title: Self-measured waist circumference in older patients with heart failure: a study of validity and reliability using a MyoTape.
abstract: OBJECTIVE
  Evidence supports the use of waist circumference (WC) as an important clinical measure of body composition and obesity-related health risk. Self-monitoring of WC may be problematic for older persons, especially for those with a chronic illness such as heart failure (HF). No studies to date have measured the accuracy of self-measured WC in older persons with HF. Therefore, the objective of this study was to determine the reliability and validity of self-measured WC in older patients with HF.
  
  
  METHODS
  The reliability of self-measured WC was evaluated over 7 days in 100 older (65-93 years) men and women with HF. The validity and accuracy of self-measured WC in comparison with technician-measured WC was evaluated in a second group of 45 men and women (40-91 years) recruited from a HF clinic.
  
  
  RESULTS
  Reliability results identified a high intraclass correlation between the 7 self-measurements (r = 0.99, P < .0001). The validity analysis yielded a correlation of 0.98 between self- and technician-measured WC (P < .0001). Mean differences between technician- and self-measurement were insignificant (0.60 cm; 95% CI: -0.35-1.50). Limits of agreement were -5.5 to 6.7 cm and indicated no systematic differences between self- and technician-measured WC. Ninety-six percent of participants were able to correctly classify themselves into the appropriate WC risk category.
  
  
  CONCLUSIONS
  Results indicate that a single self-measurement of WC is reliable. Validation results indicate that WC self-measured by older HF patients may be appropriate for large epidemiologic studies. However, the large limits of agreement suggest that self-measured WC may not be adequately sensitive for monitoring individual changes.
authors.affiliation: Department of Community Health and Epidemiology, Queen's University, Kingston, ON, Canada.
authors.forename: Stephanie A
authors.initials: SA
authors.lastname: Prince
authors.forename: Ian
authors.initials: I
authors.lastname: Janssen
authors.forename: Joan E
authors.initials: JE
authors.lastname: Tranmer
mesh_terms: D000005:Abdomen / Q000033:anatomy & histology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001835:Body Weight; D005260:Female; D006333:Heart Failure / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012648:Self Care