{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:12:33Z","timestamp":1761743553877},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,2,22]],"date-time":"2012-02-22T00:00:00Z","timestamp":1329868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:sec><jats:label \/><jats:p>Diabet. Med. 29, 404\u2013409 (2012)<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aims\u2002<\/jats:bold> To investigate validity of waist circumference measurements obtained by self\u2010report and self\u2010measurement with non\u2010verbal pictorial instructions among a multi\u2010ethnic population.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Five hundred and twenty\u2010six individuals aged 40\u201375\u2003years (91 South Asian, 430 White European and five other), who attended a screening programme for Type\u20032 diabetes, estimated their waist circumference and measured their waist with a paper tape measure. Participants were also provided with simple pictorial instructions for measurement of waist circumference in their preferred language and remeasured their waist circumference. We calculated 95% limits of agreement with measures undertaken by a healthcare professional unaware of prior measures.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Mean age was 56.8\u2003years (<jats:sc>sd<\/jats:sc>\u20039.0), mean BMI 30.0\u2003kg\/m<jats:sup>2<\/jats:sup> (<jats:sc>sd<\/jats:sc>\u20035.6) and mean waist circumference 98.4\u2003cm (<jats:sc>sd<\/jats:sc>\u200314.1). Seventy\u2010nine per cent had high waist circumference according to International Diabetes Federation criteria. The mean of participants\u2019 self\u2010reported value was 6.8\u2003cm lower than the healthcare professional measure (<jats:sc>sd<\/jats:sc>\u20038.8; 95% limits of agreement \u221210.4 to 24.0\u2003cm), with significant differences by sex and ethnicity (South Asian men 7.5\u2003cm, South Asian women 0.1\u2003cm, White European men 7.8\u2003cm, White European women 7.0\u2003cm, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001). Compared with healthcare professional measures, mean self\u2010measured waist circumference was very similar, both with instructions (0.4\u2003cm higher; <jats:sc>sd<\/jats:sc>\u20035.5\u2003cm; \u221211.1 to 10.4\u2003cm) and without instructions (0.5\u2003cm lower; <jats:sc>sd<\/jats:sc>\u20035.6; \u221210.4 to 11.4\u2003cm), but with significant differences by sex and ethnicity (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.001).<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> There was systematic underestimation of self\u2010reported waist circumference in this multi\u2010ethnic UK population. The magnitude of underestimation might reduce the performance of risk scores; however, this can be corrected through self\u2010measurement with pictorial instructions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1464-5491.2011.03478.x","type":"journal-article","created":{"date-parts":[[2011,10,11]],"date-time":"2011-10-11T17:58:50Z","timestamp":1318355930000},"page":"404-409","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Validity of self\u2010assessed waist circumference in a multi\u2010ethnic UK population"],"prefix":"10.1111","volume":"29","author":[{"given":"K.","family":"Khunti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Taub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Webb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Srinivasan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Stockman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. 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