The European Journal of Public Health Advance Access originally published online on April 6, 2006
The European Journal of Public Health 2006 16(5):532-535; doi:10.1093/eurpub/ckl050
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Overweight and obesity |
Can secondary school students' self-reported measures of height and weight be trusted? An effect size approach
Nikolaos TsigilisDepartment of Physical Education and Sports, University of Thessaly, Greece
Correspondence: Nikolaos Tsigilis, Ph.D., Department of Physical Education and Sport Science, University of Thessaly, Karies, 42100 Trikala, Greece, tel: +304310 47062, fax: +304310 47042, e-mail: tsigilis{at}uom.gr
Background: Self-reported measures of height and weight are a cost-effective alternative to direct measures in large-scale studies. This study was designed to examine the accuracy of adolescent students' self-reported height and weight taking into consideration the magnitude of the differences. Methods: Self-reported height and weight were taken from 300 secondary public schools students. Participants' actual height and weight were subsequently verified. Body mass index (BMI; kg/m2) was calculated separately from reported and from actual measures. Adolescents' whose measured BMI was above the 85th percentile were characterized as at risk for overweight/obese. Results: There was no gender effect on the discrepancy between reported and actual measures. Overall adolescents significantly underestimated their weight and BMI. Although correlation coefficients were high, eta-square (
2) values indicate large bias for weight (0.36) and BMI (0.31). At risk for overweight/obese individuals underestimated their weight and BMI to a greater extent than their normal weight counterparts. Conclusions: The magnitude of the discrepancies call into question the accuracy of self-reported weight and consequently the estimated BMI. Correlation coefficients did not provide any valuable information about the discrepancy between the self-reported and actual measures. A better understanding of the validity of self-reported height and weight could be reached if interpretation of the results is based on both statistical significance and magnitude of the differences.
Keywords: adolescents, body mass index, Greece, reproducibility of results