (11.4) 46.3 (6.7) <5%
15.6-16.5 60.5 (10.5) 56.4 (8.7) 55.8 (10.0) 53.4 (7.0) <5%
SD = standard deviation, <5% = difference between the means is significant
at 5% level of random error, PRB = Private school boys, PUB = Public
school boys, PRG = Private school girls, PUG = Public school girls.
9.6-10.5 17.1 (2.9) 15.6 (3.6) 17.4 (3.0) 16.3 (2.2) <5%
10.6-11.5 17.9 (3.4) 16.2 (1.9) 19.1 (3.4) 16.2 (1.8) <5%
11.6-12.5 18.1 (3.9) 16.8 (2.8) 19.1 (3.0) 18.4 (3.2) <5%
12.6-13.5 18.5 (3.7) 16.7 (2.2) 19.6 (3.7) 18.5 (2.5) <5%
13.6-14.5 19.1 (2.9) 18.1 (2.1) 20.9 (3.6) 19.5 (2.8) <5%
14.6-15.5 19.7 (3.0) 19.3 (2.2) 21.0 (3.3) 19.1 (2.0) <5%
15.6-16.5 20.2 (3.0) 20.0 (2.2) 21.2 (3.6) 21.1 (3.1) <5%
C PARAMETERS
Age group (years) 9.6-10.5 10.6-11.5 11.6-12.5 12.6-13.5 13.6-14.5 14.6-15.5 15.6-16.5
School type PR PU PR PU PR PU PR PU PR PU PR PU PR PU
B B B B B B B B B B B B B B
Sample size 133 55 121 66 121 77 97 83 74 80 98 66 64 77
Stature (cm) 143. 135. 147. 143. 153. 145. 158. 149. 164. 156. 171. 162. 172. 167.
1 9 5 7 7 5 3 6 4 6 2 9 8 6
(7.3) (7.9) (8.1) (8.3) (8.4) (7.1) (9.5) (8.6) (9.4) (9.0) (7.7) (9.3) (8.2) (8.0)
Body mass (kg) 35.2 28.8 39.3 33.8 43.4 35.8 46.8 37.8 52.1 44.8 58.2 51.8 60.5 56.4
(7.8) (4.1) (10.1 (6.2) (12.3 (7.8) (12.0 (8.0) (11.7 (8.2) (11.1 (10.2 (10.5 (8.7)
) ) ) ) ) ) )
Body mass index 17.1 15.6 17.9 16.2 18.1 16.8 18.5 16.7 19.1 18.1 19.7 19.3 20.2 20.0
(2.9) (3.6) (3.4) (1.9) (3.9) (2.8) (3.7) (2.2) (2.9) (2.1) (3.0) (2.2) (3.0) (2.2)
(BMI)-kg/m2
Height-weight 44.0 44.7 43.8 44.6 44.2 44.4 44.3 44.8 44.3 44.3 44.4 43.9 44.2 43.9
(2.2) (1.6) (2.2) (1.8) (2.4) (2.0) (2.5) (1.2) (2.0) (1.7) (2.0) (1.4) (2.2) (1.6)
Ratio HWR
(Ponderal index)
Sum of 4 Skinfolds 34.8 21.5 36.4 25.0 38.7 23.8 42.3 23.8 49.2 25.6 50.9 24.7 49.5 24.7
(21.8 (1.0) (20.9 (11.0 (25.0 (8.9) (23.9 (7.4) (9.7) (2.4) (16.5 (6.3) (20.8 (5.4)
(Σ4SF)
) ) ) ) ) ) )
Percent body fat 29.2 24.8 29.9 25.7 29.2 26.0 30.4 25.3 29.2 25.6 28.3 25.6 28.8 25.6
(11.6 (1.0) (10.8 (2.9) (8.9) (8.7) (14.2 (1.7) (9.7) (2.4) (10.1 (1.4) (9.0) (1.3)
(% BF)
) ) ) )
Endomorphy 2.8 1.8 2.9 2.0 2.9 1.8 2.8 1.8 2.6 1.8 2.3 1.8 2.4 1.7
(1.6) (0.5) (1.7) (0.9) (1.7) (1.0) (1.6) (0.6) (1.3) (0.7) (1.0) (0.5) (1.3) (0.5)
Mesomorphy 3.8 3.4 3.9 3.4 3.8 3.6 4.2 3.6 4.8 3.6 4.7 3.8 4.6 3.6
(1.2) (1.1) (1.2) (1.0) (1.4) (1.2) (1.5) (1.1) (1.2) (1.2) (1.3) (1.1) (1.4) (1.2)
Ectomorphy 3.7 4.0 3.6 4.1 3.9 4.0 .4.0 4.3 3.9 3.9 4.0 3.6 3.8 3.5
(1.5) (1.2) (1.4) (1.3) (1.5 (1.3) (1.6) (1.3) (1.4) (1.3) (1.4) (1.0) (1.5) (1.2)
)
SD = standard deviation, <5% = difference between the means is significant
C PARAMETERS
Age group (years) 9.6-10.5 10.6-11.5 11.6-12.5 12.6-13.5 13.6-14.5 14.6-15.5 15.6-16.5
School type PR PU PR PU PR PU PR PU PR PU PR PU PR PU
G G G G G G G G G G G G G G
Sample size 64 63 69 56 68 55 57 55 53 88 64 57 62 74
Stature (cm) 143. 138. 152. 143. 155. 148. 158. 153. 161. 155. 164. 155. 162. 158.
7 6 0 6 2 5 8 3 2 3 4 6 0 2
(8.1) (8.5) (7.4) (8.2) (7.5) (7.9) (7.6) (8.1) (7.8) (6.6) (6.8) (6.2) (6.0) (5.3)
Body mass (kg) 36.4 31.4 44.6 33.8 46.3 40.9 49.8 43.8 54.5 47.1 57.2 46.3 55.8 53.4
(9.2) (6.1) (10.8 (6.5) (9.5) (9.0) (12.2 (9.2) (11.7 (7.9) (11.4 (6.7) (10.0 (7.0)
) ) ) ) )
Body mass index 17.4 16.3 19.1 16.2 19.1 18.4 19.6 18.5 20.9 19.5 21.0 19.1 21.2 21.1
(3.0) (2.2) (3.4) (1.8) (3.0) (3.2) (3.7) (2.5) (3.6) (2.8) (3.3) (2.0) (3.6) (3.4)
(BMI) - kg/m2
Height-weight- 43.8 44.2 43.3 44.7 43.5 43.5 43.6 43.8 42.8 43.2 43.0 43.5 42.6 42.2
(9.2) (2.2) (2.3) (1.6) $ (2.2) (2.3) (1.7) (2.2) (2.2) (2.0) (1.5) (2.4) (1.6)
Ratio HWR
(2.1)
(Ponderal index)
Sum of 4 Skinfolds 40.9 26.2 50.1 32.5 54.6 36.3 50.6 38.9 57.6 43.8 59.1 39.7 59.8 50.0
(17.4 (1.8) (20.0 (10.0 (18.7 (13.4 (17.6 (12.9 (18.6 (13.4 (17.8 (11.5 (26.1 (18.1
(Σ4SF)- mm
) ) ) ) ) ) ) ) ) ) ) ) )
Percent body fat 29.8 26.2 33.3 27.0 33.3 29.7 33.4 28.8 35.6 30.1 36.7 29.0 38.6 32.6
(6.8) (1.8) (9.4) (2.8) (7.5) (12.9 (10.2 (4.3) (10.5 (5.1) (10.3 (3.1) (17.4 (8.1)
(% BF)
) ) ) ) )
Endomorphy 3.3 2.4 4.0 2.6 4.1 3.0 3.9 3.0 4.3 3.3 4.6 3.1 4.4 3.7
(1.4) (0.7) (1.5) (0.8) (1.3) (1.3) (1.3) (1.0) (1.2) (1.1) (1.5) (0.9) (1.7) (1.2)
Mesomorphy 3.2 3.0 3.4 3.1 2.8 3.4 2.8 3.2 2.9 3.3 4.6 3.1 4.4 3.7
(1.1) (1.0) (1.3) (1.0) (1.2) (1.3) (1.5) (1.1) (1.4) (1.5) (1.5) (0.9) (1.7) (1.2)
Ectomorphy 3.5 3.8 3.2 4.1 3.3 3.3 3.4 3.5 2.8 3.1 3.0 3.2 2.8 2.4
(1.5) (1.5) (1.6) (1.2) (1.5 (1.5) (1.5) (1.1) (1.6) (1.5) (1.3) (1.1) (1.5) (1.0)
)
SD = standard deviation, <5% = difference between the means is
significant at 5% level of random error.
PRG = Private school girls, PUG = Public school girls.
Report of descriptive statistics for the study sample presented as mean (SD).
School type PR PU PR PU PR PU PR PU PR PU PR PU PR PU
G G G G G G G G G G G G G G
Sample size 64 63 69 56 68 55 57 55 53 88 64 57 62 74
Stature (cm) 143. 138. 152. 143. 155. 148. 158. 153. 161. 155. 164. 155. 162. 158.
7 6 0 6 2 5 8 3 2 3 4 6 0 2
(8.1) (8.5) (7.4) (8.2) (7.5) (7.9) (7.6) (8.1) (7.8) (6.6) (6.8) (6.2) (6.0) (5.3)
Body mass (kg) 36.4 31.4 44.6 33.8 46.3 40.9 49.8 43.8 54.5 47.1 57.2 46.3 55.8 53.4
(9.2) (6.1) (10.8 (6.5) (9.5) (9.0) (12.2 (9.2) (11.7 (7.9) (11.4 (6.7) (10.0 (7.0)
) ) ) ) )
Body mass index 17.4 16.3 19.1 16.2 19.1 18.4 19.6 18.5 20.9 19.5 21.0 19.1 21.2 21.1
(3.0) (2.2) (3.4) (1.8) (3.0) (3.2) (3.7) (2.5) (3.6) (2.8) (3.3) (2.0) (3.6) (3.4)
(BMI) - kg/m2
Height-weight- 43.8 44.2 43.3 44.7 43.5 43.5 43.6 43.8 42.8 43.2 43.0 43.5 42.6 42.2
(9.2) (2.2) (2.3) (1.6) $ (2.2) (2.3) (1.7) (2.2) (2.2) (2.0) (1.5) (2.4) (1.6)
Ratio HWR
(2.1)
(Ponderal index)
Sum of 4 Skinfolds 40.9 26.2 50.1 32.5 54.6 36.3 50.6 38.9 57.6 43.8 59.1 39.7 59.8 50.0
(17.4 (1.8) (20.0 (10.0 (18.7 (13.4 (17.6 (12.9 (18.6 (13.4 (17.8 (11.5 (26.1 (18.1
(Σ4SF)- mm
) ) ) ) ) ) ) ) ) ) ) ) )
Percent body fat 29.8 26.2 33.3 27.0 33.3 29.7 33.4 28.8 35.6 30.1 36.7 29.0 38.6 32.6
(6.8) (1.8) (9.4) (2.8) (7.5) (12.9 (10.2 (4.3) (10.5 (5.1) (10.3 (3.1) (17.4 (8.1)
(% BF)
) ) ) ) )
Endomorphy 3.3 2.4 4.0 2.6 4.1 3.0 3.9 3.0 4.3 3.3 4.6 3.1 4.4 3.7
(1.4) (0.7) (1.5) (0.8) (1.3) (1.3) (1.3) (1.0) (1.2) (1.1) (1.5) (0.9) (1.7) (1.2)
Mesomorphy 3.2 3.0 3.4 3.1 2.8 3.4 2.8 3.2 2.9 3.3 4.6 3.1 4.4 3.7
(1.1) (1.0) (1.3) (1.0) (1.2) (1.3) (1.5) (1.1) (1.4) (1.5) (1.5) (0.9) (1.7) (1.2)
Ectomorphy 3.5 3.8 3.2 4.1 3.3 3.3 3.4 3.5 2.8 3.1 3.0 3.2 2.8 2.4
(1.5) (1.5) (1.6) (1.2) (1.5 (1.5) (1.5) (1.1) (1.6) (1.5) (1.3) (1.1) (1.5) (1.0)
)
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