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Updated: Oct 23, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Validation of the anthropometric data reported by parents of participants in the SENDO project]
Asier Oliver Olid1, Laura Martín López1, José Manuel Moreno Villares2
1Departamento de Pediatría. Clínica Universidad de Navarra.
Insights
Parent-reported anthropometric measurements, particularly weight and height, are valid for epidemiological research. This study found high correlation and concordance between self-reported data and direct physical measurements in children.
Area of Science:
- Pediatric epidemiology
- Anthropometry
- Public health research
Background:
- Accurate anthropometric data is crucial for pediatric health monitoring and epidemiological studies.
- Self-reported measurements are often used in large-scale studies due to feasibility but require validation.
- The SENDO project (Follow-up of Children for Optimal Development) collects longitudinal data on child development.
Purpose of the Study:
- To assess the validity of self-reported somatometry data collected via an online questionnaire.
- To compare parent-reported anthropometric measurements with direct physical measurements in a pediatric cohort.
Main Methods:
- Prospective, dynamic pediatric cohort study (SENDO project).
- Comparison of baseline questionnaire data with direct measurements from 82 participants.
- Statistical analysis using intraclass correlation index (ICC) and Bland-Altman coefficient.
Main Results:
- High ICC values for weight (0.96) and height (0.95), indicating strong agreement.
- Moderate to high ICC for waist circumference (0.75) and hip circumference (0.84).
- Acceptable validity for body mass index (ICC=0.84), with Bland-Altman indices ranging from 3.7% to 8.5%.
Conclusions:
- Parent-reported anthropometric data, especially weight and height, demonstrates high validity and concordance with direct measurements.
- Self-reported measures are reliable for use in large-scale epidemiological research, particularly for commonly known measurements.
- The findings support the use of online questionnaires for collecting valid anthropometric data in pediatric cohorts.
Introduction:
Objective: to analyze the validity of self-reported somatometry data through a self-reported online questionnaire. Method: the SENDO project (Follow-up of Children for Optimal Development) is a prospective, dynamic pediatric cohort. Participants are recruited when they are between 4 and 6 years old, and followed annually through an online questionnaire. In a subsample of 82 participants, we compared the anthropometric information reported in the baseline questionnaire with the direct measurements collected by the investigating staff. To do this, we calculated the intraclass correlation index (ICC) and the Bland-Altman coefficient. Results: the ICC was 0.96 (95 % confidence interval [CI]: 0.94-0.98 for weight; 0.95 (95 % CI: 0.92-0.96) for height; 0.75 (95 % CI: 0.64-0.86) for waist circumference; and 0.84 (95 % CI: 0.76-0.89) for hip circumference. In relation to the indices calculated from these measurements, we found an ICC of 0.84 (95 % CI: 0.77-0.90) for body mass index; 0.46 (95 % CI: 0.27-0.62) for waist-hip ratio; and 0.59 (95 % CI: 0.43-0.72) for waist-height index. The Bland-Altman index ranged from 3.7 % for weight to 8.5 % for body mass index. Conclusions: we found a high correlation and concordance between the data collected in the physical exam and those reported by the parents. Our results indicate that the anthropometric measures provided by parents, especially those with which they are most familiar, are valid and can be used in epidemiological research.
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