ArticleAmerican journal of epidemiology2018
Bias in Hazard Ratios Arising From Misclassification According to Self-Reported Weight and Height in Observational Studies of Body Mass Index and Mortality.
Article in American journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reliability of Self-Reported Height and Weight in Children: A School-Based Cross-Sectional Study and a Review.Nutrients · 2022Pooled it
- Improving the accuracy of self-reported height and weight in surveys: an experimental study.BMC medical research methodology · 2022Trial
- Economic Burden of Overweight and Obesity in Sweden: Current Estimates and Future Projections.Diabetes, obesity & metabolism · 2026Article
- Onset of exposure to workplace bullying and incident treatment with psychotropic medication - an emulated target trial with 25 309 Swedish and Danish employees.Epidemiology and psychiatric sciences · 2026Article
- The Association Between Perceived Discrimination and Body Mass Index (BMI) Among Asian American Women Before and During the COVID-19 Pandemic.International journal of environmental research and public health · 2025Article
- Impact of ERP Reliability Cutoffs on Sample Characteristics and Effect Sizes: Performance-Monitoring ERPs in Psychosis and Healthy Controls.Psychophysiology · 2025Article
- Identification of meal patterns based on energy intake distribution across the day and their associations with diet quality and body mass index.Environmental health and preventive medicine · 2025Article
- Review of codelists used to define hypertension in electronic health records and development of a codelist for research.Open heart · 2024Article
- Bidirectional associations between workplace bullying and sickness absence due to common mental disorders - a propensity-score matched cohort study.BMC public health · 2024Article
- The psychometric upgrade psychophysiology needs.Psychophysiology · 2024Review
- Pancreatic Tumor Organoid-Derived Factors from Cachectic Patients Disrupt Contractile Smooth Muscle Cells.Cancers · 2024Article
- Body composition and mortality from middle to old age: a prospective cohort study from the UK Biobank.International journal of obesity (2005) · 2023Article
- Body mass index and all-cause mortality in a 21st century U.S. population: A National Health Interview Survey analysis.PloS one · 2023Article
- Self-reported and measured anthropometric variables in association with cardiometabolic markers: A Danish cohort study.PloS one · 2023Article
- Body mass index and survival after cancer diagnosis: A pan-cancer cohort study of 114 430 patients with cancer.Innovation (Cambridge (Mass.)) · 2022Article
- Paradoxical mortality of high estimated glomerular filtration rate reversed by 24-h urine creatinine excretion rate adjustment: sarcopenia matters.Journal of cachexia, sarcopenia and muscle · 2022Article
- Higher Body Mass Index Values Do Not Impact Physical Function and Lower-Extremity Muscle Strength Performance in Active Older Individuals.International journal of exercise science · 2022Article
- The impact of body mass index on one-year mortality after spinal cord injury.The journal of spinal cord medicine · 2021Article
- Utilizing genome wide data to highlight the social behavioral pathways to health: The case of obesity and cardiovascular health among older adults.Social science & medicine (1982) · 2021Article
- Mortality and Obesity Among U.S. Older Adults: The Role of Polygenic Risk.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
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Abstract
Misclassification of body mass index (BMI) categories arising from self-reported weight and height can bias hazard ratios in studies of BMI and mortality. We examined the effects on hazard ratios of such misclassification using national US survey data for 1976 through 2010 that had both measured and self-reported weight and height along with mortality follow-up for 48,763 adults and a subset of 17,405 healthy never-smokers. BMI was categorized as <22.5 (low), 22.5-24.9 (referent), 25.0-29.9 (overweight), 30.0-34.9 (class I obesity), and ≥35.0 (class II-III obesity). Misreporting at higher BMI categories tended to bias hazard ratios upwards for those categories, but that effect was augmented, counterbalanced, or even reversed by misreporting in other BMI categories, in particular those that affected the reference category. For example, among healthy male never-smokers, misclassifications affecting the overweight and the reference categories changed the hazard ratio for overweight from 0.85 with measured data to 1.24 with self-reported data. Both the magnitude and direction of bias varied according to the underlying hazard ratios in measured data, showing that findings on bias from one study should not be extrapolated to a study with different underlying hazard ratios. Because of misclassification effects, self-reported weight and height cannot reliably indicate the lowest-risk BMI category.
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