scholarly journals Public health surveillance of habitual physical activity in adolescents and adults in Namibia: a cross-sectional validation of activity questionnaires against accelerometry

2020 ◽  
Author(s):  
Hilde L Nashandi ◽  
John J Reilly ◽  
Xanne Janssen
Keyword(s):  
Physical Activity ◽  
Adolescent Girls ◽  
Rank Order ◽  
Vigorous Physical Activity ◽  
Population Level ◽  
Self Report ◽  
Adult Women ◽  
Cross Sectional ◽  
Individual Level ◽  
Activity Questionnaires

Abstract Background Monitoring population-level physical activity is crucial for examining adherence to global guidelines and addressing obesity. This study validated self-reported moderate-to-vigorous physical activity (MVPA) against an accurate device-based method in Namibia. Methods Adolescent girls (n = 52, mean age 16.2 years [SD 1.6]) and adult women (n = 51, mean age 31.3 years [SD 4.7]) completed the PACE+/GPAQ self-report questionnaires and were asked to wear an Actigraph accelerometer for 7 days. Validity of self-reported MVPA was assessed using rank-order correlations between self-report and accelerometry, and classification ability of the questionnaires with Mann–Whitney tests, kappa’s, sensitivity and specificity. Results In the adolescents, Spearman’s rank coefficients between self-reported MVPA (days/week) and accelerometry measured MVPA were positive but not significant (r = 0.240; P = 0.104). In the adults, self-reported MVPA (minutes/day) was moderately and significantly correlated with accelerometer-measured MVPA (r = 0.396; P = 0.008). In both groups, there was fair agreement between accelerometry and questionnaire-defined tertiles of MVPA (adolescents κ = 0.267; P = 0.010; adults κ = 0.284; P = 0.008), and measured MVPA was significantly higher in the individuals self-reporting higher MVPA than those reporting lower MVPA. Conclusions The PACE+ and GPAQ questionnaires have a degree of validity in adolescent girls and adult females in Namibia, though more suitable for population than individual level measurement.

scholarly journals Validity of two brief physical activity questionnaires with accelerometers among African-American women

2015 ◽  
Vol 17 (03) ◽  
pp. 265-276 ◽  
Author(s):  
Rodney P. Joseph ◽  
Colleen Keller ◽  
Marc A. Adams ◽  
Barbara E. Ainsworth
Keyword(s):  
Physical Activity ◽  
African American ◽  
African American Women ◽  
Rank Order ◽  
Vigorous Physical Activity ◽  
Correlation Coefficients ◽  
Self Report ◽  
Predictive Values ◽  
Activity Questionnaires ◽  
Sensitivity Specificity

AimTo evaluate the validity of the Stanford Brief Activity Survey (SBAS) and Exercise Vital Sign (EVS) questionnaire against accelerometer-determined time in moderate-to-vigorous physical activity (MVPA) among African-American (AA) women.BackgroundLimited research has evaluated the validity of brief physical activity (PA) questionnaires among AA women. Since the validity of PA questionnaires may differ among members of varying racial/ethnic groups, research is needed to explore the validity of self-report PA measures among AA women.MethodsA total of 30 AA women [Mage=35.5±5.3;Mbody mass index (BMI)=31.1±7.8] wore ActiGraph GT3X+ accelerometers (ActiGraph, LLC, Pensacola FL, USA) for seven days and completed both the SBAS and EVS at two different assessment periods (T1 andT2). Criterion validity was calculated using Spearman’s rank order correlations between each questionnaire score and accelerometer-measured MVPA. Sensitivity, specificity, and positive and negative predictive values were calculated using accelerometer-measured MVPA as the criterion to determine the ability of each questionnaire to predict whether or not a participant was meeting the 2008 US PA Guidelines.FindingsSpearman correlation coefficients between questionnaire scores and minutes of accelerometer-measured MVPA were low (EVS,r=0.27 atT1 andr=0.26 atT2; SBAS,r=0.10 atT1 andr=0.28 atT2) and not statistically significant (P’s>0.05). The EVS had sensitivity, specificity, and negative and positive predictive values of 27, 89, 59, and 68% atT1 and 33, 74, 38, and 70% atT2, respectively. The SBAS had sensitivity, specificity, and negative and positive predictive values were 18, 79, 33, and 62% atT1 and 67, 58, 43, and 79% atT2. While both questionnaires may be useful in identifying AA women who do not meet the 2008 PA Guidelines, using the questionnaires to identify AA women meeting the PA Guidelines should be done with caution.

scholarly journals Concurrent comparison of energy intake and expenditure among adults in Butajira District, Ethiopia

2008 ◽  
Vol 11 (7) ◽  
pp. 675-683 ◽  
Author(s):  
Fikru Tesfaye ◽  
Peter Byass ◽  
Stig Wall
Keyword(s):  
Physical Activity ◽  
Energy Intake ◽  
Population Level ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Metabolic Energy ◽  
Sampling Frame ◽  
Cross Sectional ◽  
Dietary History ◽  
Activity Questionnaires

AbstractObjectiveTo estimate and compare dietary energy intake (DEI) and total energy expenditure (TEE) among adults, using questionnaires.DesignComparative, cross-sectional study.SettingCommunity-based, at the demographic surveillance site (DSS) in Butajira District of Ethiopia.SubjectsA total of 619 adults, 18–64 years of age, were randomly selected from among the urban and rural population of Butajira using the DSS sampling frame. Habitual dietary intake and physical activity were assessed using questionnaires. BMR was estimated using a regression equation, and TEE was calculated from BMR and the metabolic energy equivalent task (MET) and duration of reported activities. Physical activity level (PAL) was calculated as TEE/BMR, while food intake level (FIL) was calculated as DEI/BMR. The mean DEI:TEE ratio was used to evaluate reported DEI at the population level, while individual misreporters were identified by applying the Goldberg cut-off points at three levels of PAL.ResultsBased on the Goldberg method, 57 % of the study participants were identified as acceptable reporters of DEI, among whom mean TEE was 8·21 (95 % CI 8·01, 8·42) MJ (1963 (95 % CI 1914, 2012) kcal), mean DEI was 8·13 (95 % CI 7·93, 8·34) MJ (1944 (95 % CI 1895, 1993) kcal) and mean DEI:TEE was 1·01 (95 % CI 0·99, 1·04).ConclusionThe dietary history and physical activity questionnaires provide comparable estimates of mean energy intake and expenditure at a population level. Acceptable reporters have to be identified in order to obtain better estimates. Questionnaire-based estimates of energy intake should not be interpreted without an inherent system of comparison or validation.

scholarly journals The development and evaluation of a novel computer program to assess previous-day dietary and physical activity behaviours in school children: The Synchronised Nutrition and Activity ProgramTM (SNAPTM)

2008 ◽  
Vol 99 (6) ◽  
pp. 1266-1274 ◽  
Author(s):  
Helen J. Moore ◽  
Louisa J. Ells ◽  
Sally A. McLure ◽  
Sean Crooks ◽  
David Cumbor ◽  
...  
Keyword(s):  
Physical Activity ◽  
Energy Balance ◽  
Dietary Intake ◽  
Vigorous Physical Activity ◽  
Population Level ◽  
Mean Difference ◽  
Self Report ◽  
Substantial Contribution ◽  
Activity Levels ◽  
Food Groups

Self-report recall questionnaires used to measure physical activity and dietary intake in children can be labour intensive and monotonous and tend to focus on either dietary intake or physical activity. The web-based software, Synchronised Nutrition and Activity ProgramTM (SNAPTM), was developed to produce a novel, simple, quick and engaging method of assessing energy balance-related behaviours at a population level, combining principles from new and existing 24 h recall methodologies, set within a user-friendly interface. Dietary intake was measured using counts for twenty-one food groups and physical activity levels were measured in min of moderate to vigorous physical activity (MVPA). A combination of the mean difference between methods, type II regression and non-parametric limits of agreement techniques were used to examine the accuracy and precision of SNAPTM. Method comparison analyses demonstrated a good agreement for both dietary intake and physical activity behaviours. For dietary variables, accuracy of SNAPTM (mean difference) was within ± 1 count for the majority of food groups. The proportion of the sample with between-method agreement within ± 1 count ranged from 0·40 to 0·99. For min of MVPA, there was no substantial fixed or proportional bias, and a mean difference between methods (SNAPTM – accelerometry) of − 9 min. SNAPTM provides a quick, accurate, low-burden, cost-effective and engaging method of assessing energy balance behaviours at a population level. Tools such as SNAPTM, which exploit the popularity, privacy and engagement of the computer interface, and linkages with other datasets, could make a substantial contribution to future public health monitoring and research.

Perceptions of Neighborhood Safety and Physical Activity Among Youth: The CLAN Study

2008 ◽  
Vol 5 (3) ◽  
pp. 430-444 ◽  
Author(s):  
Alison Carver ◽  
Anna Timperio ◽  
David Crawford
Keyword(s):  
Physical Activity ◽  
Adolescent Girls ◽  
Road Safety ◽  
Vigorous Physical Activity ◽  
Cross Sectional Study ◽  
After School ◽  
Parental Perception ◽  
Personal Safety ◽  
Neighborhood Safety ◽  
Cross Sectional

Background:The purpose of this study was to examine associations between perceptions of neighborhood safety and physical activity among youth.Methods:We completed a cross-sectional study of children age 8 to 9 years (n = 188) and adolescents age 13 to 15 years (n = 346) in areas of varying socioeconomic status in Melbourne, Australia. Parents and adolescents completed questionnaires on perceptions of neighborhood safety. Scores were computed for perceptions of road safety, incivilities, and personal safety of the child or adolescent. Moderate-to-vigorous physical activity (MVPA) before or after school, on evenings, and on weekends was recorded using accelerometers.Results:There were no associations between parental perceptions of neighborhood safety and children’s MVPA outside school hours. Parental perception of personal safety was positively associated with adolescent boys’ MVPA after school. Adolescent girls’ concern about road safety was negatively associated with their MVPA during evenings and outside school hours.Conclusion:Perceptions of neighborhood safety might influence physical activity among youth in different ways according to age group and sex.

scholarly journals Association among dysmenorrhea and activity limitation and participation restrictions in adult women: a cross-sectional study, Brazil -2017

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Luana Brito dos Santos ◽  
Caroline Wanderley Souto Ferreira ◽  
Caroline Gomes Gonçalves ◽  
Mikaela Aparecida de Oliveira Xavier ◽  
Jardelina Hermecina Dantas ◽  
...  
Keyword(s):  
Physical Activity ◽  
Effect Size ◽  
Cross Sectional Study ◽  
Activity Limitation ◽  
Self Report ◽  
World Health ◽  
Adult Women ◽  
Sectional Study ◽  
Cross Sectional ◽  
Participation Restrictions

Abstract Background The present study aims to analyse if dysmenorrhea is associated with activity limitations and participation restrictions in experencied by adult women. Methods This is a cross-sectional study carried out with adult women recruited from primary health services in Brazil between 2016 and 2017. Dysmenorrhea was measured via a self-report and the activity limitation and participation restrictions was assessed by the World Health Disability Assessment Schedule (WHODAS2.0). Pain and level of physical activity were assessed, respectively, by the numerical pain rating scale and International Physical Activity Questionnaire (IPAQ), short version. Associations between groups, dysmenorrhea and without dysmenorrhea (WD), were analysed by the median difference, Mann Whitney test, effect size measures and 95 % confidence interval. Statistical significance was p <0.05. Results The prevalence of dysmenorrhea was 54 %. The pain lasted an average of three days or more (66 %). The average pain intensity, in the crisis period, was 6.1 ± 2.6, women who presented severe pain complaints were associated with considerable difficulties in their domains of mobility (p = 0.003; 2 = 0.115), participation (p = 0.030; 2 = 0.063) and total score (p = 0.012; 2 = 0.086), with a moderate effect size for all variables. Conclusions Severe dysmenorrhea was associated with higher scores of disabilities assessed by the WHODAS 2.0, especially in mobility, and participation domains.

scholarly journals Testing Self-Report Time-Use Diaries against Objective Instruments in Real Time

2019 ◽  
Vol 50 (1) ◽  
pp. 318-349 ◽  
Author(s):  
Jonathan Gershuny ◽  
Teresa Harms ◽  
Aiden Doherty ◽  
Emma Thomas ◽  
Karen Milton ◽  
...  
Keyword(s):  
Physical Activity ◽  
Time Use ◽  
Large Scale ◽  
Population Level ◽  
Self Report ◽  
Objective Criterion ◽  
Diary Studies ◽  
Aggregate Sample ◽  
Metabolic Equivalent Of Task ◽  
Activity Questionnaires

This study provides a new test of time-use diary methodology, comparing diaries with a pair of objective criterion measures: wearable cameras and accelerometers. A volunteer sample of respondents ( n = 148) completed conventional self-report paper time-use diaries using the standard UK Harmonised European Time Use Study (HETUS) instrument. On the diary day, respondents wore a camera that continuously recorded images of their activities during waking hours (approximately 1,500–2,000 images/day) and also an accelerometer that tracked their physical activity continuously throughout the 24-hour period covered by the diary. Of the initial 148 participants recruited, 131 returned usable diary and camera records, of whom 124 also provided a usable whole-day accelerometer record. The comparison of the diary data with the camera and accelerometer records strongly supports the use of diary methodology at both the aggregate (sample) and individual levels. It provides evidence that time-use data could be used to complement physical activity questionnaires for providing population-level estimates of physical activity. It also implies new opportunities for investigating techniques for calibrating metabolic equivalent of task (MET) attributions to daily activities using large-scale, population-representative time-use diary studies.

Does the Time-of-Day of Exercise Influence the Total Volume of Exercise? A Cross-Sectional Analysis of Objectively Monitored Physical Activity Among Active Individuals

2021 ◽  
pp. 1-8
Author(s):  
Paige G. Brooker ◽  
Mary E. Jung ◽  
Dominic Kelly-Bowers ◽  
Veronica Morlotti ◽  
Sjaan R. Gomersall ◽  
...  
Keyword(s):  
Physical Activity ◽  
Vigorous Physical Activity ◽  
Time Of Day ◽  
Self Report ◽  
Activity Levels ◽  
Temporal Consistency ◽  
Cross Sectional ◽  
Exercise Time ◽  
Before And After ◽  
Improve Compliance

Background: To improve compliance and adherence to exercise, the concept of temporal consistency has been proposed. Before- and after-work are periods when most working adults may reasonably incorporate exercise into their schedule. However, it is unknown if there is an association between the time-of-day that exercise is performed and overall physical activity levels. Methods: Activity was assessed over 1 week in a sample of 69 active adults (n = 41 females; mean age = 34.9 [12.3] y). At the end of the study, participants completed an interviewer-assisted questionnaire detailing their motivation to exercise and their exercise time-of-day preferences. Results: Participants were classified as “temporally consistent” (n = 37) or “temporally inconsistent” (n = 32) exercisers based on their accelerometry data. The “temporally consistent” group was further analyzed to compare exercise volume between “morning-exercisers” (n = 16) and “evening-exercisers” (n = 21). “Morning-exercisers” performed a greater volume of exercise than “evening-exercisers” (419 [178] vs 330 [233] min by self-report; 368 [224] vs 325 [156] min actigraph-derived moderate to vigorous physical activity, respectively). Conclusions: Our findings suggest that active individuals use a mixture of temporal patterns to meet PA guidelines. Time-of-day of exercise should be reported in intervention studies so the relationship between exercise time-of-day, exercise behavior, and associated outcomes can be better understood.

scholarly journals The Relationship Between Daily Physical Activity and Pain in Individuals with Knee Osteoarthritis

Pain Medicine ◽  
2020 ◽  
Vol 21 (10) ◽  
pp. 2481-2495 ◽  
Author(s):  
Nicholas J Burrows ◽  
Benjamin K Barry ◽  
Daina L Sturnieks ◽  
John Booth ◽  
Matthew D Jones
Keyword(s):  
Physical Activity ◽  
Knee Osteoarthritis ◽  
Cross Correlation ◽  
Vigorous Physical Activity ◽  
Self Report ◽  
Pain Severity ◽  
Significant Heterogeneity ◽  
Cross Sectional ◽  
Correlation Analyses ◽  
Meta Analyses

Abstract Objective Investigate the association between physical activity and pain severity in individuals with knee osteoarthritis. Design Cross-sectional; systematic review with meta-analyses. Methods Thirty-one participants with knee osteoarthritis underwent assessment of symptoms via self-report questionnaires and quantitative sensory testing. Following testing, physical activity and symptoms were monitored for seven days using accelerometers and logbooks. Cross-correlation analyses were performed on fluctuations in symptoms and physical activity across the week to detect the relative timing of the strongest association between pain and activity. These data were complemented by meta-analyses of studies that examined correlations between pain from knee osteoarthritis and physical activity or fitness. Results Pain severity at baseline correlated with moderate to vigorous physical activity (r2 = 0.161–0.212, P &lt; 0.05), whereby participants who were more physically active had less pain. Conversely, the peak of the cross-correlation analyses was most often positive and lagging, which indicated that pain was increased subsequent to periods of increased activity. These superficially discrepant findings were supported by the results of a meta-analysis of 13 studies and 9,363 participants, which identified significant heterogeneity for associations between physical activity and pain (I2 = 91%). Stronger inverse associations were found between fitness and pain. Conclusions Associations between physical activity and pain in people with knee osteoarthritis are variable and dynamic. These results reflect the beneficial impact of an active lifestyle and accompanying higher fitness. Yet, the side effect of acute periods of physical activity to transiently exacerbate pain may influence the behavior of some people to avoid activity because of pain.

scholarly journals Clusters of Adolescent Physical Activity Tracker Patterns and Their Associations With Physical Activity Behaviors in Finland and Ireland: Cross-Sectional Study

10.2196/18509 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e18509 ◽  
Author(s):  
Kwok Ng ◽  
Sami Kokko ◽  
Tuija Tammelin ◽  
Jouni Kallio ◽  
Sarahjane Belton ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sport Participation ◽  
Vigorous Physical Activity ◽  
Population Level ◽  
Wearable Devices ◽  
Active Travel ◽  
Wearable Device ◽  
Cross Sectional ◽  
Sports Clubs ◽  
Males And Females

Background Physical activity trackers (PATs) such as apps and wearable devices (eg, sports watches, heart rate monitors) are increasingly being used by young adolescents. Despite the potential of PATs to help monitor and improve moderate-to-vigorous physical activity (MVPA) behaviors, there is a lack of research that confirms an association between PAT ownership or use and physical activity behaviors at the population level. Objective The purpose of this study was to examine the ownership and use of PATs in youth and their associations with physical activity behaviors, including daily MVPA, sports club membership, and active travel, in 2 nationally representative samples of young adolescent males and females in Finland and Ireland. Methods Comparable data were gathered in the 2018 Finnish School-aged Physical Activity (F-SPA 2018, n=3311) and the 2018 Irish Children’s Sport Participation and Physical Activity (CSPPA 2018, n=4797) studies. A cluster analysis was performed to obtain the patterns of PAT ownership and usage by adolescents (age, 11-15 years). Four similar clusters were identified across Finnish and Irish adolescents: (1) no PATs, (2) PAT owners, (3) app users, and (4) wearable device users. Adjusted binary logistic regression analyses were used to evaluate how PAT clusters were associated with physical activity behaviors, including daily MVPA, membership of sports clubs, and active travel, after stratification by gender. Results The proportion of app ownership among Finnish adolescents (2038/3311, 61.6%) was almost double that of their Irish counterparts (1738/4797, 36.2%). Despite these differences, the clustering patterns of PATs were similar between the 2 countries. App users were more likely to take part in daily MVPA (males, odds ratio [OR] 1.27, 95% CI 1.04-1.55; females, OR 1.49, 95% CI 1.20-1.85) and be members of sports clubs (males, OR 1.37, 95% CI 1.15-1.62; females, OR 1.25, 95% CI 1.07-1.50) compared to the no PATs cluster, after adjusting for country, age, family affluence, and disabilities. These associations, after the same adjustments, were even stronger for wearable device users to participate in daily MVPA (males, OR 1.83, 95% CI 1.49-2.23; females, OR 2.25, 95% CI 1.80-2.82) and be members of sports clubs (males, OR 1.88, 95% CI 1.55-2.88; females, OR 2.07, 95% CI 1.71-2.52). Significant associations were observed between male users of wearable devices and taking part in active travel behavior (OR 1.39, 95% CI 1.04-1.86). Conclusions Although Finnish adolescents report more ownership of PATs than Irish adolescents, the patterns of use and ownership remain similar among the cohorts. The findings of our study show that physical activity behaviors were positively associated with wearable device users and app users. These findings were similar between males and females. Given the cross-sectional nature of this data, the relationship between using apps or wearable devices and enhancing physical activity behaviors requires further investigation.

Abstract 59: Age-Specific Probabilities of Transitioning between Ideal, Intermediate, and Poor Levels of Physical Activity in the United States: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) and the National Health and Nutrition Examination Survey (NHANES)

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Katelyn M Holliday ◽  
Danyu Lin ◽  
Sujatro Chakladar ◽  
Martha L Daviglus ◽  
Kelly R Evenson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Transition Probabilities ◽  
Vigorous Physical Activity ◽  
The United States ◽  
Self Report ◽  
Health Study ◽  
Activity Levels ◽  
Cross Sectional ◽  
Physical Activity Levels ◽  
Sampling Procedures

Maintenance of recommended physical activity levels is associated with favorable cardiovascular outcomes. Consequently, the American Heart Association (AHA) included physical activity in the new Ideal Cardiovascular Health concept. Although physical activity is known to decline with age, the age-specific probability of transitioning between AHA defined levels (ideal, intermediate, poor) is unclear. This knowledge could inform interventions seeking to increase or maintain physical activity levels across the life-course. We estimated age-specific prevalence of ideal (≥150 min/wk moderate or ≥75 min/wk vigorous or equivalent combination), intermediate (1-149 min/wk moderate or 1-74 min/wk vigorous or equivalent combination) and poor (0 min of moderate and vigorous) physical activity among adult (16+) European Americans (EA) and African Americans (AA) from the 2007-2010 NHANES (n=13,418) and Hispanic/Latino participants (H/L) from the 2008-2011 HCHS/SOL (n=14,291). Prevalence estimation incorporated data from identical NHANES and HCHS/SOL self-report questionnaires. We then used the prevalence estimates to calculate age, race, and sex-specific probabilities of transitioning between levels using Markov-type state-transition models. These models are designed to estimate transition probabilities from cross-sectional data assuming time-constant transitions, and have been updated to accommodate complex sampling procedures. The estimated 5-year probability of maintaining ideal physical activity levels remained high through the fourth decade of life, after which race and sex differences were observed. For example, the estimated 5-year probabilities of transitioning from ideal to intermediate physical activity levels were similar at age 40 for EA and AA men (1.2% [95%CI: 0.3, 2.3] vs. 2.2% [95%CI: 1.0, 3.6]), but by age 65 diverged to 5.3% (95%CI: 3.9, 6.9) vs. 11.6% (95%CI: 8.5, 15.2), respectively. During middle age, the estimated probability of transitioning from intermediate to poor physical activity levels was accelerated, although variation by race was noted. For example, the estimated probability of transitioning from intermediate to poor physical activity levels was <25% for EA, AA and H/L men through age 40, but by age 65 this increased to 32.6% (95%CI: 22.0, 44.1) for EA men and 41.1% (95%CI: 26.1, 58.0) for AA men while remaining low (11.1% (95%CI: 0.3, 24.3) for H/L men. Across all race-sex groups, individuals with poor physical activity levels had a 0% estimated probability of transitioning to ideal or intermediate physical activity levels, regardless of age. These results indicate need for interventions aimed at maintaining ideal physical activity levels beginning in young adulthood, particularly in AAs who transition from ideal levels at earlier ages than other race/ethnic groups. Innovative efforts may be needed for those with poor physical activity.

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