Challenging the role of social norms regarding body weight as an explanation for weight, height, and BMI misreporting biases: Development and application of a new approach to examining misreporting and misclassification bias in surveys
2011

Examining Misreporting Bias in Body Weight and Height

Sample size: 1942 publication 10 minutes Evidence: moderate

Author Information

Author(s): Jonathan R Brestoff, Ivan J Perry, Jan Van den Broeck

Primary Institution: University College Cork, Ireland

Hypothesis

Considering oneself to be heavier than the socially normative weight is positively associated with biases in self-report-based estimates of BMI.

Conclusion

Perceiving oneself as too heavy appears to reduce rather than exacerbate weight, height, and BMI misreporting biases.

Supporting Evidence

  • Self-reported weight and height tend to be under- and over-reported, respectively.
  • Heavier individuals tend to under-report weight more than lighter individuals.
  • Describing oneself as too heavy is associated with a lower likelihood of under-reporting weight.
  • Social norms regarding body weight may counteract misreporting biases.
  • Underweight subjects had the highest prevalence of accurately estimated BMI.
  • Normal range subjects had a weak negative bias in self-reported BMI.
  • Obese subjects were the least likely to have accurate self-reported BMI estimates.
  • The methodology developed can be applied to other populations for similar studies.

Takeaway

People often lie about their weight and height to fit in, but if someone thinks they are too heavy, they are more likely to tell the truth about their weight.

Methodology

The study used logistic regression to analyze self-reported weight and height data from a nationally representative survey.

Potential Biases

The study may have biases due to self-reporting inaccuracies and the exclusion of certain demographic groups.

Limitations

The study's cross-sectional design limits causal inferences, and the population was mostly white, which may affect the generalizability of the findings.

Participant Demographics

The study included adults aged 18 and older from the Republic of Ireland, with a majority being white.

Statistical Information

P-Value

p<0.001

Confidence Interval

99%CI: 0.3-0.8

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2458-11-331

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