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Updated: Aug 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Reliability and Repeatability of At-Home Parent-Reported Height and Weight Measurement of Young Children
Sarah Rae1,2, Charles Keown-Stoneman3,4, Eleanor Pullenayegum5
1Child Health Evaluative Sciences, The Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Ontario, Canada.
Insights
Parents can reliably measure child height and weight at home. This home-based anthropometry is repeatable and supports accessible growth monitoring in research and clinical settings.
Area of Science:
- Pediatrics
- Growth Monitoring
- Anthropometry
Background:
- Accurate anthropometric measurements are crucial for pediatric growth monitoring.
- Limited access to clinical settings can hinder in-person measurements.
- Home-based measurements offer a potential solution to accessibility issues.
Purpose of the Study:
- To assess the reliability and repeatability of parent-collected anthropometric measurements (height and weight) at home.
- To compare home-based parent measurements with those taken by trained researchers in a clinical setting.
- To evaluate the feasibility of using parent-collected data for research and clinical care.
Main Methods:
- Thirty children aged 2-5 years from the TARGet Kids! cohort participated.
- Measurements were taken by parents at home and by a pair of trained researchers in a clinic.
- Standardized instructions were provided to parents.
- Technical Error of Measurement (TEM), relative TEM (%TEM), and coefficient of reliability (R) were calculated.
Main Results:
- Parent-collected measurements demonstrated high reliability and repeatability, especially for weight.
- Bland-Altman plots indicated slightly higher variation in parent-collected height measurements, but within acceptable clinical limits.
- The study confirmed the accuracy of home-based measurements compared to researcher-collected data.
Conclusions:
- Parent-collected anthropometry at home is reliable and repeatable for monitoring child growth.
- This method enhances accessibility for pediatric research and clinical practice when in-person measurements are not feasible.
- Home-based measurements can supplement or replace clinical measurements, improving data collection efficiency.
Abstract:
Accurate anthropometric measurement is essential for monitoring child growth, yet access to in-person measurement collection can be limited. This study examines the reliability and repeatability of height and weight measurements taken at home by a single parent compared to those taken by a trained researcher team in a clinical setting. Thirty children aged 2-5 years enrolled in the TARGet Kids! cohort were measured by two trained researchers working in a pair and by their parent at home using standardized instructions. Technical error of measurement (TEM), relative TEM (%TEM), and the coefficient of reliability (R) were used to assess measurement reliability. Results demonstrated high reliability and repeatability of parent-reported measurements, particularly for weight. Bland-Altman plots showed slightly greater variation in height measurements collected by the parent at home, though still within acceptable limits. These findings support the use of parent-collected anthropometry at home, which may enhance accessibility for research and clinical care when in-person measurement is not feasible.
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