Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Validation of self-reported height and weight in fifth-grade Korean children

  • Lee, Bora (Department of Foods and Nutrition, Kookmin University) ;
  • Chung, Sang-Jin (Department of Foods and Nutrition, Kookmin University) ;
  • Lee, Soo-Kyung (Department of Food and Nutrition, Inha University) ;
  • Yoon, Jihyun (Department of Food and Nutrition, Seoul National University)
  • Received : 2012.10.16
  • Accepted : 2013.06.05
  • Published : 2013.08.01
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Abstract

Height and weight are important indicators to calculate Body Mass Index (BMI); measuring height and weight directly is the most exact method to get this information. However, it is ineffective in terms of cost and time on large population samples. The aim of our study was to investigate the validity of self-reported height and weight data compared to our measured data in Korean children to predict obese status. Four hundred twenty-two fifth-grade (mean age $10.5{\pm}0.5$ years) children who had self-reported and measured height and weight data were final subjects for this study. Overweight/obese was defined as a BMI of or above the 85th percentile of the gender-specific BMI for age in the 2007 Korean National Growth Charts or a BMI of 25 or higher (underweight : < 5th, normal : ${\geq}5th$ to < 85th, overweight : ${\geq}85th$ to < 95th). The differences between self-reported and measured data were tested using paired t-test. Differences based on overweight/obese status were tested using analysis of variance (ANOVA) and linear trends. Pearson's correlation and Cohen's kappa were tested to examine agreements between the self-reported and measured data. Although measured and self-reported height, weight and BMI were significantly different and children tended to overreport their height and underreport their weight, the correlation between the two methods of height, weight and BMI were high (r = 0.956, 0.969, 0.932, respectively; all P < 0.001), and both genders reported their overweight/non-overweight status accurately (Cohen's kappa = 0.792, P < 0.001). Although there were differences between the self-reported and our measured methods, the self-reported weight and height was valid enough to classify overweight/obesity status correctly, especially in non-overweight/obese children. Due to bigger underestimation of weight and overestimation of height in obese children, however, we need to be aware that the self-reported anthropometric data were less accurate in overweight/obese children than in non-overweight/obese children.

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References

  1. Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988-1994. J Am Diet Assoc 2001;101:28-34. https://doi.org/10.1016/S0002-8223(01)00008-6
  2. Brunner Huber LR. Validity of self-reported height and weight in women of reproductive age. Matern Child Health J 2007; 11:137-44. https://doi.org/10.1007/s10995-006-0157-0
  3. Gorber SC, Tremblay M, Moher D, Gorber B. A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obesity 2007;8:307-26. https://doi.org/10.1111/j.1467-789X.2007.00347.x
  4. Katsnelson MJ, Peterlin BL, Rosso AL, Alexander GM, Erwin KL. Self-reported vs. measured body mass indices in migraineurs. Headache 2009;49:663-8. https://doi.org/10.1111/j.1526-4610.2009.01400.x
  5. Gillum RF, Sempos CT. Ethnic variation in validity of classification of overweight and obesity using self-reported weight and height in American women and men: the Third National Health and Nutrition Examination Survey. Nutrition J 2005;4:27-34. https://doi.org/10.1186/1475-2891-4-27
  6. Palta M, Prineas RJ, Berman R, Hannan P. Comparison of self-reported and measured height and weight. Am J Epidemiol 1982;115:223-30. https://doi.org/10.1093/oxfordjournals.aje.a113294
  7. Smith GT, Hohlstein LA, Atlas JG. Accuracy of self-reported weight: Covariation with binger or restrainer status and eating disorder symptomatology. Addict Behav 1992;17:1-8. https://doi.org/10.1016/0306-4603(92)90047-Y
  8. Danubio ME, Miranda G, Vinciguerra MG, Vecchi E, Rufo F. Comparison of self-reported and measured height and weight: Implications for obesity research among young adults. Econ Hum Biol 2008;6:181-90. https://doi.org/10.1016/j.ehb.2007.04.002
  9. Engstrom JL, Paterson SA, Doherty A, Trabulsi M, Speer KL. Accuracy of self-reported height and weight in women: an integrative review of the literature. J Midwifery Womens Health 2003;48:338-45. https://doi.org/10.1016/S1526-9523(03)00281-2
  10. de Araujo DS, de Araujo CG. Self-perception and dissatisfaction with weight does not depend on the frequency of physical activity. Arq Bras Cardiol 2003;80:235-49.
  11. Nawaz H, Chan W, Abdulrahman M, Larson D, Katz DL. Selfreported weight and height: Implications for obesity research. Am J Prev Med 2001;20:294-8. https://doi.org/10.1016/S0749-3797(01)00293-8
  12. Rowland ML. Self-reported weight and height. Am J Clin Nutr 1990;52:1125-33.
  13. Alvarez-Torices JC, Franch-Nadal J, Alvarez-Guisasola F, Hernandez- Mejia R, Cueto-Espinar A. Self-reported height and weight and prevalence of obesity. Study in a Spanish population. Int J Obes Relat Metab Disord 1993;11:663-7.
  14. Haboubi NY, Hudson PR, Pathy MS. Measurement of height in the elderly. J Am Geriatr Soc 1990;38:1008-10.
  15. Morrissey SL, Whetstone LM, Cummings DM, Owen LJ. Comparison of self-reported and measured height and weight in eighth-grade students. J Sch Health 2006;10:512-5.
  16. Elgar FJ, Chris Roberts C, Tudor-Smith C, Moore L. Validity of self-reported height and weight and predictors of bias in adolescents. J Adolesc Health 2005;37:371-5. https://doi.org/10.1016/j.jadohealth.2004.07.014
  17. Wang Z, Patterson CM, Hills AP. A comparison of self-reported and measured height, weight and BMI in Australian adolescents. Aust N Z J Public Health 2002;26:473-8. https://doi.org/10.1111/j.1467-842X.2002.tb00350.x
  18. Himes JH, Hannan P, Wall M, Neumark-Sztainer D. Factors associated with errors in self-reports of stature, weight, and body mass index in Minnesota adolescents. Ann Epidemiol 2005;4: 272-8.
  19. Lee K, Valeria B, Kochman C, Lenders CM. Self-assessment of height, weight, and sexual maturation: validity in overweight children and adolescents. J Adolesc Health 2006;39:346-52. https://doi.org/10.1016/j.jadohealth.2005.12.016
  20. Tsigilis N. Can secondary school students' self-reported measures of height and weight be trusted? An effect size approach. Eur J Public Health 2006;16:532-5. https://doi.org/10.1093/eurpub/ckl050
  21. Shannon B, Smiciklas-Wright H, Wang MQ. Inaccuracies in self-reported weights and heights of a sample of sixth-grade children. J Am Diet Assoc 1991;6:675-8.
  22. Lee B, Lee HJ, Chung SJ, Lee SK, Yoon BJ, Chang KA. The effect of exposure to television food advertising on BMI and frequencies of food by fifth-grade children in South Korea. Seoul, Korea: The Korean Society of Community Nutrition 2011, Abstract
  23. Korea Center for Disease Control and Prevention & The Korean Pediatric Society. 2007 Korean National Growth Charts. 2007
  24. Kuskowska-Wolk A, Karlsson P, Stolt M, Rössner S. The predictive validity of body mass index based on self-reported weight and height. Int J Obes 1989;13:441-53.
  25. Strauss RS. Comparison of measured and self-reported weight and height in a cross-sectional sample of young adolescents. Int J Obes Relat Metab Disord 1999;23:904-8. https://doi.org/10.1038/sj.ijo.0800971
  26. Epstein LH, McCurley J, Murdock RC Jr. Estimation of percent overweight within families. Addict Behav 1991;16:369-75. https://doi.org/10.1016/0306-4603(91)90031-C
  27. Brener ND, Mcmanus T, Galuska DA, Lowry R, Wechsler H. Reliability and validity of self-reported height and weight among high school students. J Adolesc Health 2003;32:281-7. https://doi.org/10.1016/S1054-139X(02)00708-5
  28. Sherry B, Jefferds ME, Grummer-Strawn LM. Accuracy of adolescent self-report of height and weight in assessing overweight status: a literature review. Arch Pediatr Adolesc Med 2007; 161:1154-61. https://doi.org/10.1001/archpedi.161.12.1154

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