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Points to Remember
Take all measurements on the right side of the body.
Advise the subject to use the restroom before beginning.
Measurements should not be taken on broken, damaged or unhealthy skin.
Do not use skinfold measurements on obese individuals. It is best to take
their initial measurements using the circumference methods.
Wash your hands and clean the caliper ends with alcohol pads before and
after the reading.
Do not take measurements after physical activity or when your subject is
overheated. The added fluid under the skin may increase skinfold thickness.
To grab the skinfolds easily and correctly, make sure that the subjects skin
is dry and lotion free.
Always use the same caliper, same formula and take the readings at the
same time of day, for consistent monitoring of composition changes.
Avoid measuring women during the menstrual cycle when there is
significant or noticeable weight gain.
If available, check the accuracy of your caliper with a calibration block
regularly.
Experience is necessary to consistently grasp the correct size skinfold in the
correct location. Practice until you get consistent results.
MALE
Chest
A DIAGONAL fold taken halfway between the nipple and the front
of the underarm crease (anterior axillary line). The fold should be
parallel to the edge of the pectoral muscle. Note: The anterior
axillary line is the crease where the top of the arm meets the chest.
Site Location
Site Reading
Bicep
A VERTICAL fold taken on the front of the upper arm, halfway
between the shoulder and elbow joint, directly over the belly of the
bicep muscle.
Site Location
Site Reading
Midaxila
A HORIZONTAL fold on the midaxillary line (below the armpit),
level with the bottom of the sternum or breastbone.
Site Location
Site Reading
Site Location
Site Reading
Site Location
Site Reading
Site Location
Site Reading
Thigh
A VERTICAL fold taken in the middle of the thigh, halfway between
the top of the thigh and the knee cap.
Site Location
Site Reading
To find the middle the thigh, have the subject flex the right
thigh to find the top, then use a tape measure to measure
from the top of the thigh to the top of the knee.
When taking the reading, the leg should be straight and
relaxed.
Make sure the subject stands with their weight supported on
the opposite leg.
Technical Description: A vertical fold on the anterior midline
of the thigh, midway between the proximal border of the
patella and the inguinal crease.
Subscapular
A DIAGONAL fold taken 1-2 cm (3/4 to 1.5) below the shoulder
blade (scapula), following the natural angle of the shoulder blade.
Site Location
Site Reading
Tricep
A VERTICAL fold taken on the back of the upper arm, halfway
between the shoulder and elbow joint, directly over the tricep.
Site Location
Site Reading
Lower Back
A HORIZONTAL fold about 2 inches to the right of the spine,
directly over the kidney. The site should be about 1 above the level
of the umbilicus.
Site Location
Site Reading
Calf
A VERTICAL fold taken on the inside of the lower leg at the level of
maximum calf width.
Site Location
Site Reading
FEMALE
Chest
A DIAGONAL fold taken halfway between the nipple and the front
of the underarm crease (anterior axillary line). The fold should be
parallel to the edge of the pectoral muscle. Note: The anterior
axillary line is the crease where the top of the arm meets the chest.
Site Location
Bicep
Site Reading
Site Location
Site Reading
Midaxila
A HORIZONTAL fold on the midaxillary line (below the armpit),
level with the bottom of the sternum or breastbone.
Site Location
Site Reading
Site Location
Site Reading
Site Location
Site Reading
Site Location
Site Reading
To find the middle the thigh, have the subject flex the right
thigh to find the top, then use a tape measure to measure
from the top of the thigh to the top of the knee.
When taking the reading, the leg should be straight and
relaxed.
Make sure the subject stands with their weight supported on
the opposite leg.
Subscapular
A DIAGONAL fold taken 1-2 cm (3/4 to 1.5) below the shoulder
blade (scapula), following the natural angle of the shoulder blade.
Site Location
Site Reading
Tricep
A VERTICAL fold taken on the back of the upper arm, halfway
between the shoulder and elbow joint, directly over the tricep.
Site Location
Site Reading
Lower Back
A HORIZONTAL fold about 2 inches to the right of the spine,
directly over the kidney. The site should be about 1 above the level
of the umbilicus.
Site Location
Site Reading
Calf
A VERTICAL fold taken on the inside of the lower leg at the level of
maximum calf width.
Site Location
Site Reading
Circumferences
How to Take Tape Measurements
1. Subject should stand relaxed, with feet together and the arms at the sides.
2. Identify the measurement site.
3. Holding the beginning of the tape measure (the zero end) with your left
hand, wrap the tape around the subject and grasp the other end in your right
hand.
4. Next, position your left hand slightly below the other end of the tape that is in
your right hand.
5. Check to make sure that the tape is level and horizontal all the way around
the measurement area. An unlevel tape will give an incorrect reading.
6. Pull the tape snugly to reduce the slack, but not too tightly. You should not
cause an indentation in the skin. Too much tension will give an incorrect
reading.
7. Record the measurement to the nearest 1/16 of an inch, or the nearest
millimeter.
8. Take 2 measurements at each site. If they differ greatly, re-measure until
you obtain a similar reading.
Points to Remember
Advise the subject to use the restroom before beginning.
Always make sure to keep the tape parallel to the floor for all
measurements. It may be necessary to have an assistant check around the
subject to make sure the tape is horizontal.
Women may give incorrect circumference readings during menstruation due
to additional water retention.
MALE
Waist
Hips
While standing relaxed,
measure horizontally around
the largest part of the hips
and buttocks.
The subject can wear loose
fitting shorts, swimwear or
lycra.
Neck
Measure horizontally, just
below the Adams apple.
It may be necessary to slope
the tape downward slightly in
the front to bypass the
Adams apple.
Abdomen
With a relaxed stomach,
measure horizontally around
the torso at its widest
circumference. This is
typically at the level of the
navel (umbilicus).
Take the measurement as
the subject exhales. No
clothing should cover the
measuring site.
Chest
Standing relaxed, measure
horizontally, around the
largest part of the chest.
No clothing should cover the
measuring site. The subject
can wear loose fitting tshirts, or swimwear.
Upper Arm
Standing with arms relaxed,
measure the upper arm
horizontally at the mid-point
between the top of the
shoulder and the elbow.
No clothing should cover the
measuring site.
Calf
While standing relaxed, with legs
slightly apart, measure horizontally
around the widest part of the calf.
No clothing should cover the
measuring site.
Thigh
While standing relaxed with legs
slightly apart, measure horizontally at
the widest part of the thigh. This will
typically be halfway down the thigh.
No clothing should cover the
measuring site.
FEMALE
Waist
With a relaxed abdomen
(stomach), measure around the
narrowest part of the torso. This
is usually at the level just below
the bottom of the rib cage and
above navel (umbilicus).
Take the measurement as the
subject exhales. No clothing
Hips
While standing relaxed,
measure horizontally around
the largest part of the hips
and buttocks.
The subject can wear loose
fitting shorts, swimwear or
lycra.
Neck
Measure horizontally, just below
the Adams apple.
It may be necessary to slope the
tape downward slightly in the
front to bypass the Adams apple.
Abdomen
With a relaxed stomach,
measure horizontally around
the torso at its widest
circumference. This is typically
at the level of the navel
(umbilicus).
Take the measurement as the
Chest
Standing relaxed, measure
horizontally, around the largest
part of the chest.
No clothing should cover the
measuring site. The subject can
wear loose fitting t-shirts, or
swimwear.
Upper Arm
Standing with arms relaxed, measure
the upper arm horizontally at the midpoint between the top of the shoulder
and the elbow.
No clothing should cover the measuring
site.
Calf
While standing relaxed, with legs
slightly apart, measure horizontally
around the widest part of the calf.
No clothing should cover the
measuring site.
Thigh
While standing relaxed with legs
slightly apart, measure horizontally at
the widest part of the thigh. This will
typically be halfway down the thigh.
No clothing should cover the
measuring site.
FORMULES
Durnin & Womersley 4-Site, Male
a. Body Density = 1.1714 (0.063*log S) - 0.000406*Age
b. Bodyfat % = (495/Body Density) - 450
1. Bicep: A VERTICAL fold taken on the
front of the upper arm, halfway between
the shoulder and elbow joint, directly
over the belly of the bicep muscle.
2. Suprailiac: A DIAGONAL fold just above,
and in front of the hip bone (Iliac crest).
The fold will follow the natural 45-degree
angle of the hip bone.
3. Subscapular: A DIAGONAL fold taken 12 cm (3/4 to 1.5) below the shoulder
blade (scapula), following the natural
angle of the shoulder blade.
4. Tricep: A VERTICAL fold taken on the
back of the upper arm, halfway between
the shoulder and elbow joint, directly
over the tricep.
5. Age: In years.
Reference:
1. Durnin J.V.G.A. and J. Womersley, 1974. Body fat assessed from total body density and its
estimation from Skinfold Thickness. Measurement on 381 men and women aged 16 to 72
years. British Journal of Nutrition, 32(1), 77-92.
2. Siri, A.W. Body composition from fluid spaces and density: Analysis of methods. In:
Techniques for measuring body composition, J. Brozek and A. Hanschels, ed. National
Academy of Science, National Research Council, Washington, DC, pp. 223-244. 1961.
Reference:
1. A.S. Jackson and M.L. Pollock. Generalized equations for predicting body density of men.
British Journal of Nutrition, 40(3):497-504, Nov 1978.
2. Siri, A.W. Body composition from fluid spaces and density: Analysis of methods. In:
Techniques for measuring body composition, J. Brozek and A. Hanschels, ed. National
Academy of Science, National Research Council, Washington, DC, pp. 223-244. 1961.
Reference:
1. Practical assessment of body composition. Jackson, A.S., Pollock, M.L. The Physician and
Sportsmedicine, 13:76-90, 1985.
Reference:
1. A.S. Jackson and M.L. Pollock. Generalized equations for predicting body density of men.
British Journal of Nutrition, 40(3):497-504, Nov 1978.
2. Siri, A.W. Body composition from fluid spaces and density: Analysis of methods. In:
Techniques for measuring body composition, J. Brozek and A. Hanschels, ed. National
Academy of Science, National Research Council, Washington, DC, pp. 223-244. 1961.
Reference:
1. Measurement of cardiorespiratory fitness and body composition in the clinical setting. M.L.
Pollock, D.H. Schmidt, and A.S. Jackson. Comprehensive Therapy, 6:12-27, 1980.
2. Siri, A.W. Body composition from fluid spaces and density: Analysis of methods. In:
Techniques for measuring body composition, J. Brozek and A. Hanschels, ed. National
Academy of Science, National Research Council, Washington, DC, pp. 223-244. 1961.
Reference:
1. J. Parrillo and M. Greenwood-Robinson. High-performance bodybuilding. Berkeley
Publishing Group, NY, 169-172.
Reference:
1. Skinfolds and body density and their relation to body fatness: A review. T.G. Lohman.
Human Biology, 53(2):181-225, May 1981.
2. Siri, A.W. Body composition from fluid spaces and density: Analysis of methods. In:
Techniques for measuring body composition, J. Brozek and A. Hanschels, ed. National
Academy of Science, National Research Council, Washington, DC, pp. 223-244. 1961.
Reference:
1. The anthropometric estimation of body density and lean body weight of male athletes. H.L.
Forsyth & W.E. Sinning. Medicine and Science in Sports, 5(3):174-180, 1973.
2. Siri, A.W. Body composition from fluid spaces and density: Analysis of methods. In:
Techniques for measuring body composition, J. Brozek and A. Hanschels, ed. National
Academy of Science, National Research Council, Washington, DC, pp. 223-244. 1961.
Reference:
1. Estimation of body fat in young men. A.W. Sloan. Journal of Applied Physiology,
23(3),:311-315, Sep 1967.
2. Siri, A.W. Body composition from fluid spaces and density: Analysis of methods. In:
Techniques for measuring body composition, J. Brozek and A. Hanschels, ed. National
Academy of Science, National Research Council, Washington, DC, pp. 223-244. 1961.
Reference:
1. Estimation of body fat in young men. A.W. Sloan. Journal of Applied Physiology,
23(3):311-315, Sept 1967.
Reference:
1. Estimation of body fat from skinfold thickness in middle-aged and older men and women:
A multiple-component approach. Williams, D.T., Going, S.B., Lohman, T.G., Hewitt M.J.,
& Haber A.E. American Journal of Human Biology, 4:595-605, May 1992.
a.
b.
If the sum of triceps and subscapular measurements are >35, however, the following equations are
suggested:
a.
(0.783 * S) 1.6
b. (0.546 * S) + 9.7
Reference:
1. Skinfold equations for estimation of body fatness in children and youth. Slaughter, M.H.,
Lohman, T.G., Boileau, R.A., Horswill, C.A., Stillman, R.J., Van Loan, M.D., & Bemben
D.A. Human Biology, 60:709-723, 1988.
YMCA, Male
Reference:
1. YMCA guide to physical assessment.
Reference:
1. Practical assessment of body composition in adult obese males. Weltman, A., Seip, R.L., &
Tran, Z.V. Human Biology, 59:523-535, 1987.
US Navy, Male
Reference:
1. Prediction of percent body fat for U.S. navy men and women from body circumferences and
height. Hodgdon, J. and Beckett, M. Naval Health Research Center, San Diego, California.
Reports No. 84-29 and 84-11, 1984.