Measurement accuracy and reliability of self-reported versus measured weight and height among adults in Malaysia: Findings from a nationwide blood pressure screening programme

Most studies reporting prevalence of obesity use actual weight and height measurements. Self-reported weight and height have been used in epidemiological studies as they have been shown to be reliable, convenient, and inexpensive alternatives to actual measurements. However, the accuracy of self-rep...

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Veröffentlicht in:PloS one 2023-01, Vol.18 (1), p.e0280483-e0280483
Hauptverfasser: Chia, Yook Chin, Ching, Siew Mooi, Ooi, Pei Boon, Beh, Hooi Chin, Chew, Ming Tsuey, Chung, Felicia Fei Lei, Kumar, Navin, Lim, Hooi Min
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creator Chia, Yook Chin
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Ooi, Pei Boon
Beh, Hooi Chin
Chew, Ming Tsuey
Chung, Felicia Fei Lei
Kumar, Navin
Lim, Hooi Min
description Most studies reporting prevalence of obesity use actual weight and height measurements. Self-reported weight and height have been used in epidemiological studies as they have been shown to be reliable, convenient, and inexpensive alternatives to actual measurements. However, the accuracy of self-reported weight and height might vary in different regions because of the difference in health awareness and social influences. This study aims to determine the accuracy and reliability of self-reported weight and height compared to actual measured weight and height among adults in Malaysia. This was a cross-sectional study conducted at the community level during blood pressure screening campaigns. Participants self-reported their weight and height in a questionnaire survey. Their weight and height were validated using measurements by researchers on the same setting. Body mass index (BMI) was defined as underweight (
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Self-reported weight and height have been used in epidemiological studies as they have been shown to be reliable, convenient, and inexpensive alternatives to actual measurements. However, the accuracy of self-reported weight and height might vary in different regions because of the difference in health awareness and social influences. This study aims to determine the accuracy and reliability of self-reported weight and height compared to actual measured weight and height among adults in Malaysia. This was a cross-sectional study conducted at the community level during blood pressure screening campaigns. Participants self-reported their weight and height in a questionnaire survey. Their weight and height were validated using measurements by researchers on the same setting. Body mass index (BMI) was defined as underweight (&lt;18.5kg/m2), normal (18.5-22.9 kg/m2), overweight (23-27.4 kg/m2) and obesity (≥27.5 kg/m2). Bland-Altman analysis, intraclass correlation coefficients and weighted Kappa statistics were used to assess the degree of agreement between self-reported and measured weight and height. A total of 2781 participants were recruited in this study. The difference between the mean self-reported and measured weight and height were 0.4 kg and 0.4 cm respectively. Weighted Kappa statistics analysis showed that there was a substantial agreement between the BMI classifications derived from self-reported and actual measurement (ҡ = 0.920, p&lt;0.001). There was no marked difference in the sensitivity and specificity of self-reported BMI among Malaysian adults by gender. We observed substantial agreement between self-reported and measured body weight and height within a sample of Malaysian adults. While self-reported body weight showed weaker agreement with actual measurements particularly for obese and overweight individuals, BMI values derived from self-reported weight and height were accurate for 88.53% of the participants. We thus conclude that self-reported height and weight measures may be useful for tracking and estimating population trends amongst Malaysian adults.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0280483</identifier><identifier>PMID: 36649290</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accuracy ; Adult ; Adults ; Bias ; Biology and Life Sciences ; Blood Pressure ; Body Height ; Body mass ; Body Mass Index ; Body measurements ; Body size ; Body Weight ; Comparative analysis ; Correlation coefficient ; Correlation coefficients ; Cross-Sectional Studies ; Epidemiology ; Ethnicity ; Height ; Humans ; Hypertension ; Malaysia - epidemiology ; Measurement ; Medical research ; Medicine and Health Sciences ; Obesity ; Obesity - diagnosis ; Obesity - epidemiology ; Overweight ; Overweight - diagnosis ; Overweight - epidemiology ; People and Places ; Population statistics ; Reliability ; Reproducibility of Results ; Screening ; Self Report ; Sociodemographics ; Statistical analysis ; Stature ; Underweight</subject><ispartof>PloS one, 2023-01, Vol.18 (1), p.e0280483-e0280483</ispartof><rights>Copyright: © 2023 Chia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Chia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Chia et al 2023 Chia et al</rights><rights>2023 Chia et al. 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Self-reported weight and height have been used in epidemiological studies as they have been shown to be reliable, convenient, and inexpensive alternatives to actual measurements. However, the accuracy of self-reported weight and height might vary in different regions because of the difference in health awareness and social influences. This study aims to determine the accuracy and reliability of self-reported weight and height compared to actual measured weight and height among adults in Malaysia. This was a cross-sectional study conducted at the community level during blood pressure screening campaigns. Participants self-reported their weight and height in a questionnaire survey. Their weight and height were validated using measurements by researchers on the same setting. Body mass index (BMI) was defined as underweight (&lt;18.5kg/m2), normal (18.5-22.9 kg/m2), overweight (23-27.4 kg/m2) and obesity (≥27.5 kg/m2). Bland-Altman analysis, intraclass correlation coefficients and weighted Kappa statistics were used to assess the degree of agreement between self-reported and measured weight and height. A total of 2781 participants were recruited in this study. The difference between the mean self-reported and measured weight and height were 0.4 kg and 0.4 cm respectively. Weighted Kappa statistics analysis showed that there was a substantial agreement between the BMI classifications derived from self-reported and actual measurement (ҡ = 0.920, p&lt;0.001). There was no marked difference in the sensitivity and specificity of self-reported BMI among Malaysian adults by gender. We observed substantial agreement between self-reported and measured body weight and height within a sample of Malaysian adults. While self-reported body weight showed weaker agreement with actual measurements particularly for obese and overweight individuals, BMI values derived from self-reported weight and height were accurate for 88.53% of the participants. We thus conclude that self-reported height and weight measures may be useful for tracking and estimating population trends amongst Malaysian adults.</description><subject>Accuracy</subject><subject>Adult</subject><subject>Adults</subject><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Blood Pressure</subject><subject>Body Height</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body measurements</subject><subject>Body size</subject><subject>Body Weight</subject><subject>Comparative analysis</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Ethnicity</subject><subject>Height</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Malaysia - epidemiology</subject><subject>Measurement</subject><subject>Medical research</subject><subject>Medicine and Health 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Self-reported weight and height have been used in epidemiological studies as they have been shown to be reliable, convenient, and inexpensive alternatives to actual measurements. However, the accuracy of self-reported weight and height might vary in different regions because of the difference in health awareness and social influences. This study aims to determine the accuracy and reliability of self-reported weight and height compared to actual measured weight and height among adults in Malaysia. This was a cross-sectional study conducted at the community level during blood pressure screening campaigns. Participants self-reported their weight and height in a questionnaire survey. Their weight and height were validated using measurements by researchers on the same setting. Body mass index (BMI) was defined as underweight (&lt;18.5kg/m2), normal (18.5-22.9 kg/m2), overweight (23-27.4 kg/m2) and obesity (≥27.5 kg/m2). 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subjects Accuracy
Adult
Adults
Bias
Biology and Life Sciences
Blood Pressure
Body Height
Body mass
Body Mass Index
Body measurements
Body size
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Malaysia - epidemiology
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title Measurement accuracy and reliability of self-reported versus measured weight and height among adults in Malaysia: Findings from a nationwide blood pressure screening programme
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