An older adult client is in the healthcare provider's office for a routine physical exam
The client asks for an explanation of why skinfold measurements are not done as part of her assessment anymore. Which response by the nurse is the most appropriate?
1. "Those tests are no longer recommended to assess BMI."
2. "As a person ages, the test is not as accurate."
3. "The BMI (body mass index) test is easier to use."
4. "A detailed dietary history will give us the information that we need."
Correct Answer: 2
The subcutaneous fat distribution and total body fat composition change as an adult ages. The reference values for older adults and suggested locations of skinfold measurements require further investigation and data collection to be accurate. Skinfold measurements are not recommended to provide BMI information. They are intended to assess subcutaneous fat distribution. The reference values are still used in adults, but variations such as race, gender, and fitness level need to be considered. The BMI is easier to use, but does not give as detailed data about actual body fat and muscle mass. The ease of the test is not the basis for the changes in assessment being reported by the client. A diet history is an important part of a nutritional assessment, but does not give body composition values.
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