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Validity of self-measured waist and hip circumferences: results from a community study in Malaysia

Reidpath, Daniel D.; Cheah, Julius Chee Ho; Lam, Fui-Ching; Yasin, Shahjahan; Soyiri, Ireneous; Allotey, Pascale

Authors

Daniel D. Reidpath

Julius Chee Ho Cheah

Fui-Ching Lam

Shahjahan Yasin

Pascale Allotey



Abstract

Background: Measures of central adiposity are better predictors of adverse health events than BMI. Nonetheless, BMI is more widely used in health research. One reason for this may be the limited research supporting the self-measurement of waist and hip circumference. The lack of validity studies is particularly acute in Asia. The main objective was to establish the validity of self-measurement of waist and hip circumference in a community setting and the correlation of those measures with BMI, blood pressure, and blood glucose levels. Methods. A community based, cross-sectional survey. A "healthy living expo" at a shopping mall in a rural town on peninsular Malaysia One hundred and thirty six (136) individuals volunteered to participate in the study, 125 of whom met the inclusion criteria. The ethnic distribution of the participants was 80% Chinese, 17% Malay and 3% Indian. Most participants were female (60%), with participants' ages ranging from 18 to 78 years (mean, 47.2). Self and assisted measurements of waist and hip were taken. Blood pressure, non-fasting blood glucose, height, and weight were also measured. Bland Altman plots and Lin's concordance coefficient were used to measure agreement between self and assisted measures. Pearson's correlation was used to examine the association of self and assisted measures with blood pressure, blood glucose, and BMI. Results: There was a downwards bias in self measured waist (-0.81 cm) and hip (-1 cm) circumferences compared with assisted measures. The concordance for the self and assisted measures of waist, hip and the ratio of the two were, respectively,.96,.93, and.84. The correlation between measures of central adiposity and BMI, blood pressure and blood glucose were similar for self and assisted measures. Conclusion: The results provide additional support for the use of self-measurement of waist and hip circumference studies of central adiposity, but is limited by the specificity of the setting. © 2013 Reidpath et al.; licensee BioMed Central Ltd.

Journal Article Type Article
Publication Date 2013-12
Journal Nutrition Journal
Print ISSN 1475-2891
Electronic ISSN 1475-2891
Publisher BMC
Peer Reviewed Peer Reviewed
Volume 12
Issue 1
Article Number 135
APA6 Citation Reidpath, D. D., Cheah, J. C. H., Lam, F., Yasin, S., Soyiri, I., & Allotey, P. (2013). Validity of self-measured waist and hip circumferences: results from a community study in Malaysia. Nutrition Journal, 12(1), https://doi.org/10.1186/1475-2891-12-135
DOI https://doi.org/10.1186/1475-2891-12-135
Keywords Body Mass Index; Waist circumference; Bland Altman Plot; Shopping mall; Central adiposity
Publisher URL https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-12-135
Additional Information © 2013 Reidpath et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

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Copyright Statement
© 2013 Reidpath et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly cited.





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