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The accuracy of self-reported weight by overweight and obese women in an outpatient setting

Published online by Cambridge University Press:  02 January 2007

Katja Rossouw*
Affiliation:
Chronic Diseases of Lifestyle Programme, Medical Research Council, Parowvallei, South Africa
Marjanne Senekal
Affiliation:
Department of Consumer Science, University of Stellenbosch, South Africa
Ilse Stander
Affiliation:
Centre for Epidemiological Research in Southern Africa, Medical Research Council, Parowvallei, South Africa
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To investigate the accuracy of self-reported weight of overweight and obese women and characterisation of under-, correct- and over-reporters based on a number of related variables.

Design:

Weight was self-reported before entering the study. At baseline, actual weight was recorded, and demographic, health, nutritional, psychological and physical activity questionnaires were completed.

Setting:

A hospital outpatient department.

Subjects:

Participants were 131 women aged 18–64 years with a body mass index (BMI)≥ 28 attending a Comprehensive Weight Management Programme.

Outcome measures:

The accuracy of self-reported weight was investigated for the total group, and the subjects were then categorised into three groups according to accuracy of self-reported weight (under-, correct- and over-reporters). The relationship between these accuracy groups and demographic, health, nutritional, and psychological variables and physical activity was examined, to characterise the under-, correct- and over-reporters.

Results:

Although not statistically significantly different, the total group of women tended to underestimate their weight by 0.8 (±3.6) kg. Categorisation according to the accuracy groups revealed that 29% underestimated their weight by 2 kg or more, 19% overestimated their weight by 2 kg or more, and only 52% correctly estimated their weight within 2 kg. Some trends and statistically significant differences between the accuracy groups concerning certain variables, e.g. height, age, income, education, contraceptive pill usage, smoking and food choices were evident.

Conclusions:

Self-reported weight of a group of overweight/obese individuals may be a valid and reliable indicator of actual weight, but self-reported weight of an overweight/obese individual can not be interpreted similarly. Further research is necessary to ensure reliable characterisation of under-, over- and correct reporters.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Stewart, AW, Jackson, RT, Ford, MA, Beaglehole, R. Underestimation of relative weight by use of self-reported height and weight. Am. J. Epidemiol. 1987; 25(1): 122–6.CrossRefGoogle Scholar
2Tell, GS, Jeffery, RW, Kramer, FM, Snell, MK. Can self-reported body weight be used to evaluate long-term follow-up of a weight-loss program?. J. Am. Diet. Assoc. 1987; 87(9): 1198–201.CrossRefGoogle ScholarPubMed
3Cash, TF, Counts, B, Hangen, J, Huffine, CE. How much do you weigh? Determinants of validity of self-reported body weight. Percept. Mot. Skills 1989; 69: 248–50.CrossRefGoogle Scholar
4Pirie, P, Jacobs, D, Jeffery, R, Hannan, P. Distortion in self-reported height and weight data. J. Am. Diet. Assoc. 1981; 78: 601–6.CrossRefGoogle ScholarPubMed
5Stewart, AL. The reliability and validity of self-reported weight and height. J. Chronic Dis. 1982; 35: 295309.CrossRefGoogle ScholarPubMed
6Jalkanen, L, Tuomiletho, J, Tanskanen, A, Puska, P. Accuracy of self-reported body weight compared to measured body weight. Scand. J. Soc. Med. 1987; 15: 191–8.CrossRefGoogle ScholarPubMed
7Palta, M, Prineas, RJ, Berman, R, Hannan, P. Comparison of self-reported and measured height and weight. Am. J. Epidemiol. 1982; 115(2): 223–30.CrossRefGoogle ScholarPubMed
8Wing, RR, Epstein, LH, Ossip, DJ, LaPorte, RE. Reliability and validity of self-report and observers' estimates of relative weight. Addict Behav. 1979; 4: 133–40.CrossRefGoogle ScholarPubMed
9Schlichting, P, Høilund, PF, Quaade, F. Comparison of self-reported height and weight in women and men. Int. J. Obes. 1981; 5: 6776.Google ScholarPubMed
10Bray, GA. Definition, measurement and classification of the syndromes of obesity. Int. J. Obes. 1978; 2: 99112.Google ScholarPubMed
11Beck, AT. Depression Inventory (Manual). Philadelphia: Centre for Cognitive Therapy, 1978.Google Scholar
12Stunkard, AJ, Messick, F. Eating Inventory (Manual). Philadelphia, New York: Psychological Corporation, 1988.Google Scholar
13Robson, P. The development of a new self-report questionnaire to measure self-esteem. Psychol. Med. 1989; 19: 513.CrossRefGoogle ScholarPubMed
14Miller, LA, Smith, A. Stress: can we cope?. Time 1983; 6: 66.Google Scholar
15Olson, D, Partner, J, Levee, Y. Faces III (Manual). Family Social Science. University of Minnesota, 1985.Google Scholar
16Tibbs, J. Evaluation of a Comprehensive Weight Control Program for Obesity Management: The Considerations of Psychological Factors in Treatment Outcome. M.A. thesis, University of Cape Town, 1996.Google Scholar
17SAS Institute Inc. SAS/STATTM User's Guide: Version 6, 4th edition. Cary, NC: SAS Institute Inc., 1989.Google Scholar
18Stunkard, AJ, Albaum, JM. The accuracy of self-reported weights. Am. J. Clin. Nutr. 1981; 34: 1593–9.CrossRefGoogle ScholarPubMed
19Boström, G, Diderichsen, F. Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. Int. J. Epidemiol. 1997; 26: 860–6.CrossRefGoogle ScholarPubMed
20Sobal, J, Cassidy, CM. Dieting foods: Conceptualizations and explanations. Ecol. Food Nutr. 1987; 20: 8996.CrossRefGoogle Scholar
21Sobal, J, Stunkard, AJ. Socioeconomic status and obesity: A review of the literature. Psychol. Bull. 1989; 105(2): 260–75.CrossRefGoogle ScholarPubMed
22Stunkard, AJ, Sobal, J. Psychosocial consequences of obesity. In: Brownell, KD, Fairburn, CG, eds. Eating Disorders and Obesity: A Comprehensive Handbook. New York: Guilford Press, 1995: 417–21.Google Scholar
23WHO Consultation on Obesity. Obesity: Preventing and managing the global epidemic. Report of a WHO Consultation on Obesity. Geneva: World Health Organisation, 1997: 125–38.Google Scholar
24Ross, CE, Mirowski, J. Social epidemiology of overweight: A substantive and methodological investigation. J. Health Soc. Behav. 1983; 24: 288–98.CrossRefGoogle ScholarPubMed
25Burns, CM, Richman, R, Caterson, ID. Nutrition knowledge in the obese and overweight. Int. J. Obes. 1987; 11(5): 485–92.Google ScholarPubMed
26Swinburn, B, Ravussin, E. Energy balance or fat balance?. Am. J. Clin. Nutr. 1993; 57(Suppl.): 766–71.CrossRefGoogle ScholarPubMed
27Bjorvell, H, Rossner, S, Stunkard, A. Obesity, weight loss and dietary restraint. Int. J. Eating Disorders. 1986; 5: 727–34.3.0.CO;2-I>CrossRefGoogle Scholar
28Wadden, TA, Stunkard, AJ. Psychosocial consequences of obesity and dieting. In: Stunkard, AJ, Wadden, TA, eds. Obesity: Theory and Therapy. New York: Raven Press, 1993: 166.Google Scholar
29Berman, WH, Berman, ER, Heymsfield, S, Fauci, M. The incidence and comorbidity of psychiatric disorders in obesity. J. Pers. Disord. 1992; 6(2): 168–75.CrossRefGoogle Scholar
30Wadden, TA, Stunkard, AJ. The psychological and social complications of obesity. Ann. Intern. Med. 1985; 103: 1062–7.CrossRefGoogle Scholar
31Stunkard, AJ, Wadden, TA. Psychological aspects of severe obesity. Am. J. Clin. Nutr. 1992; 55: S524–32.CrossRefGoogle ScholarPubMed
32Ross, CE. Overweight and depression. J. Health Soc. Behav. 1994; 35: 6379.CrossRefGoogle ScholarPubMed
33Wadden, TA, Brown, G, Foster, GD, Linowitz, JR. Salience of weight related worries in adolescent males and females. Int. J. Eating Disorders 1991; 10: 407–14.3.0.CO;2-V>CrossRefGoogle Scholar
34Wadden, TA, Foster, GD, Stunkard, AJ, Linowitz, JR. Dissatisfaction with weight and figure in obese girls: discontent but not depression. Int. J. Obes. 1989; 13: 8997.Google Scholar
35Cash, TF. Body-image attitudes among obese enrollees in a commercial weight-loss program. Percept. Mot. Skills. 1993; 77: 1099–103.CrossRefGoogle Scholar
36Wadden, TA, Foster, GD. Behavioral assessment and treatment of markedly obese patients. In: Wadden, TA, Van Itallie, TB, eds. Treatment of the Seriously Obese Patient. New York: Guilford Press, 1992; 290330.Google Scholar