web body composition

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 Name Sex M M or F Date 2/13/2006 Ethnicity w W or B or H Age 50 years Activity level s W = White; B=Black; H=Hispanic English Metric SKINFOLD/Frame size BIA/Metabolic/Diet Analysis Height 0.00 in 0.00 cm Chin 0 mm Resistance 0 Weight 0.00 pd 0.00 kg Biceps 0 mm Reactance 0 Neck 0.00 in 0.00 cm Triceps 0mm Phase angle N/A WC1 0.00 in 0.00 cm Chest 0 mm WC2 0.00 in 0.00 cm Axillary 0 mm RMR meas 0 calories measured Hip 0.00 in 0.00 cm Subscapular 0mm TEEmeas 0calories measured 0.00 Suprailiac 0 mm TEE calc 0 cal ories cal culated Midthigh 0 mm  Abdomen 0 mm Goal weight 0 pounds  Ave %BF 0% Elbow width 0 mm Diet cal 0 calories Fr ame = no el bow Knee width 0 cm New activity s Activity Level = S=sedentary, LA=Light active, A=Active, VA=very active.====> see bottom for definitions. WC2 = at the umbilicus level, usually the largest circumference SUM3 = Men (chest, abdomen, thigh); women (triceps, suprailiac, midthigh) SUM4 = triceps, biceps, subscapular, suprailiac. SUM7 = chest, midaxillary, triceps, subscapular, abdomen, suprailiac, and midthigh. Diet record = the number of calories you currently consume as measured by your dietary record. 0=no record Diet calories = the number of calories you are willing to consume in order to lose weight. RMR meas  = a direct measurement of your Oxygen consumption to determine your resting metabolism TEE meas  = based upon your measured RMR this is your estimated total daily calorie expenditure. TEE calc  = your calculated or estimated metabolism from published equations, i.e. Ownes, Mifflin, Pasanisi Current cal = your current dietary calories. Diet cal = the calorie level you are willing to go down to in order to lose weight. Exercise cal = the number of calories you are willing to exercise every day in addition to your current activities. No data to summarize. There are no measurement(s) for WC1 and/or hip. Body Fat% - various measurements including height, weight, circumference, skinfold, and BIA Waist circumference and Waist to Hip ratio (WHR) - requires WC1 and hip S, LA, A, VA BMI - requires height and weight Body Composition Formula Medical Group James Krider, MD 18182 HWY 18, Suite 105 Apple Valley, CA 92307 SUMMARY OF YOUR BODY COMPOSITION www.FORMULAMEDICAL.COM S, LA, A, VA WC1 = front of body midway between xiphoid process and umbilicus, side midway between lower part of ribcage and iliac crests, usually the smallest measurement above the umbilicus.

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Name Sex M M or F Date 2/13/2006Ethnicity w W or B or H Age 50 years Activity level sW = White; B=Black; H=Hispanic

English Metric SKINFOLD/Frame size BIA/Metabolic/Diet AnalysisHeight 0.00 in 0.00 cm Chin 0 mm Resistance 0Weight 0.00 pd 0.00 kg Biceps 0 mm Reactance 0Neck 0.00 in 0.00 cm Triceps 0 mm Phase angle N/AWC1 0.00 in 0.00 cm Chest 0 mmWC2 0.00 in 0.00 cm Axillary 0 mm RMRmeas 0 calories measuredHip 0.00 in 0.00 cm Subscapular 0 mm TEEmeas 0 calories measured

0.00 Suprailiac 0 mm TEE calc 0 calories calculated

Midthigh 0 mm Abdomen 0 mm Goal weight 0 pounds

Ave %BF 0% Elbow width 0 mm Diet cal 0 caloriesFrame = no elbow Knee width 0 cm New activity sActivity Level = S=sedentary, LA=Light active, A=Active, VA=very active.====> see bottom for definitions.

WC2 = at the umbilicus level, usually the largest circumferenceSUM3 = Men (chest, abdomen, thigh); women (triceps, suprailiac, midthigh)SUM4 = triceps, biceps, subscapular, suprailiac.SUM7 = chest, midaxillary, triceps, subscapular, abdomen, suprailiac, and midthigh.Diet record = the number of calories you currently consume as measured by your dietary record. 0=no record

Diet calories = the number of calories you are willing to consume in order to lose weight.RMR meas = a direct measurement of your Oxygen consumption to determine your resting metabolismTEE meas = based upon your measured RMR this is your estimated total daily calorie expenditure.TEE calc = your calculated or estimated metabolism from published equations, i.e. Ownes, Mifflin, PasanisiCurrent cal = your current dietary calories.Diet cal = the calorie level you are willing to go down to in order to lose weight.Exercise cal = the number of calories you are willing to exercise every day in addition to your current activities.

No data to summarize.

There are no measurement(s) for WC1 and/or hip.

Body Fat% - various measurements including height, weight, circumference, skinfold, and BIA

Waist circumference and Waist to Hip ratio (WHR) - requires WC1 and hip

S, LA, A, VA

BMI - requires height and weight

Body CompositionFormula Medical Group

James Krider, MD18182 HWY 18, Suite 105Apple Valley, CA 92307

SUMMARY OF YOUR BODY COMPOSITION

www.FORMULAMEDICAL.COM

S, LA, A, VA

WC1 = front of body midway between xiphoid process and umbilicus, side midway between lower part of ribcage and iliac crests, usually thesmallest measurement above the umbilicus.

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SUM3 --> 0 SUM4 ---> 0 SUM7 ---> 0

BMI N/A ---> No wt or htWHR N/A ---> Need WC2 and hip circumference.

BMR This is an estimated basal metabolism based upon your weight, height and age.Owens 0 ---> the estimated total daily metabolism is --> 0 calories per dayMifflin, R 0 ---> the estimated total daily metabolism is --> 0 calories per day

No body fat estimates are available.

No height or weight data available.

No circumference measurements are available.

Recommended weight loss goal

Metabolic rate

Time to reach recommended goal weight

No skinfold measurements are available.

No BIA measurement is available.

You have not measured your resting metabolic rate.

The Pasanisi equation combines height and BIA to determine your RMR. You have not performed a BIA and thiscannot be calculated.

CALCULATED RESULTS

If you have a BMI under 25, you should consider doing body circumference, skinfolds and BIA measurements. Ifyour BMI is over 25, do circumference and possibly BIA. If you are over 30 then just do circumference. You cando the metabolic rate at any BMI.

Costs: body circumference $15; skinfolds $25; BIA $25.

Body circumference and BIA = $35.

Measured metabolic rate = $25.

All three together = $50

The Navy and the governments Healthy People 2010 goal is a BMI between 19 and 25.

You need to enter your goal weight, your dietary calories and the number of calories you will exercise each day inthe table above.

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Pasanisi N/A ---> the estimated total daily metabolism is --> N/A calories per dayTEEInstitute of Medicine equations for total daily energy ========= calories per day

Recommended equations if BMI near 30 or more.

Author/method %Body fat NotesBMI No wt or ht Deurenberg equation for adults NBMI No wt or ht Black et al 1983 NBMI No wt or ht Garrow & Webster, 1985 NBMI, Gallagher, 20-94 No wt or ht Developed including sex and race (B,W) NWeltman 0% Specifically derived equation to use in obesity. NYMCA 0% Uses waist circumference which is better in obesity. NNAVY 0% Uses several circumference measurements, better in obesity. NBMI N/A Deurenberg equation for children and young adults. N

Acceptable equations if BMI near 25 or less.Kyle N/A kg 0% BIA N

Deurenb N/A kg 0% BIA NLohman N/A kg 0% BIA NSun N/A kg 0% BIA NFels 0% SK triceps, scapular, suprailiac, midthigh NGarcia, 26-67 years 0% SK

ND&W, 0% SK biceps, triceps, subscapular, suprailiac NJackson, 18-61 0% SK

NDC equation 18-62 0% SK For men, derived against DXA. %BF of subjects, 5.9 - 37.8. NDurnin, 12-16, 18-34 0% SK Developed for adolescents 12-16 and adults 18-34. N

Equations for estimating visceral abdominal fat (VAT) and subcutaneous fat (SAT)VAT, Bonora 0 cm 2 0SAT, Bonora 0 cm 2 0Ideal body weight - calculated from body fat estimates aboveBMI 0 to 0 pounds based on the lower and upper limit of normal for the BMI - 20-25.BMI 0 equation developed by Dr. Halls to predict the "Ideal Weight" by gender and age.Weltman 0.00 Based on a body fat of 0%, this weight range corresponds to 15% to 24% fat.YMCA 0.00 Based on a body fat of 0%, this weight range corresponds to 15% to 24% fat.NAVY 0.00 Based on a body fat of 0%, this weight range corresponds to 15% to 24% fat.BIA ave 0.00 Based on an ave body fat of 0%, this weight range corresponds to 15% to 24% fat.SK ave 0.00 Based on an ave body fat of 0%, this weight range corresponds to 15% to 24% fat.Hamwi 0.00 Empiric method to calculate ideal body weight based on height and frame size.

S

LA

A

USE body

fat "Y,N"

triceps, subscapular + [waist, abdomen (M)] or [hip, chin, knee(F)]

Suitable for lean, athletic persons, underestimates ifoverweight.

Your daily activity level - used to determine your energy expenditure. Enter the appropriateletters to the side into the box.

you get up, move around, take car of daily activities and that's about it. Watch TV, read, play cards.low active level. You do daily activities plus some walking, house cleaning and cooking. The amount ofactivity is about equal to walking 2 miles at 3-4 MPH.active. You do daily activities plus you are doing activities, sports, exercise equivalent to about 7 milesof walking per day.

BODY FAT ESTIMATES FROM VARIES METHODS

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VA

Sedentary

LA

Active

VA

Jackson, et al. Generalized equations for predicting body density of women. British Journal of Nutrition.November 1978, V40, N3:497-504

Kyle UG, Genton L, Karsegard L, Slosman DO, Pchard C. Single prediction equation for bioelectrical impedanceanalysis in adults aged 20-94 years. Nutrition 2001;17:248-53

Lohman TG. Advances in body composition assessment. Champaign, IL: Human Kinetics Publishers; 1992.

Deurenberg P, van der Kooy K, Leenen R, Westrate JA, Seidell JC. Sex and age specific prediction formulas forestimating body composition from bioelectrical impedance: a cross-validation study. Int J Obesity 1991;15:17-25.

Ada L. Garciaet al. Improved Prediction of Body Fat by Measuring Skinfold Thickness, Circumferences, andBone Breadths. Obesity Research. 2005; 13:626-634

Mifflin MD, St Jeor ST, et al. A new predictive equation for resting energy expenditure in healthy individuals. Am J

Clin Nutr. 1990; 51:241-247.

Owen OE, Kavle E, et al. A reappraisal of caloric requirements in healthy women. Am J Clin Nutr. 1986; 44:1-19

Owen OE, Holup JL, et al. A reappraisal of the caloric requirements of men. Am J Clin Nutr. 1987; 46: 875-885.Sun SS, Chumlea WC, Heymsfield SB, et al. Development of bioelectrical impedance analysis predictionequations for body composition with the use of a multicomponent model for use in epidemiologic surveys. Am JClin Nutr 2003;77:331-40.

such as walking at 4 miles/h. Low active includes most students, office workers, and professionals,housewives/husbands, unemployed persons. This has 8 hours sleep, 16 hours sitting or standing. 3 ofthe 16 hours has light activity (walk, laundry, golf, ping pong) and 1/2 hour is moderate (tennis,dancing, walking briskly, aerobics, etc.)

or steel workers. This level requires moderate intensity activity for most of the work day or exercisecomparable to running 9-13 miles/day.

Most persons in light industry, electrical, carpentry and building trades (exclude heavy laborers), manyfarm workers, soldiers not in active service, housewives/husbands without mechanical appliances. Ifyou have an office or driving occupation (Low Active), you may have to average 1-1 1/2 hours ofexercise per day (jog 5-6 miles/day) to be Active.

Any physical activity, be it occupational, recreational, intentional, or spontaneous, that raises energyexpenditure over basal counts. Basal energy is that energy you expend lying down quietly. Dailyactivities included in the sedentary level would be eating, sitting, brushing your teeth, reading, talkingon the phone, etc.

very active. Daily activities plus sports and other activities equal to about 15 miles of walking per day.

Bonora E, Micciolo R, et al. Is it possible to derive a reliable estimate of human visceral and subcutaneousabdominal adipose tissue from simple anthropometric measurements. Metabolism. 1995; 44: 1617-1625.

Gallagher D, Visser M, et al. How useful is body mass index for comparison of body fatness across age, sex, andethnic origins? Am J Epidemiology. 1996; 143:228-239.

Weltman, A., Levine, S., Seip, R.L., & Tran, Z.V. (1988) Accurate assessment of body composition in obesefemales. American Journal of Clinical Nutrition, 48, 1179-1183

Weltman, A. , Seip, R.L., & Tran, Z.V. (1987) Accurate assessment of body composition in obese males. HumanBiology, 59, 523-535S.D. Ball, T.S. Altena and P.D. Swan. Comparison of anthropometry to DXA: a new prediction equation for men.European Journal of Clinical Nutrition, November 2004, Vol 58, 11:1525-1531.

Jackson, et al. Generalized equations for predicting body density of men. British Journal of Nutrition. 1980. V12,N3:175-182

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J.S. Garrow and Joan Webster. Quetelet's Index (W/H2) as a Measure of Fatness. Int. J. Obesity 9: 147-153,1985

Lauren Lissner, Cecilia Bjorkelund, et al. Larger Hip Circumference Independently Predicts Health and Longevityin a Swedish Female Cohort. Obesity Research 9:644-646 (2001)

.activity recommendation came to be among dietary recommendations. the American Journal of Clinical Nutrition,Vol. 79, No. 5, 921S-930S, May 2004.

Frisancho AR, Anthropometric Standards fro the Assessment of Growth and Nutritional Status. University ofMichigan Press. 1990. Pages 16, 27-28

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INSTRUCTIONS

1 Enter your sex, age and ethnicity2 Enter height and weight

3 Enter current activity level (row 8, column J)most people are probably sedentary, the default value.The definitions for sedentary (S), light active (LA), active (A) and very active (VA)are at the end of this page, scroll down

4 Look at row 20, column B. This will tell you your % body fat. If it is at 0%, then youneed to pick which body fat percents you want to include in the calculations.ROW 77, column L has either Y or N (use or don't use) for the correspondingbody fat% in column D. If the value is 0% then that equation has not provided an answer.

After height and weight the equations using BMI, (row 77-80) will provide body fats.If you have waist and hip measurements, then 81-83 provide body fats and the mostaccurate if your BMI (row 64) is over 25-30.If you do skinfold measurements, then rows 91-96 are calculated.

If you do bioimpedence (BIA), then rows 87-90 are calculated.5 Again, just change the N in column L to Y for each calculated fat value you believe

is accurate.

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Use in Durnin and Womersley SK equation

estimate body density malesBody Fat calculation 17 1.162 0.063all circ 20 1.1631 0.0632

0 30 1.1422 0.0544

0 40 1.162 0.070 50 1.1715 0.077900 0 estimate body density females0 0 16 1.1549 0.06780 0 20 1.1599 0.07170 30 1.1423 0.0632

40 1.1333 0.061250 1.1339 0.0645

0 00 00 0

0 00 00 0 Density conversion for Whites0 0 MEN %BF = (4.95/D -4.5) * 1000 0 Women %BF = (5.01/D -4.57) * 1000 00 0 Density conversion for Blacks

MEN %BF=(4.37/D - 3.93) * 100WOMEN %BF=(4.85/D - 4.39) * 100

Density conversion for HispanicsWOMEN %BF=(4.87/D - 4.41) * 100MEN none available

TEXT summary - BMI

#VALUE!#VALUE!#VALUE!#VALUE!#VALUE!

Any BMI over 25 is classified overweight. At 30 the BMI is Obesity Class I, at 35 Class II and at 40 Cla

Your BMI places your health risk at the extremly high level.

Summary text - WHRThere are no measurement(s) for WC1 and/or hip.

This WHR This WHR puts you in the undesireable range of over 0.8. Your current waist circumference,Your curre Your current waist circumference, WC1, is 0 inches. Congratulations, this WC places you a

No BMI calculation has been made. Any BMI over 25 is classified overweight. At 30 the BMI is Obesity

This WHR puts you in the undesireable range of over 0.9. Your current waist circumference, WC1, is 0

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Summary body fat %Fantastic! Your body fat percentage places you in the athletic range. Keep up the good workFantastic! Fantastic! Your body fat percentage places you in the athletic range. Keep up the good wor

Fantastic! Your body fat percentage places you in the athletic range. Keep up the good workVery good. Your body fat percentage places you in the lean category. Don't change a thing.Excellent. You are in the normal body fat range. Good work.Ok, you are a little on the heavy side. A little more exercise and a few less snacks you will be just fine.Watch it. Your weight is starting to get out of control and your risks of developing health problems are uTime to make some major changes. You definitely are in the obese category with elevated health risks.

Calculations for recommended weight

Because your BMI is over 25 %body fat calculations are not very accurate, except circumference meas

0 22%

n/a circumference body fat

n/a skinfold body fat

n/a BIA body fat

calculations for goal weight000 daily metabolic rate to use

n everything entered0.00 weight to lose

#DIV/0!

n/a

n/a

n/a

0 to 0 pounds.

0 to 0 pounds.

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at risk %BFcategory Men Women

At risk below 5 8Below averag 6-14 9-22

Average 15 23 Above averag 16-24 24-31

At risk 25 32

s III. Any BMI over 30 nearly doubles your risk of high blood pressure, diabetes and heart disease.Your B

, WC1, is 0 inches. Congratulations, this WC places you at a low risk of health problems. t a low risk of health problems.

lass I, at 35 Class II and at 40

inches. Congratulations, this WC

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p. Step up the exercise and look carefully at your diet before this becomes a major problem. Work with your physician to set up a realistic exercise and diet program now!

rements (Navy, Weltman and YMCA). Use the goal weight above for a BMI of 25. Here is an estimate of

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I places your health risk at the extremly high level.

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hat your ideal body weight might be at ideal 15-20% body fat : 0 to 0 pounds.

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Frame IndexFrisancho AR, Anthropometric Standards fro the Assessment of Growth and Nutritional Status. Universi(elbow breadth in mm/body stature in cm) *100Frame Index = #DIV/0! 18 25 30 35 40 45 50male #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

female #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

TABLE 1 Physical activity level (PAL) categories and walking equivalence 1

44 kg 70 kg 120 kg

Sedentary 1.25(1.0–1.39)

2

0 0 0

Low active 1.5(1.4–1.59)

2.9 2.2 1.5

Active 1.75(1.6–1.89)

9.9 7.3 5.3

Veryactive

2.2(1.9–2.5)

22.5 16.7 12.3

1 Walking equivalence for PAL values is in addition to the energy spent for the generally un5–6.5 km/h. See Table 5–12 in the Institute of Medicine report (1).

2

range in parentheses (all such values).

TABLE 2 Description of the normative doubly labeled water database for persons with a he

PALcategory PAL value

Walking equivalence for

individuals weighing:

miles/d at 3–4

miles/h

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Age (y)Meanweight

Meanheight Mean BMI

MeanBEE

MeanTEE

Meanphysicalactivitylevel

kg (lb) m (in) kg/m 2 kcal/d kcal/d 0–0.5 ( n =116)

6.9 (15) 0.64 (25) 16.86 — 501 —

0.6–1.0 ( n= 72)

9.0 (20) 0.72 (28) 17.2 — 713 —

1–2 ( n =132)

11.0 (24) 0.82 (32) 16.19 — 869 —

Males 3–8 ( n= 129)

20.4 (45) 1.15 (45) 15.42 1035 1441 1.39

9–13 ( n= 28)

35.8 (79) 1.44 (57) 17.2 1320 2079 1.56

14–18(n = 10) 58.8 (130) 1.70 (67) 20.37 1729 3116 1.8

19–30(n = 48)

71.0 (156) 1.80 (71) 22.02 1769 3081 1.74

31–50(n = 59)

71.4 (157) 1.78 (70) 22.55 1675 3021 1.81

51–70(n = 24)

70.0 (154) 1.74 (69) 22.95 1524 2469 1.63

71 ( n =38)

68.9 (152) 1.74 (69) 22.78 1480 2238 1.52

Females 3–8 ( n= 227)

22.9 (50) 1.20 (47) 15.63 1004 1487 1.48

9–13 ( n= 89)

36.4 (80) 1.44 (57) 17.38 1186 1907 1.6

14–18(n = 42)

54.1 (119) 1.63 (64) 20.42 1361 2302 1.69

19–30(n = 82)

59.3 (131) 1.66 (65) 21.42 1361 2436 1.8

31–50(n = 61)

58.6 (129) 1.64 (65) 21.64 1322 2404 1.83

51–70(n = 71)

59.1 (130) 1.63 (63) 22.18 1226 2066 1.7

71 ( n =24)

54.8 (121) 1.58 (62) 21.75 1183 1564 1.33

1 BEE, basal energy expenditure; TEE, total energy expenditure. Summary of data in Appen19 y), the observed BEE was used to calculate the mean BEE. BEE and physical activity lev

TABLE 3 Physical activity coefficients used in the prediction equations for total energy expe

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Sedentary Low active ActiveVery

active

Malechildren

1 1.13 1.26 1.42

Femalechildren

1 1.16 1.31 1.56

Maleadults

1 1.11 1.25 1.48

Femaleadults

1 1.12 1.27 1.45

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ity of Michigan Press. 1990. Pages 16, 27-28

55 60 65 70 75#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

cheduled activities that are a part of normal daily life. 3–4 miles/h

lthy BMI (18.5–25, in kg/m 2)1

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dix I, Tables I-1 through I-5 in the Institute of Medicine report (1). For adults (agedel were not used for infants. For children, BEE was predicted on the basis of the following equations: gir

nditure TABLE 4 Estimated SDs of individual estimated energy requirements for individ

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AgeBMI

(kg/m 2) Males Females

3–18 y <85thpercentile

58 68

3–18 y 85thpercentile

69 75

3–18 y 3rdpercentile

67 70

19 y 18.5–25 199 162

19 y >25 208 16019 y 18.5 202 160

1 Note that these SDs are measures of the statistical error about the fitted equati

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ls, BEE (kcal/d) = 189 – 17.6 x age (y) + 625 x Ht (m) + 7.9 x Wt (kg); boys, BEE (kcal/d) = 68 – 43.3 x

als of a specific age, height, weight, and physical activity level category, including a correction for within

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ions and are equivalent to the SE of the fit.

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ge (y) + 712 x Ht (m) + 19.2 x Wt (kg). See Table 5–10 in the Institute of Medicine report (1).

-individual variability 1