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PRATICANDO A CLASSIFICAÇÃO DOS ÍNDICES NUTRICIONAIS DE ADULTOS Profa. Margareth Lage L. de Fornasari Exercício 1 – Diagnóstico do Estado Nutricional de adultos Dados Medidas antropométricas Sexo Feminino Idade (anos) 55 Peso atual (kg) 69,6 Estatura (cm) 159,0 Perímetro do punho (cm) 15,6 PB (cm) 34,5 CC (cm) 79,0 CQ (cm) 102,0 DCT (mm) 32,0 DCSE (mm) 30,0 Passo 1: Cálculo do IMC ◦ Peso Atual: 69,6 kg ◦ Altura: 159,0 cm ◦ Resultado = 69,6/2,5281 = 27,53 peso/alt2 ◦ Diagnóstico: pré-obesidade ou sobrepeso. ◦ E quanto ao risco de acordo com a OMS: risco aumentado de morbidades. Passo 2: Peso corporal desejável ◦ A partir do IMC: peso mínimo e peso máximo ◦ Mínimo = 18,5 x alt2 ou no caso da paciente 18,5 x 2,5281 = 46,77 kg ◦ Máximo = 24,99 x alt2 ou no caso da paciente 24,99 x 2,5281 = 63,18 kg ◦ Faça de outro paciente J.J., sexo masculino, 45 anos, altura 1,75, peso atual 81 kg. ◦ Calcule o IMC e o peso corporal desejável..... 5 minutos!! ◦ Resposta: Agora faça do paciente J.J., altura 1,75 m e Perímetro punho 16,8 cm. Tempo: 2 minutos...... RESULTADO: Sexo Compleição Pequena Mediana Grande HOMENS > 10,4 9,6 – 10,4 < 9,6 MULHERES > 10,9 9,9 – 10,9 < 9,9 Metropolitan Life Insurance Company, 1983 Tamanho da estrutura corporal= 159 = 10,19 (compleição) 15,6 Passo 3: Peso corporal a partir da compleição física RESULTADO: COMPLEIÇÃO MEDIANA Preferencialmente utiliza-se a Metropolitan Life do ano de 1959 Resultado 54 kg 142 41,8 46,0 49,5 143 42,3 45,3 49,8 144 42,8 45,6 50,1 145 43,2 45,9 50,5 146 43,7 46,6 51,2 147 44,1 47,3 51,8 148 44,6 47,7 51,3 149 45,1 48,1 51,8 150 45,5 48,6 53,2 151 46,2 49,3 54,0 152 46,8 50,0 54,5 153 47,3 50,5 55,0 154 47,8 51,0 55,5 155 50,0 53,6 58,2 48,2 51,4 55,9 156 50,7 54,3 58,8 48,9 52,3 56,8 157 51,4 55,0 59,5 49,5 53,2 57,7 158 51,8 55,5 60,0 50,0 53,6 58,3 159 52,2 56,0 60,5 50,5 54,0 58,9 160 52,7 56,4 60,9 50,9 54,5 59,5 161 53,2 56,8 61,5 51,5 55,3 60,1 162 53,7 56,2 62,1 52,1 56,1 60,7 163 54,1 57,7 62,7 52,7 56,8 61,4 164 55,0 58,5 63,4 53,6 57,7 62,3 165 55,9 59,5 64,1 54,5 58,6 63,2 166 56,5 60,1 64,8 55,1 59,2 63,8 167 57,1 60,7 65,6 55,7 59,8 64,4 168 57,7 61,4 66,4 56,4 60,5 65,0 169 58,6 62,3 67,5 57,3 61,4 65,9 170 59,5 63,2 68,6 58,2 62,2 60,8 171 60,1 63,8 69,2 58,8 62,8 67,4 172 60,7 64,4 69,8 59,4 63,4 68,0 173 61,4 65,0 70,5 60,0 64,1 68,6 174 62,3 65,9 71,4 60,9 65,0 69,8 175 63,2 66,8 72,3 61,8 65,9 70,9 176 63,8 67,5 72,9 62,4 66,5 71,7 177 64,4 68,2 73,5 63,0 67,1 72,5 178 65,0 69,0 74,1 63,6 67,7 73,2 179 65,9 69,9 75,3 64,5 68,6 74,1 180 66,8 70,9 76,4 65,5 69,5 75,0 181 67,4 71,7 77,1 66,1 70,1 75,6 182 68,0 72,5 77,8 66,7 70,7 76,2 183 68,6 73,2 78,6 67,3 71,4 76,8 184 69,8 74,1 79,8 185 70,9 75,0 80,9 186 71,5 75,8 81,7 187 72,1 76,6 82,5 188 72,7 77,3 83,2 189 73,3 78,0 83,8 190 73,9 78,7 84,4 191 74,5 79,5 85,0 Estrutura Grande Estrutura Mediana Estrutura Pequena Altura (cm) Homens Mulheres Estrutura Grande Estrutura Mediana Estrutura Pequena ANEXO 2 Peso Desejável (kg) para estatura segungo compleição física, Metropolitan Life Insurance, 1959 Antropometria adultos – Prof. Dra Elizabeth Egashira Agora classifique o paciente J.J. usando esse impresso.... Resultado= Passo 4: Determinação do percentual do peso esperado pela compleição física ◦ Determinação do peso atual como percentual do peso esperado ou Desejável Classificação Nutricional, segundo BLACKBURN; THORNTON, 1979. Diagnóstico % do Peso esperado Obesidade Mórbida >120Obesidade Sobrepeso 110,1 – 120 Eutrofia 110 – 90,1 Desnutrição Leve 90 – 80,1 Desnutrição Moderada 80 – 70,1 Desnutrição Grave ≤ 70 Agora avalie o paciente J.J Peso atual/peso esperado x 100 = Resultado: % Peso esperado= _Peso atual (do paciente)__ x 100 Peso esperado (pela Metropolitan Life 1959) = 69,6 x 100 = 128,89% Obesidade 54 Passo 5: Classificação do Perímetro Braquial – Tabela Frisancho, 1990. 5 10 15 25 50 75 85 90 95 1.0 - 1.9 14,2 14,7 14,9 15,2 16,0 16,9 17,4 17,7 18,2 2.0 - 2.9 14,3 14,8 15,1 15,5 16,3 17,1 17,6 17,9 18,6 3.0 - 3.9 15,0 15,3 15,5 16,0 16,8 17,6 18,1 18,4 19,0 4.0 - 4.9 15,1 15,5 15,8 16,2 17,1 18,0 18,5 18,7 19,3 5.0 - 5.9 15,5 16,0 16,1 16,6 17,5 18,5 19,1 19,5 20,5 6.0 - 6.9 15,8 16,1 16,5 17,0 18,0 19,1 19,8 20,7 22,8 7.0 - 7.9 16,1 16,8 17,0 17,6 18,7 20,0 21,0 21,8 22,9 8.0 - 8.9 16,5 17,2 17,5 18,1 19,2 20,5 21,6 22,6 24,0 9.0 - 9.9 17,5 18,0 18,4 19,0 20,1 21,8 23,2 24,5 26,0 10.0 - 10.9 18,1 18,6 19,1 19,7 21,1 23,1 24,8 26,0 27,9 11.0 - 11.9 18,5 19,3 19,8 20,6 22,1 24,5 26,1 27,6 29,4 12.0 - 12.9 19,3 20,1 20,7 21,5 23,1 25,4 27,1 28,5 30,3 13.0 - 13.9 20,0 20,8 21,6 22,5 24,5 26,6 28,2 29,0 30,8 14.0 - 14.9 21,6 22,5 23,2 23,8 25,7 28,1 29,1 30,0 32,3 15.0 - 15.9 22,5 23,4 24,0 25,1 27,2 29,0 30,3 31,2 32,7 16.0 - 16.9 24,1 25,0 25,7 26,7 28,3 30,6 32,1 32,7 34,7 17.0 - 17.9 24,3 25,1 25,9 26,8 28,6 30,8 32,2 33,3 34,7 18.0 - 24.9 26,0 27,1 27,7 28,7 30,7 33,0 34,4 35,4 37,2 25.0 - 29.9 27,0 28,0 28,7 29,8 31,8 34,2 35,5 36,6 38,3 30.0 - 34.9 27,7 28,7 29,3 30,5 32,5 34,9 35,9 36,7 38,2 35.0 - 39.9 27,4 28,6 29,5 30,7 32,9 35,1 36,2 36,9 38,2 40.0 - 44.9 27,8 28,9 29,7 31,0 32,8 34,9 36,1 36,9 38,1 45.0 - 49.9 27,2 28,6 29,4 30,6 32,6 34,9 36,1 36,9 38,2 50.0 - 54.9 27,1 28,3 29,1 30,2 32,3 34,5 35,8 36,8 38,3 55.0 - 59.9 26,8 28,1 29,2 30,4 32,3 34,3 35,5 36,6 37,8 60.0 - 64.9 26,6 27,8 28,6 29,7 32,0 34,0 35,1 36,0 37,5 65.0 - 69.9 25,4 26,7 27,7 29,0 31,1 33,2 34,5 35,3 36,6 70.0 - 74.9 25,1 26,2 27,1 28,5 30,7 32,6 33,7 34,8 36,0 5 10 15 25 50 75 85 90 95 1.0 - 1.9 13,6 14,1 14,4 14,8 15,7 16,4 17,0 17,2 17,8 2.0 - 2.9 14,2 14,6 15,0 15,4 16,1 17,0 17,4 18,0 18,5 3.0 - 3.9 14,4 15,0 15,2 15,7 16,6 17,4 18,0 18,4 19,0 4.0 - 4.9 14,8 15,3 15,7 16,1 17,0 18,0 18,5 19,0 19,5 5.0 - 5.9 15,2 15,7 16,1 16,5 17,5 18,5 19,4 20,0 21,0 6.0 - 6.9 15,7 16,2 16,5 17,0 17,8 19,0 19,9 20,5 22,0 7.0 - 7.9 16,4 16,7 17,0 17,5 18,6 20,1 20,9 21,6 23,3 8.0 - 8.9 16,7 17,2 17,6 18,2 19,5 21,2 22,2 23,2 25,1 9.0 - 9.9 17,6 18,1 18,6 19,1 20,6 22,2 23,8 25,0 26,7 10.0 - 10.9 17,8 18,4 18,9 19,5 21,2 23,4 25,0 26,1 27,3 11.0 - 11.9 18,8 19,6 20,0 20,6 22,2 25,1 26,5 27,9 30,0 12.0 - 12.9 19,2 20,0 20,5 21,5 23,7 25,8 27,6 28,3 30,2 13.0 - 13.9 20,1 21,0 21,5 22,5 24,3 26,7 28,3 30,1 32,7 14.0 - 14.9 21,2 21,8 22,5 23,5 25,1 27,4 29,5 30,9 32,9 15.0 - 15.9 21,6 22,2 22,9 23,5 25,2 27,7 28,8 30,0 32,2 16.0 - 16.9 22,3 23,2 23,5 24,4 26,1 28,5 29,9 31,0 33,5 17.0 - 17.9 22,0 23,1 23,6 24,5 26,6 29,0 30,7 32,8 35,4 18.0 - 24.9 22,4 23,3 24,0 24,8 26,8 29,2 31,2 32,4 35,2 25.0 - 29.9 23,1 24,0 24,5 25,5 27,6 30,6 32,5 34,3 37,1 30.0 - 34.9 23,8 24,7 25,4 26,4 28,6 32,0 34,1 36,0 38,5 35.0 - 39.9 24,1 25,2 25,8 26,8 29,4 32,6 35,0 36,8 39,0 40.0 - 44.9 24,3 25,4 26,2 27,2 29,7 33,2 35,5 37,2 38,8 45.0 - 49.9 24,2 25,5 26,3 27,4 30,1 33,5 35,0 37,2 40,0 50.0 - 54.9 24,8 26,0 26,8 28,0 30,6 33,3 35,9 37,5 39,3 55.0 - 59.9 24,8 26,1 27,0 28,2 30,3 34,3 36,7 38,0 40,0 60.0 - 64.9 25,0 26,1 27,1 28,4 30,8 34,0 35,7 37,2 39,6 65.0 - 69.9 24,3 25,7 26,7 28,0 30,5 33,4 35,2 36,5 38,5 70.0 - 74.9 23,8 25,3 26,3 27,6 30,3 33,1 34,7 35,8 37,5 Perímetro braquial (cm): distribuição em percentis segundo sexo e idade, Frisancho 1990 Idade (anos) Percentis Homens ANEXO 4 Idade (anos) Percentis Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira Valor do p50= 30,3 Passo 5: PERÍMETRO BRAQUIAL (PB) ou CIRCUNFERÊNCIA DO BRAÇO (CB): ◦ Localizar o valor obtido no padrão de referência valores do NHANES I apresentados em percentil por Frisancho, 1990. ◦Classificação de Blackburn (1979): % de adequação Classificação PB (% adequação) Depleção grave < 70 Depleção moderada 70 – 80 Depleção leve 80 – 90 Eutrofia 90 –110 Sobrepeso 110 - 120 Obesidade > 120 Adequação da CB (%) = _34,5 x 100 = 113,86% 30,3 SOBREPESO VAMOS CLASSIFICAR O J.J.? PERÍMETRO DO BRAÇO = 38,2 CM, 45 anos 5 10 15 25 50 75 85 90 95 1.0 - 1.9 14,2 14,7 14,9 15,2 16,0 16,9 17,4 17,7 18,2 2.0 - 2.9 14,3 14,815,1 15,5 16,3 17,1 17,6 17,9 18,6 3.0 - 3.9 15,0 15,3 15,5 16,0 16,8 17,6 18,1 18,4 19,0 4.0 - 4.9 15,1 15,5 15,8 16,2 17,1 18,0 18,5 18,7 19,3 5.0 - 5.9 15,5 16,0 16,1 16,6 17,5 18,5 19,1 19,5 20,5 6.0 - 6.9 15,8 16,1 16,5 17,0 18,0 19,1 19,8 20,7 22,8 7.0 - 7.9 16,1 16,8 17,0 17,6 18,7 20,0 21,0 21,8 22,9 8.0 - 8.9 16,5 17,2 17,5 18,1 19,2 20,5 21,6 22,6 24,0 9.0 - 9.9 17,5 18,0 18,4 19,0 20,1 21,8 23,2 24,5 26,0 10.0 - 10.9 18,1 18,6 19,1 19,7 21,1 23,1 24,8 26,0 27,9 11.0 - 11.9 18,5 19,3 19,8 20,6 22,1 24,5 26,1 27,6 29,4 12.0 - 12.9 19,3 20,1 20,7 21,5 23,1 25,4 27,1 28,5 30,3 13.0 - 13.9 20,0 20,8 21,6 22,5 24,5 26,6 28,2 29,0 30,8 14.0 - 14.9 21,6 22,5 23,2 23,8 25,7 28,1 29,1 30,0 32,3 15.0 - 15.9 22,5 23,4 24,0 25,1 27,2 29,0 30,3 31,2 32,7 16.0 - 16.9 24,1 25,0 25,7 26,7 28,3 30,6 32,1 32,7 34,7 17.0 - 17.9 24,3 25,1 25,9 26,8 28,6 30,8 32,2 33,3 34,7 18.0 - 24.9 26,0 27,1 27,7 28,7 30,7 33,0 34,4 35,4 37,2 25.0 - 29.9 27,0 28,0 28,7 29,8 31,8 34,2 35,5 36,6 38,3 30.0 - 34.9 27,7 28,7 29,3 30,5 32,5 34,9 35,9 36,7 38,2 35.0 - 39.9 27,4 28,6 29,5 30,7 32,9 35,1 36,2 36,9 38,2 40.0 - 44.9 27,8 28,9 29,7 31,0 32,8 34,9 36,1 36,9 38,1 45.0 - 49.9 27,2 28,6 29,4 30,6 32,6 34,9 36,1 36,9 38,2 50.0 - 54.9 27,1 28,3 29,1 30,2 32,3 34,5 35,8 36,8 38,3 55.0 - 59.9 26,8 28,1 29,2 30,4 32,3 34,3 35,5 36,6 37,8 60.0 - 64.9 26,6 27,8 28,6 29,7 32,0 34,0 35,1 36,0 37,5 65.0 - 69.9 25,4 26,7 27,7 29,0 31,1 33,2 34,5 35,3 36,6 70.0 - 74.9 25,1 26,2 27,1 28,5 30,7 32,6 33,7 34,8 36,0 5 10 15 25 50 75 85 90 95 1.0 - 1.9 13,6 14,1 14,4 14,8 15,7 16,4 17,0 17,2 17,8 2.0 - 2.9 14,2 14,6 15,0 15,4 16,1 17,0 17,4 18,0 18,5 3.0 - 3.9 14,4 15,0 15,2 15,7 16,6 17,4 18,0 18,4 19,0 4.0 - 4.9 14,8 15,3 15,7 16,1 17,0 18,0 18,5 19,0 19,5 5.0 - 5.9 15,2 15,7 16,1 16,5 17,5 18,5 19,4 20,0 21,0 6.0 - 6.9 15,7 16,2 16,5 17,0 17,8 19,0 19,9 20,5 22,0 7.0 - 7.9 16,4 16,7 17,0 17,5 18,6 20,1 20,9 21,6 23,3 8.0 - 8.9 16,7 17,2 17,6 18,2 19,5 21,2 22,2 23,2 25,1 9.0 - 9.9 17,6 18,1 18,6 19,1 20,6 22,2 23,8 25,0 26,7 10.0 - 10.9 17,8 18,4 18,9 19,5 21,2 23,4 25,0 26,1 27,3 11.0 - 11.9 18,8 19,6 20,0 20,6 22,2 25,1 26,5 27,9 30,0 12.0 - 12.9 19,2 20,0 20,5 21,5 23,7 25,8 27,6 28,3 30,2 13.0 - 13.9 20,1 21,0 21,5 22,5 24,3 26,7 28,3 30,1 32,7 14.0 - 14.9 21,2 21,8 22,5 23,5 25,1 27,4 29,5 30,9 32,9 15.0 - 15.9 21,6 22,2 22,9 23,5 25,2 27,7 28,8 30,0 32,2 16.0 - 16.9 22,3 23,2 23,5 24,4 26,1 28,5 29,9 31,0 33,5 17.0 - 17.9 22,0 23,1 23,6 24,5 26,6 29,0 30,7 32,8 35,4 18.0 - 24.9 22,4 23,3 24,0 24,8 26,8 29,2 31,2 32,4 35,2 25.0 - 29.9 23,1 24,0 24,5 25,5 27,6 30,6 32,5 34,3 37,1 30.0 - 34.9 23,8 24,7 25,4 26,4 28,6 32,0 34,1 36,0 38,5 35.0 - 39.9 24,1 25,2 25,8 26,8 29,4 32,6 35,0 36,8 39,0 40.0 - 44.9 24,3 25,4 26,2 27,2 29,7 33,2 35,5 37,2 38,8 45.0 - 49.9 24,2 25,5 26,3 27,4 30,1 33,5 35,0 37,2 40,0 50.0 - 54.9 24,8 26,0 26,8 28,0 30,6 33,3 35,9 37,5 39,3 55.0 - 59.9 24,8 26,1 27,0 28,2 30,3 34,3 36,7 38,0 40,0 60.0 - 64.9 25,0 26,1 27,1 28,4 30,8 34,0 35,7 37,2 39,6 65.0 - 69.9 24,3 25,7 26,7 28,0 30,5 33,4 35,2 36,5 38,5 70.0 - 74.9 23,8 25,3 26,3 27,6 30,3 33,1 34,7 35,8 37,5 Perímetro braquial (cm): distribuição em percentis segundo sexo e idade, Frisancho 1990 Idade (anos) Percentis Homens ANEXO 4 Idade (anos) Percentis Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira Adequação da CB (%) = _ x 100 = % DIAGNÓSTICO? Classificação PB (% adequação) Depleção grave < 70 Depleção moderada 70 – 80 Depleção leve 80 – 90 Eutrofia 90 –110 Sobrepeso 110 - 120 Obesidade > 120 PASSO 6: CIRCUNFERÊNCIA MUSCULAR DO BRAÇO ◦ Avalia a reserva de tecido muscular (sem correção da área óssea). ◦ É obtida a partir do valor da CB e do valor da DCT. CMB = 34,5 – (0,314 x 32) = 24,45 cm 5 10 25 50 75 90 95 1 - 1,9 11,0 11,3 11,9 12,7 13,5 14,4 14,7 2 - 2,9 11,1 11,4 12,2 13,0 14,0 14,6 15,0 3 - 3,9 11,7 12,3 13,1 13,7 14,3 14,8 15,3 4 - 4,9 12,3 12,6 13,3 14,1 14,8 15,6 15,9 5 - 5,9 12,8 13,3 14,0 14,7 15,4 16,2 16,9 6 - 6,9 13,1 13,5 14,2 15,1 16,1 17,0 17,7 7 - 7,9 13,7 13,9 15,1 16,0 16,8 17,7 18,0 8 - 8,9 14,0 14,5 15,4 16,2 17,0 18,2 18,7 9 - 9,9 15,1 15,4 16,1 17,0 18,3 19,6 20,2 10 - 10,9 15,6 16,0 16,6 18,0 19,1 20,9 22,1 11 - 11,9 15,9 16,5 17,3 18,3 19,5 20,5 23,0 12 - 12,9 16,7 17,1 18,2 19,5 21,0 22,3 24,1 13 - 13,9 17,2 17,9 19,6 21,1 22,6 23,8 24,5 14 - 14,9 18,9 19,9 21,1 22,3 24,0 26,0 26,4 15 - 15,9 19,9 20,4 21,8 23,7 25,4 26,6 27,2 16 - 16,9 21,3 22,5 23,4 24,9 26,9 28,7 29,6 17 - 17,9 22,4 23,1 24,5 25,8 27,3 29,4 31,2 18 - 18,9 22,6 23,7 25,2 26,4 28,3 29,8 32,4 19 - 24,9 23,8 24,5 25,7 27,3 28,9 30,9 32,1 25 - 34,9 24,3 25,0 26,4 27,9 29,8 31,4 32,6 35 - 44,9 24,7 25,5 26,9 28,6 30,2 31,8 32,7 45 - 54,9 23,9 24,9 26,5 28,1 30,0 31,5 32,6 55 - 64,9 23,6 24,5 26,0 27,8 29,5 31,0 32,0 65 - 74,9 22,3 23,5 25,1 26,8 28,4 29,8 30,6 5 10 25 50 75 90 95 1 - 1,9 10,5 11,1 11,7 12,4 13,2 13,9 14,3 2 - 2,9 11,1 11,4 11,9 12,6 13,3 14,2 14,7 3 - 3,9 11,3 11,9 12,4 13,2 14,0 14,6 15,2 4 - 4,9 11,5 12,1 12,8 13,6 14,4 15,2 15,7 5 - 5,9 12,5 12,8 13,4 14,2 15,1 15,9 16,5 6 - 6,9 13,0 13,3 13,8 14,5 15,4 16,6 17,1 7 - 7,9 12,9 13,5 14,2 15,1 16,0 17,1 17,6 8 - 8,9 13,8 14,0 15,1 16,0 17,1 18,3 19,4 9 - 9,9 14,7 15,0 15,8 16,7 18,0 19,4 19,8 10 - 10,9 14,8 15,0 15,9 17,0 18,0 19,0 19,7 11 - 11,9 15,0 15,8 17,1 18,1 19,6 21,7 22,3 12 - 12,9 16,2 16,6 18,0 19,1 20,1 21,4 22,0 13 - 13,9 16,9 17,5 18,3 19,8 21,1 22,6 24,0 14 - 14,9 17,4 17,9 19,0 20,1 21,6 23,2 24,7 15 - 15,9 17,5 17,8 18,9 20,2 21,5 22,8 24,4 16 - 16,9 17,0 18,0 19,0 20,2 21,6 23,4 24,9 17 - 17,9 17,5 18,3 19,4 20,5 22,1 23,9 25,7 18 - 18,9 17,4 17,9 19,5 20,2 21,5 23,7 24,5 19 - 24,9 17,9 18,5 19,5 20,7 22,1 23,6 24,9 25 - 34,9 18,3 18,8 19,9 21,2 22,8 24,6 26,4 35 - 44,9 18,6 19,2 20,5 21,8 23,6 25,7 27,2 45 - 54,9 18,7 19,3 20,6 22,0 23,8 26,0 27,4 55 - 64,9 18,7 19,6 20,9 22,5 24,4 26,6 28,0 65 - 74,9 18,5 19,5 20,8 22,5 24,4 26,4 27,9 Homens Idade (anos) Percentis Mulheres ANEXO 5 Circunferência Muscular do Braço (cm2): distribuição em percentis segundo sexo e Idade (anos) Percentis Antropometria adultos – Prof. Dra Elizabeth Egashira % Adequação da CMB (cm) = 24,5 x 100 22,5 Resultado = 108,89% Classificação CMB (% de adequação) Depleção grave ≤ 70 Depleção moderada 70 – 80 Depleção leve 80 – 90 Eutrofia 90 –110 Diagnóstico= Eutrofia VAMOS CLASSIFICAR O J.J.? PERÍMETRO DO BRAÇO = 38,2 CM; DCT = 9 mm 5 10 25 50 75 90 95 1 - 1,9 11,0 11,3 11,9 12,7 13,5 14,4 14,7 2 - 2,9 11,1 11,4 12,2 13,0 14,0 14,6 15,0 3 - 3,9 11,7 12,3 13,1 13,7 14,3 14,8 15,3 4 - 4,9 12,3 12,6 13,3 14,1 14,8 15,6 15,9 5 - 5,9 12,8 13,3 14,0 14,7 15,4 16,2 16,9 6 - 6,9 13,1 13,5 14,2 15,1 16,1 17,0 17,7 7 - 7,9 13,7 13,9 15,1 16,0 16,8 17,7 18,0 8 - 8,9 14,0 14,5 15,4 16,2 17,0 18,2 18,7 9 - 9,9 15,1 15,4 16,1 17,0 18,3 19,6 20,2 10 - 10,9 15,6 16,0 16,6 18,0 19,1 20,9 22,1 11 - 11,9 15,9 16,5 17,3 18,3 19,5 20,5 23,0 12 - 12,9 16,7 17,1 18,2 19,5 21,0 22,3 24,1 13 - 13,9 17,2 17,9 19,6 21,1 22,6 23,8 24,5 14 - 14,9 18,9 19,9 21,1 22,3 24,0 26,0 26,4 15 - 15,9 19,9 20,4 21,8 23,7 25,4 26,6 27,2 16 - 16,9 21,3 22,5 23,4 24,9 26,9 28,7 29,6 17 - 17,9 22,4 23,1 24,5 25,8 27,3 29,4 31,2 18 - 18,9 22,6 23,7 25,2 26,4 28,3 29,8 32,4 19 - 24,9 23,8 24,5 25,7 27,3 28,9 30,9 32,1 25 - 34,9 24,3 25,0 26,4 27,9 29,8 31,4 32,6 35 - 44,9 24,7 25,5 26,9 28,6 30,2 31,8 32,7 45 - 54,9 23,9 24,9 26,5 28,1 30,0 31,5 32,6 55 - 64,9 23,6 24,5 26,0 27,8 29,5 31,0 32,0 65 - 74,9 22,3 23,5 25,1 26,8 28,4 29,8 30,6 5 10 25 50 75 90 95 1 - 1,9 10,5 11,1 11,7 12,4 13,2 13,9 14,3 2 - 2,9 11,1 11,4 11,9 12,6 13,3 14,2 14,7 3 - 3,9 11,3 11,9 12,4 13,2 14,0 14,6 15,2 4 - 4,9 11,5 12,1 12,8 13,6 14,4 15,2 15,7 5 - 5,9 12,5 12,8 13,4 14,2 15,1 15,9 16,5 6 - 6,9 13,0 13,3 13,8 14,5 15,4 16,6 17,1 7 - 7,9 12,9 13,5 14,2 15,1 16,0 17,1 17,6 8 - 8,9 13,8 14,0 15,1 16,0 17,1 18,3 19,4 9 - 9,9 14,7 15,0 15,8 16,7 18,019,4 19,8 10 - 10,9 14,8 15,0 15,9 17,0 18,0 19,0 19,7 11 - 11,9 15,0 15,8 17,1 18,1 19,6 21,7 22,3 12 - 12,9 16,2 16,6 18,0 19,1 20,1 21,4 22,0 13 - 13,9 16,9 17,5 18,3 19,8 21,1 22,6 24,0 14 - 14,9 17,4 17,9 19,0 20,1 21,6 23,2 24,7 15 - 15,9 17,5 17,8 18,9 20,2 21,5 22,8 24,4 16 - 16,9 17,0 18,0 19,0 20,2 21,6 23,4 24,9 17 - 17,9 17,5 18,3 19,4 20,5 22,1 23,9 25,7 18 - 18,9 17,4 17,9 19,5 20,2 21,5 23,7 24,5 19 - 24,9 17,9 18,5 19,5 20,7 22,1 23,6 24,9 25 - 34,9 18,3 18,8 19,9 21,2 22,8 24,6 26,4 35 - 44,9 18,6 19,2 20,5 21,8 23,6 25,7 27,2 45 - 54,9 18,7 19,3 20,6 22,0 23,8 26,0 27,4 55 - 64,9 18,7 19,6 20,9 22,5 24,4 26,6 28,0 65 - 74,9 18,5 19,5 20,8 22,5 24,4 26,4 27,9 Homens Idade (anos) Percentis Mulheres ANEXO 5 Circunferência Muscular do Braço (cm2): distribuição em percentis segundo sexo e Idade (anos) Percentis Antropometria adultos – Prof. Dra Elizabeth Egashira CMB = PB – (0,314 x DCT) = cm % Adequação da CMB (cm) = x 100 Resultado = % Classificação CMB (% de adequação) Depleção grave ≤ 70 Depleção moderada 70 – 80 Depleção leve 80 – 90 Eutrofia 90 –110 Diagnóstico= PASSO 7: ÁREA MUSCULAR DO BRAÇO CORRIGIDA (AMBc) Homens: AMBc (cm)² = (CMB) ² - 10cm2 4 x 3,14 Mulheres: AMBc (cm)² = (24,45 x 24,45) - 6,5cm2 = 41,1 12,56 5 10 15 25 50 75 85 90 95 1.0 - 1.9 9,7 10,4 10,8 11,6 13,0 14,6 15,4 16,3 17,2 2.0 - 2.9 10,1 10,9 11,3 12,4 13,9 15,6 16,4 16,9 18,4 3.0 - 3.9 11,2 12,0 12,6 13,5 15,0 16,4 17,4 18,3 19,5 4.0 - 4.9 12,0 12,9 13,5 14,5 16,2 17,9 18,8 19,8 20,9 5.0 - 5.9 13,2 14,2 14,7 15,7 17,6 19,5 20,7 21,7 23,2 6.0 - 6.9 14,4 15,3 15,8 16,8 18,7 21,3 22,9 23,8 25,7 7.0 - 7.9 15,1 16,2 17,0 18,5 20,6 22,6 24,5 25,2 28,6 8.0 - 8.9 16,3 17,8 18,5 19,5 21,6 24,0 25,5 26,6 29,0 9.0 - 9.9 18,2 19,3 20,3 21,7 23,5 26,7 28,7 30,4 32,9 10.0 - 10.9 19,6 20,7 21,6 23,0 25,7 29,0 32,2 34,0 37,1 11.0 - 11.9 21,0 22,0 23,0 24,8 27,7 31,6 33,6 36,1 40,3 12.0 - 12.9 22,6 24,1 25,3 26,9 30,4 35,9 39,3 40,9 44,9 13.0 - 13.9 24,5 26,7 28,1 30,4 35,7 41,3 45,3 48,1 52,5 14.0 - 14.9 28,3 31,3 33,1 36,1 41,9 47,4 51,3 54,0 57,5 15.0 - 15.9 31,9 34,9 36,9 40,3 46,3 53,1 56,3 57,7 63,0 16.0 - 16.9 37,0 40,9 42,4 45,9 51,9 57,8 63,6 66,2 70,5 17.0 - 17.9 39,6 42,6 44,8 48,0 53,4 60,4 64,3 67,9 73,1 18.0 - 24.9 34,2 37,3 39,6 42,7 49,4 57,1 61,8 65,0 72,0 25.0 - 29.9 36,6 39,9 42,4 46,0 53,0 61,4 66,1 68,9 74,5 30.0 - 34.9 37,9 40,9 43,4 47,3 54,4 63,2 67,6 70,8 76,1 35.0 - 39.9 38,5 42,6 44,6 47,9 55,3 64,0 69,1 72,7 77,6 40.0 - 44.9 38,4 42,1 45,1 48,7 56,0 64,0 68,5 71,6 77,0 45.0 - 49.9 37,7 41,3 43,7 47,9 55,2 63,3 68,4 72,2 76,2 50.0 - 54.9 36,0 40,0 42,7 46,6 54,0 62,7 67,0 70,4 77,4 55.0 - 59.9 36,5 40,8 42,7 46,7 54,3 61,9 66,4 69,6 75,1 60.0 - 64.9 34,5 38,7 41,2 44,9 52,1 60,0 64,8 67,5 71,6 65.0 - 69.9 31,4 35,8 38,4 42,3 49,1 57,3 61,2 64,3 69,4 70.0 - 74.9 29,7 33,8 36,1 40,2 47,0 56,4 59,1 62,1 67,3 5 10 15 25 50 75 85 90 95 1.0 - 1.9 8,9 9,7 10,1 10,8 12,3 13,8 14,6 15,3 16,2 2.0 - 2.9 10,1 10,6 10,9 11,8 13,2 14,7 15,6 16,4 17,3 3.0 - 3.9 10,8 11,4 11,8 12,6 14,3 15,8 16,7 17,4 18,8 4.0 - 4.9 11,2 12,2 12,7 13,6 15,3 17,0 18,0 18,6 19,8 5.0 - 5.9 12,4 13,2 13,9 14,8 16,4 18,3 19,4 20,6 22,1 6.0 - 6.9 13,5 14,1 14,6 15,6 17,4 19,5 21,0 22,0 24,2 7.0 - 7.9 14,4 15,2 15,8 16,7 18,9 21,1 22,6 23,9 25,3 8.0 - 8.9 15,2 16,0 16,8 18,2 20,8 23,2 24,6 26,5 28,0 9.0 - 9.9 17,0 17,9 18,7 19,8 21,9 25,4 27,2 28,3 31,1 10.0 - 10.9 17,6 18,5 19,3 20,9 23,8 27,0 29,1 31,0 33,1 11.0 - 11.9 19,5 21,0 21,7 23,2 26,4 30,7 33,5 35,7 39,2 12.0 - 12.9 20,4 21,8 23,1 25,5 29,0 33,2 36,3 37,8 40,5 13.0 - 13.9 22,8 24,5 25,4 27,1 30,8 35,3 38,1 39,6 43,7 14.0 - 14.9 24,0 26,2 27,1 29,0 32,8 36,9 39,8 42,3 47,5 15.0 - 15.9 24,4 25,8 27,5 29,2 33,0 37,3 40,2 41,7 45,9 16.0 - 16.9 25,2 26,8 28,2 30,0 33,6 38,0 40,2 43,7 48,3 17.0 - 17.9 25,9 27,5 28,9 30,7 34,3 39,6 43,4 46,2 50,8 18.0 - 24.9 19,5 21,5 22,8 24,5 28,3 33,1 36,4 39,0 44,2 25.0 - 29.9 20,5 21,9 23,1 25,2 29,4 34,9 38,5 41,9 47,8 30.0 - 34.9 21,1 23,0 24,2 26,3 30,9 36,8 41,2 44,7 51,3 35.0 - 39.9 21,1 23,4 24,7 27,3 31,8 38,7 43,1 46,1 54,2 40.0 - 44.9 21,3 23,4 25,5 27,5 32,3 39,8 45,8 49,5 55,6 45.0 - 49.9 21,6 23,1 24,8 27,4 32,5 39,5 44,7 48,4 56,1 50.0 - 54.9 22,2 24,6 25,7 28,3 33,4 40,4 46,1 49,6 55,6 55.0 - 59.9 22,8 24,8 26,5 28,7 34,7 42,3 47,3 52,1 58,8 60.0 - 64.9 22,4 24,5 26,3 29,2 34,5 41,1 45,6 49,1 55,1 65.0 - 69.9 21,9 24,5 26,2 28,9 34,6 41,6 46,3 49,6 56,5 70.0 - 74.9 22,2 24,4 26,0 28,8 34,3 41,8 46,4 49,2 54,6 Percentis Área Muscular do Braço (cm2): distribuição em percentis segundo sexo e idade, Frisancho Idade (anos) Percentis Homens Idade (anos) ANEXO 6 Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira Localizar na tabela e encontrar o percentil correspondente = entre o p50 e p75 Categorias Percentil Diagnóstico categoria I Menor que 5,0 Baixa musculatura (wasted) categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Alta musculatura Diagnóstico = categoria III ou média Vamos calcular do J.J.?? Homens: AMBc (cm)² = (CMB) ² - 10cm2 4 x 3,14 Localizar na tabela e encontrar o percentil correspondente = Categorias Percentil Diagnóstico categoria I Menor que 5,0 Baixa musculatura (wasted) categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Alta musculatura Diagnóstico = 5 10 15 25 50 75 85 90 95 1.0 - 1.9 9,7 10,4 10,8 11,6 13,0 14,6 15,4 16,3 17,2 2.0 - 2.9 10,1 10,9 11,3 12,4 13,9 15,6 16,4 16,9 18,4 3.0 - 3.9 11,2 12,0 12,6 13,5 15,0 16,4 17,4 18,3 19,5 4.0 - 4.9 12,0 12,9 13,5 14,5 16,2 17,9 18,8 19,8 20,9 5.0 - 5.9 13,2 14,2 14,7 15,7 17,6 19,5 20,7 21,7 23,2 6.0 - 6.9 14,4 15,3 15,8 16,8 18,7 21,3 22,9 23,8 25,7 7.0 - 7.9 15,1 16,2 17,0 18,5 20,6 22,6 24,5 25,2 28,6 8.0 - 8.9 16,3 17,8 18,5 19,5 21,6 24,0 25,5 26,6 29,0 9.0 - 9.9 18,2 19,3 20,3 21,7 23,5 26,7 28,7 30,4 32,9 10.0 - 10.9 19,6 20,7 21,6 23,0 25,7 29,0 32,2 34,0 37,1 11.0 - 11.9 21,0 22,0 23,0 24,8 27,7 31,6 33,6 36,1 40,3 12.0 - 12.9 22,6 24,1 25,3 26,9 30,4 35,9 39,3 40,9 44,9 13.0 - 13.9 24,5 26,7 28,1 30,4 35,7 41,3 45,3 48,1 52,5 14.0 - 14.9 28,3 31,3 33,1 36,1 41,9 47,4 51,3 54,0 57,5 15.0 - 15.9 31,9 34,9 36,9 40,3 46,3 53,1 56,3 57,7 63,0 16.0 - 16.9 37,0 40,9 42,4 45,9 51,9 57,8 63,6 66,2 70,5 17.0 - 17.9 39,6 42,6 44,8 48,0 53,4 60,4 64,3 67,9 73,1 18.0 - 24.9 34,2 37,3 39,6 42,7 49,4 57,1 61,8 65,0 72,0 25.0 - 29.9 36,6 39,9 42,4 46,0 53,0 61,4 66,1 68,9 74,5 30.0 - 34.9 37,9 40,9 43,4 47,3 54,4 63,2 67,6 70,8 76,1 35.0 - 39.9 38,5 42,6 44,6 47,9 55,3 64,0 69,1 72,7 77,6 40.0 - 44.9 38,4 42,1 45,1 48,7 56,0 64,0 68,5 71,6 77,0 45.0 - 49.9 37,7 41,3 43,7 47,9 55,2 63,3 68,4 72,2 76,2 50.0 - 54.9 36,0 40,0 42,7 46,6 54,0 62,7 67,0 70,4 77,4 55.0 - 59.9 36,5 40,8 42,7 46,7 54,3 61,9 66,4 69,6 75,1 60.0 - 64.9 34,5 38,7 41,2 44,9 52,1 60,0 64,8 67,5 71,6 65.0 - 69.9 31,4 35,8 38,4 42,3 49,1 57,3 61,2 64,3 69,4 70.0 - 74.9 29,7 33,8 36,1 40,2 47,0 56,4 59,1 62,1 67,3 5 10 15 25 50 75 85 90 95 1.0 - 1.9 8,9 9,7 10,1 10,8 12,3 13,8 14,6 15,3 16,2 2.0 - 2.9 10,1 10,6 10,9 11,8 13,2 14,7 15,6 16,4 17,3 3.0 - 3.9 10,8 11,4 11,8 12,6 14,3 15,8 16,7 17,4 18,8 4.0 - 4.9 11,2 12,2 12,7 13,6 15,3 17,0 18,0 18,6 19,8 5.0 - 5.9 12,4 13,2 13,9 14,8 16,4 18,3 19,4 20,6 22,1 6.0 - 6.9 13,5 14,1 14,6 15,6 17,4 19,5 21,0 22,0 24,2 7.0 - 7.9 14,4 15,2 15,8 16,7 18,9 21,1 22,6 23,9 25,3 8.0 - 8.9 15,2 16,0 16,8 18,2 20,8 23,2 24,6 26,5 28,0 9.0 - 9.9 17,0 17,9 18,7 19,8 21,9 25,4 27,2 28,3 31,1 10.0 - 10.9 17,6 18,5 19,3 20,9 23,8 27,0 29,1 31,0 33,1 11.0 - 11.9 19,5 21,0 21,7 23,2 26,4 30,7 33,5 35,7 39,2 12.0 - 12.9 20,4 21,8 23,1 25,5 29,0 33,2 36,3 37,8 40,5 13.0 - 13.9 22,8 24,5 25,4 27,1 30,8 35,3 38,1 39,6 43,7 14.0 - 14.9 24,0 26,2 27,1 29,0 32,8 36,9 39,8 42,3 47,5 15.0 - 15.9 24,4 25,8 27,5 29,2 33,0 37,3 40,2 41,7 45,9 16.0 - 16.9 25,2 26,8 28,2 30,0 33,6 38,0 40,2 43,7 48,3 17.0 - 17.9 25,9 27,528,9 30,7 34,3 39,6 43,4 46,2 50,8 18.0 - 24.9 19,5 21,5 22,8 24,5 28,3 33,1 36,4 39,0 44,2 25.0 - 29.9 20,5 21,9 23,1 25,2 29,4 34,9 38,5 41,9 47,8 30.0 - 34.9 21,1 23,0 24,2 26,3 30,9 36,8 41,2 44,7 51,3 35.0 - 39.9 21,1 23,4 24,7 27,3 31,8 38,7 43,1 46,1 54,2 40.0 - 44.9 21,3 23,4 25,5 27,5 32,3 39,8 45,8 49,5 55,6 45.0 - 49.9 21,6 23,1 24,8 27,4 32,5 39,5 44,7 48,4 56,1 50.0 - 54.9 22,2 24,6 25,7 28,3 33,4 40,4 46,1 49,6 55,6 55.0 - 59.9 22,8 24,8 26,5 28,7 34,7 42,3 47,3 52,1 58,8 60.0 - 64.9 22,4 24,5 26,3 29,2 34,5 41,1 45,6 49,1 55,1 65.0 - 69.9 21,9 24,5 26,2 28,9 34,6 41,6 46,3 49,6 56,5 70.0 - 74.9 22,2 24,4 26,0 28,8 34,3 41,8 46,4 49,2 54,6 Percentis Área Muscular do Braço (cm2): distribuição em percentis segundo sexo e idade, Frisancho Idade (anos) Percentis Homens Idade (anos) ANEXO 6 Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira PASSO 8: DOBRA CUTÂNEA TRICIPITAL (DCT) = 32 mm 5 10 15 25 50 75 85 90 95 1.0 - 1.9 6,5 7,0 7,5 8,0 10,0 12,0 13,0 14,0 15,5 2.0 - 2.9 6,0 6,5 7,0 8,0 10,0 12,0 13,0 14,0 15,0 3.0 - 3.9 6,0 7,0 7,0 8,0 9,5 11,5 12,5 13,5 15,0 4.0 - 4.9 5,5 6,5 7,0 7,5 9,0 11,0 12,0 12,5 14,0 5.0 - 5.9 5,0 6,0 6,0 7,0 8,0 10,0 11,5 13,0 14,5 6.0 - 6.9 5,0 5,5 6,0 6,5 8,0 10,0 12,0 13,0 16,0 7.0 - 7.9 4,5 5,0 6,0 6,0 8,0 10,5 12,5 14,0 16,0 8.0 - 8.9 5,0 5,5 6,0 7,0 8,5 11,0 13,0 16,0 19,0 9.0 - 9.9 5,0 5,5 6,0 6,5 9,0 12,5 15,5 17,0 20,0 10.0 - 10.9 5,0 6,0 6,0 7,5 10,0 14,0 17,0 20,0 24,0 11.0 - 11.9 5,0 6,0 6,5 7,5 10,0 16,0 19,5 23,0 27,0 12.0 - 12.9 4,5 6,0 6,0 7,5 10,5 14,5 18,0 22,5 27,5 13.0 - 13.9 4,5 5,0 5,5 7,0 9,0 13,0 17,0 20,5 25,0 14.0 - 14.9 4,0 5,0 5,0 6,0 8,5 12,5 15,0 18,0 23,5 15.0 - 15.9 5,0 5,0 5,0 6,0 7,5 11,0 15,0 18,0 23,5 16.0 - 16.9 4,0 5,0 5,1 6,0 8,0 12,0 14,0 17,0 23,0 17.0 - 17.9 4,0 5,0 5,0 6,0 7,0 11,0 13,5 16,0 19,5 18.0 - 24.9 4,0 5,0 5,5 6,5 10,0 14,5 17,5 20,0 23,5 25.0 - 29.9 4,0 5,0 6,0 7,0 11,0 15,5 19,0 21,5 25,0 30.0 - 34.9 4,5 6,0 6,5 8,0 12,0 16,5 20,0 22,0 25,0 35.0 - 39.9 4,5 6,0 7,0 8,5 12,0 16,0 18,5 20,5 24,5 40.0 - 44.9 5,0 6,0 6,9 8,0 12,0 16,0 19,0 21,5 26,0 45.0 - 49.9 5,0 6,0 7,0 8,0 12,0 16,0 19,0 21,0 25,0 50.0 - 54.9 5,0 6,0 7,0 8,0 11,5 15,0 18,5 20,8 25,0 55.0 - 59.9 5,0 6,0 6,5 8,0 11,5 15,0 18,0 20,5 25,0 60.0 - 64.9 5,0 6,0 7,0 8,0 11,5 15,5 18,5 20,5 24,0 65.0 - 69.9 4,5 5,0 6,5 8,0 11,0 15,0 18,0 20,0 23,5 70.0 - 74.9 4,5 6,0 6,5 8,0 11,0 15,0 17,0 19,0 23,0 5 10 15 25 50 75 85 90 95 1.0 - 1.9 6,0 7,0 7,0 8,0 10,0 12,0 13,0 14,0 16,0 2.0 - 2.9 6,0 7,0 7,5 8,5 10,0 12,0 13,5 14,5 16,0 3.0 - 3.9 6,0 7,0 7,5 8,5 10,0 12,0 13,0 14,0 16,0 4.0 - 4.9 6,0 7,0 7,5 8,0 10,0 12,0 13,0 14,0 15,5 5.0 - 5.9 5,5 7,0 7,0 8,0 10,0 12,0 13,5 15,0 17,0 6.0 - 6.9 6,0 6,5 7,0 8,0 10,0 12,0 13,0 15,0 17,0 7.0 - 7.9 6,0 7,0 7,0 8,0 10,5 12,5 15,0 16,0 19,0 8.0 - 8.9 6,0 7,0 7,5 8,5 11,0 14,5 17,0 18,0 22,5 9.0 - 9.9 6,5 7,0 8,0 9,0 12,0 16,0 19,0 21,0 25,0 10.0 - 10.9 7,0 8,0 8,0 9,0 12,5 17,5 20,0 22,5 27,0 11.0 - 11.9 7,0 8,0 8,5 10,0 13,0 18,0 21,5 24,0 29,0 12.0 - 12.9 7,0 8,0 9,0 11,0 14,0 18,5 21,5 24,0 27,5 13.0 - 13.9 7,0 8,0 9,0 11,0 15,0 20,0 24,0 25,0 30,0 14.0 - 14.9 8,0 9,0 10,0 11,5 16,0 21,0 23,5 26,5 32,0 15.0 - 15.9 8,0 9,5 10,5 12,0 16,5 20,5 23,0 26,0 32,5 16.0 - 16.9 10,5 11,5 12,0 14,0 18,0 23,0 26,0 29,0 32,5 17.0 - 17.9 9,0 10,0 12,0 13,0 18,0 24,0 26,5 29,0 34,5 18.0 - 24.9 9,0 11,0 12,0 14,0 18,5 24,5 28,5 31,0 36,0 25.0 - 29.9 10,0 12,0 13,0 15,0 20,0 26,5 31,0 34,0 38,0 30.0 - 34.9 10,5 13,0 15,0 17,0 22,5 29,5 33,0 35,5 41,5 35.0 - 39.9 11 13,0 15,5 18,0 23,5 30,0 35,0 37,0 41,0 40.0 - 44.9 12,0 14,0 16,0 19,0 24,5 30,5 35,0 37,0 41,0 45.0 - 49.9 12,0 14,5 16,5 19,5 25,5 32,0 35,5 38,0 42,5 50.0 - 54.9 12,0 15,0 17,5 20,5 25,5 32,0 36,0 38,5 42,0 55.0 - 59.9 12,0 15,0 17,0 20,5 26,0 32,0 36,0 39,0 42,5 60.0 - 64.9 12,5 16,0 17,5 20,5 26,0 32,0 35,5 38,0 42,5 65.0 - 69.9 12,0 14,5 16,0 19,0 25,0 30,0 33,5 36,0 40,0 70.0 - 74.9 11,0 13,5 15,5 18,0 24,0 29,5 32,0 35,0 38,5 Dobra Cutânea triciptal (mm): distribuição em percentis segundo sexo e idade, Frisancho Idade (anos) Idade (anos) Percentis ANEXO 7 Percentis Homens Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira Categorias Percentil Diagnóstico categoria I Menor que 5,0 Magro categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Gordura excessiva Localizar o percentil na tabela = p75 Classificar de acordo com Frisancho: Diagnóstico: média VAMOS CLASSIFICAR A DOBRA CUTÂNEA TRICIPITAL (DCT 9 mm) DE J.J.? Categorias Percentil Diagnóstico categoria I Menor que 5,0 Magro categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Gordura excessiva Localizar o percentil na tabela = Classificar de acordo com Frisancho: Diagnóstico: 5 10 15 25 50 75 85 90 95 1.0 - 1.9 6,5 7,0 7,5 8,0 10,0 12,0 13,0 14,0 15,5 2.0 - 2.9 6,0 6,5 7,0 8,0 10,0 12,0 13,0 14,0 15,0 3.0 - 3.9 6,0 7,0 7,0 8,0 9,5 11,5 12,5 13,5 15,0 4.0 - 4.9 5,5 6,5 7,0 7,5 9,0 11,0 12,0 12,5 14,0 5.0 - 5.9 5,0 6,0 6,0 7,0 8,0 10,0 11,5 13,0 14,5 6.0 - 6.9 5,0 5,5 6,0 6,5 8,0 10,0 12,0 13,0 16,0 7.0 - 7.9 4,5 5,0 6,0 6,0 8,0 10,5 12,5 14,0 16,0 8.0 - 8.9 5,0 5,5 6,0 7,0 8,5 11,0 13,0 16,0 19,0 9.0 - 9.9 5,0 5,5 6,0 6,5 9,0 12,5 15,5 17,0 20,0 10.0 - 10.9 5,0 6,0 6,0 7,5 10,0 14,0 17,0 20,0 24,0 11.0 - 11.9 5,0 6,0 6,5 7,5 10,0 16,0 19,5 23,0 27,0 12.0 - 12.9 4,5 6,0 6,0 7,5 10,5 14,5 18,0 22,5 27,5 13.0 - 13.9 4,5 5,0 5,5 7,0 9,0 13,0 17,0 20,5 25,0 14.0 - 14.9 4,0 5,0 5,0 6,0 8,5 12,5 15,0 18,0 23,5 15.0 - 15.9 5,0 5,0 5,0 6,0 7,5 11,0 15,0 18,0 23,5 16.0 - 16.9 4,0 5,0 5,1 6,0 8,0 12,0 14,0 17,0 23,0 17.0 - 17.9 4,0 5,0 5,0 6,0 7,0 11,0 13,5 16,0 19,5 18.0 - 24.9 4,0 5,0 5,5 6,5 10,0 14,5 17,5 20,0 23,5 25.0 - 29.9 4,0 5,0 6,0 7,0 11,0 15,5 19,0 21,5 25,0 30.0 - 34.9 4,5 6,0 6,5 8,0 12,0 16,5 20,0 22,0 25,0 35.0 - 39.9 4,5 6,0 7,0 8,5 12,0 16,0 18,5 20,5 24,5 40.0 - 44.9 5,0 6,0 6,9 8,0 12,0 16,0 19,0 21,5 26,0 45.0 - 49.9 5,0 6,0 7,0 8,0 12,0 16,0 19,0 21,0 25,0 50.0 - 54.9 5,0 6,0 7,0 8,0 11,5 15,0 18,5 20,8 25,0 55.0 - 59.9 5,0 6,0 6,5 8,0 11,5 15,0 18,0 20,5 25,0 60.0 - 64.9 5,0 6,0 7,0 8,0 11,5 15,5 18,5 20,5 24,0 65.0 - 69.9 4,5 5,0 6,5 8,0 11,0 15,0 18,0 20,0 23,5 70.0 - 74.9 4,5 6,0 6,5 8,0 11,0 15,0 17,0 19,0 23,0 5 10 15 25 50 75 85 90 95 1.0 - 1.9 6,0 7,0 7,0 8,0 10,0 12,0 13,0 14,0 16,0 2.0 - 2.9 6,0 7,0 7,5 8,5 10,0 12,0 13,5 14,5 16,0 3.0 - 3.9 6,0 7,0 7,5 8,5 10,0 12,0 13,0 14,0 16,0 4.0 - 4.9 6,0 7,0 7,5 8,0 10,0 12,0 13,0 14,0 15,5 5.0 - 5.9 5,5 7,0 7,0 8,0 10,0 12,0 13,5 15,0 17,0 6.0 - 6.9 6,0 6,5 7,0 8,0 10,0 12,0 13,0 15,0 17,0 7.0 - 7.9 6,0 7,0 7,0 8,0 10,5 12,5 15,0 16,0 19,0 8.0 - 8.9 6,0 7,0 7,5 8,5 11,0 14,5 17,0 18,0 22,5 9.0 - 9.9 6,5 7,0 8,0 9,0 12,0 16,0 19,0 21,0 25,0 10.0 - 10.9 7,0 8,0 8,0 9,0 12,5 17,5 20,0 22,5 27,0 11.0 - 11.9 7,0 8,0 8,5 10,0 13,0 18,0 21,5 24,0 29,0 12.0 - 12.9 7,0 8,0 9,0 11,0 14,0 18,5 21,5 24,0 27,5 13.0 - 13.9 7,0 8,0 9,0 11,0 15,0 20,0 24,0 25,0 30,0 14.0 - 14.9 8,0 9,0 10,0 11,5 16,0 21,0 23,5 26,5 32,0 15.0 - 15.9 8,0 9,5 10,5 12,0 16,5 20,5 23,0 26,0 32,5 16.0 - 16.9 10,5 11,5 12,0 14,0 18,0 23,0 26,0 29,0 32,5 17.0 - 17.9 9,0 10,0 12,0 13,0 18,0 24,0 26,5 29,0 34,5 18.0 - 24.9 9,0 11,0 12,0 14,0 18,5 24,5 28,5 31,0 36,0 25.0 - 29.9 10,0 12,0 13,0 15,0 20,0 26,5 31,0 34,0 38,0 30.0 - 34.9 10,5 13,0 15,0 17,0 22,5 29,5 33,0 35,5 41,5 35.0 - 39.9 11 13,0 15,5 18,0 23,5 30,0 35,0 37,0 41,0 40.0 - 44.9 12,0 14,0 16,0 19,0 24,5 30,5 35,0 37,0 41,0 45.0 - 49.9 12,0 14,5 16,5 19,5 25,5 32,0 35,5 38,0 42,5 50.0 - 54.9 12,0 15,0 17,5 20,5 25,5 32,0 36,0 38,5 42,0 55.0 - 59.9 12,0 15,0 17,0 20,5 26,0 32,0 36,0 39,0 42,5 60.0 - 64.9 12,5 16,0 17,5 20,5 26,0 32,0 35,5 38,0 42,5 65.0 - 69.9 12,0 14,5 16,0 19,0 25,0 30,0 33,5 36,0 40,0 70.0 - 74.9 11,0 13,5 15,5 18,0 24,0 29,5 32,0 35,0 38,5 Dobra Cutânea triciptal (mm): distribuição em percentis segundo sexo e idade, Frisancho Idade (anos) Idade (anos) PercentisANEXO 7 Percentis Homens Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira PASSO 9: DOBRA CUTÂNEA SUBESCAPULAR (DCSE) Categorias Percentil Diagnóstico categoria I Menor que 5,0 Magro categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Gordura excessiva Localizar o percentil na tabela = p75 Classificar de acordo com Frisancho: Diagnóstico: média 5 10 15 25 50 75 85 90 95 1.0 - 1.9 4,0 4,0 4,5 5,0 6,0 7,0 8,0 6,5 10,0 2.0 - 2.9 3,5 4,0 4,0 4,5 5,5 7,0 7,5 6,5 10,0 3.0 - 3.9 3,5 4,0 4,0 4,5 5,0 6,0 7,0 7,0 9,0 4.0 - 4.9 3,0 3,5 4,0 4,0 5,0 6,0 6,5 7,0 8,0 5.0 - 5.9 3,0 3,5 4,0 4,0 5,0 5,5 6,5 7,0 8,0 6.0 - 6.9 3,0 3,5 3,5 4,0 4,5 5,5 6,5 8,0 13,0 7.0 - 7.9 3,0 3,5 4,0 4,0 5,0 6,0 7,0 8,0 12,0 8.0 - 8.9 3,0 3,5 4,0 4,0 5,0 6,0 7,5 9,0 12,5 9.0 - 9.9 3,0 3,5 4,0 4,0 5,0 7,0 9,5 12,0 14,5 10.0 - 10.9 3,5 4,0 4,0 4,5 6,0 8,0 11,0 14,0 19,5 11.0 - 11.9 4,0 4,0 4,0 5,0 6,0 9,0 15,0 18,5 26,0 12.0 - 12.9 4,0 4,0 4,5 5,0 6,0 9,5 15,0 19,0 24,0 13.0 - 13.9 4,0 4,0 5,0 5,0 6,5 9,0 13,0 17,0 25,0 14.0 - 14.9 4,0 5,0 5,0 5,5 7,0 9,0 12,0 15,5 22,5 15.0 - 15.9 5,0 5,0 5,5 6,0 7,0 10,0 13,0 16,0 22,0 16.0 - 16.9 5,0 6,0 6,0 7,0 8,0 11,0 14,0 16,0 22,0 17.0 - 17.9 5,0 6,0 6,0 7,0 8,0 11,0 14,0 17,0 21,5 18.0 - 24.9 6,0 7,0 7,0 8,0 11,0 16,0 20,0 24,0 30,0 25.0 - 29.9 7,0 7,0 8,0 9,0 13,0 20,0 24,5 26,5 31,0 30.0 - 34.9 7,0 8,0 9,0 11,0 15,5 22,0 25,5 29,0 33,0 35.0 - 39.9 7,0 8,0 9,5 11,0 16,0 22,5 25,5 28,0 33,0 40.0 - 44.9 7,0 8,0 9,0 11,5 16,0 22,0 25,5 29,5 33,0 45.0 - 49.9 7,0 8,0 9,5 11,5 17,0 23,5 27,0 30,0 34,5 50.0 - 54.9 7,0 8,0 9,0 11,5 16,0 22,5 26,5 29,5 34,0 55.0 - 59.9 6,5 8,0 9,5 11,5 16,5 23,0 26,0 28,5 32,0 60.0 - 64.9 7,0 8,0 10,0 12,0 17,0 23,0 26,0 29,0 34,0 65.0 - 69.9 6,0 7,5 8,5 10,5 15,0 21,5 25,0 28,0 32,5 70.0 - 74.9 6,5 7,0 8,0 10,3 15,0 21,0 25,0 27,5 31,0 5 10 15 25 50 75 85 90 95 1.0 - 1.9 4,0 4,0 4,5 5,0 6,0 7,5 8,5 9,0 10,0 2.0 - 2.9 4,0 4,0 4,5 5,0 6,0 7,0 8,0 9,0 10,5 3.0 - 3.9 3,5 4,0 4,0 5,0 5,5 7,0 7,5 8,5 10,0 4.0 - 4.9 3,5 4,0 4,0 4,5 5,5 7,0 8,0 9,0 10,5 5.0 - 5.9 3,5 4,0 4,0 4,5 5,0 7,0 8,0 9,0 12,0 6.0 - 6.9 3,5 4,0 4,0 4,5 5,5 7,0 8,0 10,0 11,5 7.0 - 7.9 3,5 4,0 4,0 4,5 6,0 7,5 9,5 11,0 13,0 8.0 - 8.9 3,5 4,0 4,0 5,0 6,0 8,0 11,5 14,5 21,0 9.0 - 9.9 4,0 4,5 5,0 5,0 6,5 9,5 13,0 18,0 24,0 10.0 - 10.9 4,0 4,5 5,0 5,5 7,0 11,5 16,0 19,5 24,0 11.0 - 11.9 4,5 5,0 5,0 6,0 8,0 12,0 16,0 20,0 28,5 12.0 - 12.9 5,0 5,5 6,0 6,5 9,0 13,0 17,0 22,0 30,0 13.0 - 13.9 5,0 6,0 6,0 7,0 10,0 15,5 19,0 23,0 26,5 14.0 - 14.9 6,0 6,0 7,0 7,5 10,0 16,0 20,5 25,0 30,0 15.0 - 15.9 6,0 7,0 7,5 8,0 10,0 15,0 20,0 23,0 28,0 16.0 - 16.9 7,0 7,5 8,0 9,0 11,5 16,5 24,0 26,0 34,0 17.0 - 17.9 6,0 7,0 7,5 9,0 12,5 19,0 24,5 28,0 34,0 18.0 - 24.9 6,5 7,0 8,0 9,5 13,0 20,0 25,5 29,0 36,0 25.0 - 29.9 6,5 7,0 8,0 10,0 14,0 23,0 29,0 33,0 38,5 30.0 - 34.9 6,5 7,5 8,5 10,5 16,0 26,5 32,5 37,0 43,0 35.0 - 39.9 7 8,0 9,0 11,0 18,0 28,5 34,0 36,5 43,0 40.0 - 44.9 6,5 8,0 9,0 11,5 19,0 28,5 34,0 37,0 42,0 45.0 - 49.9 7,0 8,5 10,0 12,5 20,0 29,5 34,0 37,5 43,5 50.0 - 54.9 7,0 9,0 11,0 14,0 21,9 30,0 35,0 39,0 43,5 55.0 - 59.9 7,0 9,0 11,0 13,5 22,0 31,0 35,0 38,0 45,0 60.0 - 64.9 7,5 9,0 11,0 14,0 21,5 30,5 35,0 38,0 43,0 65.0 - 69.9 7,0 8,0 10,0 13,0 20,0 28,0 33,0 36,0 41,0 70.0 - 74.9 6,5 8,5 10,0 12,0 19,5 27,0 32,0 35,0 38,3 ANEXO 8 Dobra Cutânea Subescapular (mm): distribuição em percentis segundo sexo e idade, Frisancho 1990 Idade (anos) Percentis Homens Idade (anos) Percentis Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira CÁLCULO DE J.J. DOBRA CUTÂNEA SUBESCAPULAR (DCSE 15 mm) Categorias Percentil Diagnóstico categoria I Menor que 5,0 Magro categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Gordura excessiva Localizar o percentil na tabela = Classificar de acordo com Frisancho: Diagnóstico: 5 10 15 25 50 75 85 90 95 1.0 - 1.9 4,0 4,0 4,5 5,0 6,0 7,0 8,0 6,5 10,0 2.0 - 2.9 3,5 4,0 4,0 4,5 5,5 7,0 7,5 6,5 10,0 3.0 - 3.9 3,5 4,0 4,0 4,5 5,0 6,0 7,0 7,0 9,0 4.0 - 4.9 3,0 3,5 4,0 4,0 5,0 6,0 6,5 7,0 8,0 5.0 - 5.9 3,0 3,5 4,0 4,0 5,0 5,5 6,5 7,0 8,0 6.0 - 6.9 3,0 3,5 3,5 4,0 4,5 5,5 6,5 8,0 13,0 7.0 - 7.9 3,0 3,5 4,0 4,0 5,0 6,0 7,0 8,0 12,0 8.0 - 8.9 3,0 3,5 4,0 4,0 5,0 6,0 7,5 9,0 12,5 9.0 - 9.9 3,0 3,5 4,0 4,0 5,0 7,0 9,5 12,0 14,5 10.0 - 10.9 3,5 4,0 4,0 4,5 6,0 8,0 11,0 14,0 19,5 11.0 - 11.9 4,0 4,0 4,0 5,0 6,0 9,0 15,0 18,5 26,0 12.0 - 12.9 4,0 4,0 4,5 5,0 6,0 9,5 15,0 19,0 24,0 13.0 - 13.9 4,0 4,0 5,0 5,0 6,5 9,0 13,0 17,0 25,0 14.0 - 14.9 4,0 5,0 5,0 5,5 7,0 9,0 12,0 15,5 22,5 15.0 - 15.9 5,0 5,0 5,5 6,0 7,0 10,0 13,0 16,0 22,0 16.0 - 16.9 5,0 6,0 6,0 7,0 8,0 11,0 14,0 16,0 22,0 17.0 - 17.9 5,0 6,0 6,0 7,0 8,0 11,0 14,0 17,0 21,5 18.0 - 24.9 6,0 7,0 7,0 8,0 11,0 16,0 20,0 24,0 30,0 25.0 - 29.9 7,0 7,0 8,0 9,0 13,0 20,0 24,5 26,5 31,0 30.0 - 34.9 7,0 8,0 9,0 11,0 15,5 22,0 25,5 29,0 33,0 35.0 - 39.9 7,0 8,0 9,5 11,0 16,0 22,5 25,5 28,0 33,0 40.0 - 44.9 7,0 8,0 9,0 11,5 16,0 22,0 25,5 29,5 33,0 45.0 - 49.9 7,0 8,0 9,5 11,5 17,0 23,5 27,0 30,0 34,5 50.0 - 54.9 7,0 8,0 9,0 11,5 16,0 22,5 26,5 29,5 34,0 55.0 - 59.9 6,5 8,0 9,5 11,5 16,5 23,0 26,0 28,5 32,0 60.0 - 64.9 7,0 8,0 10,0 12,0 17,0 23,0 26,0 29,0 34,0 65.0 - 69.9 6,0 7,5 8,5 10,5 15,0 21,5 25,0 28,0 32,5 70.0 - 74.9 6,5 7,0 8,0 10,3 15,0 21,0 25,0 27,5 31,0 5 10 15 25 50 75 85 90 95 1.0 - 1.9 4,0 4,0 4,5 5,0 6,0 7,5 8,5 9,0 10,0 2.0 - 2.9 4,0 4,0 4,5 5,0 6,0 7,0 8,0 9,0 10,5 3.0 - 3.9 3,5 4,0 4,0 5,0 5,5 7,0 7,5 8,5 10,0 4.0 - 4.9 3,5 4,0 4,0 4,5 5,5 7,0 8,0 9,0 10,5 5.0 - 5.9 3,5 4,0 4,0 4,5 5,0 7,0 8,0 9,0 12,0 6.0 - 6.9 3,5 4,0 4,0 4,5 5,5 7,0 8,0 10,0 11,5 7.0 - 7.9 3,5 4,0 4,0 4,5 6,0 7,5 9,5 11,0 13,0 8.0 - 8.9 3,5 4,0 4,0 5,0 6,0 8,0 11,5 14,5 21,0 9.0 - 9.9 4,0 4,5 5,0 5,0 6,5 9,5 13,0 18,0 24,0 10.0 - 10.9 4,0 4,5 5,0 5,5 7,0 11,5 16,0 19,5 24,0 11.0 - 11.9 4,5 5,0 5,0 6,0 8,0 12,0 16,0 20,0 28,5 12.0 - 12.9 5,0 5,5 6,0 6,5 9,0 13,0 17,0 22,0 30,0 13.0 - 13.9 5,0 6,0 6,0 7,0 10,0 15,5 19,0 23,0 26,5 14.0 - 14.9 6,0 6,0 7,0 7,5 10,0 16,0 20,5 25,0 30,0 15.0 - 15.9 6,0 7,0 7,5 8,0 10,0 15,0 20,0 23,0 28,0 16.0 - 16.9 7,0 7,5 8,0 9,0 11,5 16,5 24,0 26,0 34,0 17.0 - 17.9 6,0 7,0 7,5 9,0 12,5 19,0 24,5 28,0 34,0 18.0 - 24.9 6,5 7,0 8,0 9,5 13,0 20,0 25,5 29,0 36,0 25.0 - 29.9 6,5 7,0 8,0 10,0 14,0 23,0 29,0 33,0 38,5 30.0 - 34.9 6,5 7,5 8,5 10,5 16,0 26,5 32,5 37,0 43,0 35.0 - 39.9 7 8,0 9,0 11,0 18,0 28,5 34,0 36,5 43,0 40.0 - 44.9 6,5 8,0 9,0 11,5 19,0 28,5 34,0 37,0 42,0 45.0 - 49.9 7,0 8,5 10,0 12,5 20,0 29,5 34,0 37,5 43,5 50.0 - 54.9 7,0 9,0 11,0 14,0 21,9 30,0 35,0 39,0 43,5 55.0 - 59.9 7,0 9,0 11,0 13,5 22,0 31,0 35,0 38,0 45,0 60.0 - 64.9 7,5 9,0 11,0 14,0 21,5 30,5 35,0 38,0 43,0 65.0 - 69.9 7,0 8,0 10,0 13,0 20,0 28,0 33,0 36,0 41,0 70.0 - 74.9 6,5 8,5 10,0 12,0 19,5 27,0 32,0 35,0 38,3 ANEXO 8 Dobra Cutânea Subescapular (mm): distribuição em percentis segundo sexo e idade, Frisancho 1990 Idade (anos) Percentis Homens Idade (anos) Percentis Mulheres Antropometria adultos – Prof. Dra Elizabeth Egashira PASSO 10: SOMATÓRIO DAS DOBRAS CUTÂNEAS DCT+DCSE Categorias Percentil Diagnóstico categoria I Menor que 5,0 Magro categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Gordura excessiva DCT+DCSE = 62 mm Localizar o percentil na tabela = p75 Classificar de acordo com Frisancho: Diagnóstico: média 5 10 15 25 50 75 85 90 1.0 - 1.9 11,0 12,0 12,5 14,0 26,5 19,0 21,0 22,0 2.0 - 2.9 10,0 11,0 12,0 13,0 15,5 18,0 20,0 21,5 3.0 - 3.9 10,5 11,0 12,0 13,0 14,5 17,5 19,0 20,5 4.0 - 4.9 9,5 10,5 11,0 12,0 14,0 16,5 18,0 19,0 5.0 - 5.9 9,0 10,0 10,0 11,0 13,0 16,0 18,0 19,0 6.0 - 6.9 8,0 9,0 10,0 10,5 13,0 15,2 18,0 20,0 7.0 - 7.9 8,5 9,0 9,5 10,5 13,0 16,0 19,5 23,0 8.0 - 8.9 8,5 9,0 10,0 11,0 13,5 17,020,0 24,5 9.0 - 9.9 8,5 9,5 10,0 11,0 14,0 19,0 24,0 29,0 10.0 - 10.9 9,0 10,0 11,0 12,0 15,5 22,0 27,0 33,5 11.0 - 11.9 9,0 10,0 11,0 12,5 16,5 25,0 33,0 40,0 12.0 - 12.9 9,0 10,0 11,0 12,5 17,0 24,0 34,0 40,5 13.0 - 13.9 8,5 10,5 11,0 12,5 15,0 21,0 29,0 37,0 14.0 - 14.9 9,0 10,0 11,0 12,0 15,0 22,0 27,0 33,0 15.0 - 15.9 10,0 10,5 11,0 12,0 15,0 21,0 27,0 32,5 16.0 - 16.9 10,0 11,5 12,0 13,0 16,0 22,5 27,5 33,5 17.0 - 17.9 10,0 11,0 12,0 13,0 16,0 22,0 27,0 31,5 18.0 - 24.9 11,0 12,0 13,5 15,0 21,0 30,0 37,0 41,5 25.0 - 29.9 11,5 13,0 14,0 17,0 24,5 35,0 41,0 46,0 30.0 - 34.9 12,0 14,5 16,5 20,0 28,0 38,0 44,0 49,0 35.0 - 39.9 12,0 14,5 16,5 21,0 29,0 37,0 42,4 47,0 40.0 - 44.9 13,0 15,0 16,5 20,5 28,5 37,0 42,5 47,5 45.0 - 49.9 12,5 15,0 17,5 20,5 29,0 39,0 44,0 48,0 50.0 - 54.9 13,0 15,0 17,0 20,5 28,0 37,5 43,0 48,0 55.0 - 59.9 12,0 15,0 17,0 21,0 28,5 37,0 43,0 47,0 60.0 - 64.9 13,0 15,5 17,5 21,0 29,0 37,5 43,0 47,0 65.0 - 69.9 11,0 13,5 16,0 19,5 27,0 36,0 42,0 46,5 70.0 - 74.9 11,5 14,0 16,0 19,0 26,0 35,0 41,0 45,0 5 10 15 25 50 75 85 90 1.0 - 1.9 10,5 12,0 12,0 13,5 16,5 19,5 21,0 23,0 2.0 - 2.9 11,0 12,0 12,5 14,0 16,0 19,0 21,5 23,5 3.0 - 3.9 10,5 11,5 12,0 13,5 16,0 18,5 20,5 21,5 4.0 - 4.9 10,0 11,0 12,0 13,0 15,5 18,5 20,5 22,5 5.0 - 5.9 10,0 11,0 11,5 12,5 15,0 18,5 21,0 24,0 6.0 - 6.9 10,0 10,5 11,0 12,5 15,5 18,5 21,0 23,5 7.0 - 7.9 10,0 11,0 12,0 13,5 16,0 20,0 23,0 26,0 8.0 - 8.9 10,5 11,0 12,0 13,0 17,0 22,5 28,5 31,0 9.0 - 9.9 11,0 12,0 12,5 14,5 19,0 25,5 30,0 39,0 10.0 - 10.9 12,0 12,5 13,0 15,0 20,0 28,5 34,5 40,5 11.0 - 11.9 12,0 13,5 14,5 16,0 22,0 30,0 37,0 42,0 12.0 - 12.9 13,0 14,0 15,0 18,0 23,0 31,0 37,0 44,0 13.0 - 13.9 12,5 14,0 15,5 18,5 24,5 35,5 43,0 47,5 14.0 - 14.9 14,5 16,0 17,5 20,0 26,0 37,0 44,5 48,5 15.0 - 15.9 15,0 17,0 18,0 20,5 26,5 34,5 42,5 48,5 16.0 - 16.9 17,5 20,0 21,5 24,0 30,0 39,5 47,0 53,5 17.0 - 17.9 16,5 18,5 20,0 23,0 31,0 42,0 49,0 55,5 18.0 - 24.9 16,7 19,0 21,0 24,0 32,0 44,0 52,0 58,5 25.0 - 29.9 17,5 20,0 22,0 25,5 35,0 48,5 58,0 64,5 30.0 - 34.9 18,0 22,0 24,5 28,5 39,0 55,0 64,0 71,0 35.0 - 39.9 19,0 22,5 25,5 30,0 42,0 57,5 66,0 72,2 40.0 - 44.9 20,0 23,5 27,0 31,0 43,0 58,0 67,0 73,0 45.0 - 49.9 21,0 24,0 27,5 33,5 45,0 59,5 69,0 74,5 50.0 - 54.9 21,0 26,0 30,0 35,5 47,0 61,0 70,0 75,3 55.0 - 59.9 21,0 26,0 29,0 35,0 47,0 62,0 69,5 75,0 60.0 - 64.9 22,0 27,0 30,0 35,5 48,0 61,0 68,0 74,0 65.0 - 69.9 21,0 25,0 28,5 34,0 44,0 57,0 64,0 70,0 70.0 - 74.9 19,0 23,5 27,0 32,0 43,0 56,0 62,0 67,0 ANEXO 9 Somatória das dobras Triciptal e Subescapular (mm), Frisancho 1990 Idade (anos) Percentis Idade (anos) Percentis Mulheres Homens Antropometria adultos – Prof. Dra Elizabeth Egashira VAMOS CALCULAR JJ? SOMATÓRIO DAS DOBRAS CUTÂNEAS DCT+DCSE Categorias Percentil Diagnóstico categoria I Menor que 5,0 Magro categoria II 5,1 – 15,0 Abaixo da média categoria III 15,1 – 85,0 Média categoria IV 85,1 – 95,0 Acima da média categoria V 95,1 – 100,0 Gordura excessiva DCT+DCSE = 15+9= mm Localizar o percentil na tabela = Classificar de acordo com Frisancho: Diagnóstico: 5 10 15 25 50 75 85 90 1.0 - 1.9 11,0 12,0 12,5 14,0 26,5 19,0 21,0 22,0 2.0 - 2.9 10,0 11,0 12,0 13,0 15,5 18,0 20,0 21,5 3.0 - 3.9 10,5 11,0 12,0 13,0 14,5 17,5 19,0 20,5 4.0 - 4.9 9,5 10,5 11,0 12,0 14,0 16,5 18,0 19,0 5.0 - 5.9 9,0 10,0 10,0 11,0 13,0 16,0 18,0 19,0 6.0 - 6.9 8,0 9,0 10,0 10,5 13,0 15,2 18,0 20,0 7.0 - 7.9 8,5 9,0 9,5 10,5 13,0 16,0 19,5 23,0 8.0 - 8.9 8,5 9,0 10,0 11,0 13,5 17,0 20,0 24,5 9.0 - 9.9 8,5 9,5 10,0 11,0 14,0 19,0 24,0 29,0 10.0 - 10.9 9,0 10,0 11,0 12,0 15,5 22,0 27,0 33,5 11.0 - 11.9 9,0 10,0 11,0 12,5 16,5 25,0 33,0 40,0 12.0 - 12.9 9,0 10,0 11,0 12,5 17,0 24,0 34,0 40,5 13.0 - 13.9 8,5 10,5 11,0 12,5 15,0 21,0 29,0 37,0 14.0 - 14.9 9,0 10,0 11,0 12,0 15,0 22,0 27,0 33,0 15.0 - 15.9 10,0 10,5 11,0 12,0 15,0 21,0 27,0 32,5 16.0 - 16.9 10,0 11,5 12,0 13,0 16,0 22,5 27,5 33,5 17.0 - 17.9 10,0 11,0 12,0 13,0 16,0 22,0 27,0 31,5 18.0 - 24.9 11,0 12,0 13,5 15,0 21,0 30,0 37,0 41,5 25.0 - 29.9 11,5 13,0 14,0 17,0 24,5 35,0 41,0 46,0 30.0 - 34.9 12,0 14,5 16,5 20,0 28,0 38,0 44,0 49,0 35.0 - 39.9 12,0 14,5 16,5 21,0 29,0 37,0 42,4 47,0 40.0 - 44.9 13,0 15,0 16,5 20,5 28,5 37,0 42,5 47,5 45.0 - 49.9 12,5 15,0 17,5 20,5 29,0 39,0 44,0 48,0 50.0 - 54.9 13,0 15,0 17,0 20,5 28,0 37,5 43,0 48,0 55.0 - 59.9 12,0 15,0 17,0 21,0 28,5 37,0 43,0 47,0 60.0 - 64.9 13,0 15,5 17,5 21,0 29,0 37,5 43,0 47,0 65.0 - 69.9 11,0 13,5 16,0 19,5 27,0 36,0 42,0 46,5 70.0 - 74.9 11,5 14,0 16,0 19,0 26,0 35,0 41,0 45,0 5 10 15 25 50 75 85 90 1.0 - 1.9 10,5 12,0 12,0 13,5 16,5 19,5 21,0 23,0 2.0 - 2.9 11,0 12,0 12,5 14,0 16,0 19,0 21,5 23,5 3.0 - 3.9 10,5 11,5 12,0 13,5 16,0 18,5 20,5 21,5 4.0 - 4.9 10,0 11,0 12,0 13,0 15,5 18,5 20,5 22,5 5.0 - 5.9 10,0 11,0 11,5 12,5 15,0 18,5 21,0 24,0 6.0 - 6.9 10,0 10,5 11,0 12,5 15,5 18,5 21,0 23,5 7.0 - 7.9 10,0 11,0 12,0 13,5 16,0 20,0 23,0 26,0 8.0 - 8.9 10,5 11,0 12,0 13,0 17,0 22,5 28,5 31,0 9.0 - 9.9 11,0 12,0 12,5 14,5 19,0 25,5 30,0 39,0 10.0 - 10.9 12,0 12,5 13,0 15,0 20,0 28,5 34,5 40,5 11.0 - 11.9 12,0 13,5 14,5 16,0 22,0 30,0 37,0 42,0 12.0 - 12.9 13,0 14,0 15,0 18,0 23,0 31,0 37,0 44,0 13.0 - 13.9 12,5 14,0 15,5 18,5 24,5 35,5 43,0 47,5 14.0 - 14.9 14,5 16,0 17,5 20,0 26,0 37,0 44,5 48,5 15.0 - 15.9 15,0 17,0 18,0 20,5 26,5 34,5 42,5 48,5 16.0 - 16.9 17,5 20,0 21,5 24,0 30,0 39,5 47,0 53,5 17.0 - 17.9 16,5 18,5 20,0 23,0 31,0 42,0 49,0 55,5 18.0 - 24.9 16,7 19,0 21,0 24,0 32,0 44,0 52,0 58,5 25.0 - 29.9 17,5 20,0 22,0 25,5 35,0 48,5 58,0 64,5 30.0 - 34.9 18,0 22,0 24,5 28,5 39,0 55,0 64,0 71,0 35.0 - 39.9 19,0 22,5 25,5 30,0 42,0 57,5 66,0 72,2 40.0 - 44.9 20,0 23,5 27,0 31,0 43,0 58,0 67,0 73,0 45.0 - 49.9 21,0 24,0 27,5 33,5 45,0 59,5 69,0 74,5 50.0 - 54.9 21,0 26,0 30,0 35,5 47,0 61,0 70,0 75,3 55.0 - 59.9 21,0 26,0 29,0 35,0 47,0 62,0 69,5 75,0 60.0 - 64.9 22,0 27,0 30,0 35,5 48,0 61,0 68,0 74,0 65.0 - 69.9 21,0 25,0 28,5 34,0 44,0 57,0 64,0 70,0 70.0 - 74.9 19,0 23,5 27,0 32,0 43,0 56,0 62,0 67,0 ANEXO 9 Somatória das dobras Triciptal e Subescapular (mm), Frisancho 1990 Idade (anos) Percentis Idade (anos) Percentis Mulheres Homens Antropometria adultos – Prof. Dra Elizabeth Egashira PASSO 11 - CIRCUNFERÊNCIA DA CINTURA (CC) ou Abdominal ◦ Valor da paciente? 79 cm Baixo risco! Risco Baixo Aumentado Muito aumentado Homens < 94 cm ≥ 94 cm ≥ 102 cm Mulheres < 80 cm ≥ 80 cm ≥ 88 cm VAMOS CALCULAR DO JJ? CIRCUNFERÊNCIA DA CINTURA (CC) ou Abdominal ◦ Valor da paciente? 98 cm DIAGNÓSTICO? Risco Baixo Aumentado Muito aumentado Homens < 94 cm ≥ 94 cm ≥ 102 cm Mulheres < 80 cm ≥ 80 cm ≥ 88 cm Vamos transcrever todos os valores e diagnósticos para a tabela resumo abaixo: Medida, Índice e Indicador Valor obtido Diagnóstico IMC (kg/ m2) 27,53 Sobrepeso CC (cm) 79,00 Baixo risco Estrutura óssea 10,19 Mediana Peso desejável mínimo (kg) 46,77 kg Peso desejável máximo (kg) 63,18 kg Percentual do peso desejável compleição 128,89% Obesidade PB (cm) 34,5 113,86% adequação Sobrepeso CMB (cm) 24,45 108,89% eutrofia AMB (cm2) 41,1 Média DCT (mm) 32 p75 Média DCT + DCSE (mm) 62 p75 Média Diagnóstico final: a paciente apresenta sobrepeso, observado pelo IMC confirmado pelo perímetro do braço, a massa magra está adequada e a reserva de gordura está adequada com baixo risco de complicações associados a gordura abdominal. Vamos transcrever o diagnóstico de J.J. Medida, Índice e Indicador Valor obtido Diagnóstico IMC (kg/ m2) CC (cm) Estrutura óssea Peso desejável mínimo (kg) Peso desejável máximo (kg) Percentual do peso desejável compleição PB (cm) CMB (cm) AMB (cm2) DCT (mm) DCT + DCSE (mm) Diagnóstico final:
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