1. Subscapular Skinfold Site TWO CM FROM INFERIOR ANGLE OF THE SCAPULA
ISAK: this is marked 2 cm on a diagonal line from the subscapulare
CHECK THIS DESCRIPTION:
This skinfold site is found by (1) Locating the subscapulare at the inferior angle of the right scapula using the L thumb and making small dot and (2) locating the site 2 cm from this point on on a line drawn obliquely downward along the natural fold of the skin and underlying muscle. (Surgery along the so-called Langer's lines is less traumatic than cutting across them.) As in all skinfolds, a double layer of skin and entrapped adipose tissue is raised and calipers applied one cm from the fingers. In the OZ000 Olympic rower and paddler study, the site was marked by criterion anthropometrists a practice we now endorse.
This skinfold site is found by (1) Locating the subscapulare at the inferior angle of the right scapula using the L thumb and making small dot and (2) locating the site 2 cm from this point on a line drawn obliquely downward along the natural fold of the skin and underlying muscle. (Surgery along the so-called Langer's lines is less traumatic than cutting across them). As in all skinfolds, a double layer of skin and entrapped adipose tissue is raised and calipers applied one cm from the fingers.  In the OZ000 Olympic rower and paddler study, the site was marked by criterion anthropometrists. We now endorse the practice of marking the site rather than estimating. ISAK recommends a line running obliquely and downward at an angle of 45 degrees???  Isn't 30 degrees better?   I prefer this: 1) Locate the subscapulare, or inferior angle of the R scapula using the left thumb. 2) Release, 3) Relocate using the first digit.  4) Mark.  5) Check.  6) Draw an oblique line running downward degree along the natural fold of the skin and underlying muscle. 7) Measure and make a cross mark 2 cm distant from the Subscapulare.  (Note: the natural fold of the skin is along the so-called Langer's lines used by surgeon for incision along muscle fibers  since it is less traumatic than cutting across them).

2. Acromiale-Radiale Distance
Mid-Acromiale-Radiale: With the zero mark of the tape projected to the level of acromiale, a horizontal line is marked perpendicular to the long axis of the humerus, at the mid-acromiale-radiale distance.
Locate and measure:
Place the anthropometric tape with the zero mark projected to the level of the acromiale. The measurement is the perpendicular linear distance, and should not include the curvature over the deltoid muscle, particularly with muscular subjects.
Extend the tape to locate the marked radiale site, fixing it with your right thumb, and measure the acromiale-radiale distance.

3. Acromiale-Radiale Distance
Most accurate measure of acromiale-radiale distance
The use of the segmometer gives the most accurate measure of the acromiale-radiale distance. This distance can be estimated with an anthropometric tape, avoiding rounded contours in order to measure a direct distance.

4. Acromiale-Radiale MARK HALF DISTANCE
Mark the mid-acromiale-radiale distance with a short horizontal line.

5. Acromiale-Radiale VIEW HALF DISTANCE MARK
View the marked site.

6. Mid-Acromiale-Radiale WRAP TAPE PERPENDICULAR TO LONG AXIS OF HUMERUS
Biceps and Triceps Skinfold Sites: Horizontal and vertical lines are marked at the level of the mid-acromiale-radiale mark on the posterior and anterior surfaces of the arm.
Wrap the tape around the arm at the level of the marked mid-acromiale-radiale distance.

7. Mid-Acromiale-Radiale TRICEPS HORIZONTAL MARK
Mark the level of the triceps site with a horizontal line on the posterior arm at the mid-acromiale-radiale level.

8. Mid-Acromiale-Radiale BICEPS HORIZONTAL MARK
Mark the level of the biceps site with a horizontal line on the anterior arm at the mid-acromiale-radiale level

9. Biceps Skinfold Site ©R
Mark the biceps skinfold landmark with the subject very slightly rotating the hand outward (i.e. in supination).
Mark a vertical line at the most anterior surface directly over the belly of the biceps brachii to identify the site where the biceps skinfold is raised.

10. Triceps Skinfold Site ©R
Mark the triceps skinfold landmark when the subject's hand is on the lateral thigh.  Mark a vertical line at the most posterior surface directly over the belly of the triceps brachii to identify the site where the triceps skinfold is raised.

11. Supraspinale Skinfold Site LOCATED ON THE AXILLA-ILIOSPINALE LINE
Visualize a straight line from the axilla, diagonally down to the iliospinale (inferior to the anterior superior iliac spine, undermost tip).

12. Supraspinale Skinfold MARKED FOR PLACEMENT OF CALIPERS (FEMALE)
ISAK: the horizontal line is at the level of the iliocristale
Mark the intersection of the axilla-iliospinale at the level of the supracrestale (iliaiocrestale). ©R

13. Supraspinale Skinfold Site LOCATED ON THE AXILLA-ILIOSPINALE LINE
Supra-Spinale Skinfold Site (Males)
Located on the axilla-spinale line, superior to iliospinale, and running diagonally downward along the natural fold or Langer line.
Locate the line from the anterior axilla border to the spinale line (i.e., the axilla-spinale line).

14. Supraspinale Skinfold MARKED FOR PLACEMENT OF CALIPERS (MALE)
ISAK: the horizontal line is at the level of the iliocristale
Mark the intersection of the axilla-iliospinale at the level of the supracrestale (iliaiocrestale).

15. Abdominal Skinfold Site ADJACENT TO OMPHALION
ISAK: this is marked 5 cm from, and at the level of, the omphalion ©R
Located on a vertical fold adjacent, to the right of, and at the level of the omphalion. This can be a measured 4 cm in adults. (It's usually about the same distance from the omphalion as the thickness of the fold plus 1 cm.)

16. Mid-Thigh Landmark LOCATE TROCHANTERION AND THEN TIBIALE LATERALE
Mid-Thigh: There are several methods for locating the mid-thigh.  One is to have the subject seated and to use half the measured distance from the mid-portion of the inguinal line to the superior, anterior margin of the patella.  This is consistent with the technique for estimating the site for obtaining mid-thigh skinfolds.  For girth measurement, we prefer defining the mid-thigh as follows: Half the measured distance from the previously located trochanterion to the tibiale laterale when the subject stands erect.
Approach.
Place the zero indicator of the anthropometric tape on the marked trochanterion and pin it there with pressure by the third digit of your left hand.  Let the tape hang freely and hold it to the thigh with your outstretched left thumb.

17. Mid-Thigh Landmark MARK MID-TROCHANTERION-TIBIALE LATERALE DISTANCE
Extend the tape downwards and note the distance to the previously marked tibiale laterale.
Locate and mark half the trochanterion-tibiale laterale distance by pinning tape at half the distance, the tape being held in place with your third finger and thumb.

18. Mid-Thigh Landmark VIEW LANDMARK
View the marked site.

19. Mid-Thigh Skinfold Site LOCATE INGUINAL CREASE AND ANTERIOR SUPERIOR PATELLA
ISAK: this is half the measured distance
Mid-Thigh Skinfold Site
Mid-distance between the inguinal crease and the superior patella, estimated on the seated subject.

20. Mid-Thigh Skinfold Site APPROXIMATE or MEASURE MID-INGUINAL-PATELLA DISTANCE
Locate the inguinal crease and the superior patella.

21. Mid-Thigh Skinfold Site MARK FOR PLACEMENT OF CALIPERS
Measure or approximate the mid-inguinal-patella distance. When there is a criterion anthropometrist, this is usually a measured distance. The critical location is in the mid thigh, the exact mid-inguinal-patella distance is less critical. (The photograph may not appear to show the mid-inguinal-patella distance, but this is due to photographic perspective, enlarging the foreground.)

22. Mid-Thigh Skinfold Site VIEW SITE©R
Mark the site with a cross at a line at the long axis.

23. Medial Calf Skinfold Site
Mark at maximum girth
Medial calf skinfold site mark is at the measured level of the greatest circumference.

24. Remember
Medial calf skinfold site mark is at the measured level of the greatest circumference.
The proforma that has skinfolds last in the sequence facilitates marking at the time medial calf girth is obtained.
Note.

25. Hand Length Site TAPE IS DISTAL TO STYLOIDS RADIALE AND ULNARE
Mid-Stylion Horizontal and vertical lines are marked at the approximated mid-point of the stylion radiale-stylion ulnare distance.
The subject flexes at the elbow and presents the right wrist supinated, (i.e. palmar surface upward).

26. Hand Length Site MARK HORIZONTAL MID-STYLOID LINE ON PROXIMAL SIDE OF TAPE
Wrap the tape around the wrist, pinning it with your left thumb and second digit on the dorsal surface distal to the stylion ulnare and stylion radiale.  (It is not necessary to hold the tape case in this instance.)

27. Hand Length Site MARK VERTICAL MID-STYLOID LINE
Mark a small line on the palmar surface at the proximal border of the tape in the mid portion of the wrist.

28. Hand Length Site VIEW LANDMARK
Mark a cross on the previous line at the mid-portion of the subject's wrist.  Check that the cross is in the mid-portion and in line with the dactylion, the most distal point on the terminal phalanx III when the hand is extended with the fingers together.

29.
Note.