Cardial-MASS-Study: Influencing Factors on Reliability of Selfreported Weight and Height
NCT ID: NCT04321057
Last Updated: 2020-03-25
Study Results
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Basic Information
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UNKNOWN
731 participants
OBSERVATIONAL
2017-04-01
2021-06-01
Brief Summary
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Detailed Description
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In clinical practice, informations about height and weight do often rely on self-reported values instead of measured ones. This can be due to limited timely, but also instrumental resources, when scales or measuring tapes are not available. Unfortunately, these self-reported informations are often inaccurate. Age, education, weight, and sex seam to influence and distort them in different ways.
Former studies have shown, that a lot of patients overestimate their height \[1-8\] and underestimate their weight \[1-6\]. This might lead to a wrong classification in normal weight and overweight using BMI. Among elderly (\>60 years) informations relying on measured values and on self-reported values seem to be even more divergent \[10\].
People with overweight are tending to underestimate their weight stronger than people with normal weight. The higher the weight, the more the self-reported information deviates from the actual weight \[11,12\]. Men's informations are more exact than women's, like Niedhammer et al. has shown in a study with 7350 participants \[9\]. Men with a BMI lower than 25 even overestimated their weight. Compared to younger ones, elderly men underestimated their weight more often, and elderly women's self-reported weight was more accurate \[1,9\].
Next to age and gender, socioeconomic variables do influence self-reported measures. The higher the education or working position the more accurate the information about height. Noteworthy, women in high working positions overestimate their height, when compared to women in lower positions, who even underestimate their height \[2,5,6,8,9\].
Furthermore, external conditions of data acquisition may impact validity of self-reported information, too. Stewart supposed that informations given in an interview are more exact than those given in a questionnaire \[11\].
Most of the studies mentioned above are not exclusively related to patients with cardiovascular diseases. Studies referring to this patient population suggest, that men with cardiovascular diseases underestimate their weight less than others \[13\]. Nevertheless, Niedhammer et al. could not confirm this finding \[9\]. HEnce, the aim of this study is to identify factors that influence the validity of self-reported height and weight in patients with cardiovascular disease.
Conditions
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Study Design
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CASE_CONTROL
CROSS_SECTIONAL
Study Groups
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Group questionnaire
Patient's height and weight are asked by questionnaire in this group. It includes patients at the cardiological department of Saarland University.
No interventions assigned to this group
Group male doctor
Patient's height and weight are asked by a male doctor in this group. It includes patients at the cardiological department of Saarland University.
No interventions assigned to this group
Group female doctor
Patient's height and weight are asked by a female doctor in this group. It includes patients at the cardiological department of Saarland University.
No interventions assigned to this group
Group male nurse
Patient's height and weight are asked by a male nurse in this group. It includes patients at the cardiological department of Saarland University.
No interventions assigned to this group
Group female nurse
Patient's height and weight are asked by a female nurse in this group. It includes patients at the cardiological department of Saarland University.
No interventions assigned to this group
Group family doctor
Patient's height and weight are asked by questionnaire in this group. This is the control group,including patients at a family doctor.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* cardiovascular disease (Coronar-Vessel-Disease, Arrhythmia, Heart-attack, Hypertonus, stable heart failure)
* Patients at a family doctor
Exclusion Criteria
* Dementia
* cardial decompensation
* severe anemia (Hemoglobin\<9 mg/dl)
* cardial shock
* acute kidney failure
* factors, that prevent patients from answering the questionnaire
* factors, that prevent patients from being measured and weighted
18 Years
ALL
No
Sponsors
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Universität des Saarlandes
OTHER
Responsible Party
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Locations
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Clinic for Internal Medicine, Cardioloy, Angioloy, and Internal Intensive Care Medicine, Saarland University Hospital
Homburg, Saarland, Germany
Countries
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References
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Palta M, Prineas RJ, Berman R, Hannan P. Comparison of self-reported and measured height and weight. Am J Epidemiol. 1982 Feb;115(2):223-30. doi: 10.1093/oxfordjournals.aje.a113294.
Stewart AL. The reliability and validity of self-reported weight and height. J Chronic Dis. 1982;35(4):295-309. doi: 10.1016/0021-9681(82)90085-6. No abstract available.
Millar WJ. Distribution of body weight and height: comparison of estimates based on self-reported and observed measures. J Epidemiol Community Health. 1986 Dec;40(4):319-23. doi: 10.1136/jech.40.4.319.
Stewart AW, Jackson RT, Ford MA, Beaglehole R. Underestimation of relative weight by use of self-reported height and weight. Am J Epidemiol. 1987 Jan;125(1):122-6. doi: 10.1093/oxfordjournals.aje.a114494.
Rowland ML. Self-reported weight and height. Am J Clin Nutr. 1990 Dec;52(6):1125-33. doi: 10.1093/ajcn/52.6.1125.
Bowlin SJ, Morrill BD, Nafziger AN, Jenkins PL, Lewis C, Pearson TA. Validity of cardiovascular disease risk factors assessed by telephone survey: the Behavioral Risk Factor Survey. J Clin Epidemiol. 1993 Jun;46(6):561-71. doi: 10.1016/0895-4356(93)90129-o.
Ziebland S, Thorogood M, Fuller A, Muir J. Desire for the body normal: body image and discrepancies between self reported and measured height and weight in a British population. J Epidemiol Community Health. 1996 Feb;50(1):105-6. doi: 10.1136/jech.50.1.105. No abstract available.
Bostrom G, Diderichsen F. Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. Int J Epidemiol. 1997 Aug;26(4):860-6. doi: 10.1093/ije/26.4.860.
Niedhammer I, Bugel I, Bonenfant S, Goldberg M, Leclerc A. Validity of self-reported weight and height in the French GAZEL cohort. Int J Obes Relat Metab Disord. 2000 Sep;24(9):1111-8. doi: 10.1038/sj.ijo.0801375.
Kuczmarski MF, Kuczmarski RJ, Najjar M. Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988-1994. J Am Diet Assoc. 2001 Jan;101(1):28-34; quiz 35-6. doi: 10.1016/S0002-8223(01)00008-6.
Jalkanen L, Tuomilehto J, Tanskanen A, Puska P. Accuracy of self-reported body weight compared to measured body weight. A population survey. Scand J Soc Med. 1987;15(3):191-8. doi: 10.1177/140349488701500311.
Roberts RJ. Can self-reported data accurately describe the prevalence of overweight? Public Health. 1995 Jul;109(4):275-84. doi: 10.1016/s0033-3506(95)80205-3.
Jeffery RW. Bias in reported body weight as a function of education, occupation, health and weight concern. Addict Behav. 1996 Mar-Apr;21(2):217-22. doi: 10.1016/0306-4603(95)00050-x.
Bray GA. Overweight is risking fate. Definition, classification, prevalence, and risks. Ann N Y Acad Sci. 1987;499:14-28. doi: 10.1111/j.1749-6632.1987.tb36194.x.
Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med. 1993 Oct 1;119(7 Pt 2):655-60. doi: 10.7326/0003-4819-119-7_part_2-199310011-00006.
Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol. 2009 May 26;53(21):1925-32. doi: 10.1016/j.jacc.2008.12.068.
Kurth T, Gaziano JM, Berger K, Kase CS, Rexrode KM, Cook NR, Buring JE, Manson JE. Body mass index and the risk of stroke in men. Arch Intern Med. 2002 Dec 9-23;162(22):2557-62. doi: 10.1001/archinte.162.22.2557.
Dorn JM, Schisterman EF, Winkelstein W Jr, Trevisan M. Body mass index and mortality in a general population sample of men and women. The Buffalo Health Study. Am J Epidemiol. 1997 Dec 1;146(11):919-31. doi: 10.1093/oxfordjournals.aje.a009218.
Bender R, Trautner C, Spraul M, Berger M. Assessment of excess mortality in obesity. Am J Epidemiol. 1998 Jan 1;147(1):42-8. doi: 10.1093/oxfordjournals.aje.a009365.
Coe TR, Halkes M, Houghton K, Jefferson D. The accuracy of visual estimation of weight and height in pre-operative supine patients. Anaesthesia. 1999 Jun;54(6):582-6. doi: 10.1046/j.1365-2044.1999.00838.x.
Hendershot KM, Robinson L, Roland J, Vaziri K, Rizzo AG, Fakhry SM. Estimated height, weight, and body mass index: implications for research and patient safety. J Am Coll Surg. 2006 Dec;203(6):887-93. doi: 10.1016/j.jamcollsurg.2006.08.018. Epub 2006 Oct 25.
Foil MB, Collier MS, MacDonald KG Jr, Pories WJ. Availability and Adequacy of Diagnostic and Therapeutic Equipment for the Morbidly Obese Patient in an Acute Care Setting. Obes Surg. 1993 May;3(2):153-156. doi: 10.1381/096089293765559494.
Therre M, Kindermann I, Wedegartner SM, Gross S, Schwantke I, Mahfoud F, Bohm M. Determinants of reliability of self-reported height and weight and their impact on medication dosing: a cross-sectional study. BMJ Open. 2025 Apr 15;15(4):e090020. doi: 10.1136/bmjopen-2024-090020.
Other Identifiers
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Cardial-MASS
Identifier Type: -
Identifier Source: org_study_id
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