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Measuring waist circumference EHES Training Material. Exclusion criteria. Waist circumference is not measured, if participant is immobile or in a wheelchair has severe difficulties in standing straight
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Exclusion criteria Waist circumference is not measured, if participant • is immobile or in a wheelchair • has severe difficulties in standing straight • has problems in the waist area, for example a hernia, stoma bag or recent abdominal surgery, preventing proper measurement • is pregnant (over 20 weeks) • refuses
Non-elastic measurement tapes (200cm and 250cm) Full body mirror, if feasible Equipment
Posture of the subject Ask the participant to: • reveal the waist, by loosing the belt, lowering the pants/skirt and lifting the shirt • stand weight evenly balanced on both legs • keep hands hanging loosely beside the body
Measurement place • Palpate the waist in order to find the right measurement place • midway between the lower rib margin and the iliac rest
Position of the measurement tape • Check the horizontal position of the tape by • holding the tape firmly • asking the participant to turn over • moving around the participant • checking from the mirror (if available)
Check that the tape is not too tight or too loose You should be able to place one finger between the tape and the subject’s body Ask the participant to breath normally Read the waist circumference at the end of a light exhale Waist measurement
It isn’t always easy to find the right measurement place Palpate and check the right place carefully Note
Recording • Record waist circumference to the closest 0,1 cm • Record if the measurement was done over bare skin or over clothing • Record reason, if waist is not measured • Do not record self-reported waist circumference, only measured values are acceptable
Acknowledgements • Slides • Johanna Mäki-Opas, Hanna Tolonen • Photographs • Hanna Tolonen • Measurement demonstration • Liisa Saarikoski, Sanna Ahonen, Kari Kuulasmaa, Shadia Rask, Ulla Leskinen, MarikaStrang, Katri Kilpeläinen