Protocol n.1


                                         BODY COMPOSITION



NAME: ……………….………...............................……………………………………………………...


DATE OF MEASUREMENT: ………………....... DATE OF BIRTH: ………………………………..



                                            Input data:



                                        % reference value:

                                         Reference value:



Body mass (kg):






Height (cm):















Biepicondylar humerus breadth (cm):



Triceps skinfold (mm):


Bistyloideus breadth (cm):



Subcapular skinfold (mm):


Biepicondylar femur breadth (cm):



Chest 2 skinfold (mm):



Bimalleoral breadth (cm):



Abdomen skinfold (mm):



Relax arm girth (cm):



Supraspinal skinfold (mm):


Flexed arm girth (cm):



Biceps skinfold (mm):


Forearm girth (cm):



Forearm skinfold (mm):



Thigh girth (cm):



Mid-thigh skinfold (mm):



Calf girth (cm):



Medial calf skinfold (mm):




                                         Calculated data:



                                        % reference value:

                                         Reference value:










Body surface (m^2):









Body mass index (kg/m^2):















Body composition (Matiegka):









Skeletal mass (kg):






Skeletal mass(%):





Muscle mass (kg):






Muscle mass (%):





Fat body mass (kg):






Fat body mass (%):





Other (kg):






Other (%):














Somatotype (Heath-Carter):









Endomorphy






Mesomophy






Ectomorphy









Bioelectrical impedance analysis (BIA) – TANITA: ……………………………………………………