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首页> 外文期刊>Journal of public health management and practice: JPHMP >Self-reported health parameters compared with clinician measurements: Methods in practice-based research
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Self-reported health parameters compared with clinician measurements: Methods in practice-based research

机译：自我报告的健康参数与临床医生的测量结果比较：基于实践的研究方法

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Context: Self-reported health data are used by health insurance companies to assess risk. Most studies show underreporting compared with clinical measurements. OBJECTIVE: To compare self-reported height, weight, blood pressure, waist circumference, and dietary intake with registered dietitian's (RD's) measures of the same parameters. Design: This is a secondary analysis of data collected in a larger study on the benefits of Medical Nutrition Therapy from an RD for overweight and obese patients when provided free of charge through an insurance benefit. SETTING: Participants completed a health risk assessment survey at home, from which the self-reported measures were extracted. The clinical measurements were taken by an RD in the office during a visit for Medical Nutrition Therapy. PARTICIPANTS: Participants were 81.4%female, with a mean body mass index of 35.0. All were insured and had a least 1 visit with an RD. MAIN OUTCOME MEASURE(S): Main outcomes were correlation between self-reported and RD-measured height, weight, body mass index, blood pressure, and waist circumference. Blood pressure was categorized as normal or high and the κ statistic was used to examine category agreement between the 2 measures. Servings of food groups were compared between the 2 measures by examining cumulative percent within 0, 1, or 2 servings of the RD-measured value. Results: The 2 measures of height and weight were highly correlated (0.974 and 0.986, respectively). Blood pressure was more weakly correlated and when categorized had low κ scores, as did servings of food groups. CONCLUSIONS: Height and weight were more closely correlated than in previous studies. In an insured population enrolled in a weight management program, self-reported measures may be accurate for determining program impact. Blood pressure may be better collected categorically than continuously. The necessity of food intake assessment on a risk assessment should be reconsidered.
机译：背景：健康保险公司使用自我报告的健康数据来评估风险。与临床测量结果相比，大多数研究显示报告不足。目的：将自我报告的身高，体重，血压，腰围和饮食摄入与相同参数的注册营养师（RD）进行比较。设计：这是对一项较大研究中收集的数据的辅助分析，该研究是通过RD保险免费提供的，超重和肥胖患者从RD进行的医学营养疗法的益处。地点：参与者在家中完成了健康风险评估调查，并从中提取了自我报告的措施。临床测量是由RD在办公室进行医疗营养治疗期间进行的。参加者：女性为81.4％，平均体重指数为35.0。所有的人都已投保，并且至少接受了RD的1次就诊。主要观察指标：主要结果是自我报告的体重与RD测量的身高，体重，体重指数，血压和腰围之间的相关性。血压分为正常血压或高血压，并使用κ统计量检查这两种测量之间的类别一致性。通过检查RD测量值的0、1或2份内的累积百分比，比较了这两种方法中食物组的份量。结果：身高和体重的两个量度高度相关（分别为0.974和0.986）。血压的相关性较弱，分类时的κ得分较低，食物组也是如此。结论：身高和体重比以前的研究更紧密相关。在参加体重管理计划的被保险人群中，自我报告的测量值可能对于确定计划影响是准确的。可以比连续收集更好地分类收集血压。应该重新考虑对食物摄入量进行风险评估的必要性。

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