Hongjun Yu, Chunmei Cao, An Ruopeng
Am J Health Behav. 2018 Nov 1;42(6):70-77. doi: 10.5993/AJHB.42.6.7.
ObjectiveWhereas data collection on subjective anthropometric measures is inexpensive and sometimes may be the only feasible option for large-scale population-based surveys, self-reported height and weight can be susceptible to measurement error and social desirability bias. In this study, we aimed to assess the level of discrepancy between self-reported and device-measured height, weight, and obesity indicators, and to construct regression models to predict corrected anthropometric measures using self-reported data. MethodsPaper-and-pencil-based health surveys were administered to all freshmen enrolled in Tsinghua University in Beijing, China. Freshmen's height and weight were measured by trained staff using stadiometer and digital scale within one week following survey completion. Robust regressions were performed to predict corrected height, weight, body mass index (BMI), and overweight and obesity prevalence using self-reported data (N = 16,675). ResultsMale freshmen over-reported both height and weight, whereas female freshmen over-reported height but under-reported weight. Both resulted in underestimation of BMI and overweight prevalence. The predicted values based on robust regressions substantially reduced the discrepancy between self-reported and objectively-measured height, weight, BMI, and overweight prevalence. ConclusionsParsimonious regression models could be useful in obesity surveillance by predicting corrected anthropometric measures using self-reported data.
目的
虽然收集主观人体测量数据成本低廉,而且在大规模人群调查中有时可能是唯一可行的选择,但自我报告的身高和体重容易出现测量误差和社会期望偏差。在本研究中,我们旨在评估自我报告与设备测量的身高、体重及肥胖指标之间的差异水平,并构建回归模型,以便使用自我报告数据预测校正后的人体测量指标。
方法
对在中国北京清华大学入学的所有新生进行了纸笔式健康调查。在调查完成后的一周内,由经过培训的工作人员使用身高计和电子秤测量新生的身高和体重。使用自我报告数据(N = 16,675)进行稳健回归,以预测校正后的身高、体重、体重指数(BMI)以及超重和肥胖患病率。
结果
男性新生高估了身高和体重,而女性新生高估了身高但低估了体重。两者均导致BMI和超重患病率的低估。基于稳健回归的预测值大幅降低了自我报告与客观测量的身高、体重、BMI及超重患病率之间的差异。
结论
简约回归模型通过使用自我报告数据预测校正后的人体测量指标,可能有助于肥胖监测。