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Comparison of BMI Derived from Parent-Reported Height and Weight with Measured Values: Results from the German KiGGS Study

DOI: 10.3390/ijerph9020632

Keywords: children and adolescents, parental reports, height, weight, BMI, overweight

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Abstract:

The use of parent-reported height and weight is a cost-efficient instrument to assess the prevalence of children’s weight status in large-scale surveys. This study aimed to examine the accuracy of BMI derived from parent-reported height and weight and to identify potential predictors of the validity of BMI derived from parent-reported data. A subsample of children aged 2–17 years (n = 9,187) was taken from the 2003–2006 cross-sectional German KiGGS study. Parent-reported and measured height and weight were collected and BMI was calculated. Besides descriptive analysis, linear regression models with BMI difference and logistic regression models with weight status misclassification as dependent variables were calculated. Height differences varied by gender and were generally small. Weight and BMI were under-reported in all age groups, the under-reporting getting stronger with increasing age. Overall, the proportion for overweight and obesity based on parental and measured reports differed slightly. In the youngest age group, the proportion of overweight children was overestimated, while it was underestimated for older children and adolescents. Main predictors of the difference between parent reported and measured values were age, gender, weight status and parents’ perception of the child’s weight. In summary, the exclusive use of uncorrected parental reports for assessment of prevalence rates of weight status is not recommended.

References

[1]  World Health Organization. Obesity: Preventing and Managing the Global Epidemic; World Health Organization: Geneva, Switzerland, 2000.
[2]  Moss, A.; Wabitsch, M.; Kromeyer-Hauschild, K.; Reinehr, T.; Kurth, B.M. Prevalence of overweight and adiposity in German school children. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007, 50, 1424–1431.
[3]  Bluher, S.; Meigen, C.; Gausche, R.; Keller, E.; Pfaffle, R.; Sabin, M.; Werther, G.; Odeh, R.; Kiess, W. Age-specific stabilization in obesity prevalence in German children: A cross-sectional study from 1999 to 2008. Int. J. Pediatr. Obes. 2010, 6, e199–e206.
[4]  Ogden, C.L.; Carroll, M.D.; Curtin, L.R.; Lamb, M.M.; Flegal, K.M. Prevalence of high body mass index in US children and adolescents, 2007–2008. J. Am. Med. Assoc. 2010, 303, 242–249.
[5]  Kurth, B.M.; Schaffrath Rosario, A. The prevalence of overweight and obese children and adolescents living in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007, 50, 736–743, doi:10.1007/s00103-007-0235-5.
[6]  Brener, N.D.; McManus, T.; Galuska, D.A.; Lowry, R.; Wechsler, H. Reliability and validity of self-reported height and weight among high school students. J. Adolesc. Health 2003, 32, 281–287.
[7]  Glaesmer, H.; Brahler, E. Prevalence estimation of overweight and obesity based on subjective data of body-mass-index (BMI). Gesundheitswesen 2002, 64, 133–138.
[8]  Hauck, F.R.; White, L.; Cao, G.; Woolf, N.; Strauss, K. Inaccuracy of self-reported weights and heights among American Indian adolescents. Ann. Epidemiol. 1995, 5, 386–392.
[9]  Himes, J.H.; Hannan, P.; Wall, M.; Neumark-Sztainer, D. Factors associated with errors in self-reports of stature, weight, and body mass index in Minnesota adolescents. Ann. Epidemiol. 2005, 15, 272–278, doi:10.1016/j.annepidem.2004.08.010.
[10]  Kuczmarski, M.F.; Kuczmarski, R.J.; 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, 101, 28–34. quiz, 35–36.
[11]  Sherry, B.; Jefferds, M.E.; Grummer-Strawn, L.M. Accuracy of adolescent self-report of height and weight in assessing overweight status: A literature review. Arch. Pediatr. Adolesc. Med. 2007, 161, 1154–1161.
[12]  Brettschneider, A.-K.; Schaffrath Rosario, A.; Ellert, U. Validity and predictors of BMI derived from self-reported height and weight among 11- to 17-year-old German adolescents from the KiGGS study. BMC Res. Notes 2011. accepted.
[13]  Huybrechts, I.; de Bacquer, D.; van Trimpont, I.; de Backer, G.; de Henauw, S. Validity of parentally reported weight and height for preschool-aged children in Belgium and its impact on classification into body mass index categories. Pediatrics 2006, 118, 2109–2118.
[14]  Wing, R.R.; Epstein, L.H.; Neff, D. Accuracy of parents’ reports of height and weight. J. Psychopathol. Behav. Assess. 1980, 2, 105–110.
[15]  Davis, H.; Gergen, P.J. Mexican-American mothers’ reports of the weights and heights of children 6 months through 11 years old. J. Am. Diet. Assoc. 1994, 94, 512–516.
[16]  Akinbami, L.J.; Ogden, C.L. Childhood overweight prevalence in the United States: The impact of parent-reported height and weight. Obesity 2009, 17, 1574–1580.
[17]  Akerman, A.; Williams, M.E.; Meunier, J. Perception versus reality: An exploration of children’s measured body mass in relation to caregivers’ estimates. J. Health Psychol. 2007, 12, 871–882, doi:10.1177/1359105307082449.
[18]  Kurth, B.M.; Kamtsiuris, P.; Holling, H.; Schlaud, M.; Dolle, R.; Ellert, U.; Kahl, H.; Knopf, H.; Lange, M.; Mensink, G.B.; et al. The challenge of comprehensively mapping children’s health in a nation-wide health survey: Design of the German KiGGS-Study. BMC Public Health 2008, 8.
[19]  Kromeyer-Hauschild, K.; Wabitsch, M.; Kunze, D.; Geller, F.; Gei?, H.C.; Hesse, V.; von Hippel, A.; Jaeger, U.; Johnson, D.; Korte, W.; et al. Percentiles of body mass index in children and adolescents evaluated from different regional German studies. Monatsschrift Kinderheilkd. 2001, 149, 807–818, doi:10.1007/s001120170107.
[20]  Rosario, A.S.; Kurth, B.M.; Stolzenberg, H.; Ellert, U.; Neuhauser, H. Body mass index percentiles for children and adolescents in Germany based on a nationally representative sample (KiGGS 2003–2006). Eur. J. Clin. Nutr. 2010, 64, 341–349.
[21]  Currie, C.; Samdal, O.; Boyce, W.; Smith, R. Health Behaviour in School-Aged Children: A WHO Cross-National Study (HBSC), Research Protocol for the 2001/2002 Survey; Child and Adolescent Health Research Unit (CAHRU); University of Edinburgh: Edinburgh, UK, 2001.
[22]  Lange, M.; Kamtsiuris, P.; Lange, C.; Schaffrath Rosario, A.; Stolzenberg, H.; Lampert, T. Sociodemographic characteristics in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)—Operationalisation and public health significance, taking as an example the assessment of general state of health. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007, 50, 578–589.
[23]  Schenk, L.; Ellert, U.; Neuhauser, H. Children and adolescents in Germany with a migration background. Methodical aspects in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2007, 50, 590–599, doi:10.1007/s00103-007-0220-z.
[24]  Rothman, K.J.; Greenland, S. Modern Epidemiology, 2nd ed.; Lippincott-Raven Publishers: Philadelphia, PA, USA, 1998.
[25]  Rolland-Cachera, M.F.; Deheeger, M.; Bellisle, F.; Sempe, M.; Guilloud-Bataille, M.; Patois, E. Adiposity rebound in children: A simple indicator for predicting obesity. Am. J. Clin. Nutr. 1984, 39, 129–135.
[26]  Kleiser, C.; Schaffrath Rosario, A.; Mensink, G.B.; Prinz-Langenohl, R.; Kurth, B.M. Potential determinants of obesity among children and adolescents in Germany: Results from the cross-sectional KiGGS Study. BMC Public Health 2009, 9.

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