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Accuracy of the estimated prevalence of obesity from self reported height and weight in an adult Scottish population

STUDY OBJECTIVE To determine whether self reported heights and weights from Scottish adults can provide an accurate assessment of obesity prevalence in the population. DESIGN Standardised clinic measurements of weight and height were compared against self reported values on a postal questionnaire in... Full description

Journal Title: Journal of epidemiology and community health (1979) 2000-02, Vol.54 (2), p.143-148
Main Author: Bolton-Smith, Caroline
Other Authors: Woodward, Mark , Tunstall-Pedoe, Hugh , Morrison, Caroline
Format: Electronic Article Electronic Article
Language: English
Subjects:
Men
Quelle: Alma/SFX Local Collection
Publisher: London: BMJ Publishing Group Ltd
ID: ISSN: 0143-005X
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recordid: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1731630
title: Accuracy of the estimated prevalence of obesity from self reported height and weight in an adult Scottish population
format: Article
creator:
  • Bolton-Smith, Caroline
  • Woodward, Mark
  • Tunstall-Pedoe, Hugh
  • Morrison, Caroline
subjects:
  • Adult
  • Age groups
  • Biological and medical sciences
  • Body Height
  • Body Mass Index
  • Body Weight
  • Cross-Sectional Studies
  • Diabetes
  • Epidemiology
  • Female
  • Humans
  • Male
  • Medical sciences
  • Men
  • Metabolic diseases
  • Methods
  • Middle Aged
  • Obesity
  • Obesity - epidemiology
  • obesity measurement
  • obesity prevalence
  • Overweight
  • Population estimates
  • Prevalence
  • Reproducibility of Results
  • Scotland - epidemiology
  • Self Concept
  • Self reports
  • Sensitivity and Specificity
  • Statistical results
  • Theory
  • Theory and Methods
ispartof: Journal of epidemiology and community health (1979), 2000-02, Vol.54 (2), p.143-148
description: STUDY OBJECTIVE To determine whether self reported heights and weights from Scottish adults can provide an accurate assessment of obesity prevalence in the population. DESIGN Standardised clinic measurements of weight and height were compared against self reported values on a postal questionnaire in the fourth Scottish MONICA cross sectional study. SETTING A sex and five year age band stratified random population sample drawn from general practitioner registers in north Glasgow in 1995. Response rate 63% for men and 62% for women. PARTICIPANTS A total of 865 men and 971 women aged between 25 and 64 years. RESULTS Men and women under-reported their weight by a mean (SD) of 0.63 (3.45) kg and 0.95 (2.64) kg respectively, and their height by a mean (SD) of 1.3 (2.50) cm and 1.7 (2.37) cm respectively. Estimated body mass index, BMI (kg/m2) varied from true (measured) BMI by +0.19 (1.40) for men and by +0.17 (1.34) for women. The only age/sex group in which BMI was under-estimated from self reports (mean 0.2) was the 55–64 year old women. Prediction equations that explained 90% (men) and 88% (women) of the difference between self reported and measured height included age and self reported weight. The equivalent prediction equations for weight explained 93% of the difference between self reported and measured weight for men and included smoking and diabetic status, while for women 96% of the variance was explained with no further variables being significant. Sensitivity and specificity for determining clinical obesity (BMI⩾30) were 83% and 96% respectively for men, and 89% and 97% for women. CONCLUSIONS This Scottish population was unique in the under-reporting of height as well as weight, which resulted in BMI estimates with low error. These data suggest that self reported weights and heights would be satisfactory for the monitoring of obesity prevalence in Scotland.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0143-005X
fulltext: fulltext
issn:
  • 0143-005X
  • 1470-2738
url: Link


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creatorcontribBolton-Smith, Caroline ; Woodward, Mark ; Tunstall-Pedoe, Hugh ; Morrison, Caroline
descriptionSTUDY OBJECTIVE To determine whether self reported heights and weights from Scottish adults can provide an accurate assessment of obesity prevalence in the population. DESIGN Standardised clinic measurements of weight and height were compared against self reported values on a postal questionnaire in the fourth Scottish MONICA cross sectional study. SETTING A sex and five year age band stratified random population sample drawn from general practitioner registers in north Glasgow in 1995. Response rate 63% for men and 62% for women. PARTICIPANTS A total of 865 men and 971 women aged between 25 and 64 years. RESULTS Men and women under-reported their weight by a mean (SD) of 0.63 (3.45) kg and 0.95 (2.64) kg respectively, and their height by a mean (SD) of 1.3 (2.50) cm and 1.7 (2.37) cm respectively. Estimated body mass index, BMI (kg/m2) varied from true (measured) BMI by +0.19 (1.40) for men and by +0.17 (1.34) for women. The only age/sex group in which BMI was under-estimated from self reports (mean 0.2) was the 55–64 year old women. Prediction equations that explained 90% (men) and 88% (women) of the difference between self reported and measured height included age and self reported weight. The equivalent prediction equations for weight explained 93% of the difference between self reported and measured weight for men and included smoking and diabetic status, while for women 96% of the variance was explained with no further variables being significant. Sensitivity and specificity for determining clinical obesity (BMI⩾30) were 83% and 96% respectively for men, and 89% and 97% for women. CONCLUSIONS This Scottish population was unique in the under-reporting of height as well as weight, which resulted in BMI estimates with low error. These data suggest that self reported weights and heights would be satisfactory for the monitoring of obesity prevalence in Scotland.
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subjectAdult ; Age groups ; Biological and medical sciences ; Body Height ; Body Mass Index ; Body Weight ; Cross-Sectional Studies ; Diabetes ; Epidemiology ; Female ; Humans ; Male ; Medical sciences ; Men ; Metabolic diseases ; Methods ; Middle Aged ; Obesity ; Obesity - epidemiology ; obesity measurement ; obesity prevalence ; Overweight ; Population estimates ; Prevalence ; Reproducibility of Results ; Scotland - epidemiology ; Self Concept ; Self reports ; Sensitivity and Specificity ; Statistical results ; Theory ; Theory and Methods
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descriptionSTUDY OBJECTIVE To determine whether self reported heights and weights from Scottish adults can provide an accurate assessment of obesity prevalence in the population. DESIGN Standardised clinic measurements of weight and height were compared against self reported values on a postal questionnaire in the fourth Scottish MONICA cross sectional study. SETTING A sex and five year age band stratified random population sample drawn from general practitioner registers in north Glasgow in 1995. Response rate 63% for men and 62% for women. PARTICIPANTS A total of 865 men and 971 women aged between 25 and 64 years. RESULTS Men and women under-reported their weight by a mean (SD) of 0.63 (3.45) kg and 0.95 (2.64) kg respectively, and their height by a mean (SD) of 1.3 (2.50) cm and 1.7 (2.37) cm respectively. Estimated body mass index, BMI (kg/m2) varied from true (measured) BMI by +0.19 (1.40) for men and by +0.17 (1.34) for women. The only age/sex group in which BMI was under-estimated from self reports (mean 0.2) was the 55–64 year old women. Prediction equations that explained 90% (men) and 88% (women) of the difference between self reported and measured height included age and self reported weight. The equivalent prediction equations for weight explained 93% of the difference between self reported and measured weight for men and included smoking and diabetic status, while for women 96% of the variance was explained with no further variables being significant. Sensitivity and specificity for determining clinical obesity (BMI⩾30) were 83% and 96% respectively for men, and 89% and 97% for women. CONCLUSIONS This Scottish population was unique in the under-reporting of height as well as weight, which resulted in BMI estimates with low error. These data suggest that self reported weights and heights would be satisfactory for the monitoring of obesity prevalence in Scotland.
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abstractSTUDY OBJECTIVE To determine whether self reported heights and weights from Scottish adults can provide an accurate assessment of obesity prevalence in the population. DESIGN Standardised clinic measurements of weight and height were compared against self reported values on a postal questionnaire in the fourth Scottish MONICA cross sectional study. SETTING A sex and five year age band stratified random population sample drawn from general practitioner registers in north Glasgow in 1995. Response rate 63% for men and 62% for women. PARTICIPANTS A total of 865 men and 971 women aged between 25 and 64 years. RESULTS Men and women under-reported their weight by a mean (SD) of 0.63 (3.45) kg and 0.95 (2.64) kg respectively, and their height by a mean (SD) of 1.3 (2.50) cm and 1.7 (2.37) cm respectively. Estimated body mass index, BMI (kg/m2) varied from true (measured) BMI by +0.19 (1.40) for men and by +0.17 (1.34) for women. The only age/sex group in which BMI was under-estimated from self reports (mean 0.2) was the 55–64 year old women. Prediction equations that explained 90% (men) and 88% (women) of the difference between self reported and measured height included age and self reported weight. The equivalent prediction equations for weight explained 93% of the difference between self reported and measured weight for men and included smoking and diabetic status, while for women 96% of the variance was explained with no further variables being significant. Sensitivity and specificity for determining clinical obesity (BMI⩾30) were 83% and 96% respectively for men, and 89% and 97% for women. CONCLUSIONS This Scottish population was unique in the under-reporting of height as well as weight, which resulted in BMI estimates with low error. These data suggest that self reported weights and heights would be satisfactory for the monitoring of obesity prevalence in Scotland.
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