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Health Promotion Perspectives, 2013, 3(2), 165-174
doi: 10.5681/hpp.2013.020
http://journals.tbzmed.ac.ir/HPP
Student's Body Dimensions in Relation to Classroom Furniture
Samira Baharampour1
, * Jalil Nazari1
, Iman Dianat1
, Mohamad Asgharijafarabadi2
1 Department of Occupational Health, Tabriz University of Medical Science, Tabriz, Iran
2 Road Traffic Injury Research Centre, Tabriz University of Medical Science, Tabriz, Iran
ARTICLE INFO ABSTRACT
Article type:
Original Article
Background: This study was carried out to investigate the fit between university
student's anthropometry and classroom furniture dimensions.
Method: In this cross-sectional and descriptive-analyzing study conducted in
2012, a total of 194 students (aged 18 through 30 years), were recruited ran-
domly from Tabriz University of Medical Science community. The body size of
each student was assessed using anthropometric measurements including shoul-
der height, elbow height, popliteal height, buttock-popliteal length, hip breadth
and distance between elbows. Combinational equations defined the acceptable
furniture dimensions according to anthropometry and match percentages were
computed, according to either the existing situations assuming that they could
use the most appropriate of the sizes available.
Results: Desk and seat height were higher than the accepted limits for most stu-
dents (92.5% and 98.4%, respectively), while seat depth was appropriate for only
84.6% of students. The data indicate a mismatch between the students’ bodily
dimensions and the classroom furniture available to them. The chairs are too
high and too deep and desks are also too high for the pupils. This situation may
have negative effects on the sitting posture of the students especially when
reading and writing.
Conclusion: High mismatch percentages were found between furniture and stu-
dents' anthropometry. The results confirm that furniture for university students
should be selected and designed busied on their anthropometric dimensions.
Article history:
Received: May 22 2013
Accepted: Sep 12 2013
e-published: Dec 31 2013
Keywords:
Body dimensions,
Furniture,
Anthropometry,
Ergonomics
*Corresponding Author:
Jalil Nazari
Tel: +98 411 3357380-4;
e-mail:Nazari_j@yahoo.com
Introduction
It is estimated that 70–85% of individuals
experience Low Back Pain (LBP) during the
course of their lives1
. An onset of LBP is
expected to occur at the mean age of 30 and
peaking in occurrence between the ages of
45 and 60 years2
. However a recent Euro-
pean survey of LBP reported that the 6-
month prevalence in 17–25 year age group
seems to be similar to older age groups3
. In
the general population, LBP prevalence rates
are known to increase over the adulthood
period4,5
.
Sit related Musculoskeletal Disorders
(MSDs) are frequent and several studies6,7
have pointed out an association between
back pain and prolonged sitting. Students
spend about 84% to 88% of their time in the
sitting position8
. 41.6% of students experi-
enced pain while sitting in the classroom and
69.5% of the back pain occurred after 1 h of
Citation:Baharampour S, Nazari J, Dianat I, Asgharijafarabadi M. Student's Body Dimensions in Relation to
Classroom Furniture. Health Promot Perspect 2013; 3(2):165-174.
Baharampour et al.: Student's Body Dimensions …
166
sitting and increases with the duration of the
sitting position at school9
. Some studies have
shown a positive relationship between back
pain and seat height10
. University students
constitute a large group of people who
spend a lot of their time on the university
chairs and desks in a static or awkward pos-
ture11
. High prevalence of neck and upper
extremity complaints among university stu-
dents has been reported in the literature12
.
During class time, students sit in poor
postures with trunk, back and neck flexed13
.
The students should be included in ergo-
nomic design programs to be prevented
from MSDs suffering14
. Students sitting
posture can be influenced by several factors
such as the anthropometric dimensions of
the students and design features of class-
room furniture. Therefore, the mismatch
between the students' anthropometry and
furniture design can be one of the risks of
MSDs10
. Recent developments in ergonom-
ics have heightened the need for good chair
design. Since the 1970s, concerns with
school seating have continued to provide
incentive for publications15,16
. There have
been several studies in school children an-
thropometry. Most of the studies have only
been carried out in age grouped 6 through
14 years old8, 17
.
So far, there has been little attention to
the design of university furniture, because
the researchers believe that using furniture
that promotes ergonomic (appropriate)
postures in childhood is more important
than using it in adulthood. The main reason
of this matter is that the sitting habits are
formed at this young age and it will be too
difficult to change them in adulthood10
.
Thus, the anthropometric data used in the
design of the equipment for Iranian higher
education are based on anthropometric data
from other countries and it is necessary to
collect related data to support ergonomic
design from Iranian population. To our
knowledge, a few studies have been done on
university students and mismatch between
their anthropometry and class chairs in
Iran6,8,18,19
. Although these studies have in-
vestigated mismatch between the anthropo-
metric features and classroom furniture di-
mensions in schools and universities, they
did not consider the mismatch between arm
rest distance and elbow distance.
Therefore this study was conducted to
investigate any mismatch between furniture
features and body dimensions of the stu-
dents with especial consideration on arm
rest distance and elbow distance.
Materials and Methods
This study was cross-sectional and de-
scriptive-analyzing conducted in 2012. Ac-
cording to result of Roscoe20
(1975) study
with a sample size between 30 and 500 is
adequate for most research. Therefore sam-
ple for the study comprised 194 students
(120 females and 74 males) that were ran-
domly selected from Tabriz University of
Medical Science community. Sampling frame
was according to the list of students` name
which was available through the education
section of the university. Sampling was done
with considering to the students` frequency
in academic level (bachelor, master of sci-
ences or PhD), age and fields. To determine
the sampling volume, preliminary study
based on a pilot study consisting of 12 of
volunteers was done according to the effect
size. Based on the mean and standard devia-
tion of measured parameters, with 95%
Confidence Interval (CI) and tolerated error
2.5% around the mean, sample volume for
different parameters is gained. The biggest
sample volume was calculated for sitting el-
bow height parameter SELH parameter. So
the sample volume was 174 (Mean=24.06
and SD= 4.04).
For volunteer's selection considering with
the above features, sampling was extracted
by simple random method from the list. For
random numbers, MS EXCELL version
2007 was used. The age of range of the sub-
ject was from 18 through 30 years (mean
=23.3 years, SD=3 years). All subjects were
healthy, engaged in average levels of physical
activity, and had reported no occurrences of
MSDs for at least the year preceding the
study (which was defined as never having
Health Promotion Perspectives, Vol. 3, No. 2, 2013; P: 165-174
167
seen a physician, physiotherapist, chiro-
practor, or other healthcare professional for
MSDs), and had never been absent from
work because of MSDs. Each subject was
then informed of the risks and benefits of
participation in this study and informed con-
sent obtained from all subjects. Approval for
this work was obtained from the ethics
committee of the Tabriz University of Medi-
cal Sciences and all of the experiments were
carried out at Ergonomics Laboratory of the
university.
In addition to demographic information in-
cluding age and gender, the following 10
body dimensions which are essential for
seating and work surface design12
were
measured in this study [Fig. 1]. The measure-
ment instruments included anthropometric
station measuring tape, a wooden right an-
gle and a mechanical column scale (Detecto)
with eye level rider to measure weights (with
more than 50 g accuracy).
Fig. 1: anthropometric measures: 1) stature, 2) sitting shoulder height., 3) popliteal height., 4) buttock
width., 5) sitting elbow height from seat pan., 6) buttock- popliteal length., 7) distance between elbows , 8)
buttock- knee length., 9) sitting height (modified from Dianat et al. 2012)
For the furniture measurements, only one
style of chair with no mounted desktop and
one style of desk were identified as the
dominant model in the students’ classroom.
The critical dimensions of current university
furniture (chair and table) was as follows:
seat height from the floor (47.2 cm), seat
width(44.4 cm), seat depth (43.9 cm),
backrest height(89.7 cm), desktop height
from the seat pan (31.9 cm) and distance
between armrests (44.3 cm).
Prior to measurements, the investigator
checked that the participants had light
cloths, empty pockets, and wearing no
shoes. Anthropometric measurements were
taken while each student was sitting on the
adjustable chair of fixed height with knee
and elbow bent at 90°, the feet placed on the
floor and straight looking forward.
Relationships between school furniture
dimensions and body dimensions
There have been some equations, to in-
vestigate the mismatch between classroom
chairs and anthropometric dimensions of
students. To compare and investigate any
existing mismatch, the following dimensions
of subjects (Table 1) and the classroom fur-
niture (Table 2) were obtained.
1) Seat height and popliteal height mismatch:
Based on references, the seat height
should be adjusted according to the popliteal
height21
. Besides the knee angle in to the
vertical axes should be up to 30°22
. But the
minimum of the same angle was 5°. So, the
design could be done in following interval:
(PH+2) cos 30° ≤ SH ≤ (PH+2) cos 5°
Where SH is seat height and PH is pop-
liteal height.
Baharampour et al.: Student's Body Dimensions …
168
Table 1: Anthropometric dimensions and their descript
Dimensions Description
Stature The vertical distance from the floor to the vertex (i.e. the crown of the head).
Sitting height Vertical distance from the sitting surface to the vertex (i.e. the crown of the
head).
Sitting elbow height from seat pan Vertical distance from the seat surface to the underside of the elbow.
Buttock-knee length Horizontal distance from the back of the uncompressed buttock to the front
of the kneecap
Buttock-popliteal length Horizontal distance from the back of the uncompressed buttocks to the pop-
liteal angle, at the back of the knee, where the back of the lower legs meet the
underside of the thigh
Popliteal height Vertical distance from the floor to the popliteal angle at the underside of the
knee where the tendon of the biceps femoris muscle inserts into the lower leg
Buttock width Maximum horizontal distance across the hips in the sitting position
Sitting shoulder height Vertical distance from the seat surface to the acromion (i.e. the bony point of
the shoulder
Distance between elbows The horizontal distance between the end bony point of one of the elbows to
the same point of the other one, when the elbows are in right angle and touch
the sides of the body.
Table 2: Components of chair dimensions and its description
Dimension Description
Seat height Vertical distance from the highest point on the front of the seat to the
floor
Seat width The horizontal distance between the lateral edges of the seat.
Seat depth The vertical distance from the back of the sitting surface of the seat to its
front edge.
Backrest height The vertical distance from the sitting surface to the top edge of backrest.
The distance between armrests The vertical distance between two internal edges of the armrests.
Desktop-seat height The vertical distance from the sitting surface to the upper edge of desk-
top.
2) Seat width and buttock width:
According to the literature, the seat
width should be designed based on the larg-
est buttock width23
. The minimum number
for seat width is obtained from multiplica-
tion of 1.1 by the buttock width and for the
maximum, the coefficient is 1.3. So, the
proposed interval for seat width design is:
110% BW ≤ SW ≤ 1130% BW
Where SW is seat width and BW is but-
tock width.
3) Seat depth and buttock- popliteal length:
It is believed that the seat depth should
be designed for the 5th
percentile of the BPL
distribution24,25
. Some other studies con-
firmed that it should be at least 2 inches
shorter than the BPL26
. However, the most
famous reference that upheld a mismatch
for seat depth has been defined as all the
numbers which exist in following equation is
Parcells et al in 1999:
0.8 BPL ≤ SD ≤ 0.95 BPL
Where BPL is buttock- popliteal height
and SD is the seat depth.
4) Backrest height and sitting shoulder height:
For facilitating the mobility of the
torso and arms towards the lower body, it is
better to design the backrest height up to the
sub-scapula height23,25
. So, the subsequent
interval was proposed to determine the
backrest height of the classroom furniture:
0.6 SH ≤ BH ≤ 0.8 SH
Where BH is backrest height and SH is
shoulder height.
Health Promotion Perspectives, Vol. 3, No. 2, 2013; P: 165-174
169
5) Desktop-seatheightandsittingelbowheight:
The elbow height is recommended as
the original determination for desktop
height22,18
. Some researchers suggested that
the desktop height should be 3 to 5 cm
higher than the sitting elbow height12,17,24
.
SELH ≤ DH ≤ SELH +5
Where SELH is sitting elbow height and
DH is desktop height.
6) Distance between armrests and distance be-
tween elbows:
According to the literature, the distance
between armrests should be 18 inches
(BIFMI Guideline) or might be 16.5 to 19
inches in some other guides. In this study we
proposed a new interval, equivalent to seat
width equation. So, we defined the mini-
mum and maximum distance between arm-
rests as the follow:
110% ELELD≤ AD ≤ 1130%
ELELDW here ELELD is distance between
elbows and AD is distance between
armrests.
Data treatment and analysis
Data analysis, using SPSS for MS Win-
dows 7.0, involved the computation of de-
scriptive statistics (mean, standard deviation,
max, min and 5th
and 95th
percentiles) to de-
scribe the physical characteristics of the
subjects. Data distributions were tested for
normality using the Skewness test. Anthro-
pometric measures of each participant were
compared to the relative furniture dimen-
sions using EXCEL in order to identify a
match or mismatch between the specific
student and the furniture that he/she were
used. Based on existing research27,28
, a mis-
match is defined as incompatibility between
the dimensions of the classroom furniture
and the dimensions of the student’s body.
In this investigation, one source of error
is the technical errors that hidden in meas-
urement instruments29
and measurement er-
rors. To control measurement instruments
errors, calibration of the tools has been
done. But to eliminate the intra-evaluator
errors, all of measurements performed by
the same investigator in the same subjects
and to verify and enhance the accuracy of
the measurements (inter-evaluator), each
measurement repeated two times from the
same subjects and the average of the two
were chosen as a mean value. All measure-
ments were done by the first author of this
paper.For scale reliability analysis, interclass
correlation coefficient was calculated. Con-
sistency reliability was approved in all cases.
ICC was more than 0.7 for every volunteer.
Results
Demographic and anthropometric charac-
teristics of subjects are shown in Table 3.
The minimum and maximum values for
popliteal height were 32.3 and 65.4 cm, for
popliteal–buttock length were 32 and 57.3
cm, for shoulder height were 63.4 and 121.2
cm, for the elbow–seat height were 16.82
and 47.30 cm, for the buttock width were
31.3 and 43.12 cm, for distance between el-
bows were 27 and 47.07 cm, respectively
(Table 3).
Table 3: Demographic and anthropometric characteristics of subjects
DIMENSION MIN MAX MEAN SD 5th%tile 95th%tile
Age(yr) 18 30 23.34 2.98 20 29
Weight(kg) 39 168 63.47 15.97 46.27 86.82
Stature(cm) 143 188 167.54 9.057 155.87 184
PH(cm) 32.3 65.4 40.24 4.31 35.07 45.87
BPL(cm) 32 57.3 45.31 3.62 40.25 51.10
BKL(cm) 43 65.40 56.29 5.64 49.90 63.17
SH(cm) 114.8 143 126.17 9.61 116.65 138.40
SELH(cm) 16.82 47.30 23.47 3.21 19.27 28.05
BW(cm) 31.3 43.12 36.20 2.32 32.44 40.41
ELELD(cm) 27 47.07 36.96 3.52 30.85 43.04
SHH(cm) 63.4 121.20 100.71 6.33 91.55 110.52
170
The result of collected data about the
classroom furniture dimensions and
obtained body dimensions are summarized
in Table 4. As it can be seen from this table,
shoulder height (with backrest height),
distance between armrests, buttock-popliteal
length, popliteal height and elbow height
from seat pan in sitting position were the
common mismatch between the body
dimensions of students and the dimensions
of classroom furniture.
Table 4: The percentage of mismatch between body dimensions and furniture dimensions according
to gender.Less than normal: body dimension was above the upper limit of the design interval. More than
normal: the body dimension was below the lower limit of the design interval. Normal(fit): body dimension
was in design interval
Dimensions
Less than normal
(%)
Normal (%) More than Normal
(%)
M F M F M F
Desk height(cm) 2.7 0 16.2 7.5 80.3 92.5
Distance between armrests(cm) 29.7 3.3 67.6 71.7 2.7 25
Seat height (cm) 1.3 0.5 10.8 1.6 87.9 97.9
Seat width(cm) 5.4 4.1 51.4 75.9 21.6 21
Seat depth (cm) 1.3 1.3 69 15.4 29.7 83.3
Backrest height(cm) 0 0 29.7 2.5 70.3 97.5
Discussion
The aim of the current study was to eval-
uate the match between dimensions of the
classroom furniture in universities with stu-
dent's body dimensions. The result of this
study showed considerable mismatch be-
tween students` body dimensions and class-
room chairs.
One of the important findings of current
study was that the backrests of chairs were
too high. Consequence of using high
backrest may be forward head inclination,
uneven shoulder, kyphosis, scoliosis and
lordosis11
. The degree of forward head and
neck flexion, combined with the static
nature of desk tasks, appears to be related to
the incidence of neck and/or shoulder com-
plains44
. Anthropometric dimensions are
very important for designing university fur-
niture15,30
, because proper posture is a critical
factor for prevention of musculoskeletal
disorders31
.
The university students spent long
periods in sitting position, so they may
suffer from improper designs of furniture.
Then designing and applying proper furni-
ture may reduce fatigue and discomfort in
the sitting posture30
.
Seat height mismatch
According to the current study, the seat
height only matched to 10.8% of males and
1.6% of females, which are obviously greatly
below the lower limit of the acceptance
range (Table 4). In other words, subjects are
sitting on seats that are too high for them.
According to filed observations most of
subjects sitting with their legs not touching
the floor. These positions can place high
amounts of stresses on the popliteal arc that
runs through the underside of the thigh and
may cause serious discomfort and possibly
risk injury. This may lead to an increase in
tissue pressure on the posterior aspect of the
thighs.
One study32
indicated that the tension in
the lumbar and trapezius muscles was
significantly reduced among students when
the seat height was match to their popliteal
height. Toomingas and Gavhed
demonstrated that optimal seat height may
contribute to less frequent neck/scapulae
and back pain. Since the mismatch forces
students to slide forward on the seat of the
classroom furniture, therefore seat height
match appears to be necessary33
.
Seat depth mismatch
Health Promotion Perspectives, Vol. 3, No. 2, 2013; P: 165-174
171
Seat depth mismatch with thigh length
creates strong stresses on the thigh. The
mismatch between the subject’s popliteal–
buttock length and current seat depth totally
was 57.8%, which is well beyond the upper
limit of the acceptance range for the current
seat depth. A too shallow seat may cause the
user to have the sensation of falling off the
front of the chair as well as result in a lack of
support of the lower thighs27
. On the other
hand, too deep chairs force students usually
place their buttocks forward on the edge of
the seat, especially while reading and writing.
Consequently, in this position they could not
use the back rest properly. As a result, the
lack of back support causes a slumped, Ky-
photic posture11
.
Backrest height mismatch:
A good back rest, fitting the natural spi-
nal curves, stabilizes the spine34
, facilitates
lumbar lordosis35
and reduces Kyphotic pos-
tures34
. A backrest contributes to carrying
the weight of the body, and keeping disk
pressure in low level by supporting lumbar.
However, the result of present study ex-
pressed that backrest height is acceptable for
about 29.7% in males and 2.5% in females.
It means that in more than 83.9% of sub-
jects, shoulder height is below the lower
limit of the acceptance range. Studies have
shown that sitting in a normal stenographic
type of chair with no back support increases
the flexed posture of the lumbar spine. Con-
sequently, the compressive forces on the
lower back increase. So a variety of designs
of school furniture are being promoted for
the improvement of posture and/or motil-
ity22
.
Desk height mismatch
According to our finding, 88.1% of sub-
jects had a mismatch between desk height
and their elbow–seat heights. For majority
of subjects the elbow-seat height was much
smaller than the lower limit of acceptance
for the height of the provided desk. When
the elbow rest height is lower than the desk
or table surface, the working arm must be
raised. For compensating, shoulders must
also be raised or abducted placing a stress on
the deeper posterior neck musculature to
provide stabilization of the head posture. In
addition if the weight of the head is not
properly supported, it can cause discomfort
and risk of injury to the neck and shoul-
ders36
. As the elbow-seat height for a few
present of student was higher than desk
height so it may force user to bend forward,
with the body weight being supported by the
arms. Eventually Kyphotic spinal posture
with round shoulders is created. The head
also moves forward (more than 30° from the
vertical position), increased activation of the
neck musculature occurs, which increases
the probability of fatigue, because a static
posture is maintained by the neck muscles37
.
Therefore improper design and mismatch of
desks and chairs lead to an imbalanced and
more Kyphotic posture of lumbar spine and
require more muscle control to maintain the
upright stability and sitting posture16, 38
.
Seat width mismatch
An important element in the magnitude
of the pressure under the buttocks is the
form of the supporting surface39
. Some in-
vestigators have recommended that the seat
width should be at least 45 cm, or 5 cm
wider than the hip breadth40,42
. Another rec-
ommendation is that d a seat width should
be equivalent to 99 percentile value plus
15%22
. The breadth of sitting surface is de-
termined according to the 95% percentile
values of hip breadth26
.
The mismatch between seat width and
buttock width could be seen in 25.55% of
students. Consequently the least mismatch
existed in this dimension. The seat should be
wide enough to accommodate a user’s hips
and clothing, and comfortably allow use of
the armrests. There is a need that a reasona-
ble proportion of the population of potential
users can easily get up and sit down and be
satisfied with their seat design41,43
. The an-
thropometric measure width of the hips
should be lower than what should be al-
lowed for width of the seat. There must be
added, on each side, an extra width for
Baharampour et al.: Student's Body Dimensions …
172
movement of the arms if the seat is
equipped with armrests.
Distance between armrests and distance
between elbows
Armrests help relieve neck, shoulder, and
back stress. It can provide good surface area
for the arm to contact so that pressure be-
tween an arm and armrest is minimized. It
also should be adjustable up and down, as
well as in and out. This allows for more
customization and better control of comfort.
For many tasks, arm support reduces upper
body fatigue, allows for easier shifts in body
position, and makes it much easier to enter
and exit the chair. Armrests should be ad-
justable in height, width and depth to com-
fortably support the forearms or elbows
while sitting with relaxed shoulders14
.Most
of investigator6,8,18,27
demonstrated mismatch
between some dimensions of furniture;
however none of them mentioned mismatch
between elbows distance and armrests dis-
tance. The result of current study showed in
total 30.35% mismatch between armrests
distance and elbows distance. So that 69.7%
subjects` distance between elbows were
placed in design interval. Armrests should
not limit access to the work surface, because
body flexion will be decreases and stress in
the knee and hip joints during sitting-to-
standing transitions will be reduced15
.
Conclusion
Overall these findings confirmed that the
majority of students had mismatch with uni-
versity furniture. By obtaining more anthro-
pometry data in variety age groups and gen-
eralizing it to any educational place may help
design of ergonomic furniture. As develop-
ing comfortable posture, educational fur-
niture should also support the learning activ-
ities of the students. Therefore school furni-
ture should be able to facilitate learning by
providing a comfortable and stress-free
workstation. Using ergonomic chairs based
on collected data from educational place
could help us to prevent discomfort, inap-
propriate sitting postures and occurring
musculoskeletal disorders, conclusively in-
creasing efficiency in schooling situations.
Acknowledgements
This article was written based on a da-
taset of M.Sc. thesis registered in Tabriz
University of Medical Sciences. The authors
wish to thank the Tabriz University of
Medical Sciences for the financial support.
Competing interests
The authors declare that there is no con-
flict of interest.
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HPP-3-165

  • 1. 165 Health Promotion Perspectives, 2013, 3(2), 165-174 doi: 10.5681/hpp.2013.020 http://journals.tbzmed.ac.ir/HPP Student's Body Dimensions in Relation to Classroom Furniture Samira Baharampour1 , * Jalil Nazari1 , Iman Dianat1 , Mohamad Asgharijafarabadi2 1 Department of Occupational Health, Tabriz University of Medical Science, Tabriz, Iran 2 Road Traffic Injury Research Centre, Tabriz University of Medical Science, Tabriz, Iran ARTICLE INFO ABSTRACT Article type: Original Article Background: This study was carried out to investigate the fit between university student's anthropometry and classroom furniture dimensions. Method: In this cross-sectional and descriptive-analyzing study conducted in 2012, a total of 194 students (aged 18 through 30 years), were recruited ran- domly from Tabriz University of Medical Science community. The body size of each student was assessed using anthropometric measurements including shoul- der height, elbow height, popliteal height, buttock-popliteal length, hip breadth and distance between elbows. Combinational equations defined the acceptable furniture dimensions according to anthropometry and match percentages were computed, according to either the existing situations assuming that they could use the most appropriate of the sizes available. Results: Desk and seat height were higher than the accepted limits for most stu- dents (92.5% and 98.4%, respectively), while seat depth was appropriate for only 84.6% of students. The data indicate a mismatch between the students’ bodily dimensions and the classroom furniture available to them. The chairs are too high and too deep and desks are also too high for the pupils. This situation may have negative effects on the sitting posture of the students especially when reading and writing. Conclusion: High mismatch percentages were found between furniture and stu- dents' anthropometry. The results confirm that furniture for university students should be selected and designed busied on their anthropometric dimensions. Article history: Received: May 22 2013 Accepted: Sep 12 2013 e-published: Dec 31 2013 Keywords: Body dimensions, Furniture, Anthropometry, Ergonomics *Corresponding Author: Jalil Nazari Tel: +98 411 3357380-4; e-mail:Nazari_j@yahoo.com Introduction It is estimated that 70–85% of individuals experience Low Back Pain (LBP) during the course of their lives1 . An onset of LBP is expected to occur at the mean age of 30 and peaking in occurrence between the ages of 45 and 60 years2 . However a recent Euro- pean survey of LBP reported that the 6- month prevalence in 17–25 year age group seems to be similar to older age groups3 . In the general population, LBP prevalence rates are known to increase over the adulthood period4,5 . Sit related Musculoskeletal Disorders (MSDs) are frequent and several studies6,7 have pointed out an association between back pain and prolonged sitting. Students spend about 84% to 88% of their time in the sitting position8 . 41.6% of students experi- enced pain while sitting in the classroom and 69.5% of the back pain occurred after 1 h of Citation:Baharampour S, Nazari J, Dianat I, Asgharijafarabadi M. Student's Body Dimensions in Relation to Classroom Furniture. Health Promot Perspect 2013; 3(2):165-174.
  • 2. Baharampour et al.: Student's Body Dimensions … 166 sitting and increases with the duration of the sitting position at school9 . Some studies have shown a positive relationship between back pain and seat height10 . University students constitute a large group of people who spend a lot of their time on the university chairs and desks in a static or awkward pos- ture11 . High prevalence of neck and upper extremity complaints among university stu- dents has been reported in the literature12 . During class time, students sit in poor postures with trunk, back and neck flexed13 . The students should be included in ergo- nomic design programs to be prevented from MSDs suffering14 . Students sitting posture can be influenced by several factors such as the anthropometric dimensions of the students and design features of class- room furniture. Therefore, the mismatch between the students' anthropometry and furniture design can be one of the risks of MSDs10 . Recent developments in ergonom- ics have heightened the need for good chair design. Since the 1970s, concerns with school seating have continued to provide incentive for publications15,16 . There have been several studies in school children an- thropometry. Most of the studies have only been carried out in age grouped 6 through 14 years old8, 17 . So far, there has been little attention to the design of university furniture, because the researchers believe that using furniture that promotes ergonomic (appropriate) postures in childhood is more important than using it in adulthood. The main reason of this matter is that the sitting habits are formed at this young age and it will be too difficult to change them in adulthood10 . Thus, the anthropometric data used in the design of the equipment for Iranian higher education are based on anthropometric data from other countries and it is necessary to collect related data to support ergonomic design from Iranian population. To our knowledge, a few studies have been done on university students and mismatch between their anthropometry and class chairs in Iran6,8,18,19 . Although these studies have in- vestigated mismatch between the anthropo- metric features and classroom furniture di- mensions in schools and universities, they did not consider the mismatch between arm rest distance and elbow distance. Therefore this study was conducted to investigate any mismatch between furniture features and body dimensions of the stu- dents with especial consideration on arm rest distance and elbow distance. Materials and Methods This study was cross-sectional and de- scriptive-analyzing conducted in 2012. Ac- cording to result of Roscoe20 (1975) study with a sample size between 30 and 500 is adequate for most research. Therefore sam- ple for the study comprised 194 students (120 females and 74 males) that were ran- domly selected from Tabriz University of Medical Science community. Sampling frame was according to the list of students` name which was available through the education section of the university. Sampling was done with considering to the students` frequency in academic level (bachelor, master of sci- ences or PhD), age and fields. To determine the sampling volume, preliminary study based on a pilot study consisting of 12 of volunteers was done according to the effect size. Based on the mean and standard devia- tion of measured parameters, with 95% Confidence Interval (CI) and tolerated error 2.5% around the mean, sample volume for different parameters is gained. The biggest sample volume was calculated for sitting el- bow height parameter SELH parameter. So the sample volume was 174 (Mean=24.06 and SD= 4.04). For volunteer's selection considering with the above features, sampling was extracted by simple random method from the list. For random numbers, MS EXCELL version 2007 was used. The age of range of the sub- ject was from 18 through 30 years (mean =23.3 years, SD=3 years). All subjects were healthy, engaged in average levels of physical activity, and had reported no occurrences of MSDs for at least the year preceding the study (which was defined as never having
  • 3. Health Promotion Perspectives, Vol. 3, No. 2, 2013; P: 165-174 167 seen a physician, physiotherapist, chiro- practor, or other healthcare professional for MSDs), and had never been absent from work because of MSDs. Each subject was then informed of the risks and benefits of participation in this study and informed con- sent obtained from all subjects. Approval for this work was obtained from the ethics committee of the Tabriz University of Medi- cal Sciences and all of the experiments were carried out at Ergonomics Laboratory of the university. In addition to demographic information in- cluding age and gender, the following 10 body dimensions which are essential for seating and work surface design12 were measured in this study [Fig. 1]. The measure- ment instruments included anthropometric station measuring tape, a wooden right an- gle and a mechanical column scale (Detecto) with eye level rider to measure weights (with more than 50 g accuracy). Fig. 1: anthropometric measures: 1) stature, 2) sitting shoulder height., 3) popliteal height., 4) buttock width., 5) sitting elbow height from seat pan., 6) buttock- popliteal length., 7) distance between elbows , 8) buttock- knee length., 9) sitting height (modified from Dianat et al. 2012) For the furniture measurements, only one style of chair with no mounted desktop and one style of desk were identified as the dominant model in the students’ classroom. The critical dimensions of current university furniture (chair and table) was as follows: seat height from the floor (47.2 cm), seat width(44.4 cm), seat depth (43.9 cm), backrest height(89.7 cm), desktop height from the seat pan (31.9 cm) and distance between armrests (44.3 cm). Prior to measurements, the investigator checked that the participants had light cloths, empty pockets, and wearing no shoes. Anthropometric measurements were taken while each student was sitting on the adjustable chair of fixed height with knee and elbow bent at 90°, the feet placed on the floor and straight looking forward. Relationships between school furniture dimensions and body dimensions There have been some equations, to in- vestigate the mismatch between classroom chairs and anthropometric dimensions of students. To compare and investigate any existing mismatch, the following dimensions of subjects (Table 1) and the classroom fur- niture (Table 2) were obtained. 1) Seat height and popliteal height mismatch: Based on references, the seat height should be adjusted according to the popliteal height21 . Besides the knee angle in to the vertical axes should be up to 30°22 . But the minimum of the same angle was 5°. So, the design could be done in following interval: (PH+2) cos 30° ≤ SH ≤ (PH+2) cos 5° Where SH is seat height and PH is pop- liteal height.
  • 4. Baharampour et al.: Student's Body Dimensions … 168 Table 1: Anthropometric dimensions and their descript Dimensions Description Stature The vertical distance from the floor to the vertex (i.e. the crown of the head). Sitting height Vertical distance from the sitting surface to the vertex (i.e. the crown of the head). Sitting elbow height from seat pan Vertical distance from the seat surface to the underside of the elbow. Buttock-knee length Horizontal distance from the back of the uncompressed buttock to the front of the kneecap Buttock-popliteal length Horizontal distance from the back of the uncompressed buttocks to the pop- liteal angle, at the back of the knee, where the back of the lower legs meet the underside of the thigh Popliteal height Vertical distance from the floor to the popliteal angle at the underside of the knee where the tendon of the biceps femoris muscle inserts into the lower leg Buttock width Maximum horizontal distance across the hips in the sitting position Sitting shoulder height Vertical distance from the seat surface to the acromion (i.e. the bony point of the shoulder Distance between elbows The horizontal distance between the end bony point of one of the elbows to the same point of the other one, when the elbows are in right angle and touch the sides of the body. Table 2: Components of chair dimensions and its description Dimension Description Seat height Vertical distance from the highest point on the front of the seat to the floor Seat width The horizontal distance between the lateral edges of the seat. Seat depth The vertical distance from the back of the sitting surface of the seat to its front edge. Backrest height The vertical distance from the sitting surface to the top edge of backrest. The distance between armrests The vertical distance between two internal edges of the armrests. Desktop-seat height The vertical distance from the sitting surface to the upper edge of desk- top. 2) Seat width and buttock width: According to the literature, the seat width should be designed based on the larg- est buttock width23 . The minimum number for seat width is obtained from multiplica- tion of 1.1 by the buttock width and for the maximum, the coefficient is 1.3. So, the proposed interval for seat width design is: 110% BW ≤ SW ≤ 1130% BW Where SW is seat width and BW is but- tock width. 3) Seat depth and buttock- popliteal length: It is believed that the seat depth should be designed for the 5th percentile of the BPL distribution24,25 . Some other studies con- firmed that it should be at least 2 inches shorter than the BPL26 . However, the most famous reference that upheld a mismatch for seat depth has been defined as all the numbers which exist in following equation is Parcells et al in 1999: 0.8 BPL ≤ SD ≤ 0.95 BPL Where BPL is buttock- popliteal height and SD is the seat depth. 4) Backrest height and sitting shoulder height: For facilitating the mobility of the torso and arms towards the lower body, it is better to design the backrest height up to the sub-scapula height23,25 . So, the subsequent interval was proposed to determine the backrest height of the classroom furniture: 0.6 SH ≤ BH ≤ 0.8 SH Where BH is backrest height and SH is shoulder height.
  • 5. Health Promotion Perspectives, Vol. 3, No. 2, 2013; P: 165-174 169 5) Desktop-seatheightandsittingelbowheight: The elbow height is recommended as the original determination for desktop height22,18 . Some researchers suggested that the desktop height should be 3 to 5 cm higher than the sitting elbow height12,17,24 . SELH ≤ DH ≤ SELH +5 Where SELH is sitting elbow height and DH is desktop height. 6) Distance between armrests and distance be- tween elbows: According to the literature, the distance between armrests should be 18 inches (BIFMI Guideline) or might be 16.5 to 19 inches in some other guides. In this study we proposed a new interval, equivalent to seat width equation. So, we defined the mini- mum and maximum distance between arm- rests as the follow: 110% ELELD≤ AD ≤ 1130% ELELDW here ELELD is distance between elbows and AD is distance between armrests. Data treatment and analysis Data analysis, using SPSS for MS Win- dows 7.0, involved the computation of de- scriptive statistics (mean, standard deviation, max, min and 5th and 95th percentiles) to de- scribe the physical characteristics of the subjects. Data distributions were tested for normality using the Skewness test. Anthro- pometric measures of each participant were compared to the relative furniture dimen- sions using EXCEL in order to identify a match or mismatch between the specific student and the furniture that he/she were used. Based on existing research27,28 , a mis- match is defined as incompatibility between the dimensions of the classroom furniture and the dimensions of the student’s body. In this investigation, one source of error is the technical errors that hidden in meas- urement instruments29 and measurement er- rors. To control measurement instruments errors, calibration of the tools has been done. But to eliminate the intra-evaluator errors, all of measurements performed by the same investigator in the same subjects and to verify and enhance the accuracy of the measurements (inter-evaluator), each measurement repeated two times from the same subjects and the average of the two were chosen as a mean value. All measure- ments were done by the first author of this paper.For scale reliability analysis, interclass correlation coefficient was calculated. Con- sistency reliability was approved in all cases. ICC was more than 0.7 for every volunteer. Results Demographic and anthropometric charac- teristics of subjects are shown in Table 3. The minimum and maximum values for popliteal height were 32.3 and 65.4 cm, for popliteal–buttock length were 32 and 57.3 cm, for shoulder height were 63.4 and 121.2 cm, for the elbow–seat height were 16.82 and 47.30 cm, for the buttock width were 31.3 and 43.12 cm, for distance between el- bows were 27 and 47.07 cm, respectively (Table 3). Table 3: Demographic and anthropometric characteristics of subjects DIMENSION MIN MAX MEAN SD 5th%tile 95th%tile Age(yr) 18 30 23.34 2.98 20 29 Weight(kg) 39 168 63.47 15.97 46.27 86.82 Stature(cm) 143 188 167.54 9.057 155.87 184 PH(cm) 32.3 65.4 40.24 4.31 35.07 45.87 BPL(cm) 32 57.3 45.31 3.62 40.25 51.10 BKL(cm) 43 65.40 56.29 5.64 49.90 63.17 SH(cm) 114.8 143 126.17 9.61 116.65 138.40 SELH(cm) 16.82 47.30 23.47 3.21 19.27 28.05 BW(cm) 31.3 43.12 36.20 2.32 32.44 40.41 ELELD(cm) 27 47.07 36.96 3.52 30.85 43.04 SHH(cm) 63.4 121.20 100.71 6.33 91.55 110.52
  • 6. 170 The result of collected data about the classroom furniture dimensions and obtained body dimensions are summarized in Table 4. As it can be seen from this table, shoulder height (with backrest height), distance between armrests, buttock-popliteal length, popliteal height and elbow height from seat pan in sitting position were the common mismatch between the body dimensions of students and the dimensions of classroom furniture. Table 4: The percentage of mismatch between body dimensions and furniture dimensions according to gender.Less than normal: body dimension was above the upper limit of the design interval. More than normal: the body dimension was below the lower limit of the design interval. Normal(fit): body dimension was in design interval Dimensions Less than normal (%) Normal (%) More than Normal (%) M F M F M F Desk height(cm) 2.7 0 16.2 7.5 80.3 92.5 Distance between armrests(cm) 29.7 3.3 67.6 71.7 2.7 25 Seat height (cm) 1.3 0.5 10.8 1.6 87.9 97.9 Seat width(cm) 5.4 4.1 51.4 75.9 21.6 21 Seat depth (cm) 1.3 1.3 69 15.4 29.7 83.3 Backrest height(cm) 0 0 29.7 2.5 70.3 97.5 Discussion The aim of the current study was to eval- uate the match between dimensions of the classroom furniture in universities with stu- dent's body dimensions. The result of this study showed considerable mismatch be- tween students` body dimensions and class- room chairs. One of the important findings of current study was that the backrests of chairs were too high. Consequence of using high backrest may be forward head inclination, uneven shoulder, kyphosis, scoliosis and lordosis11 . The degree of forward head and neck flexion, combined with the static nature of desk tasks, appears to be related to the incidence of neck and/or shoulder com- plains44 . Anthropometric dimensions are very important for designing university fur- niture15,30 , because proper posture is a critical factor for prevention of musculoskeletal disorders31 . The university students spent long periods in sitting position, so they may suffer from improper designs of furniture. Then designing and applying proper furni- ture may reduce fatigue and discomfort in the sitting posture30 . Seat height mismatch According to the current study, the seat height only matched to 10.8% of males and 1.6% of females, which are obviously greatly below the lower limit of the acceptance range (Table 4). In other words, subjects are sitting on seats that are too high for them. According to filed observations most of subjects sitting with their legs not touching the floor. These positions can place high amounts of stresses on the popliteal arc that runs through the underside of the thigh and may cause serious discomfort and possibly risk injury. This may lead to an increase in tissue pressure on the posterior aspect of the thighs. One study32 indicated that the tension in the lumbar and trapezius muscles was significantly reduced among students when the seat height was match to their popliteal height. Toomingas and Gavhed demonstrated that optimal seat height may contribute to less frequent neck/scapulae and back pain. Since the mismatch forces students to slide forward on the seat of the classroom furniture, therefore seat height match appears to be necessary33 . Seat depth mismatch
  • 7. Health Promotion Perspectives, Vol. 3, No. 2, 2013; P: 165-174 171 Seat depth mismatch with thigh length creates strong stresses on the thigh. The mismatch between the subject’s popliteal– buttock length and current seat depth totally was 57.8%, which is well beyond the upper limit of the acceptance range for the current seat depth. A too shallow seat may cause the user to have the sensation of falling off the front of the chair as well as result in a lack of support of the lower thighs27 . On the other hand, too deep chairs force students usually place their buttocks forward on the edge of the seat, especially while reading and writing. Consequently, in this position they could not use the back rest properly. As a result, the lack of back support causes a slumped, Ky- photic posture11 . Backrest height mismatch: A good back rest, fitting the natural spi- nal curves, stabilizes the spine34 , facilitates lumbar lordosis35 and reduces Kyphotic pos- tures34 . A backrest contributes to carrying the weight of the body, and keeping disk pressure in low level by supporting lumbar. However, the result of present study ex- pressed that backrest height is acceptable for about 29.7% in males and 2.5% in females. It means that in more than 83.9% of sub- jects, shoulder height is below the lower limit of the acceptance range. Studies have shown that sitting in a normal stenographic type of chair with no back support increases the flexed posture of the lumbar spine. Con- sequently, the compressive forces on the lower back increase. So a variety of designs of school furniture are being promoted for the improvement of posture and/or motil- ity22 . Desk height mismatch According to our finding, 88.1% of sub- jects had a mismatch between desk height and their elbow–seat heights. For majority of subjects the elbow-seat height was much smaller than the lower limit of acceptance for the height of the provided desk. When the elbow rest height is lower than the desk or table surface, the working arm must be raised. For compensating, shoulders must also be raised or abducted placing a stress on the deeper posterior neck musculature to provide stabilization of the head posture. In addition if the weight of the head is not properly supported, it can cause discomfort and risk of injury to the neck and shoul- ders36 . As the elbow-seat height for a few present of student was higher than desk height so it may force user to bend forward, with the body weight being supported by the arms. Eventually Kyphotic spinal posture with round shoulders is created. The head also moves forward (more than 30° from the vertical position), increased activation of the neck musculature occurs, which increases the probability of fatigue, because a static posture is maintained by the neck muscles37 . Therefore improper design and mismatch of desks and chairs lead to an imbalanced and more Kyphotic posture of lumbar spine and require more muscle control to maintain the upright stability and sitting posture16, 38 . Seat width mismatch An important element in the magnitude of the pressure under the buttocks is the form of the supporting surface39 . Some in- vestigators have recommended that the seat width should be at least 45 cm, or 5 cm wider than the hip breadth40,42 . Another rec- ommendation is that d a seat width should be equivalent to 99 percentile value plus 15%22 . The breadth of sitting surface is de- termined according to the 95% percentile values of hip breadth26 . The mismatch between seat width and buttock width could be seen in 25.55% of students. Consequently the least mismatch existed in this dimension. The seat should be wide enough to accommodate a user’s hips and clothing, and comfortably allow use of the armrests. There is a need that a reasona- ble proportion of the population of potential users can easily get up and sit down and be satisfied with their seat design41,43 . The an- thropometric measure width of the hips should be lower than what should be al- lowed for width of the seat. There must be added, on each side, an extra width for
  • 8. Baharampour et al.: Student's Body Dimensions … 172 movement of the arms if the seat is equipped with armrests. Distance between armrests and distance between elbows Armrests help relieve neck, shoulder, and back stress. It can provide good surface area for the arm to contact so that pressure be- tween an arm and armrest is minimized. It also should be adjustable up and down, as well as in and out. This allows for more customization and better control of comfort. For many tasks, arm support reduces upper body fatigue, allows for easier shifts in body position, and makes it much easier to enter and exit the chair. Armrests should be ad- justable in height, width and depth to com- fortably support the forearms or elbows while sitting with relaxed shoulders14 .Most of investigator6,8,18,27 demonstrated mismatch between some dimensions of furniture; however none of them mentioned mismatch between elbows distance and armrests dis- tance. The result of current study showed in total 30.35% mismatch between armrests distance and elbows distance. So that 69.7% subjects` distance between elbows were placed in design interval. Armrests should not limit access to the work surface, because body flexion will be decreases and stress in the knee and hip joints during sitting-to- standing transitions will be reduced15 . Conclusion Overall these findings confirmed that the majority of students had mismatch with uni- versity furniture. By obtaining more anthro- pometry data in variety age groups and gen- eralizing it to any educational place may help design of ergonomic furniture. As develop- ing comfortable posture, educational fur- niture should also support the learning activ- ities of the students. Therefore school furni- ture should be able to facilitate learning by providing a comfortable and stress-free workstation. Using ergonomic chairs based on collected data from educational place could help us to prevent discomfort, inap- propriate sitting postures and occurring musculoskeletal disorders, conclusively in- creasing efficiency in schooling situations. Acknowledgements This article was written based on a da- taset of M.Sc. thesis registered in Tabriz University of Medical Sciences. The authors wish to thank the Tabriz University of Medical Sciences for the financial support. Competing interests The authors declare that there is no con- flict of interest. References 1. Andersson GBJ. Epidemiological features of chronic low-back pain. Lancet 1999; 354: 581–5. 2. Bratton RL. Assessment and management of acute low back pain. AmFam Physician 1999; 60: 2299–306. 3. Leboeuf-Yde C, Kyvik KO. At what age does low back pain become a common problem? A study of 29,424 individuals aged 12–41 years. Spine 1998; 23: 228–34. 4. Jones GT, Macfarlane GJ. Epidemiology of low back pain in children and adolescents. Arch Dis Child 2005; 90: 312-316. 5. Sjolie N. Associations between activities and low back pain in adolescents. Scand J Med Sci Sports 2004; 14:352–359. 6. Magnusson L M, Pope H M. A review of the biomechanics and epidemiology of working postures. J Sound Vib 1998; 215(4): 965-976. 7. Watson K.D, Papageorgiou A.C, Jones T.J, and et.al. Low back pain in schoolchildren: occurrence and characteristics. Pain 2002; 97: 87–92. 8. Farahani A, Shakib M. A Survey on Some Skeletal Disorders and Proportionality of Anthropometric Features to School Furni- ture Dimensions in Primary Students. World J Sport Sci 2009; 2: 266-271. 9. Troussier B. Comparative study of two different kinds of school furniture among children. Ergonomics 1999; 42: 516-526. 10. Yeats B. Factors that influence the postural health of school children. Work 1997; 9: 45- 55.
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