Validation of self-report measures of physical activity: a case study using the New Zealand Physical Activity Questionnaire

Accurate measurement of physical activity is fundamentally important in epidemiological research of physical activity behavior A widely used telephone-based physical activity questionnaire was compared with other methods of administration and objective measures (pedometers and accelerometers) among 80 adults (43 women). The telephone questionnaire was comparable to both the self-administered form and international telephone-administered equivalent. Although moderate correlation coefficients with objective measures supported the use of the questionnaire, wide prediction intervals generated using Bland Altman methods highlighted large discrepancies between the measures, particularly in the moderate intensity category. These findings illustrate the limitations of correlation coefficients in validation studies and the inaccuracy of self-report questionnaires in measuring physical activity.     

Validating the multimedia activity recall for children and adolescents in a large New Zealand sample

Abstract

The aim of the study was to validate the self-report Multimedia Activity Recall for Children and Adolescents (MARCA) against accelerometry for the assessment of physical activity in New Zealand children. Participants (n = 716, 10–18 years) recalled 3–4 days of activity using the MARCA and underwent a partially overlapping 7-day accelerometry protocol during a national survey. Spearman correlation coefficients (ρ) assessed the association between accelerometer-derived counts per minute and MARCA-derived physical activity level and time in locomotion. Both data sources estimated time spent in light and moderate–vigorous physical activity. Association and agreement between methods for light physical activity and moderate–vigorous physical activity was assessed using correlations and Bland–Altman plots respectively, and paired t-tests conducted. Accelerometer-derived activity counts were moderately correlated with both MARCA-derived physical activity level and locomotion (ρ = 0.38, P < 0.0001). The correlation between methods was –0.14 for light physical activity and 0.28 for moderate–vigorous physical activity (P < 0.0001). The MARCA overestimated moderate–vigorous physical activity compared with accelerometry (120 min, P < 0.0001), which increased as moderate–vigorous physical activity time increased. Some sex and ethnicity (Māori [indigenous] versus non-Māori) differences were observed. Overall, the MARCA indicated moderate validity for assessment of physical activity level, locomotion and moderate–vigorous physical activity and poor validity for assessment of light physical activity. This was comparable to other self-report tools. The MARCA has utility for future large-scale research.     

Validation of a short physical activity recall questionnaire completed by Spanish adolescents

Abstract

Self-report recall questionnaires are commonly used to measure physical activity in children and adolescents. However, they have been shown to have low to moderate validity, mainly due to inaccuracies in recall activity. The purpose of the present study was to determine the reliability and validity of an adapted version of the Assessment of Physical Activity Levels Questionnaire (APALQ) among a sample of Spanish adolescents. Test–retest reliability of the APALQ was assessed using a sample of 150 adolescents (72 males, 78 females), aged 13.6±1.1 years, who answered the APALQ twice within 7 days. Criterion validity was assessed using a sample of 77 adolescents (50 males, 27 females), aged 13.6±1.1 years, by comparing the APALQ against the Computer Science and Application (CSA) monitor. All participants were volunteers recruited from local schools in the Aragon region of Spain. Test–retest reliability for all items was high with intra-class coefficients of 0.77 for boys and 0.74 for girls. The APALQ demonstrated modest criterion validity with Pearson correlation coefficients (r) ranging from 0.53 between Physical Activity Index (PAI) and CSA minutes of moderate and vigorous physical activity, and 0.47 between PAI and CSA steps per day. When the data were analysed by gender, girls had higher correlations than boys (P < 0.01). The Spanish APALQ seems to be a valid and reliable short self-report physical activity questionnaire.     

International Physical Activity Questionnaire: Reliability and validity in a Spanish population

Abstract

Although questionnaires are useful for evaluating patterns of physical activity in populations, they need to be validated. The objective of this study was to determine the validity and reliability of the long version of the International Physical Activity Questionnaire (IPAQ) in a Spanish population. The participants wore a uniaxial MTI Actigraph (Computer Science and Application, Inc.) accelerometer for 7 days and self-completed the IPAQ questionnaire twice, to assess its reliability. Criterion validity was assessed by comparing data from the IPAQ and data from the MTI. The final sample included 54 adults for the validity analysis and 66 adults for the reliability analysis. The correlations (r) between the IPAQ and the accelerometer were 0.29 (P<0.05) for total physical activity (MET · min^?1 · day^?1) versus total counts per minute, 0.30 (P<0.05) for time spent in vigorous activity, and 0.34 (P<0.05) for time spent sitting. The IPAQ showed a good reliability coefficient for total physical activity (r=0.82, P<0.05), vigorous activity (r=0.79, P<0.05), moderate activity (r=0.83, P<0.05), and time spent walking (r=0.73, P<0.05). Total time spent on work-related physical activities (r=0.92, P<0.05), on household-related activities (r=0.86, P<0.05), and leisure-time physical activities (excluding walking) (r=0.82, P<0.05) showed good reliability coefficients. Bland Altman analysis showed that discrepancies between the two methods increased with the amount of moderate and vigorous physical activity undertaken. In conclusion, the long version of the IPAQ has acceptable validity for the measurement of total and vigorous physical activity, and good reliability coefficients for application in the Spanish population studied here. The questionnaire showed poor validity for reporting moderate-intensity activity in this Spanish population.     

Benefits of achieving vigorous as well as moderate physical activity recommendations: Evidence from heart rate complexity and cardiac vagal modulation

Abstract

The aim of this study was to examine differences in traditional heart rate variability measurements and heart rate complexity (sample entropy) in young adults grouped by objectively measured achievement of either moderate or both moderate and vigorous physical activity recommendations. Of 168 young adults tested (86 females, 82 males; age 20.5 ± 1.2 years), 119 achieved only recommendations for moderate physical activity (moderate group) and 49 achieved recommendations for both moderate and vigorous physical activity (vigorous group). Analysis of covariance controlling for sex, weekly minutes of moderate physical activity, and percentage of body fat was used to assess between-group differences in heart rate variability and heart rate complexity. Logistic regression analysis was used to determine the group characteristics that best predicted high heart rate complexity and vagal indices of heart rate variability. The majority of the autonomic measures were higher (P < 0.05) in the vigorous group, and regression analysis showed that vigorous physical activity was the only multivariate predictor of higher heart rate complexity and higher heart rate variability. Young adults engaged in regular vigorous physical activity were more than twice as likely to have high heart rate complexity than those involved in predominantly moderate exercise. These findings suggest that vigorous physical activity is more closely associated with high heart rate complexity than moderate physical activity in young adults.     

Quantifying Moderate to Vigorous Physical Activity in High School Physical Education: A Pedometer Steps/Minute Standard

The primary objective of this research was to quantify the recommended minimum level (i.e., 50% of the class time) of moderate to vigorous physical activity within high school physical education via pedometry steps/min. A secondary objective was to explore the influence of lesson duration (i.e., traditional vs. block schedules) on quantifying moderate to vigorous physical activity via steps/min. Data (N = 218) were collected from 27 physical education classes taught by 10 certified physical educators in 6 schools. Physical activity measures were steps/min, percent of time engaged in moderate to vigorous physical activity (%MVPA), and time engaged in moderate to vigorous physical activity (MVPAtime, min.). Steps/min and %MVPA were strongly associated for all data and traditional and block schedules (r ≥ .94, p ≤ .01). Diagnostic statistics suggest that steps/min accurately discriminates between achievement and non-achievement of the 50% moderate to vigorous physical activity criterion. A steps/min interval of 82 to 83 was the most accurate indicator of the 50% criterion for all data. Steps/min and MVPAtime were strongly associated for traditional and block schedules independently (r ≥ .93, p ≤ .01) but not for all data combined (r ≥ .64, p ≤ .01). In conclusion, steps/min accurately quantifies the 50% moderate to vigorous physical activity criterion in high school physical education, and it is recommended as a physical education physical activity surveillance measure.     

Daily physical activity and sports participation among children from ethnic minorities in Denmark

Abstract

The purpose of this study was to investigate whether Danish children from immigrant backgrounds are less physically active than children from the ethnic majority, and to investigate the possible reasons for any differences found. Accelerometer measures of physical activity as well as questionnaire data about organised sports, family demography, resources and values were collected from 594 children of whom 67 had other ethnic background than Danish. Data were collected when the children were 6–7 years old and again later when the children were 9–10 years old. It was found that children from immigrant backgrounds were not less physically active than other children when their amounts of daily physical activity were measured by direct objective measures, despite their participation rate in organised sports being much lower. Using multiple logistic regression modelling, this study showed that lack of parental experience with organised sports and lack of economic/material resources explained much of the difference in sports participation. Children of immigrant background had significant lower participation in club sports but this did not affect their overall physical activity level.     

A Reply to Chromiak and Stone

Abstract

Influence from parents and friends on adolescents' self-reported level of leisure-time physical activity was examined through measures of (a) perceived leisure-time physical activity of parents and best friend, (b) perceived direct support for physical activity from parents and friends, (c) direct help from parents in exercising vigorously, and (d) perceived value of physical activity of parents and friends. The present analysis included 904 students in western Norway (M age 13.3 years, SD 0.3) who took part in a health behavior survey, which included questions regarding physical activity. Students completed a confidential questionnaire at school All four measures of influence were positively related to students' activity levels. None of the examined measures was clearly stronger than the other. Parental and peer physical activity level and parental and peer support for physical activity seem to influence the reported physical activity level of the respondents. The findings indicate that, by serving as models and supporters, significant others have an important impact in promoting physical activity in young adolescents.     

Validation of a one-day self-report questionnaire for physical activity assessment in healthy adults

Abstract

A self-report physical activity scale (PAS) has previously been developed to document physical activity (MET-hours) undertaken by adults during an average weekday. The current study aimed to validate the PAS over 24 hours via pedometer determinations of physical activity in healthy, active adults, and to determine possible influences of gender and body mass status on this relationship. One-hundred and seven healthy university students (age 18–41 years) wore a pedometer (Yamax DigiWalker SW-700) during the waking hours of an average weekday followed by successful completion of the PAS. Relationships between the PAS and pedometer measures (steps taken and energy expenditure) were examined by Pearson's correlation coefficients. Significant (P<0.05) gender and body mass status differences were examined by two-way analysis of variance with Tukey post-hoc tests. Participants reported 48.0±10.4 MET-hours of activity, completed 11,506±4195 steps, and expended 499±227 kcal during an average weekday. Physical activity measures, except energy expenditure, were similar across groups by gender and body mass status. The total number of MET-hours was significantly associated with pedometer steps taken (r=0.375–0.568, P<0.01), and this relationship varied by gender and to a lesser extent by body mass status. The results of the current study show that the self-reported physical activity of healthy active adults was in line with the popular recommended dose of daily physical activity (10,000 steps per day) and was not influenced by gender or body mass status. Furthermore, over an average weekday, the PAS provided a simple, quick, and valid method to document physical activity undertaken by young healthy active adults that is comparable to pedometer readings.     

Assessing Sitting Across Contexts: Development of the Multicontext Sitting Time Questionnaire

Purpose: To describe the development and preliminary evaluation of the Multicontext Sitting Time Questionnaire (MSTQ). Method: During development of the MSTQ, contexts and domains of sitting behavior were utilized as recall cues to improve the accuracy of sitting assessment. The terms “workday” and “nonworkday” were used to disambiguate occupational and discretionary sitting. An expert panel evaluated content validity. Among 25 participants, test–retest reliability of the MSTQ items was assessed with intraclass correlation coefficients (ICCs). Convergent validity was assessed versus relative and absolute accelerometer-estimated sedentary time and activity log using Pearson (r) or Spearman (ρ) correlation coefficients where appropriate. Results: Pilot testing revealed Web-based MSTQ administration was rapid, scalable, and inexpensive. Most items in the MSTQ demonstrated acceptable reliability (ICCs>.70). Compared with accelerometer-estimated sedentary time relative to total wear time, the MSTQ exhibited a low correlation on workdays (r = .34) and a moderately high correlation on nonworkdays (r = .61). Conclusions: The systematic development of the MSTQ resulted in several improvements over previous tools and may serve as a model for purpose-driven questionnaire design. Additional validation is needed to conclusively determine the utility of the MSTQ.     

Tracking of Physical Fitness Components from Childhood to Adolescence: A Longitudinal Study

ABSTRACT

Childhood physical fitness relative to adult health outcomes coupled with scant longitudinal research indicates that tracking of fitness components throughout childhood/adolescence is imperative. The study examined the stability/tracking of 9 measures of fitness for boys and girls at 5 points throughout childhood/adolescence. Tracking coefficients between individual fitness measures at various age comparisons were calculated. Using a sample with recorded data at 4 time-points, tertiles (high, moderate, low) were calculated for each fitness measure for boys and girls. Stability of fitness measures was calculated. Boys outperformed girls on fitness measures at most time points. Significantly low to moderately high tracking coefficients for each fitness measure at all time points for boys (r = .21-.79) and girls (r = .23-.89) were found. Tertile ratings remained stable across the 4 time-points. Findings highlight the importance of developing healthy fitness behaviors early in life and the significance of intervention during adolescence in low-fit youth.     

Motives for lifestyle and exercise activities: A comparison using the theory of planned behaviour

Abstract

Regular exercise and lifestyle physical activity are often used interchangeably or combined in physical activity messaging based on evidence for their relatively equivalent health outcomes. However, differences between their motivational correlates are relatively unexplored. The purpose of this study was to compare the motives towards lifestyle physical activity and exercise and their relationship with behaviour using the Theory of Planned Behaviour (TPB). The participants were a sample of undergraduate students (n=150) who completed measures of the TPB framed in terms of exercise and lifestyle physical activity and self-reported physical activity measures with similar framing. Results identified marked differences between the instrumental attitudes towards the two activities showing instrumental attitudes towards exercise to be higher (P<0.01; d=0.68). Most importantly, exercise had larger TPB–behaviour correlations (P<0.01; q=0.15–0.20) compared with lifestyle physical activity, but follow-up analyses by intensity (strenuous, moderate, mild) showed that these differences were only present at strenuous intensity. Our results suggest that the correlates for the two types of physical activity may differ. Although more research is necessary, this may affect the efficacy of promotion campaigns that do not tailor content exclusively for either exercise or lifestyle physical activity.     

Diet and Physical Activity Patterns of Obese and Nonobese Elementary School Children

Abstract

The caloric intake and physical activity patterns of 50 fifth grade students were studied to determine the relative contributions of diet and physical inactivity in the development of obesity. On the basis of tricep skinfold measurements, the subjects were divided into four groups or levels of obesity. Seven-day diet recall records were then obtained with the cooperation of the children's parents. Activity patterns were studied by filming the subjects during games of high and low organization and during free play. Indexes of the duration and intensity of activity were derived from the film analysis. The caloric intake and physical activity patterns of the four groups were compared by the Duncan Multiple Range Test. Using the combined scores for all groups, correlation coefficients were computed to determine the relationship between (1) skinfold measures and total caloric intake, (2) skinfold measures and activity patterns, and (3) total caloric intake and activity patterns. The relative inactivity of the obese children and the relatively similar diets of all children regardless of body fat, as well as the significant negative relationship between activity indexes and body fat tended to support the contention that inactivity may be as important or more important than excessive caloric intake in the development and maintenance of childhood obesity.     

The relationship between physical activity,fitness, physical complaints and BMI in German adults – results of a longitudinal study

Objectives: This study’s aims were to describe the development of physical activity, physical fitness (PF), subjective (physical complaints (PC)) and objective (Body mass index (BMI)) health measures and to examine the relationship between the development trajectories. In addition, the study also aimed to assess the influence of sociodemographic determinants (age, sex, socioeconomic status (SES)) in German adults over a period of 18 years. Methods: The longitudinal study population comprises of 721 men and women, aged 33–76 years over the study period. There was self-report of physical activity and PC and testing of physical fitness and BMI in each study year (1992, 1997, 2002 and 2010). Latent growth curve models were used to analyse the development. Results: Physical activity slightly increased while fitness, PC and BMI worsened over the course of 18 years. Sex, age and SES play important roles concerning physical activity, fitness and health. Several integrative associations could be detected between physical activity, fitness, PC and BMI as well as their trajectories. In particular, high initial levels of physical activity and fitness protect from high PC and BMI.The slope of physical activity was not significantly associated with slopes of fitness, PC and BMI. However, increase of fitness resulted in decrease of PC. Conclusions: A general positive development regarding the amount of physical activity could be detected. However, if it is only an unsystematic increase of physical activity, this is not in itself enough to achieve health benefits. The strengthening of fitness should be focused when increasing physical activity, since only then a health benefit is possible.     

Validity and Reliability of Self Report Measures of Physical Activity: An Information-Processing Perspective

Abstract

The published data on the reliability of self report measures of physical activity most commonly used in the cardiovascular disease epidemiology literature revealed high test-retest reliability coefficients for two of the measures, and modest to nonexistent intertest correlations. Validity coefficients were low to modest. The published data on the accuracy of the self report measures, however, revealed memory decay, memory of rare events alone, and lack of motivation in memory recall. An information processing model, composed of encoding, storage, and retrieval processes is proposed to understand the memory of physical activity, and to identify necessary skills for accurate self report identified at each step in the process. Questions requiring further research to specify this model and, in turn, improve accuracy of recall, are raised.     

Comparison of physical activity estimates using International Physical Activity Questionnaire (IPAQ) and accelerometry in fibromyalgia patients: The Al-Andalus study

Abstract

The International Physical Activity Questionnaire (IPAQ) has been widely used to assess physical activity in healthy populations. The present study compared physical activity assessed by the long, self-administrated version of the International Physical Activity Questionnaire with physical activity assessed by accelerometry in patients with fibromyalgia. A total of 99 (five men) participants with fibromyalgia completed the International Physical Activity Questionnaire and wore an accelerometer for nine consecutive days. We analysed the correlations of physical activity expressed as min · day^?1 of light, moderate, vigorous, and moderate to vigorous (MVPA) intensity, as well as time spent sitting, by the International Physical Activity Questionnaire and accelerometry by Spearman correlations. Bland and Altman plots were performed to verify the agreements between both instruments. The results showed weak yet significant correlations (Rs = 0.15–0.39, all P < 0.05) in all physical activity intensities between the two instruments, except for sedentary time. The highest correlations were observed for physical activity at home or in garden (Rs = 0.297, P < 0.01). The results suggest that the long self-administrated International Physical Activity Questionnaire is a questionable instrument to assess physical activity in patients with fibromyalgia. Therefore, physical activity measurement in fibromyalgia patients should not be limited solely to self-reported measures.     

Comparison of Self-Reported and Objectively Measured Sedentary Behavior and Physical Activity in Undergraduate Students

ABSTRACT

The aim of this study was to investigate differences between estimates of sedentary behavior and physical activity (PA) from the International Physical Activity Questionnaire (IPAQ) and accelerometry in undergraduate students. 91 students participated in the study. Sedentary behavior and PA were objectively measured by an accelerometer for 7 days and then self-reported with the IPAQ. Partial correlations were used to assess associations among PA variables and participant characteristics between the methods. Agreement was assessed via the Bland–Altman method. Correlation coefficients between self-reported and objectively measured PA ranged from 0.21 to 0.38 (p≤ 0.05 for all). A higher proportion of students were classified as meeting PA guidelines via self-report compared to objective measurements. Bland–Altman plots revealed acceptable agreement between methods, however, bias was evident for all PA intensities. Sex and lean body mass impacted these differences. Researchers should exercise caution when interpreting PA assessed via the IPAQ in undergraduate students.     

Correlates of Physical Activity Behavior in Rural Youth

Abstract

The purpose of this study was to identify correlates of physical activity behavior in a sample of rural, predominantly African American youth. Three hundred sixty-one fifth-grade students from two rural counties in South Carolina (69% African American, median age = 11 years) completed a questionnaire designed to measure beliefs and social influences regarding physical activity, physical activity self-efficacy, perceived physical activity habits of family members and friends, and access to exercise and fitness equipment at home. After school physical activity and television watching were assessed using the Previous Day Physical Activity Recall (PDPAR). Students were classified as physically active according to a moderate physical activity standard: two or more 30-min blocks at an intensity of 3 METs (metabolic equivalents) or greater, and a vigorous physical activity standard: one or more 30-min blocks at an intensity of 6 METs or greater. According to the moderate physical activity standard, 34.9% of students were classified as low-active. Multivariate analysis revealed age, gender, television watching, and exercise equipment at home to be significant correlates of low activity status. According to the vigorous physical activity standard, 32.1% of the students were classified as low-active. Multivariate analysis revealed age, gender, television watching, and self-efficacy with respect to seeking support for physical activity to be significant correlates of low activity status. In summary, gender and the amount of television watching were found to be the most important correlates of physical activity in rural, predominantly African American youth.     

Validation and adaptation of the Physical Activity Enjoyment Scale (PACES) in fitness group exercisers

BackgroundRecently, Mullen et al. (2011) presented an 8-item version of the Physical Activity Enjoyment Scale (PACES) that provides a valid instrument for assessing enjoyment in physical activity. The present paper investigated the psychometric properties of a Portuguese adaptation of PACES.MethodsAfter a process of back-to-back translation into Portuguese, 395 members of fitness centers who ranged in age from 18 to 66 years (31.11 ± 8.90, mean ± SD) completed the translated version of the PACES. On average, participants had 3.2 years of experience in fitness group classes and practiced for approximately 3.3 times per week.ResultsAn initial exploratory factor analysis (n = 139) revealed a unidimensional structure with factor loadings ranging from 0.79 to 0.89. Results also showed acceptable internal consistency. A confirmatory factor analysis in an independent sample (n = 256) provided additional support for the unidimensional structure of the questionnaire. In addition, moderate positive correlations between enjoyment and intrinsic and identified regulation, and moderate negative correlations between enjoyment and external and amotivation, demonstrate the convergent validity of the instrument. Finally, measurement invariance between 2 independent samples was also found.ConclusionThe 8-item Portuguese version of PACES is a valid and reliable instrument for measuring enjoyment of physical activity in Portuguese adult fitness exercisers, and it is therefore suitable to use as a measure of affect in exercise adherence interventions studies.