4.6 Article

Correlates of Agreement between Accelerometry and Self-reported Physical Activity

期刊

MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
卷 48, 期 6, 页码 1075-1084

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1249/MSS.0000000000000870

关键词

INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE; LONG FORM; INTERNATIONAL; SOCIODEMOGRAPHIC FACTORS; MEASUREMENT; EXERCISE; SEDENTARY TIME

资金

  1. National Cancer Institute of the National Institutes of Health [R01 CA127296]
  2. National Institutes of Health [R01 CA127296, R01 HL67350]
  3. Australian Research Council [140100085]
  4. NHMRC [1003960]
  5. Victorian Government's Operational Infrastructure Support Program
  6. Municipality of Aarhus
  7. Ministry of Education, Youth and Sports [MSM 6198959221]
  8. Medical Research Council under the National Preventive Research Initiative
  9. Navarra Government Health Department [02/09]

向作者/读者索取更多资源

Purpose Understanding factors that influence accurate assessment of physical activity (PA) and sedentary behavior (SB) is important to measurement development, epidemiologic studies, and interventions. This study examined agreement between self-reported (International Physical Activity QuestionnaireLong Form [IPAQ-LF]) and accelerometry-based estimates of PA and SB across six countries and identified correlates of between-method agreement. Methods Self-report and objective (accelerometry-based) PA and SB data were collected in 2002-2011 from 3865 adult participants in eight cities from six countries (Belgium, Czech Republic, Denmark, Spain, United Kingdom, and United States). Between-method relative agreement (correlation) and absolute disagreement (mean difference between conceptually and intensity-matched IPAQ-LF and accelerometry-based PA and SB variables) were estimated. Also, sociodemographic characteristics and PA patterns were examined as correlates of between-method agreement. Results Observed relative agreement (relationships of IPAQ-LF with accelerometry-based PA and SB variables) was small to moderate (r = 0.05-0.37) and was moderated by sociodemographic (age, sex, weight status, and education) and behavioral (PA-type) factors. The absolute disagreement was large, with participants self-reporting higher PA intensity and total time in moderate-to-vigorous-intensity PA than accelerometry. Also, self-reported sitting time was lower than accelerometry-based sedentary behavior. After adjusting for sociodemographic and behavioral factors, the absolute disagreement between pairs of IPAQ-LF and accelerometry-based PA variables remained significantly different across cities/countries. Conclusions Present findings suggest systematic cultural and/or linguistic and sociodemographic differences in absolute agreement between the IPAQ-LF and the accelerometry-based PA and SB variables. These results have implications for the interpretation of international PA and SB data and correlate/determinant studies. They call for further efforts to improve such measures.

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