Anthropometric Measurements and Body Silhouette of Women: Validity and Perception

Overview

Journal J Am Diet Assoc

Publisher Elsevier

Specialty Nutritional Sciences

Date 2002 Dec 19

PMID 12487540

Citations 65

Authors

B Tehard

M J van Liere

C Com Nougue

F Clavel-Chapelon

Affiliations

Soon will be listed here.

Abstract

Objective: To examine the validity of self-reported values for current anthropometric measurements and factors related to misreporting.

Design: E3N, a prospective cohort study of cancer risk factors, conducted in France and part of the European Prospective Investigation on Cancer. E3N comprises 100,000 women, born between 1925 and 1950, followed with self-administered questionnaires sent every 18 to 24 months starting in 1990.

Subjects: 152 women for the validation study of self-reported anthropometric measurements, and 91,815 women selected to evaluate factors affecting misreporting of body silhouette.

Statistical Analysis: Paired t tests, Pearson and Spearman correlations were applied to evaluate the validity of self-reported measures, and analysis of variance and logistic regression were used to assess the factors influencing misreporting of silhouette.

Results: The correlation coefficients between self- and external measurements were high. All but sitting height (r = 0.56) were more than 0.80, with weight and bust (nipples) measurement correlation coefficients attaining 0.94. The correlation between body mass index (BMI), measured by the technician and the self-reported silhouette, was 0.78. Small height was always associated with misclassification. Specific factors related to a more favorable perception of body silhouette were: being overweight, small height, younger age, and a lower level of education. These women were also more frequently unmarried, more physically active, and had had a slender body shape during adolescence. Results denoting a less favorable perception of body shape were reversed. CONCLUSION/APPLICATIONS: Self-reported measurements (made with or without help) are valid measures in epidemiological studies. Body silhouettes are simple and useful indicators of body mass index. However they should be interpreted with caution in certain instances, especially for overweight subjects.

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References

Weaver T, Kushi L, McGovern P, Potter J, Rich S, King R . Validation study of self-reported measures of fat distribution. Int J Obes Relat Metab Disord. 1996; 20(7):644-50. View

Sorensen T, Stunkard A, Teasdale T, Higgins M . The accuracy of reports of weight: children's recall of their parents' weights 15 years earlier. Int J Obes. 1983; 7(2):115-22. View

Mueller W, Joos S, Schull W . Alternative measurements of obesity: accuracy of body silhouettes and reported weights and heights in a Mexican American sample. Int J Obes. 1985; 9(3):193-200. View

Bostrom G, Diderichsen F . Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. Int J Epidemiol. 1997; 26(4):860-6. DOI: 10.1093/ije/26.4.860. View

Koprowski C, Coates R, Bernstein L . Ability of young women to recall past body size and age at menarche. Obes Res. 2001; 9(8):478-85. DOI: 10.1038/oby.2001.62. View

Himes J, Faricy A . Validity and reliability of self-reported stature and weight of US adolescents. Am J Hum Biol. 2001; 13(2):255-60. DOI: 10.1002/1520-6300(200102/03)13:2<255::AID-AJHB1036>3.0.CO;2-E. View

Olivarius N, Andreasen A, Loken J . Accuracy of 1-, 5- and 10-year body weight recall given in a standard questionnaire. Int J Obes Relat Metab Disord. 1997; 21(1):67-71. DOI: 10.1038/sj.ijo.0800365. View

Manson J, Colditz G, Stampfer M, Willett W, Rosner B, Monson R . A prospective study of obesity and risk of coronary heart disease in women. N Engl J Med. 1990; 322(13):882-9. DOI: 10.1056/NEJM199003293221303. View

Secreto G, Zumoff B . Abnormal production of androgens in women with breast cancer. Anticancer Res. 1994; 14(5B):2113-7. View

10.

Gardner R, Friedman B, JACKSON N . Methodological concerns when using silhouettes to measure body image. Percept Mot Skills. 1998; 86(2):387-95. DOI: 10.2466/pms.1998.86.2.387. View

11.

Rossouw K, Senekal M, Stander I . The accuracy of self-reported weight by overweight and obese women in an outpatient setting. Public Health Nutr. 2001; 4(1):19-26. DOI: 10.1079/phn200051. View

12.

Bruning P, Bonfrer J, Hart A, van Noord P, van der Hoeven H, Collette H . Body measurements, estrogen availability and the risk of human breast cancer: a case-control study. Int J Cancer. 1992; 51(1):14-9. DOI: 10.1002/ijc.2910510104. View

13.

Bergstrom R, Bostrom G . Relationship between questionnaire data and medical records of height, weight and body mass index. Int J Obes Relat Metab Disord. 1992; 16(1):1-9. View

14.

Palta M, Prineas R, Berman R, Hannan P . Comparison of self-reported and measured height and weight. Am J Epidemiol. 1982; 115(2):223-30. DOI: 10.1093/oxfordjournals.aje.a113294. View

15.

Stevens J, Keil J, Waid L, GAZES P . Accuracy of current, 4-year, and 28-year self-reported body weight in an elderly population. Am J Epidemiol. 1990; 132(6):1156-63. DOI: 10.1093/oxfordjournals.aje.a115758. View

16.

Freudenheim J, Darrow S . Accuracy of self-measurement of body fat distribution by waist, hip, and thigh circumferences. Nutr Cancer. 1991; 15(3-4):179-86. DOI: 10.1080/01635589109514125. View

17.

. Nutritional aspects of the development of cancer. Report of the Working Group on Diet and Cancer of the Committee on Medical Aspects of Food and Nutrition Policy. Rep Health Soc Subj (Lond). 1998; 48:i-xiv, 1-274. View

18.

Thompson M, Gray J . Development and validation of a new body-image assessment scale. J Pers Assess. 1995; 64(2):258-69. DOI: 10.1207/s15327752jpa6402_6. View

19.

Clavel-Chapelon F, van Liere M, Giubout C, Niravong M, Goulard H, Le Corre C . E3N, a French cohort study on cancer risk factors. E3N Group. Etude Epidémiologique auprès de femmes de l'Education Nationale. Eur J Cancer Prev. 1998; 6(5):473-8. DOI: 10.1097/00008469-199710000-00007. View

20.

Stewart A, Jackson R, Ford M, Beaglehole R . Underestimation of relative weight by use of self-reported height and weight. Am J Epidemiol. 1987; 125(1):122-6. DOI: 10.1093/oxfordjournals.aje.a114494. View