How valid are self-reported height and weight? A comparison between CATI self-report and clinic measurements using a large cohort study

OBJECTIVE: To examine the relationship between self-reported and clinical measurements for height and weight in adults aged 18 years and over and to determine the bias associated with using household telephone surveys.

METHOD: A representative population sample of adults aged 18 years and over living in the north-west region of Adelaide (n = 1,537) were recruited to the biomedical cohort study in 2002/03. A computer-assisted telephone interviewing (CATI) system was used to collect self-reported height and weight. Clinical measures were obtained when the cohort study participants attended a clinic for biomedical tests.

RESULT: Adults over-estimated their height (by 1.4 cm) and under-estimated their weight (by 1.7 kg). Using the self-report figures the prevalence of overweight/ obese was 56.0% but this prevalence estimate increased to 65.3% when clinical measurements were used. The discrepancy in self-reported height and weight is partly explained by 1) a rounding effect (rounding height and weight to the nearest 0 or 5) and 2) older persons (65+ years) considerably over-estimating their height.

CONCLUSION: Self-report is important in monitoring overweight and obesity; however, it must be recognised that prevalence estimates obtained are likely to understate the problem.

IMPLICATIONS: The public health focus on obesity is warranted, but self-report estimates, commonly used to highlight the obesity epidemic, are likely to be underestimations. Self-report would be a more reliable measure if people did not round their measurements and if older persons more accurately knew their height.

Medienart:

Artikel

Erscheinungsjahr:

2006

Erschienen:

2006

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Australian and New Zealand journal of public health - 30(2006), 3 vom: 01. Juni, Seite 238-46

Sprache:

Englisch

Beteiligte Personen:

Taylor, Anne W [VerfasserIn]
Dal Grande, Eleonora [VerfasserIn]
Gill, Tiffany K [VerfasserIn]
Chittleborough, Catherine R [VerfasserIn]
Wilson, David H [VerfasserIn]
Adams, Robert J [VerfasserIn]
Grant, Janet F [VerfasserIn]
Phillips, Patrick [VerfasserIn]
Appleton, Sarah [VerfasserIn]
Ruffin, Richard E [VerfasserIn]

Themen:

Comparative Study
Journal Article
Validation Study

Anmerkungen:

Date Completed 16.08.2006

Date Revised 09.04.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM163748292