Accuracy and reliability of self-reported weight and height in the Sister Study
Open accessAbstract
Objective: To assess the accuracy and reliability of self-reported weight and height and identify the factors associated with reporting accuracy. Design: Analysis of self-reported and measured weight and height from participants in the Sister Study (2003–2009), a nationwide cohort of 50 884 women aged 35–74 years in the USA with a sister with breast cancer. Setting: Weight and height were reported via computer-assisted telephone interview (CATI) and self-administered questionnaires, and measured by examiners. Subjects: Early enrolees in the Sister Study. There were 18 639 women available for the accuracy analyses and 13 316 for the reliability analyses. Results: Using weighted kappa statistics, comparisons were made between CATI responses and examiner measures to assess accuracy and CATI and questionnaire responses to assess reliability. Polytomous logistic regression evaluated factors associated with over- or under-reporting. Compared with measured values, agreement was 96 % for reported height (±1 inch (±2·5 cm); weighted κ = 0·84) and 67 % for weight (±3 lb (±1·36 kg); weighted κ = 0·92). Obese women (BMI ≥ 30 kg/m 2) were more likely than normal-weight women to under-report weight by ≥5 % and underweight women (BMI < 18·5 kg/m 2) were more likely to over-report. Among normal-weight and overweight women (18·5 kg/m 2 ≤ BMI < 30 kg/m 2), weight cycling and lifetime weight difference ≥50 lb (≥22·68 kg) were associated with over-reporting. Conclusions: US women in the Sister Study were reasonably reliable and accurate in reporting weight and height. Women with normal-range BMI reported most accurately. Overweight and obese women and those with weight fluctuations were less accurate, but even among obese women, few under-reported their weight by >10 %.
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The use of self-reported weight may limit accuracy.
“Further limitations of the study include the use of self-reported weight (which may limit accuracy [38])”
Our findings indicate that SWiM-C reduced experiential avoidance and increased psychological flexibility.
“Accordingly, our findings indicate that SWiM-C reduced experiential avoidance (i.e., attempts to control/avoid unwanted internal experiences such as negative emotions, thoughts, or cravings due to unwillingness to experience them [16, 27]) and increased psychological flexibility (i.e., the ability to act in accordance with personal values despite the presence of interfering emotions, thoughts, and”
From Supporting Weight Management during COVID-19: A Randomized Controlled Trial of a Web-Based, ACT-Based, Guided Self-Help Intervention (2022) · cites this paper as [27]
The citation appears beside the definition of experiential avoidance, while the reported SWiM-C effects are framed as the citing authors’ own findings. The cited paper’s Methods and Discussion examine the accuracy of self-reported weight and height; searches for SWiM-C, experiential avoidance, psychological flexibility, and the quoted definition found no passage addressing them. (LLM, conf=0.78)
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- Authors
- Lin, C. J., DeRoo, L. A., Jacobs, S. R., & Sandler, D. P.
- Affiliations
- National Institute of Environmental Health Sciences (US)
- Corresponding author
- Sandler, Dale P
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2011-12-09
- Volume
- 15
- Issue
- 6
- Pages
- 989-999
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- PMC
- PMC3511620
- OpenAlex
- W2007620741
- Cited by
- 146
- References
- 30
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 16 · 2023: 10 · 2022: 15 · 2021: 11 · 2020: 7 · 2019: 9 · 2018: 15 · 2017: 9 · 2016: 10 · 2015: 9 · 2014: 7 · 2013: 8 · 2012: 4
- FWCI
- 6.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1z01es044005-04, Z01‐ES044005)
- National Cancer Institute (R25CA116339)
- National Institute of Environmental Health Sciences (Z01 ES‐044005, T32ES007018)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- self-reported weight, self-reported height, measurement accuracy, reporting reliability, body mass index, obesity, underreporting, weight cycling, overweight women, women's health, Sister Study, breast cancer
- MeSH terms
- Adult, Aged, Body Height, Body Weight, Female, Health Surveys, Humans, Interviews as Topic, Middle Aged, Obesity, Surveys and Questionnaires, Reference Values, Thinness, United States, Reproducibility of Results, Cohort Studies, Body Mass Index, Logistic Models, Siblings, Self Report
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