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A collaborative, mixed-methods evaluation of a low-cost, handheld 3D imaging system for child anthropometry.

Published on Apr 1, 2019in Maternal and Child Nutrition3.305
· DOI :10.1111/MCN.12686
Joel Conkle4
Estimated H-index: 4
(Emory University),
Kate Keirsey1
Estimated H-index: 1
(Emory University)
+ 4 AuthorsReynaldo Martorell78
Estimated H-index: 78
(Emory University)
Abstract
: 3D imaging for body measurements is regularly used for design of garments and ergonomic products. The development of low-cost 3D scanners provided an opportunity to extend the use of 3D imaging to the health sector. We developed and tested the AutoAnthro System, the first mobile, low-cost, full-body, 3D imaging system designed specifically for child anthropometry. This study evaluated the efficiency, invasiveness, and user experience of the AutoAnthro System. We used a mixed-methods, collaborative approach that included a quantitative time-motion study and qualitative interviews of anthropometrists. For cooperative children, anthropometrists considered the use of 3D imaging an easy, "streamlined experience," but with uncooperative children, anthropometrists reported that capturing a good quality scan was out of their control. The mean time to complete a full set of scans was 68 s (standard deviation [SD] 29), compared with 135 s (SD 22) for a set of manual measurements (stature, head circumference, and arm circumference). We observed that crying was more common during manual measurement, and anthropometrist interviews confirmed that 3D imaging was less stressful for children than manual measurement. In a previous publication, we showed the potential of 3D imaging to produce reliable and accurate measurements. In this study, we found that anthropometrists were not ready to abandon manual equipment for 3D scanners because of difficulty in measuring uncooperative children. Revising the AutoAnthro System to address anthropometrists' concerns on capturing good quality scans of uncooperative children should help to facilitate widespread use of 3D imaging for child anthropometry.
  • References (29)
  • Citations (2)
References29
Newest
#1Joel ConkleH-Index: 4
Last. Reynaldo MartorellH-Index: 54
view all 6 authors...
: The usefulness of anthropometry to define childhood malnutrition is undermined by poor measurement quality, which led to calls for new measurement approaches. We evaluated the ability of a 3D imaging system to correctly measure child stature (length or height), head circumference and arm circumference. In 2016-7 we recruited and measured children at 20 facilities in and around metro Atlanta, Georgia, USA; including at daycare, higher education, religious, and medical facilities. We selected re...
4 CitationsSource
#1Joel Conkle (Emory University)H-Index: 4
#2Usha Ramakrishnan (Emory University)H-Index: 41
Last. Reynaldo Martorell (Emory University)H-Index: 54
view all 5 authors...
Anthropometric data collected in clinics and surveys are often inaccurate and unreliable due to measurement error. The Body Imaging for Nutritional Assessment Study (BINA) evaluated the ability of 3D imaging to correctly measure stature, head circumference (HC) and arm circumference (MUAC) for children under five years of age. This paper describes the protocol for and the quality of manual anthropometric measurements in BINA, a study conducted in 2016–17 in Atlanta, USA. Quality was evaluated by...
7 CitationsSource
#1Carolin AdlerH-Index: 3
#1Carolin Adler (MDC: Max Delbrück Center for Molecular Medicine)H-Index: 1
Last. Tobias Pischon (MDC: Max Delbrück Center for Molecular Medicine)H-Index: 69
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OBJECTIVE: Three-dimensional photonic body surface scanners (3DPS) feature a tool to estimate total body volume (BV) from 3D images of the human body, from which the relative body fat mass (%BF) can be calculated. However, information on validity and reliability of these measurements for application in epidemiological studies is limited. METHODS: Validity was assessed among 32 participants (men, 50%) aged 20-58 years. BV and %BF were assessed using a 3DPS (VitusSmart XXL) and air displacement pl...
10 CitationsSource
#1Daniel J. Corsi (Harvard University)H-Index: 22
#2Jessica M. Perkins (Harvard University)H-Index: 17
Last. S. V. Subramanian (Harvard University)H-Index: 63
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ABSTRACTBackground: There has been limited work comparing survey characteristics and assessing the quality of child anthropometric data from population-based surveys.Objective: To investigate survey characteristics and indicators of quality of anthropometric data in children aged 0–59 months from 23 countries in the West Central Africa region.Methods: Using established methodologies and criteria to examine child age, sex, height, and weight, we conducted a comprehensive assessment and scoring of...
13 CitationsSource
#1Jung Yong Kim (Hanyang University)H-Index: 1
#2Jae Woo You (Kangnam University)H-Index: 1
Last. Mi Sook Kim (Kyung Hee University)H-Index: 1
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AbstractConsidering the many emerging markets in East Asia, access to contemporary anthropometric data for this region is important for designers and manufacturers seeking to produce the best fitting products and living environments for consumers. The purpose of this paper is to describe Korean anthropometric data collection and survey techniques for those who are interested in ethnic characteristics, conducting surveys, and formulating ergonomic product designs for South Korean and, more broadl...
8 CitationsSource
#1Andreas Kuehnapfel (Leipzig University)H-Index: 3
#2Peter Ahnert (Leipzig University)H-Index: 20
Last. Markus Scholz (Leipzig University)H-Index: 35
view all 4 authors...
Purpose Body surface area is a physiological quantity relevant for many medical applications. In clinical practice, it is determined by empirical formulae. 3D laser-based anthropometry provides an easy and effective way to measure body surface area but is not ubiquitously available. We used data from laser-based anthropometry from a population-based study to assess validity of published and commonly used empirical formulae.
9 CitationsSource
#1Henry Löffler-Wirth (Leipzig University)H-Index: 8
#2Edith Willscher (Leipzig University)H-Index: 9
Last. Hans Binder (Leipzig University)H-Index: 37
view all 7 authors...
Three-dimensional (3D) whole body scanners are increasingly used as precise measuring tools for the rapid quantification of anthropometric measures in epidemiological studies. We analyzed 3D whole body scanning data of nearly 10,000 participants of a cohort collected from the adult population of Leipzig, one of the largest cities in Eastern Germany. We present a novel approach for the systematic analysis of this data which aims at identifying distinguishable clusters of body shapes called body t...
23 CitationsSource
#1Lyn M. Shulha (Queen's University)H-Index: 12
#2Elizabeth Whitmore (Carleton University)H-Index: 7
Last. Hind Al Hudib (U of O: University of Ottawa)H-Index: 2
view all 5 authors...
This article introduces a set of evidence-based principles to guide evaluation practice in contexts where evaluation knowledge is collaboratively produced by evaluators and stakeholders. The data from this study evolved in four phases: two pilot phases exploring the desirability of developing a set of principles; an online questionnaire survey that drew on the expertise of 320 practicing evaluators to identify dimensions, factors or characteristics that enhance or impede success in collaborative...
21 CitationsSource
#1Andreas Kuehnapfel (Leipzig University)H-Index: 3
#2Peter Ahnert (Leipzig University)H-Index: 20
Last. Markus Scholz (Leipzig University)H-Index: 35
view all 5 authors...
Anthropometric quantities are widely used in epidemiologic research as possible confounders, risk factors, or outcomes. 3D laser-based body scans (BS) allow evaluation of dozens of quantities in short time with minimal physical contact between observers and probands. The aim of this study was to compare BS with classical manual anthropometric (CA) assessments with respect to feasibility, reliability, and validity. We performed a study on 108 individuals with multiple measurements of BS and CA to...
25 CitationsSource
#1Lina JaeschkeH-Index: 9
#2Astrid SteinbrecherH-Index: 16
Last. Tobias PischonH-Index: 69
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Objective: Body surface scanners (BS), which visualize a 3D image of the human body, facilitate the computation of numerous body measures, including height, waist circumference (WC) and hip circumference (HC). However, limited information is available regarding validity and reliability of these automated measurements (AM) and their correlation with parameters of the Metabolic Syndrome (MetS) compared to traditional manual measurements (MM). Methods: As part of a cross-sectional feasibility study...
24 CitationsSource
Cited By2
Newest
#1Lyè Goto (TU Delft: Delft University of Technology)H-Index: 3
#2Wonsup Lee (Handong Global University)H-Index: 7
Last. Richard H. M. Goossens (TU Delft: Delft University of Technology)H-Index: 24
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3D anthropometry has created a significant opportunity for designers to improve fit by offering detailed information regarding the shape of the human body. Various researchers have shown the benefit of using 3D anthropometric data in the development or evaluation of head related products for adults. However, detailed 3D anthropometric data of children heads and faces is still lacking. This paper presents up to date descriptive statistics of detailed measurements made of heads and faces of Dutch ...
2 CitationsSource
#1Joel Conkle (Emory University)H-Index: 4
#2Reynaldo Martorell (Emory University)H-Index: 54
: The continued use of basic, manual anthropometric tools (e.g., boards and tapes) leaves anthropometry susceptible to human error. A potential solution, 3-dimensional (3D) imaging systems for anthropometry, has been around since the 1950s. In the 1980s, 3D imaging technology advanced from photographs to the use of lasers for body digitization; and by the 2000s, the falling price of 3D scanners made commercial application feasible. The garment sector quickly adopted imaging technology for survey...
1 CitationsSource