Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS Study

Objective: The use of reported instead of measured height and weight induces a bias in prevalence rates for overweight and obesity. Therefore, correction formulas are necessary. Methods: Self-reported and measured height and weight were available from the German Health Interview and Examination Surv...

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Main Authors: Anna-Kristin Brettschneider, Angelika Schaffrath Rosario, Susanna Wiegand, Maximilian Kollock, Ute Ellert
Format: Article
Language:English
Published: Karger Publishers 2015-01-01
Series:Obesity Facts
Subjects:
Online Access:http://www.karger.com/Article/FullText/375109
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author Anna-Kristin Brettschneider
Angelika Schaffrath Rosario
Susanna Wiegand
Maximilian Kollock
Ute Ellert
author_facet Anna-Kristin Brettschneider
Angelika Schaffrath Rosario
Susanna Wiegand
Maximilian Kollock
Ute Ellert
author_sort Anna-Kristin Brettschneider
collection DOAJ
description Objective: The use of reported instead of measured height and weight induces a bias in prevalence rates for overweight and obesity. Therefore, correction formulas are necessary. Methods: Self-reported and measured height and weight were available from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) baseline study (2003-2006) from 3,468 adolescents aged 11-17 years. With regression analyses, correction formulas for height and weight were developed. Cross-validation was conducted in order to validate and compare the formulas. Corrected BMI was calculated, and corrected prevalence rates were estimated. Sensitivity, specificity, and predictive values for overweight and obesity were calculated. Results: Through the correction procedure, the mean differences between reported and measured height and weight become remarkably smaller and thus the estimated prevalence rates more accurate. The corrected proportions for overweight and obesity are less under-reported, while the corrected proportions for underweight are less over-reported. Sensitivity for overweight and obesity increased after correction. Specificity remained high. Conclusion: The validation process showed that the correction formulas are an appropriate tool to correct self-reports on an individual level in order to estimate corrected prevalence rates of overweight and obesity in adolescents for studies which have collected self-reports only.
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spelling doaj.art-ccd7d671f6804b0eac0c02f5ce05fd282022-12-21T19:18:39ZengKarger PublishersObesity Facts1662-40251662-40332015-01-0181304210.1159/000375109375109Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS StudyAnna-Kristin BrettschneiderAngelika Schaffrath RosarioSusanna WiegandMaximilian KollockUte EllertObjective: The use of reported instead of measured height and weight induces a bias in prevalence rates for overweight and obesity. Therefore, correction formulas are necessary. Methods: Self-reported and measured height and weight were available from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) baseline study (2003-2006) from 3,468 adolescents aged 11-17 years. With regression analyses, correction formulas for height and weight were developed. Cross-validation was conducted in order to validate and compare the formulas. Corrected BMI was calculated, and corrected prevalence rates were estimated. Sensitivity, specificity, and predictive values for overweight and obesity were calculated. Results: Through the correction procedure, the mean differences between reported and measured height and weight become remarkably smaller and thus the estimated prevalence rates more accurate. The corrected proportions for overweight and obesity are less under-reported, while the corrected proportions for underweight are less over-reported. Sensitivity for overweight and obesity increased after correction. Specificity remained high. Conclusion: The validation process showed that the correction formulas are an appropriate tool to correct self-reports on an individual level in order to estimate corrected prevalence rates of overweight and obesity in adolescents for studies which have collected self-reports only.http://www.karger.com/Article/FullText/375109Correction formulaSelf-reported height and weightObesityKiGGS studyAdolescentsOverweight
spellingShingle Anna-Kristin Brettschneider
Angelika Schaffrath Rosario
Susanna Wiegand
Maximilian Kollock
Ute Ellert
Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS Study
Obesity Facts
Correction formula
Self-reported height and weight
Obesity
KiGGS study
Adolescents
Overweight
title Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS Study
title_full Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS Study
title_fullStr Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS Study
title_full_unstemmed Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS Study
title_short Development and Validation of Correction Formulas for Self-Reported Height and Weight to Estimate BMI in Adolescents. Results from the KiGGS Study
title_sort development and validation of correction formulas for self reported height and weight to estimate bmi in adolescents results from the kiggs study
topic Correction formula
Self-reported height and weight
Obesity
KiGGS study
Adolescents
Overweight
url http://www.karger.com/Article/FullText/375109
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