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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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Florio, A. A., Campbell, P. T., Zhang, X., Zeleniuch‐Jacquotte, A., Wactawski‐Wende, J., Smith‐Warner, S. A., Sinha, R. R., Simon, T. G., Sesso, H. D., Schairer, C., et al. (2019) · International Journal of Cancer · doi:10.1002/ijc.32760 · Cited by 45
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“A systematic review [23] revealed that this bias is not limited to socially undesirable behaviours; it also extends to simple measures such as height and weight with a tendency towards overand under-reporting, respectively [23].”
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“7 Genotype, N (%)b F508/F508 52 (51) 10 (45) 42 (68) 0 (0) 21 (64) 21 (72) F508/other 42 (41) 9 (41) 19 (31) 14 (78) 12 (36) 7 (24) Other/other 8 (8) 3 (14) 1 (2) 4 (22) 0 (0) 1 (3) Parental heightsc Maternal, %tile 61 ± 31 44 ± 35 65 ± 29 72 ± 32 64 ± 29 61 ± 28 Paternal, %tileb 61 ± 28 53 ± 31 69 ± 27 40 ± 22 74 ± 2…”
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“Self-reported methods of BMI can be biased because of underreporting of weight and overreporting of height (14).”
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“Under-reporting of weight((36)) would be expected to underestimate the relationships observed in the present analysis.”
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“For example, in both males and females self-reported data can lead to an underestimation of BMI which is most pronounced in females (Connor Gorber et al. 2007).”
BackgroundOverweight and obesity among adults in Germany
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“A BMI calculated through self-reported information thus tends to be lower than those gained through direct measurements [9].”
BackgroundAdjusting for BMI in analyses of volumetric mammographic density and breast cancer risk
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Physical Activity and the Incidence of Obesity in Young African-American Women
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“Although people tend to underestimate their weight and overestimate their height [43], and consequently underestimate BMI, a validation study involving participants in the 45 and Up Study revealed that the mean difference between self-reported and measured BMI was not large (on average-0.”
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“There is evidence that under-reporting of weight and over-reporting of height results in systematically lower BMI values from self-report compared to measured values [23] and that this underestimation may bias associations between BMI and mortality [24].”
BackgroundSelf-reported and measured weights and heights among adults in Seattle and King County
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“Objective anthropometric measures of height and weight, obtained using trained staff and standardized equipment, are the most commonly gathered metrics [5].”
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THE IMPACT OF MACROECONOMIC CONDITIONS ON OBESITY IN CANADA
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“Self-reported weight was lower, and this has also been reported in another study that compared self-reported and actual measurements [15].”
ResultDo Dads Make a Difference? Family Feeding Dynamics and Child Fussy Eating
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“This view has been echoed in the literature [16,24] despite limited evidence [4,17,18].”
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“Only studies in which the anthropometry had been directly measured were included, as self-reported height, weight and waist circumference data may be subject to bias [9, 10].”
BackgroundSleep duration, sleep quality and the risk of being obese: Evidence from the Australian panel survey
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“Use of a categorical rather than continuous coding for BMI also minimized potential bias due to underestimation of weight (21).”
Infertility patients' knowledge of the effects of obesity on reproductive health outcomes
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Beliefs as barriers to healthy eating and physical activity
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“Prior studies indicate that it is likely that individuals underestimated their weight and overestimated their height, thus their calculated BMI was likely under reported.(12) In addition these data were obtained from individuals who were recruited on a volunteer basis for a study requiring them to check-in and have re…”
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The Psychology of Lifestyle: Promoting Healthy Behaviour
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“Furthermore, some were partly based upon self-reported weight (recall) [16, 20], which tends to underestimate real weight [21].”
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“Similarly, people tended to underreport weight and over-report height (27).”
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“In adults, weight tends to be underestimated and height tends to be overestimated [4,5].”
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“Self-reported assessments used to measure lifestyle behaviors are inferior to objective measures.(74) Future studies should incorporate objective measures especially within the context of intervention trials designed to decrease multiple risk behaviors.”
Method
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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