Use of anthropometric techniques in dietetic practice

Aim: To survey the use of anthropometry by dietitians. Methods: Respondents to an anonymous online survey were recruited from the dietetic workforce in Victoria, Australia. The survey recorded demographic information, category of dietetic practice and client type. Questions were also asked about use and confidence in taking anthropometric measures and about enablers and barriers for this within dietetic practice. Results: The 151 dietitians who completed the survey resembled the wider Victorian dietetic workforce. Most (93%) considered anthropometry an important tool. Body weight and height were measures most commonly taken. Over 30% used surrogate measures for height such as ulna length. Other measures including circumferences, knee height, sitting height and skinfold thicknesses were taken infrequently. Factors facilitating use of anthropometry were prior experience; training; a mobile consenting client and/or the availability of clear procedures or protocols. Barriers to taking circumferences and skinfold thicknesses included lack of confidence, time and support from senior colleagues. Most respondents indicated the need for additional training in anthropometry. Conclusions: The practice of anthropometry in accordance with practice guidelines would be improved by strengthening professional training and the provision of more supportive, well-resourced systems.