1,2,3Department of Anatomy, Pacific Institute of Medical Sciences, Sai Tirupati University, Udaipur, Rajasthan, India. 4Department of Biochemistry, Pacific Medical College and Hospital, Udaipur, Rajasthan, India.
*Corresponding author: Bhupesh Medatwal; *Email: medatwalbhupesh@gmail.com
Received: 09 Apr 2024, Revised and Accepted: 01 Jun 2024
ABSTRACT
Objective: Stature refers to a person's height when standing upright. It is a vital measure of physical identity. In archaeological operations or forensic exams following a mass disaster, height is estimated using rudiments or bone pieces for identification. In order to determine stature, separate regression formulae should be developed for each population group.
Methods: This cross-sectional study was conducted at Department of Anatomy, Pacific Institute of Medical Sciences, Umarda, and Udaipur. A total of 110 students (55 males and 55 females) aged between 18 to 25 y, participated in this study. Those with craniofacial defects were excluded from study. Height was measured from vertex to floor by stadiometer.
Results: The study showed that in males mean values are significantly higher than females for both nasal height as well as stature; nasal height in (males 48.54±3.584 mm; females 46.75±3.763 mm) and stature in (male 170.3±7.902 cm; female 159.61±5.383 cm). In total student’s as well as in males and females, nasal height had a weak positive linear relationship with stature; r=0.283 in total students, r=0.222 for male and r=0.123 for female. The regression equation for stature and nasal height was found to be Y=134.053+0.648× nasal height for total students, Y=146.487+0.491×nasal height for males, Y=151.328+0.177× nasal height for females.
Conclusion: The observed correlation is statistically significant in total students (p value<0.05) but not significant in males and females (p value>0.05). Overall nasal height had a weak positive linear correlation with stature.
Keywords: Stature, linear regression, Nasal height
© 2024 The Authors. Published by Innovare Academic Sciences Pvt Ltd. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)
DOI: https://dx.doi.org/10.22159/ijcpr.2024v16i4.5054 Journal homepage: https://innovareacademics.in/journals/index.php/ijcpr
Anthropometry is the area of physical anthropology concerned with measuring various body parts [1]. In archaeological operations or forensic exams following a mass disaster, height is estimated using rudiments or bone pieces for identification [2]. Personal identification means determining a person's individuality. It can be entire (absolute) or partial. Complete identification implies an absolute emphasis on a person's personality. Partial identification suggests that just some facts regarding a person's identity have been determined, while others remain unknown. The key factors of identification include age, gender, and size [3]. Stature refers to a person's height when standing upright. It is a vital measure of physical identity. The identification of a person from mutilated, decomposed, and amputated body fragments has become a crucial requirement in recent times because of man-made and natural disasters such as bomb blasts, wars, terror attacks, cyclones, floods, and earthquakes. It is significant from an ethical and legal standpoint. The four pillars of an individual's identity are generally described as age, gender, stature, and race, with gender and stature being the two most significant [4]. There is a clear biological connection between stature and all body parts [5]. Many studies have been undertaken to estimate stature using various body parts such as the hands, trunk, entire spinal column, upper and lower limbs, individual long and short bones, feet, and footprints [6]. In addition to limb measures, different cephalo-facial indices such as head circumference, facial length, facial breadth, nasal height, nasal width, and so on are examples of clinical anthropometrical characteristics that can be used to estimate stature [7]. But, only a few studies have been conducted on an estimation of stature from nasal dimensions with respect to gender. In order to determine stature separate regression formulae should be developed for each population group. The present study was conducted to derive regression equations for estimation of stature from nasal height of medical students.
Aim and objectives
The aim of study was to derive regression equations for estimation of stature from nasal height of medical students in Udaipur.
To find out correlation of stature with nasal height of male and female students.
To estimate stature from nasal height of male and female students.
Source of data and sample size
This cross-sectional study was conducted at Department of Anatomy, Pacific Institute of Medical Sciences, Umarda, Udaipur, from September 2021-August 2023. Study was conducted after getting permission from the Research review board and Institutional Ethic committee. A total of 110 students (55 males and 55 females) aged between 18 to 25 y, participated in this study. Prior to enrolment in the study, participants were instructed on the research's objectives, and written informed consent was taken from all the participants.
Inclusion criteria
Students between 18 to 25 y age of both sex.
Students who are willing to participate in the study.
Exclusion Criteria
Students with history of trauma or surgery of the face and nose, with developmental anomalies of face and nose such as cleft lip cleft palate also excluded.
Those having any cephalo-facial defects or spinal deformity (kyphosis, scoliosis) and feet deformity was excluded from the study.
Material for the study
Stainless steel digital vernier caliper
Stadiometer
Measuring tape
Methodology for data collection
Nasal height was measured with the participants sitting comfortably on a chair in anatomical position or Frankfurt’s horizontal plane. It ensured that the caliper was adjusted correctly and that precise readings were taken. Additionally, it was guaranteed that participants did not alter their facial expressions or smile during the measuring process. After carefully identifying the relevant nasal surface landmarks on the students, a black marker was applied to the nose.
The landmarks were
1. Vertex: The highest point of the head in the mid-sagittal plane when the head is held erectly or in Frankfurt plane.
2. Nasion: The point on the root of the nose where the mid-sagittal plane cuts the naso-frontal suture.
3. Subnasale: The point at which the nasal septum merges with the upper cutaneous lip in the mid-sagittal plane.
Measurements
Stature
Height was measured from vertex to floor by a stadiometer. Subject standing erect on an even floor, barefoot with heels together and weight evenly distributed between both feet and head in the Frankfurt plane. The distance was measured from the highest point on the subject head to the ground with the help of a stadiometer.
Nasal height
It was the distance measured from the nasion to the subnasale.
Statistical analysis
Data was collected and entered in Microsoft Excel sheet and analysed by using standard statistical software (Statistical Package for Social Sciences/SPSS version 26).
The mean, standard deviation, minimum, maximum, standard error of estimation, Karl Pearson’s correlation coefficient calculated, and a regression equation was formulated.
Fig. 1: Measurement of stature using a stadiometer
Fig. 2: Measurement of nasal height
Table 1: Descriptive statistic of stature and nasal height in total students
Parameters | Mean | SD | Minimum | Maximum |
Nasal height | 47.64 | 3.767 | 38.22 | 58.91 |
Stature | 164.97 | 8.615 | 150 | 186 |
Table 1 Shows mean nasal height in total students was 46.64±3.767 mm and mean of stature was 64.97±8.615 cm.
Table 2: Comparison of stature and nasal height between male and female students
Parameters | Male | Female | P-value | ||||
mean±SD | Min. | Max. | mean±SD | Min. | Max. | ||
Nasal height | 48.54±3.584 | 41.03 | 58.91 | 46.75±3.763 | 38.22 | 55.82 | 0.0119 |
Stature | 170.3±7.902 | 150 | 186 | 159.61±5.383 | 150 | 175 | <0.0001 |
Table 2 shows the mean nasal height in male and female was 48.54±3.584 mm and 46.75±3.763 mm, respectively. The result showed that there was a significant difference in nasal height between male and female (p<0.05). The mean stature in male and female was 170.3±7.902 cm and 159.61±5.383 cm, respectively. The result showed that there was an extremely statistically significant difference in stature between male and female (p<0.05).
Table 3: Pearson correlation coefficient between stature and nasal height of male and female students
Parameters | Male | Female | Total | |||
(r) | P-value | (r) | P-value | (r) | P-value | |
Stature v/s Nasal height | 0.222 | 0.103 | 0.123 | 0.367 | 0.283 | 0.002 |
Table 3 shows that in total student’s nasal height had a weak positive linear relationship with stature; r=0.283. The observed correlation is statistically significant (p value<0.05). Both in male and female nasal height had a weak positive correlation with stature; r=0.222 for males and r=0.123 for females. The observed correlation is not statistically significant (p value>0.05).
Table 4: Regression equations for estimation of stature from nasal height in male and female students
Parameters | Sex | Regression equation (Y= a+bx) | R2 | (±SEE) |
Stature v/s Nasal height | Total | Y=134.053+0.648×Nasal height | 0.0805 | ±8.299 |
Male | Y=146.487+0.491×Nasal height | 0.0491 | ±7.776 | |
Female | Y=151.328+0.177×Nasal height | 0.0153 | ±5.392 |
Table 4 Shows regression equations to calculate stature from nasal height in both sex and in total students. The hypothetical regression equation is represented as Y= a+bx, where ‘Y’ is dependent variable (stature), ‘x’ is independent variables (nasal height), ‘a’ is the regression coefficient of dependent variable (intercept) and ‘b’ is regression coefficient of independent variable (slope). The regression equation for stature and nasal height was found to be Y=134.053+0.648× nasal height for total students, Y=146.487+0.491×nasal height for males, Y=151.328+0.177× nasal height for females. This regression equation can be used for calculating the estimated stature of that particular person once nasal height is known.
Fig. 3: Correlation between stature and nasal height in total students
Fig. 4: Correlation between stature and nasal height in males
Fig. 5: Correlation between stature and nasal height in females
The main objective of this study is to find out correlation between stature and nasal height and to use of this study in the forensic examination for the identification of unknown, highly decomposed fragmentary and mutilated human remains. Various authors have estimated stature from cephalo-facial dimensions and found that it had a partial positive correlation with total facial height, considering facial height as a better parameter [8-11]. In this study, nasal height was used as a single parameter for estimation of stature.
Shrestha RN et al. conducted a study on 214 healthy adults (110 males and 104 females) aged between 25 to 35 y. They noted that in both male and female nasal height had partial positive correlation with stature; r=0.18 for male and r=0.19 for female [12]. These findings were similar to our study.
Jyoti Barwa et al. conducted a research study in Shridev Suman Subharti Medical College, Dehradun, among a total of 158 subjects (17-25y), comprising 79 males and 79 females. The study showed that in males mean values are significantly higher than females for both stature as well as nasal height; stature (males, 172.34±6.48; females, 158.94±5.642), nasal height (males, 5.03±0.3707; females, 4.67±0.304). Nasal height in total subjects and individually in males is significantly (p<0.05) and positively correlated with stature. However, in females it is found to be statistically insignificant [13]. These finding was differ from present study.
Agnihotri et al. had done a research study on the Indo-Mauritian population in 2011 and estimated stature from cephalo-facial dimensions and found that stature had partial positive correlation with total facial height (r=0.32 in male and r=0.16 in female) and with nasal height (r=0.19 in male and r=0.15 in female) [5].
Kharyal et al. in 2008 did a study on Brahmins of Himachal Pradesh and calculated estimation of stature from maxilla-facial height parameters and observed that stature had a positive partial correlation with total facial height (r=0.39 in male and r=0.35 in female) and with nasal height (r=0.36 in male and r=0.22 I female) [14].
In the present study it had been observed that in total student’s nasal height had a weak positive linear relationship with stature; r=0.283 and in male and female nasal height also had a weak positive correlation with stature; r=0.222 for male and r=0.123 for female.
Regression analysis is considered to be the most effective method for estimating stature, although stature can also be evaluated by using the regression equation or by multiplying the parameter by the determined multiplication factor [7, 14, 5, 15].
However, in this study, the value of regression analysis is not found to be statistically significant in males and females; when all the subjects are considered together, the value is statistically significant.
This study observed that in total student’s nasal height had a weak positive linear relationship with stature; r=0.283. The observed correlation is statistically significant (p value<0.05).
Both in male and female nasal height had a weak positive correlation with stature; r=0.222 for male and r=0.123 for female. The observed correlation is not statistically significant (p value>0.05).
The regression equation for stature and nasal height was found to be Y=134.053+0.648× nasal height for total students, Y=146.487+0.491×nasal height for males, Y=151.328+0.177× nasal height for females.
Self
All the authors have contributed equally
Declared none
Wilson D, Gould SJ. The mismeasure of man. Rev. ed. Vol. 14. New York: WW Norton & Company, As Gould notes, this passage was. Giants and pygmies in the morning of time: developmentalism and degeneration in English-Canadian Anthropology; 1996. p. 76-7.
Buchner A. The identification of human remains. Int Dent J. 1985 Dec 1;35(4):307-11. PMID 3867637.
Krishan V. Textbook of forensic medicine and toxicology. 4th ed. (Elesevier Publishers Reed Elsevier India private ltd) India; 2009. p. 48-50.
Chiroma SM, Philip J, Attah OO, Dibal NI. Comparison of the foot height, length, breadth and foot types between males and females Ga’anda people, Adamawa, Nigeria. IOSR JDMS. 2015;14(8):89-93.
Agnihotri AK, Kachhwaha S, Googoolye K, Allock A. Estimation of stature from cephalo-facial dimensions by regression analysis in Indo-Mauritian population. J Forensic Leg Med. 2011 May 1;18(4):167-72. doi: 10.1016/j.jflm.2011.02.006, PMID 21550566.
Kamdar RS, Babu YK. Estimation of stature from nasal height, breadth and depth. Intern Journal Contemp Microbiol. 2016;9(12):2124-6. doi: 10.5958/0974-360X.2016.00431.5.
Krishan K, Kumar R. Determination of stature from cephalo-facial dimensions in a north Indian population. Leg Med (Tokyo). 2007 May 1;9(3):128-33. doi: 10.1016/j.legalmed.2006.12.001, PMID 17306595.
Kumar J, Chandra L. Estimation of stature using different facial measurements among the Kabui Naga of Imphal Valley, Manipur. Anthropologist. 2006 Jan 1;8(1):1-3. doi: 10.1080/09720073.2006.11890926.
Shah T, Patel MN, Nath S, Bhise RS, Menon SK. Estimation of stature from cephalo-facial dimensions by regression analysis in Gujarati population. J Indian Acad Forensic Med. 2015;37(3):253-7. doi: 10.5958/0974-0848.2015.00064.0
Eboh DE, Igbigbi PS. Stature estimation from cephalometric parameters of young adults in five Nigerian ethnic groups. Ital J Anat Embryol. 2017 Sep 21:98-109.
Ewunonu EO. Estimation of stature from facial parameters in adult Abakaliki people of South–Eastern Nigeria. Journal of Health and Visual Sciences. 2014;16(1):13-9.
Shrestha RN, Banstola D, Nepal D, Baral P. Estimation of stature from nasal length. JNMA J Nepal Med Assoc. 2016;55(204):76-8. doi: 10.31729/jnma.2859, PMID 28029672.
Barwa J, Singh R. Nasal height as a parameter for stature estimation and sex differentiation in Dehradun region. Medico-Legal Update. 2020 Jan 1;20(1).
Kharyal A, Nath S. Estimation of stature from maxillofacial height measurements among Brahmins of Himachal Pradesh. Indian J Forensic Odont. 2008;1:9-12.
Iscan MY. Forensic anthropology of sex and body size. Forensic Sci Int. 2005 Jan 29;147(2-3):107-12. doi: 10.1016/j.forsciint.2004.09.069.