Upper Lower Segment Ratio Comparison between Obese and Normal Children Aged 7 to 10 Years Old

Muhammad Zulfikar Azhar, R.M. Ryadi Fadil, Edhyana K. Sahiratmadja


Background: Upper lower segment ratio is an anthropometric measurement that often used to detect the presence of abnormal growth. Growth is affected by many factor, one of them is nutrional status. Obesity prevalence in Indonesian children increases annually. These children show an accelerated growth in pre-puberty compared to normal children in their age. This study aimed to analyze the difference in upper lower segment ratio between obese and normal children aged 7 to 10 years old.

Methods: A cross sectional study was carried out in children aged 7 to 10 years old in three Elemantary School in Bandung during September–October 2013. Height and weight were measured to calculate body mass index (BMI) score and were grouped into obese (BMI >95th percentile) and normal (BMI 10th–85th percentile). The upper lower segment ratio was compared between obese and normal children and the level of the significant difference were analyzed by unpaired T-test.

Results: From a total of 200 children recruited, 90 were obese and 110 were normal. There was no significant difference between upper lower segment ratio in obese and normal children (p=0.603) with mean ratio 1.137 and 1.142 respectively. The mean of upper lower segment ratio in obese boys was higher than normal boys (mean ratio 1.15 and 1.14 respectively), but obese girls had a lower ratio compared to normal girls (mean ratio 1.12 and 1.14 respectively).

Conclusions: There is no difference between upper lower segment ratio in obese and normal children aged 7 to 10 years old. [AMJ.2016;3(1):147–51]


DOI: 10.15850/amj.v3n1.721


Children, obesity, upper lower segment ratio

Full Text:



Hall JG, Allanson J. Handbook of physical measurements. New York: Oxford University Press; 2006.

Behrman RE, Kliegeman RM, Jenson HB. Nelson textbook of pediatrics. 18th ed. Philadelphia: Elsevier Science Health Science Division; 2007.

Hellerstein MK, Park EJ. Obesity & overweight. Greenspan's Basic & Clinical Endocrinology. 8th ed. San Francisco: McGraw-Hill Medical; 2007. p. 796–7.

World Health Organization. Obesity and overweight. 2013. [cited 2013 March 15th]. Available from: http://www.who.int/mediacentre/factsheets/fs311/en/.

Onis Md, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010;92:1257–64.

Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan Republik Indonesia. Laporan nasional riset kesehatan dasar 2010. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Depatremen Kesehatan Republik Indonesia; 2010.

Lailani D, Hakimi. Pertumbuhan fisik anak obesitas. Sari Pediatri. 2003;5(3):99–102.

De Leonibus C, Marcovecchio ML, Chiarelli F. Update on statural growth and pubertal development in obese children. Pediatri Rep 2012. 2012;6(4):e35.

Turan S, Bereket A, Omar A. Upper segment/lower segment ratio and armspan–height difference in healthy Turkish children. Acta Pediatrica. 2005;94:407–13.

Nwosu BU, Lee MM. Evaluation of short and tall stature in children. Am Fam Physician. 2008;78(5):597–604.

Diaku-Akinwuni IN, Akodu SO, Njokanma OF. Upper body segment to lower body segment and arm span to height ratios among children with sickle cell anaemia in Lagos. Niger J Paed. 2013;40(3):222–6.

Fredriks AM, Buuren Sv. Nationwide age references for sitting height, leg length, and sitting height/height ratio, and their diagnostic value for disproportionate growth disorders. Arch Dis Child. 2005;90:807–12.

Batubara JR. Practices of growth assessment in children: Is anthropometric measurement important? Pediatrica Indonesiana. 2005;45:145–153..

Siniarska A, Wolanski N. Ethnic differences in body proportions genes or environment?. J Hum Ecol. 2002;13(5):337–43.

Kagawa M, Hills AP. Secular changes in BMI obesity risk in Japanese children: consideration from a morphologic perspective. The Open Obesity Journal. 2011;3:9–16.

Jiao CT, Ye JC. Secular changes in stature of urban Chinese children and adolescent 1985–2010. Biomed Environ Sci. 2013;26(1):13–22.

Bogin B, Smith P, Orden AB. Rapid change in height and body proportions of Maya American children. Am J Hum Biol. 2002;14:753–61.

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