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A comparison of direct vs. self‐report measures for assessing height, weight and body mass index: a systematic review
Abstract
Summary: Obesity is a rapidly increasing public health problem, with surveillance most often based on self‐reported values of height and weight. We conducted a systematic review to determine what empirical evidence exists regarding the agreement between objective (measured) and subjective (reported) measures in assessing height, weight and body mass index (BMI). Five electronic databases were searched to identify observational and experimental studies on adult populations over the age of 18. Searching identified 64 citations that met the eligibility criteria and examined the relationship between self‐reported and directly measured height or weight. Overall, the data show trends of under‐reporting for weight and BMI and over‐reporting for height, although the degree of the trend varies for men and women and the characteristics of the population being examined. Standard deviations were large indicating that there is a great deal of individual variability in reporting of results. Combining the results quantitatively was not possible because of the poor reporting of outcomes of interest. Accurate estimation of these variables is important as data from population studies such as those included in this review are often used to generate regional and national estimates of overweight and obesity and are in turn used by decision makers to allocate resources and set priorities in health.
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Accuracy of self-reported height, weight and BMI in a multiethnic Asian population
Roystonn, K., Abdin, E., Sambasivam, R., Zhang, Y., Chang, S. S. H., Shafie, S., Chua, B. Y., Vaingankar, J. A., Chong, S. A., & Subramaniam, M. (2021) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.2020183 · Cited by 19
Scholes, S., Fat, L. N., Moody, A., & Mindell, J. S. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-061809 · Cited by 17
Maupin, J., & Hruschka, D. J. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-973 · Cited by 17
“Participants were asked which figure, out of nine gender-specific body images increasing in size from skinny [1] to obese [9], most accurately reflects their current body size.”
BackgroundInfluentialBraun, J. (2009) · Swiss Medical Weekly · doi:10.4414/smw.2009.12863 · Cited by 17
Spahlholz, J., Pabst, A., Riedel-Heller, S. G., & Luck‐Sikorski, C. (2016) · International Journal of Obesity · doi:10.1038/ijo.2016.164 · Cited by 17
Garrido‐Miguel, M., Cavero‐Redondo, I., Álvarez‐Bueno, C., Rodríguez‐Artalejo, F., Aznar, L. M., Ruiz, J. R., & Martínez‐Vizcaíno, V. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-018241 · Cited by 17
Salmela, J., Mauramo, E., Lallukka, T. M., Rahkonen, O., & Kanerva, N. (2019) · Obesity Facts · doi:10.1159/000502237 · Cited by 17
Weight status and depression: Moderating role of fat talk between female friends
Tan, C. C., & Chow, C. M. (2013) · Journal of Health Psychology · doi:10.1177/1359105313488982 · Cited by 17
“Self-reported weight may bias the calculation of BMI as females tend to under-report on their weight (Gorber et al., 2007).”
BackgroundLegleye, S., Beck, F., Spilka, S., & Chau, N. (2014) · PLoS ONE · doi:10.1371/journal.pone.0096768 · Cited by 17
“In adult populations, under-reporting for weight and BMI and over-reporting for height is common, although the extent of under-reporting varies between men and women [9].”
BackgroundSilva, J. P., & Akleh, A. Z. (2018) · Cogent Social Sciences · doi:10.1080/23311886.2018.1502907 · Cited by 17
Low Calf Circumference Predicts Nutritional Risks in Hospitalized Patients Aged More Than 80 Years.
Zhang, X. Y., Zhang, X. L., Zhu, Y. X., Tao, J., Zhang, Z., Zhang, Y., Wang, Y. Y., Ke, Y., Ren, C. X., Xu, J., et al. (2019) · PubMed · doi:10.3967/bes2019.075 · Cited by 16
Najar, H., Joas, E., Jonsson, V., Pålsson, E., & Landén, M. (2023) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20230012 · Cited by 18
Jiang, Y., Marshall, R. J., Walpole, S. C., Prieto‐Merino, D., Liu, D., & Perry, J. K. (2015) · Cancer Causes & Control · doi:10.1007/s10552-014-0520-1 · Cited by 16
“Self-reported height is known to be affected by systematic reporting bias that tends to be overestimated [49, 50].”
BackgroundA Rigorous Algorithm To Detect And Clean Inaccurate Adult Height Records Within EHR Systems
Muthalagu, A., Aufox, S. A., Peissig, P. L., Fuehrer, J. T., Tromp, G., Kho, A. N., Rasmussen‐Torvik, L. J., & Pacheco, J. A. (2014) · Applied Clinical Informatics · doi:10.4338/aci-2013-09-ra-0074 · Cited by 16
“Self-reported height can be inaccurate, usually over reported rather than underreported [13-15].”
BackgroundValidity of Internet-Based Longitudinal Study Data: The Elephant in the Virtual Room
Pugh, C., SUMMERS, K. M., Bronsvoort, M., Handel, I. G., & Clements, D. N. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3530 · Cited by 16
“By contrast, it was anticipated that owners might have difficulty weighing a relatively large breed dog and that reported dog weights might suffer from underestimation similar to those found in human studies [15,16] .”
Linardakis, M. K., Papadaki, A., Smpokos, E. A., Komninos, Y., & Philalithis, A. E. (2013) · Journal of Public Health · doi:10.1007/s10389-013-0597-0 · Cited by 16
“Second, self-reported body weight and height were used to calculate BMI, which might have resulted in overweight/ obesity estimates that are different to those produced by objective measurements (Gorber et al. 2007).”
MethodMcCarty, C. A., Berg, R. L., Rottscheit, C., Waudby, C. J., Kitchner, T., Brilliant, M. H., & Ritchie, M. D. (2014) · BMC Medical Genomics · doi:10.1186/1755-8794-7-3 · Cited by 16
“A systematic review of studies comparing self-reported and measured height and weight found a trend of under-reporting of weight and over-reporting of height which was inconsistent [10], and which would explain the lower mean weight observed in the PhenX questionnaire when compared with the direct measurement at enrol…”
ResultSperrin, M., Rushton, H., Dixon, W. G., Normand, A., Villard, J., Chieh, A. Y., & Buchan, I. E. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4767 · Cited by 16
“Generally, self-measured height is overestimated and weight is underestimated [11-13]; however, the extent of this is minor and use of self-reported height and weight is considered valid [14-16].”
Potato Consumption and Risk of Colorectal Cancer in the Norwegian Women and Cancer Cohort
Åsli, L. A., Olsen, A., Braaten, T., Lund, E., & Skeie, G. (2017) · Nutrition and Cancer · doi:10.1080/01635581.2017.1295086 · Cited by 16
“ticipants to overestimate height and underestimate weight (50).”
BackgroundEmotional expression and eating in overweight and obesity
Fox, S., Conneely, S., & Egan, J. (2017) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2017.1378580 · Cited by 21
“A major methodological weakness of previous studies was the use of self-report for height and weight (Gorber et al., 2007).”
Warschburger, P., Gmeiner, M., Morawietz, M., & Rinck, M. (2017) · Public Health Nutrition · doi:10.1017/s1368980017002701 · Cited by 14
“Fourth, anthropometric data were objectively assessed, avoiding the problem of invalid self-report data in this sensitive field((40)).”
BackgroundShabat-Simon, M., Shuster, A., Sela, T., & Levy, D. J. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00750 · Cited by 15
Brand, T., Samkange‐Zeeb, F., Dragano, N., Keil, T. O. P., Krist, L., Yesil, R., Schlaud, M., Jöckel, K., Razum, O., Reiß, K., et al. (2018) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-018-0788-4 · Cited by 16
Secondary data analysis to answer questions in human biology
Rosinger, A. Y., & Ice, G. H. (2019) · American Journal of Human Biology · doi:10.1002/ajhb.23232 · Cited by 18
Adult weight management patients' perceptions of family dynamics and weight status
Pratt, K. J., Ferriby, M., Brown, C. L., Noria, S. F., NEEDLEMAN, B. J., & Skelton, J. A. (2019) · Clinical Obesity · doi:10.1111/cob.12326 · Cited by 18
A Cumulative Impact of Psychological and Sensitization Risk Factors on Pain‐Related Outcomes
Uddin, Z., Woznowski‐Vu, A., Flegg, D., Aternali, A., & Wideman, T. H. (2020) · Pain Practice · doi:10.1111/papr.12987 · Cited by 14
Examining Weight Bias and Loss-of-Control Eating among Individuals Seeking Bariatric Surgery
Lawson, J. L., Schuh, L. M., Creel, D. B., Blackinton, R. M., Giambrone, S. A., Grilo, C. M., & Ivezaj, V. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05418-6 · Cited by 18
“The study was also limited by selfreported height and weight, which might have resulted in an underestimation [55], although other research has demonstrated that individuals seeking bariatric surgery are generally Table 2 Means and standard deviations of weight bias and clinical variables and examination of group diff…”
ResultThe Epidemiology of Childhood Obesity in Canada, Mexico and the United States
Ogden, C. L., Gorber, S. C., Dommarco, J. Á. R., Carroll, M. D., Shields, M. E., & Flegal, K. M. (2010) · Springer eBooks · doi:10.1007/978-1-4419-6039-9_5 · Cited by 16
Self-citationOverweight and Obesity among adults in Serbia: Results from the National Health Survey
Grujic, V., Dragnic, N. R., Radić, I., Harhaji, S., & Šušnjević, S. (2010) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/bf03325278 · Cited by 16
Metadata
- Authors
- Gorber, S. C., Tremblay, M., Moher, D., & Gorber, B.
- Affiliations
- Statistics Canada (CA)
- University of Ottawa (CA)
- Corresponding author
- Gorber, S. Connor
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2007-01-26
- Volume
- 8
- Issue
- 4
- Pages
- 307-326
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W2011137594
- Cited by
- 1,945
- References
- 80
- Citations by year
- 2026: 40 · 2025: 58 · 2024: 80 · 2023: 69 · 2022: 77 · 2021: 98 · 2020: 104 · 2019: 113 · 2018: 114 · 2017: 127 · 2016: 142 · 2015: 135 · 2014: 145 · 2013: 172 · 2012: 127
- FWCI
- 11.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Keywords
- self-reported height, self-reported weight, body mass index, obesity surveillance, measurement agreement, adults
- MeSH terms
- Adult, Aged, Aged, 80 and over, Body Height, Body Weight, Body Weights and Measures, Female, Humans, Male, Middle Aged, Obesity, Self Disclosure, Reproducibility of Results, Body Mass Index, Sex Distribution
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