Validity of Self-Reported Waist and Hip Circumferences in Men and Women
Open accessAbstract
Recent epidemiologic evidence indicates an association between fat distribution and many diseases. To assess the validity of circumference measurements obtained by self-report, the authors analyzed data from 123 men aged 40-75 years and 140 women aged 41-65 years, drawn from two large ongoing prospective studies. On mailed questionnaires, subjects were asked to measure and record their weight and waist and hip circumferences. These data were compared with standardized measurements taken approximately six months apart by technicians who visited participants at their homes. Crude Pearson correlations between self-reported waist circumferences and the average of two technician-measured waist circumferences were 0.95 for men and 0.89 for women. Similar correlations for hip measurements were 0.88 for men and 0.84 for women, and for waist-to-hip ratios, 0.69 for men and 0.70 for women. After adjusting for age and body mass index (kg/m2), correlations for waist-to-hip ratios were 0.55 for men and 0.58 for women. Correlations became stronger after correcting for random within-person variability from daily or seasonal fluctuations. Self-reported and measured weights were highly correlated: 0.97 for men and 0.97 for women. Self-reported waist, hip, and weight measurements appear reasonably valid. The moderate degree of measurement error for the ratio of self-reported waist and hip circumferences, however, implies that previously reported associations based on self-report of these measures may have been appreciably underestimated.
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Self-reported height and weight have been validated in a subset of this cohort.
“We calculated body mass index (BMI [kg/m 2 ]) by using self-reported measures of height and weight, which have been validated in a subset of this cohort.16”
The accuracy of self-reported data within this population of motivated and educated health professionals has been well documented.
“Although the accuracy of self-reported data within this population of motivated and educated health professionals has been well documented, 16 -19”
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Obesity and risk of bladder cancer: A dose-response meta-analysis of 15 cohort studies
Sun, J.-W., Zhao, L.-G., Yang, Y., Ma, X., Wang, Y.-Y., & Xiang, Y.-B. (2015) · PLOS ONE · doi:10.1371/journal.pone.0119313 · Cited by 133 · see citing works
Smith, J. D., Hou, T., Ludwig, D. S., Rimm, E. B., Willett, W., Hu, F. B., & Mozaffarian, D. (2015) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.100867 · Cited by 129 · see citing works
Self-citationWhole grains and incident hypertension in men.
Flint, A. J., Hu, F. B., Glynn, R. J., Jensen, M. K., Franz, M., Sampson, L., & Rimm, E. B. (2009) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.27460 · Cited by 126 · see citing works
Self-citationWu, T., Giovannucci, E., Pischon, T., Hankinson, S. E., Ma, J., Rifai, N., & Rimm, E. B. (2004) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.4.1043 · Cited by 123 · see citing works
Self-citationCalcium and dairy intakes in relation to long-term weight gain in US men
Rajpathak, S. N., Rimm, E. B., Rosner, B., Willett, W. C., & Hu, F. B. (2006) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn.83.3.559 · Cited by 116 · see citing works
Self-citationAccuracy of self-reported waist and hip measurements in 4492 EPIC-Oxford participants
Spencer, E. A., Roddam, A. W., & Key, T. J. (2004) · Public Health Nutrition · doi:10.1079/phn2004600 · Cited by 109 · see citing works
Aune, D., Navarro Rosenblatt, D. A., Chan, D. S. M., Abar, L., Vingeliene, S., Vieira, A. R., Greenwood, D. C., & Norat, T. (2015) · International Journal of Cancer · doi:10.1002/ijc.29207 · Cited by 100 · see citing works
Alcohol Intake and 8‐Year Weight Gain in Women: A Prospective Study
Wannamethee, S. G., Field, A. E., Colditz, G. A., & Rimm, E. B. (2004) · Obesity Research · doi:10.1038/oby.2004.175 · Cited by 102 · see citing works
Self-citationHunte, H. E. R. (2011) · American Journal of Epidemiology · doi:10.1093/aje/kwq463 · Cited by 96 · see citing works
Yakoob, M. Y., Shi, P., Hu, F. B., Campos, H., Rexrode, K. M., Orav, E. J., Willett, W. C., & Mozaffarian, D. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.083097 · Cited by 92 · see citing works
Self-citationProspective weight change and colon cancer risk in male US health professionals
Thygesen, L. C., Grønbæk, M., Johansen, C., Fuchs, C. S., Willett, W. C., & Giovannucci, E. (2008) · International Journal of Cancer · doi:10.1002/ijc.23612 · Cited by 78 · see citing works
“In a validation study in the HPFS cohort, Rimm et al.24 found self-reported weight to be highly accurate when compared to standardized measurements.”
MethodSelf-citationAir pollution exposure and risk of spontaneous abortion in the Nurses’ Health Study II
Gaskins, A. J., Hart, J. E., Chavarro, J. E., Missmer, S. A., Rich-Edwards, J. W., Laden, F., & Mahalingaiah, S. (2019) · Human Reproduction · doi:10.1093/humrep/dez111 · Cited by 70 · see citing works
Association Between Coffee Intake After Diagnosis of Colorectal Cancer and Reduced Mortality
Hu, Y., Ding, M., Yuan, C., Wu, K., Smith-Warner, S. A., Hu, F. B., Chan, A. T., Meyerhardt, J. A., Ogino, S., Fuchs, C. S., et al. (2018) · Gastroenterology · doi:10.1053/j.gastro.2017.11.010 · Cited by 75 · see citing works
Simon, T. G., Kim, M. N., Luo, X., Yang, W., Ma, Y., Chong, D. Q., Fuchs, C. S., Meyerhardt, J. A., Corey, K. E., Chung, R. T., et al. (2020) · Journal of Hepatology · doi:10.1016/j.jhep.2019.12.022 · Cited by 57 · see citing works
Self-citationPre-pregnancy caffeine and caffeinated beverage intake and risk of spontaneous abortion
Gaskins, A. J., Rich-Edwards, J. W., Williams, P. L., Toth, T. L., Missmer, S. A., & Chavarro, J. E. (2018) · European Journal of Nutrition · doi:10.1007/s00394-016-1301-2 · Cited by 55 · see citing works
Tobias, D. K., Chavarro, J. E., Williams, M. A., Buck Louis, G. M., Hu, F. B., Rich-Edwards, J., Missmer, S. A., & Zhang, C. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kwt110 · Cited by 54 · see citing works
Kim, M. N., Lo, C.-H., Corey, K. E., Luo, X., Long, L., Zhang, X., Chan, A. T., & Simon, T. G. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2021.12.014 · Cited by 51 · see citing works
Overall Adiposity, Adipose Tissue Distribution, and Endometriosis: A Systematic Review
Backonja, U., Buck Louis, G. M., & Lauver, D. R. (2016) · Nursing Research · doi:10.1097/nnr.0000000000000146 · Cited by 39 · see citing works
Hawkes, A. L., Patrao, T. A., Green, A., & Aitken, J. F. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-560 · Cited by 27 · see citing works
Otterstad, J. E., Munkhaugen, J., Ruddox, V., Edvardsen, T., & Hjelmesæth, J. (2024) · Scandinavian Cardiovascular Journal · doi:10.1080/14017431.2024.2386984 · Cited by 4 · see citing works
- Authors
- Rimm, E. B., Stampfer, M. J., Colditz, G. A., Chute, C. G., Litin, L. B., & Willett, W. C.
- Affiliations
- Harvard University (US)
- Mayo Clinic (US)
- Venue
- Epidemiology
- Published
- 1990-11
- Volume
- 1
- Issue
- 6
- Pages
- 466-473
- ISSN
- 1044-3983 (ISSN-L)
- OpenAlex
- W2087327978
- Cited by
- 1,015
- References
- 27
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 24 · 2023: 21 · 2022: 34 · 2021: 53 · 2020: 43 · 2019: 33 · 2018: 59 · 2017: 63 · 2016: 56 · 2015: 53 · 2014: 42 · 2013: 38 · 2012: 46
- FWCI
- 2.43
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Epidemiology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (5T32 E507069)
- National Heart, Lung, and Blood Institute (R01HL035464, HL35464)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 36798, R01DK036798)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Keywords
- hip circumference, waist-to-hip ratio, measurement validity, measurement error, body fat distribution, body mass index, self-reported weight, sex differences, within-person variability
- MeSH terms
- Adult, Aged, Anthropometry, Body Constitution, Body Weight, Epidemiologic Methods, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Self Concept, Reproducibility of Results, Cohort Studies
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