1 Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
2 Department of Public Health, University of Helsinki, Finland.
Scand J Public Health. 2018 Jul;46(5):565-579. doi: 10.1177/1403494818761971. Epub 2018 Mar 10.
Up-to-date information on the accuracy between different anthropometric data collection methods is vital for the reliability of anthropometric data. A previous review on this matter was conducted a decade ago. Our aim was to conduct a literature review on the accuracy of self-reported height, weight, and body mass index (BMI) against measured values for assessing obesity in adults. To obtain an overview of the present situation, we included studies published after the previous review. Differences according to sex, BMI groups, and continents were also assessed.
Studies published between January 2006 and April 2017 were identified from a literature search on PubMed.
Our search retrieved 62 publications on adult populations that showed a tendency for self-reported height to be overestimated and weight to be underestimated when compared with measured values. The findings were similar for both sexes. BMI derived from self-reported height and weight was underestimated; there was a clear tendency for underestimation of overweight (from 1.8%-points to 9.8%-points) and obesity (from 0.7%-points to 13.4%-points) prevalence by self-report. The bias was greater in overweight and obese participants than those of normal weight. Studies conducted in North America showed a greater bias, whereas the bias in Asian studies seemed to be lower than those from other continents.
With globally rising obesity rates, accurate estimation of obesity is essential for effective public health policies to support obesity prevention. As self-report bias tends to be higher among overweight and obese individuals, measured anthropometrics provide a more reliable tool for assessing the prevalence of obesity.
不同人体测量数据采集方法之间的准确性的最新信息对于人体测量数据的可靠性至关重要。 十年前对这一问题进行了一次综述。 我们的目的是对自我报告的身高，体重和体重指数（BMI）与测量值之间的准确性进行文献综述，以评估成年人肥胖。 为了了解当前的情况，我们纳入了上次综述后发表的研究。 还根据性别，BMI 组和大陆评估了差异。
从 PubMed 的文献检索中确定了 2006 年 1 月至 2017 年 4 月期间发表的研究。
我们的搜索检索到了 62 项针对成年人群的研究，这些研究表明与测量值相比，自我报告的身高有高估趋势，而体重则被低估。 这些发现对男女都适用。 自我报告的身高和体重得出的 BMI 被低估；自我报告的超重（从 1.8％点到 9.8％点）和肥胖（从 0.7％点到 13.4％点）患病率明显被低估。 超重和肥胖参与者的偏差大于正常体重参与者。 北美进行的研究显示出更大的偏差，而亚洲研究的偏差似乎低于其他大陆。
随着全球肥胖率的上升，准确估计肥胖对于支持肥胖预防的有效公共卫生政策至关重要。 由于自我报告的偏差往往在超重和肥胖个体中更高，因此测量的人体测量值为评估肥胖症的流行提供了更可靠的工具。
