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Do overweight people remove their shoes before being weighed,[link widoczny dla zalogowanych]
Casual observation and discussion with colleagues led me to the hypothesis that patients who are overweight tend to remove their shoes before being weighed by their doctor. I thought that this action was probably an attempt to reduce the reading on the scales. I tested this hypothesis by measuring the body mass index of patients who needed to be weighed as part of their management and noting whether they removed their shoes unprompted. To my knowledge,[link widoczny dla zalogowanych], no such study has previously been performed.
During the autumn of 1996 I weighed 122 consecutive patients as part of their normal management. I used the same set of scales throughout the study,[link widoczny dla zalogowanych], and each patient was weighed only once. Weights were recorded in kilograms. Patients were excluded from the study if they had difficulty in removing their shoes owing to stiffness,[link widoczny dla zalogowanych], pain,[link widoczny dla zalogowanych], hand disorders,[link widoczny dla zalogowanych], or general debility. Patients were also excluded from the study if their choice of footwear would be abnormally difficult to remove because of complex lacing systems,[link widoczny dla zalogowanych], if they wore boots higher than the ankle,[link widoczny dla zalogowanych], or if their footwear was dirty.
I did not seek patients' consent to the study because the results were anonymous and would not have affected their management. I did not suggest that patients remove their footwear before being weighed but simply asked them to step on to the scales. If patients asked me whether they should remove their shoes I replied,[link widoczny dla zalogowanych], "Whatever,[link widoczny dla zalogowanych]," with a Gallic shrug. I took the height in metres as recorded in the notes if it had been measured within the previous five years. If this was unavailable I measured the patient's height using a standard height measure mounted on the wall. I calculated body mass index as weight (kg)/(height (m))2.
Seventy four (61%) patients kept their shoes on and had a mean body mass index of 27.8 (SD 6.0),[link widoczny dla zalogowanych], whereas 48 (39%) patients removed their shoes and had a mean body mass index of 28.8 (6.0). Comparison of the two group means by Student's t test showed no significant difference between them. The average weight of 22 pairs of shoes is 640 g (unpublished data),[link widoczny dla zalogowanych], and allowance for this did not affect the significance of the results.相关的主题文章：


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