Is School-Based Height and Weight Screening of Elementary Students Private and Reliable?

摘要

The Institute of Medicine recommends school-based body mass index (BMI) screeningnas an obesity prevention strategy. While school nurses have provided height/weight screeningnfor years, little has been published describing measurement reliability or process. This study evaluatednthe reliability of height/weight measures collected by school nurses and the privacy of thenmeasurement process. Interrater reliability for height/weight measures was computed on 70 elementarynstudents, comparing measurements collected by a trained researcher to those collectednby 7 school nurses. Students arrived in small groups to private measurement spaces. Height agreementnwas 80% for younger and 85% for older students. Agreement for weight was 97% and 100%,nrespectively. Reliability for weight was very good. Reliability for height was good, but results suggestncareful attention to the collection process is required. Nurses may benefit from regular trainingnon measurement procedures. The results of this study suggest that school nurses provide BMInscreening that is private and reliable.