Anthropometric measurements for detecting low birth weight

  • Kusharisupeni Kusharisupeni Department of Public Health Nutrition, Faculty of Public Health, 2nd Floor of F Building, University of lndonesia
  • Wahyu Kumia Y. Putra Department of Public Health Nutrition, Faculty of Public Health, 2nd Floor of F Building, University of lndonesia
  • Engkus Kusdinar Achmad Department of Public Health Nutrition, Faculty of Public Health, 2nd Floor of F Building, University of lndonesia
Keywords: calf circumference, birth weight, surrogate, anthropometric measurements


Background In several provinces of Eastern Indonesia, the
majority of births take place at home (60%) and are assisted by
traditional birth attendants. Most of these newborns do not have
their birth weight recorded, due to lack of available weighing scales
or lack of skill to perform the measurement, especially in rural
areas. As such, an early iden tification oflow birth weight cases is
needed to prevent infan t morbidity and mortality.
Objective To assess anthropometric measurements including calf,
chest, and h ead circumferences as a method of choice for detecting
low birth weight, as substitute for actual weighing.
Methods This cross-sectional study was performed at Banjar
Barn, South Kalimantan, Indonesia, from January to March 2012.
Subjects were full term, singleton, and live-born infants during
the study period, and obtained from private clinics by a purposive
sampling procedure. Calf, chest, and h ead circumferences were
measured to identify the most suitable substitute for birth weight
using Pearson's correlation, ROC, sensitivity, and specificity.
Results In this study, a correlation was shown between birth
weight and all anthropometric measurements. Optimal calf,
chest, and head circumference cutoff points to identify low birth
weight infants were 10.3 cm, 30. 7 cm, and 3 1.2 cm, respectively.
The area under the curves (AUC) showed good accuracy for all
measuremen t types. Calf circumference had the closest estimated
true prevalence to the true prevalence (8.52% and 8.6%, respectively)
compared to the other measurement types.
Conclusion Calf circumference is the most suitable measurement
as a substitute for birth weight, due to its estimated true


1. Kementerian Kesehatan Republik Indonesia. Laporan Hasil
Riset Kesehatan Dasar (RISKESDAS) Indonesia. Jakarta:
Kemenkes RI; 2007. p. 97.
2. Screeramareddy CT, Chuni N, Padil N, Singh D, Shakiya
B. Anthropometric surrogate to ident ify low birth weight
Nepalese newborns: a hospital-based study. BMC Pediatrics.
3. Negar S, Hamideh S, Farnoosh R, Ramin J, Barakat, MG. Anthropometric measurements at birth as
predictor of Low Birth Weight. Health. 2011;3:752-6.
4. NeelaJ, Raman L, Balakrishna N, Rao KV. Usefullness of Calf Circumference as a measure for
screening low birth weight infants. Indian Paediatrics. 1991;28:881-4.
5. Ariawan I. Uji Hipotesis Koefisien Korelasi. Modul Besar
dan Metode Sampel pada Penelitian Kesehatan. Depok: Jurusan Biostatistik dan Kependudukan, Fakultas
Kesehatan Masyarakat Universitas Indonesia; 1998. p. 59.
6 Sama[ GC, Swain AK. Calf circumference as an alternative to birth weight for identification
oflow birth weight babies. Indian Paediatrics. 2001;38:275-7.
7 Park SH, GooJM, Jo CH. Receiver Operating Characteristic (ROC) Curve: Practical Review for
Radiologists. Korean Journal of Radiology. 2004;5:ll-8.
8 Lalkhen AG, McCluskey A Clinical Tests: sensitivity and
specificity. Critical Care & Pain Journal. 2008;8:221-3.
9 Nyari T, Cseh I, Woodward M, Szcollosi J, Bak M, Deak J. Screening for human papillomavirus in
asymptomatic woman in Hungary. Human Reproduction. 2001;16:2235-7.
10 Nur M, Azis, N. Tjipta GD, Aldy D. Correlation between several anthropometric measurements to
birth weight. Paediatrica Indonesiana. 2001;41:288-91.
11 Kusharisupeni , Marlenywati. Lingkar betis, satu pengukuran
antropometri sederhana pengganti berat lahir. Jurnal Kesehatan Masyarakat. 2011;5:81-4.
12 Putra WKY. Pengukuran antropometri pengganti berat lahir untuk mendeteksi kasus BBLR di Kota
Pontianak dan Kabupaten Kubu Raya [tesis]. Fakultas Kesehatan Masyarakat: Universitas Indonesia;
13 World Health Organization. Multi Center studies on lowbirth weight and infant mortality in
India, Nepal and Sri Lanka. New Delhi: Southeast Asia Regional Office, World Health Organization;
1994. p. 78
How to Cite
Kusharisupeni K, Putra W, Achmad E. Anthropometric measurements for detecting low birth weight. PI [Internet]. 30Jun.2013 [cited 30Nov.2023];53(3):177-0. Available from:
Received 2016-08-21
Accepted 2016-08-21
Published 2013-06-30