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Validation of self-reported figural drawing scales against anthropometric measurements in adults
Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Socinstr 57,POB 4002, CH-4002 Basel, Switzerland.;Univ Basel, Basel, Switzerland..
Haukeland Hosp, Dept Occupat Med, Bergen, Norway..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Respiratory Medicine and Allergology.
Haukeland Hosp, Dept Occupat Med, Bergen, Norway.;Univ Bergen, Dept Clin Sci, Bergen, Norway..
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2016 (English)In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 19, no 11, 1944-1951 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of the present study was to validate figural drawing scales depicting extremely lean to extremely obese subjects to obtain proxies for BMI and waist circumference in postal surveys.

Design: Reported figural scales and anthropometric data from a large population-based postal survey were validated with measured anthropometric data from the same individuals by means of receiver-operating characteristic curves and a BMI prediction model.

Setting: Adult participants in a Scandinavian cohort study first recruited in 1990 and followed up twice since.

Subjects: Individuals aged 38-66 years with complete data for BMI (n 1580) and waist circumference (n 1017).

Results: Median BMI and waist circumference increased exponentially with increasing figural scales. Receiver-operating characteristic curve analyses showed a high predictive ability to identify individuals with BMI > 25.0 kg/m(2) in both sexes. The optimal figural scales for identifying overweight or obese individuals with a correct detection rate were 4 and 5 in women, and 5 and 6 in men, respectively. The prediction model explained 74% of the variance among women and 62% among men. Predicted BMI differed only marginally from objectively measured BMI.

Conclusions: Figural drawing scales explained a large part of the anthropometric variance in this population and showed a high predictive ability for identifying overweight/obese subjects. These figural scales can be used with confidence as proxies of BMI and waist circumference in settings where objective measures are not feasible.

Place, publisher, year, edition, pages
2016. Vol. 19, no 11, 1944-1951 p.
Keyword [en]
Anthropometric, Figural scale, BMI, Figural stimuli, Waist circumference, Observational study, Obesity, Overweight, Validation
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-303116DOI: 10.1017/S136898001600015XISI: 000380897300004PubMedID: 26879067OAI: oai:DiVA.org:uu-303116DiVA: diva2:971263
Swedish Heart Lung FoundationForte, Swedish Research Council for Health, Working Life and WelfareSwedish Asthma and Allergy Association

De två sista författarna delar sistaförfattarskapet.

Available from: 2016-09-15 Created: 2016-09-15 Last updated: 2016-09-15Bibliographically approved

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Janson, ChristerLindberg, EvaNorback, DanWieslander, Gunilla
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