Self-reported weight and height

Implications for left ventricular hypertrophy detection. An italian multi-center study

Cesare Cuspidi, Francesca Negri, Valentina Giudici, Maria Lorenza Muiesan, Anna Maria Grandi, Antonello Ganau, Laura Lonati, Daniela Degli Esposti, Anna Capra, Alberto Milan, Carla Sala, Marcella Longo, Alberto Morganti

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We examined the difference between self-reported and measured body size values and their impact on detection of left ventricular hypertrophy (LVH) by echocardiographic LV mass indexation. A total of 1963 subjects referred by their practitioners for routine echocardiographic examination to nine outpatient echocardiographic laboratories across Italy were included in the study. Left ventricular hypertrophy was defined according to two gender-specific criteria as: A) Left ventricular mass (LVM) index ≥49 g/h2.7 in men and ≥45 g/h2.7 in women; B) LVM index ≥125 g/m2 in men and ≥110 g/m2 in women. Prevalence of LVH was calculated by indexing LVM to both self-reported and measured anthropometric values. In the whole population, LVH tended to be underestimated by self-reported values by 5.4% according to criterion A (48.5% vs. 53.9%, p <0.001) and by 1.2% according to criterion B (29.6% vs. 30.8%, p <0.01); similar findings were observed in the hypertensive subgroup encompassing one-half of the sample. Underestimation of LVH was more pronounced in older patients than in younger patients: 8.6% vs. 3.2% (p <0.001) by criterion A, 3.1% vs. 0.1% (p <0.001) by criterion B, in women than in men (8.6% vs. 3.3% (p <0.001) by criterion A and 1.8% vs. 0.5% (p <0.01) by criterion B. In a sample of outpatients attending echocardiographic laboratories, LVH is misclassified when left ventricular mass is normalized to self-reported weight and height. The error is related to the clinical characteristics of patients and is more pronounced when LVM is normalized to height2.7.

Original languageEnglish
Pages (from-to)192-201
Number of pages10
JournalClinical and Experimental Hypertension
Volume33
Issue number3
DOIs
Publication statusPublished - May 2011

Fingerprint

Left Ventricular Hypertrophy
Weights and Measures
Outpatients
Body Size
Italy
Population

Keywords

  • body height
  • body weight
  • echocardiography
  • left ventricular hypertrophy
  • self-reporting

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology

Cite this

Self-reported weight and height : Implications for left ventricular hypertrophy detection. An italian multi-center study. / Cuspidi, Cesare; Negri, Francesca; Giudici, Valentina; Muiesan, Maria Lorenza; Grandi, Anna Maria; Ganau, Antonello; Lonati, Laura; Esposti, Daniela Degli; Capra, Anna; Milan, Alberto; Sala, Carla; Longo, Marcella; Morganti, Alberto.

In: Clinical and Experimental Hypertension, Vol. 33, No. 3, 05.2011, p. 192-201.

Research output: Contribution to journalArticle

Cuspidi, C, Negri, F, Giudici, V, Muiesan, ML, Grandi, AM, Ganau, A, Lonati, L, Esposti, DD, Capra, A, Milan, A, Sala, C, Longo, M & Morganti, A 2011, 'Self-reported weight and height: Implications for left ventricular hypertrophy detection. An italian multi-center study', Clinical and Experimental Hypertension, vol. 33, no. 3, pp. 192-201. https://doi.org/10.3109/10641963.2010.531852
Cuspidi, Cesare ; Negri, Francesca ; Giudici, Valentina ; Muiesan, Maria Lorenza ; Grandi, Anna Maria ; Ganau, Antonello ; Lonati, Laura ; Esposti, Daniela Degli ; Capra, Anna ; Milan, Alberto ; Sala, Carla ; Longo, Marcella ; Morganti, Alberto. / Self-reported weight and height : Implications for left ventricular hypertrophy detection. An italian multi-center study. In: Clinical and Experimental Hypertension. 2011 ; Vol. 33, No. 3. pp. 192-201.
@article{43cbcd867bf6449db9a7bfe4cba0f9d8,
title = "Self-reported weight and height: Implications for left ventricular hypertrophy detection. An italian multi-center study",
abstract = "We examined the difference between self-reported and measured body size values and their impact on detection of left ventricular hypertrophy (LVH) by echocardiographic LV mass indexation. A total of 1963 subjects referred by their practitioners for routine echocardiographic examination to nine outpatient echocardiographic laboratories across Italy were included in the study. Left ventricular hypertrophy was defined according to two gender-specific criteria as: A) Left ventricular mass (LVM) index ≥49 g/h2.7 in men and ≥45 g/h2.7 in women; B) LVM index ≥125 g/m2 in men and ≥110 g/m2 in women. Prevalence of LVH was calculated by indexing LVM to both self-reported and measured anthropometric values. In the whole population, LVH tended to be underestimated by self-reported values by 5.4{\%} according to criterion A (48.5{\%} vs. 53.9{\%}, p <0.001) and by 1.2{\%} according to criterion B (29.6{\%} vs. 30.8{\%}, p <0.01); similar findings were observed in the hypertensive subgroup encompassing one-half of the sample. Underestimation of LVH was more pronounced in older patients than in younger patients: 8.6{\%} vs. 3.2{\%} (p <0.001) by criterion A, 3.1{\%} vs. 0.1{\%} (p <0.001) by criterion B, in women than in men (8.6{\%} vs. 3.3{\%} (p <0.001) by criterion A and 1.8{\%} vs. 0.5{\%} (p <0.01) by criterion B. In a sample of outpatients attending echocardiographic laboratories, LVH is misclassified when left ventricular mass is normalized to self-reported weight and height. The error is related to the clinical characteristics of patients and is more pronounced when LVM is normalized to height2.7.",
keywords = "body height, body weight, echocardiography, left ventricular hypertrophy, self-reporting",
author = "Cesare Cuspidi and Francesca Negri and Valentina Giudici and Muiesan, {Maria Lorenza} and Grandi, {Anna Maria} and Antonello Ganau and Laura Lonati and Esposti, {Daniela Degli} and Anna Capra and Alberto Milan and Carla Sala and Marcella Longo and Alberto Morganti",
year = "2011",
month = "5",
doi = "10.3109/10641963.2010.531852",
language = "English",
volume = "33",
pages = "192--201",
journal = "Clinical and Experimental Hypertension",
issn = "1064-1963",
publisher = "Informa Healthcare",
number = "3",

}

TY - JOUR

T1 - Self-reported weight and height

T2 - Implications for left ventricular hypertrophy detection. An italian multi-center study

AU - Cuspidi, Cesare

AU - Negri, Francesca

AU - Giudici, Valentina

AU - Muiesan, Maria Lorenza

AU - Grandi, Anna Maria

AU - Ganau, Antonello

AU - Lonati, Laura

AU - Esposti, Daniela Degli

AU - Capra, Anna

AU - Milan, Alberto

AU - Sala, Carla

AU - Longo, Marcella

AU - Morganti, Alberto

PY - 2011/5

Y1 - 2011/5

N2 - We examined the difference between self-reported and measured body size values and their impact on detection of left ventricular hypertrophy (LVH) by echocardiographic LV mass indexation. A total of 1963 subjects referred by their practitioners for routine echocardiographic examination to nine outpatient echocardiographic laboratories across Italy were included in the study. Left ventricular hypertrophy was defined according to two gender-specific criteria as: A) Left ventricular mass (LVM) index ≥49 g/h2.7 in men and ≥45 g/h2.7 in women; B) LVM index ≥125 g/m2 in men and ≥110 g/m2 in women. Prevalence of LVH was calculated by indexing LVM to both self-reported and measured anthropometric values. In the whole population, LVH tended to be underestimated by self-reported values by 5.4% according to criterion A (48.5% vs. 53.9%, p <0.001) and by 1.2% according to criterion B (29.6% vs. 30.8%, p <0.01); similar findings were observed in the hypertensive subgroup encompassing one-half of the sample. Underestimation of LVH was more pronounced in older patients than in younger patients: 8.6% vs. 3.2% (p <0.001) by criterion A, 3.1% vs. 0.1% (p <0.001) by criterion B, in women than in men (8.6% vs. 3.3% (p <0.001) by criterion A and 1.8% vs. 0.5% (p <0.01) by criterion B. In a sample of outpatients attending echocardiographic laboratories, LVH is misclassified when left ventricular mass is normalized to self-reported weight and height. The error is related to the clinical characteristics of patients and is more pronounced when LVM is normalized to height2.7.

AB - We examined the difference between self-reported and measured body size values and their impact on detection of left ventricular hypertrophy (LVH) by echocardiographic LV mass indexation. A total of 1963 subjects referred by their practitioners for routine echocardiographic examination to nine outpatient echocardiographic laboratories across Italy were included in the study. Left ventricular hypertrophy was defined according to two gender-specific criteria as: A) Left ventricular mass (LVM) index ≥49 g/h2.7 in men and ≥45 g/h2.7 in women; B) LVM index ≥125 g/m2 in men and ≥110 g/m2 in women. Prevalence of LVH was calculated by indexing LVM to both self-reported and measured anthropometric values. In the whole population, LVH tended to be underestimated by self-reported values by 5.4% according to criterion A (48.5% vs. 53.9%, p <0.001) and by 1.2% according to criterion B (29.6% vs. 30.8%, p <0.01); similar findings were observed in the hypertensive subgroup encompassing one-half of the sample. Underestimation of LVH was more pronounced in older patients than in younger patients: 8.6% vs. 3.2% (p <0.001) by criterion A, 3.1% vs. 0.1% (p <0.001) by criterion B, in women than in men (8.6% vs. 3.3% (p <0.001) by criterion A and 1.8% vs. 0.5% (p <0.01) by criterion B. In a sample of outpatients attending echocardiographic laboratories, LVH is misclassified when left ventricular mass is normalized to self-reported weight and height. The error is related to the clinical characteristics of patients and is more pronounced when LVM is normalized to height2.7.

KW - body height

KW - body weight

KW - echocardiography

KW - left ventricular hypertrophy

KW - self-reporting

UR - http://www.scopus.com/inward/record.url?scp=79955432756&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955432756&partnerID=8YFLogxK

U2 - 10.3109/10641963.2010.531852

DO - 10.3109/10641963.2010.531852

M3 - Article

VL - 33

SP - 192

EP - 201

JO - Clinical and Experimental Hypertension

JF - Clinical and Experimental Hypertension

SN - 1064-1963

IS - 3

ER -