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

作者：C Bolton-Smith, Mark Woodward, Hugh Tunstall-Pedoe, Caroline Morrison · 发表于：Journal of Epidemiology & Community Health · 年份：2000 · DOI：10.1136/jech.54.2.143 · 被引用次数：264 · 研究领域：Bariatric Surgery and Outcomes、Obesity, Physical Activity, Diet、Diabetes, Cardiovascular Risks, and Lipoproteins

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 s...