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June 14, 2013British Journal of Sports Medicine105 citationsOpen Access

What physical activity surveillance needs: validity of a single-item questionnaire

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MWMiriam WannerNPNicole Probst‐HenschSKSusi Kriemler

Key Result

A single-item physical activity questionnaire demonstrated moderate criterion validity against 8-day accelerometer data, with correlation coefficients ranging from 0.40 to 0.54.

Study Design

Type

Observational (n=318)

Multicenter

Yes

Structured PICO

Does a single-item physical activity measure accurately reflect physical activity levels compared to accelerometer data in adults?

P
Population
318 adults (208 from the Swiss Cohort Study on Air Pollution and Lung and Heart Disease in Adults [SAPALDIA] and 110 from a convenient sample) in Switzerland
I
Intervention
Single-item physical activity measure
C
Comparator
Accelerometer worn over eight consecutive days
O
Outcome
Criterion validity assessed by Spearman's rank-order correlations between the single-item measure and accelerometer activity outcomespatient reported

A single-item physical activity questionnaire demonstrates moderate criterion validity compared to accelerometer data, with performance varying by gender, age, and language region.

Main Result

Effect estimate: r 0.40 to 0.54

Abstract

BACKGROUND: Self-report instruments to assess physical activity are still the most feasible option in many population-wide surveys, and often need to be very short owing to resource constraints. The aim of this study was to test the criterion validity of a single-item physical activity measure using accelerometers and to compare its measurement properties by gender, age group (including older adults) and language region. METHODS: A validation study was carried out within the second follow-up of a large Swiss cohort study (Swiss Cohort Study on Air Pollution and Lung and Heart Disease in Adults, SAPALDIA, n=208) and included an additional convenient sample (n=110). Participants wore an accelerometer over eight consecutive days and then completed the single-item measure. Spearman's rank-order correlations were used to assess the criterion validity. RESULTS: Physical activity levels were higher in men, younger individuals and those from the German-speaking part of Switzerland. Correlation coefficients for the number of days with at least 30 min of moderate-to-vigorous physical activity according to the single item and different accelerometer activity outcomes ranged from 0.40 to 0.54. Correlations were higher for women, younger individuals and participants from the French-speaking and the Italian-speaking parts. CONCLUSIONS: The single-item physical activity measure performed at least as well as other physical activity questionnaires. The differences in criterion validity between sub groups indicate that factors such as gender and age should be taken into account when developing physical activity questionnaires and in future validation studies.

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Cite This Study

Wanner et al. (2013) conducted an observational in General population (n=318). Single-item physical activity questionnaire vs. Accelerometer was evaluated on Criterion validity (Spearman's rank-order correlations) for the number of days with at least 30 min of moderate-to-vigorous physical activity (r 0.40 to 0.54). A single-item physical activity questionnaire demonstrated moderate criterion validity against 8-day accelerometer data, with correlation coefficients ranging from 0.40 to 0.54.

synapsesocial.com/papers/6a0e4f0f2856274882078716https://doi.org/10.1136/bjsports-2012-092122
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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