Bilateral asymmetry in arm anthropometric measurements according to laterality and nutritional status in children and adolescents from 6 to 12 years old

Objective To compare and correlate anthropometric measurements of the left arm versus the right arm and to establish their relation to laterality, sex, and nutritional status in children and adolescents from 6 to 12 years of age. Methods A cross‐sectional study included 605 children and adolescents (285 males; 320 females), with a middle socioeconomic status, that attended an urban elementary school. Anthropometric measurements were taken in both arms, along with height and weight, to assess nutritional status. Self‐reported hand preference was recorded. Results A total of 49.3% were females and 93% of the subjects were right‐handed (n = 563). The mean comparison of right arm and left arm measurements and areas, according to laterality, showed differences in arm fat measurements, with higher values in the right arm. However, the mean difference in triceps skinfold and upper arm measurements between the right arm and left arm was smaller than the technical error of measurement. Significant differences were observed between arm measurements and areas. Upper arm and total upper arm areas of both arms had the highest regression coefficients, with an adjusted R2 of .98, whereas the arm fat index had the lowest (adjusted R2 of .88). Adjusting the previous differences between the right arm and left arm by age, sex, BMI, and laterality produced similar results. Conclusions Statistical but not clinically significant differences were found between some measurements and areas of both arms, discretely modified in models adjusted for age and BMI, so the measurements can be made on either arm.