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Schilling R, Cody R, Kreppke JN, Faude O, Beck J, Brand S, Donath L, Hatzinger M, Imboden C, Lang U, Mans S, Mikoteit T, Oswald A, Schweinfurth-Keck N, Gerber M. Correspondence between the Simple Physical Activity Questionnaire (SIMPAQ) and accelerometer-based physical activity in inpatients treated for major depressive disorders in comparison to non-depressed controls. Front Sports Act Living 2024; 6:1447821. [PMID: 39308892 PMCID: PMC11412836 DOI: 10.3389/fspor.2024.1447821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Accepted: 08/07/2024] [Indexed: 09/25/2024] Open
Abstract
Introduction Major depressive disorders (MDD) are a leading health concern worldwide. While first line medication treatments may fall short of desired therapeutic outcomes, physical activity (PA) interventions appear to be a promising and cost-effective add-on to improve symptoms of depression. This study aimed to address challenges in the assessment of PA in inpatients treated for MDD by examining the correspondence of self-reported and accelerometer-based PA. Methods In 178 inpatients treated for MDD (mean age: M = 41.11 years, SD = 12.84; 45.5% female) and 97 non-depressed controls (mean age: M = 35.24 years, SD = 13.40; 36.1% female), we assessed self-reported PA via the Simple Physical Activity Questionnaire (SIMPAQ) for one week, followed by a week where PA was monitored using an accelerometer device (Actigraph wGT3x-BT). Additionally, we examined correlations between PA levels assessed with the SIMPAQ and exercise determinants in both groups. Results Descriptively, inpatients treated for MDD showed lower levels of light PA on accelerometer-based measures, whereas they self-reported increased levels of certain types of PA on the SIMPAQ. More importantly, there was only a small degree of correspondence between self-reported and actigraphy-based PA levels in both in patients (r = 0.15, p < 0.05) and controls (r = 0.03, ns). Only few significant correlations were found for self-reported PA (SIMPAQ subscores) and perceived fitness, whereas self-reported PA and estimated VO2max were unrelated. Furthermore, only weak (and mostly statistically non-significant) correlations were found between exercise determinants and SIMPAQ-based exercise behavior in both populations. Discussion Our findings emphasize the intricate challenges in the assessment of PA, not only in inpatients treated for MDD, but also in non-depressed controls. Our findings also underline the necessity for a diversified data assessment. Further efforts are needed to refine and improve PA questionnaires for a more accurate data assessment in psychiatric patients and healthy controls.
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Affiliation(s)
- René Schilling
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Robyn Cody
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Jan-Niklas Kreppke
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Oliver Faude
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | | | - Serge Brand
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
- Center for Affective, Stress and Sleep Disorders (ZASS), Psychiatric University Hospital of the University of Basel, Basel, Switzerland
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran
- Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran
- School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Lars Donath
- Department of Training Intervention Research, German Sport University Cologne, Cologne, Germany
| | - Martin Hatzinger
- Psychiatric Services Solothurn and Faculty of Medicine, University of Basel, Solothurn, Switzerland
| | - Christian Imboden
- Private Clinic Wyss, Münchenbuchsee, Switzerland
- Translational Research Center, University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | - Undine Lang
- Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland
| | - Sarah Mans
- Private Clinic Wyss, Münchenbuchsee, Switzerland
| | - Thorsten Mikoteit
- Psychiatric Services Solothurn and Faculty of Medicine, University of Basel, Solothurn, Switzerland
| | - Anja Oswald
- Psychiatric Clinic Sonnenhalde, Riehen, Switzerland
| | - Nina Schweinfurth-Keck
- Center for Affective, Stress and Sleep Disorders (ZASS), Psychiatric University Hospital of the University of Basel, Basel, Switzerland
| | - Markus Gerber
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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Tabibi MA, Samouei R, Salimian N, Shahidi S, Atapour A, Nazemi F, Ghenaat M, Nikbakht S, Sarbazi MH, Soleymany M, Roshanaeian Z, Khajeheian B, Khaki Z, Sokani AS, Ebrahimi R, Ahmadi S. Validity and reliability of Persian version of Low Physical Activity Questionnaire (LoPAQ). BMC Nephrol 2024; 25:178. [PMID: 38778292 PMCID: PMC11112922 DOI: 10.1186/s12882-024-03615-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2024] [Accepted: 05/15/2024] [Indexed: 05/25/2024] Open
Abstract
BACKGROUND The Low Physical Activity Questionnaire (LoPAQ) was specifically developed to measure the low activity level observed in extremely inactive hemodialysis (HD) patients. This study aims to evaluate reliability and validity of Persian version of the LoPAQ. METHODS This study was a cross sectional study, conducted in three HD centers in Iran. The LoPAQ was translated into Persian. After cultural adaptions, it was filled out by 120 HD patiens. Convergent validity, was evaluated by calculating the correlations among the Persian version of the LoPAQ and Persian version of the Community Healthy Adults Model Program for Seniors (CHAMPS) questionnaire, physical function scale of the SF-36 and physical function (Short Physical Performance Battery (SPPB) test) using Spearman's correlation coefficients. The test-retest reliability was analyzed using the intraclass correlation coefficient (ICC). RESULTS In total, 109 patients completed all of the questionnaires, took part in physical performance tests and had valid data. Their mean age was 64 ± 11 years, with a dialysis history of 31 ± 10 months. For total calories, there was a strong correlation between the Persian version of the LoPAQ and CHAMPS-measured physical activity (rho = 0.85, p < 0.001). In addition, the higher physical activity level reported by Persian version of the LoPAQ was also correlated with better self-reported physical function (rho = 0.7, p < 0.001) and better physical performance (rho = 0.67, p < 0.001). The ICC ranged from 0.65 to 0.78, indicating strong reliability. CONCLUSION The assessment of the validity and reliability of the Persian version of the questionnaire confirmed its suitability for evaluating the level of physical activity. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT05930964, Registered on 05/07/2023. Registered trial name: Validity and Reliability of Persian Version of Low Physical Activity Questionnaire (LoPAQ).
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Affiliation(s)
- Mohammad Ali Tabibi
- Department of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran.
| | - Rahele Samouei
- Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Nasrin Salimian
- Department of Research and Development, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Shahrzad Shahidi
- Isfahan Kidney Diseases Research Center, Internal Medicine Department, Khorshid Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Abdolamir Atapour
- Isfahan Kidney Diseases Research Center, Internal Medicine Department, Khorshid Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Farzad Nazemi
- Department of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Mahsa Ghenaat
- Department of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Saghar Nikbakht
- Department of Kinesiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | | | - Mahsa Soleymany
- Department of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Zahra Roshanaeian
- Department of Sport Nutrition, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Behnaz Khajeheian
- Department of Kinesiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Zahra Khaki
- Department of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Ali Sadeghi Sokani
- Department of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Reyhane Ebrahimi
- Department of Kinesiology, Pardis Specialized Wellness Institute, Isfahan, Iran
| | - Saghar Ahmadi
- Department of Health and Palliative Care, Pardis Specialized Wellness Institute, Isfahan, Iran
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Amarasinghe Y, Sandaruwan D, Madusanka T, Perera I, Meegahapola L. Multimodal Earable Sensing for Human Energy Expenditure Estimation. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2023; 2023:1-4. [PMID: 38083645 DOI: 10.1109/embc40787.2023.10341005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Energy Expenditure Estimation (EEE) is vital for maintaining weight, managing chronic diseases, achieving fitness goals, and improving overall health and well-being. Gold standard measurements for energy expenditure are expensive and time-consuming, hence limiting utility and adoption. Prior work has used wearable sensors for EEE as a workaround. Moreover, earables (ear-worn sensing devices such as earbuds) have recently emerged as a sub-category of wearables with unique characteristics (i.e., small form factor, high adoption) and positioning on the human body (i.e., robust to motion, high stability, facing thin skin), opening up a novel sensing opportunity. However, earables with multimodal sensors have rarely been used for EEE, with data collected in multiple activity types. Further, it is unknown how earable sensors perform compared to standard wearable sensors worn on other body positions. In this study, using a publicly available dataset gathered from 17 participants, we evaluate the EEE performance using multimodal sensors of earable devices to show that an MAE of 0.5 MET (RMSE = 0.67) can be achieved. Furthermore, we compare the EEE performance of three commercial wearable devices with the earable, demonstrating competitive performance of earables.Clinical Relevance - This study confirms that multimodal sensors in earables could be used for EEE with comparable performance to other commercial wearables.
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Thapa S, Selvaraj BS, Davis PN, Smith B, Givan AH, Perez-Rivera JA, Woodard P, Klingensmith JD, Fernandez-del-Valle M. Vigorous-intensity exercise as a modulator of cardiac adipose tissue in women with obesity: a cross-sectional and randomized pilot study. Front Endocrinol (Lausanne) 2023; 14:1104441. [PMID: 37223011 PMCID: PMC10200876 DOI: 10.3389/fendo.2023.1104441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 03/28/2023] [Indexed: 05/25/2023] Open
Abstract
Cardiac adipose tissue (CAT) has become an important target for the reduction of disease risk. Supervised exercise programs have shown potential to "significantly" reduce CAT; however, the impact of different exercise modalities is not clear, and the relationships between CAT, physical activity (PA) levels and fitness (PFit) remain unknown. Therefore, the purpose of this study was to analyze the relationships between CAT, PA and PFit, and to explore the effects of different exercise modalities in a group of women with obesity. A total of 26 women (age: 23.41 ± 5.78 years-old) were enrolled in the cross-sectional study. PA, cardiorespiratory fitness, muscular strength, body composition and CAT were evaluated. The pilot intervention included 16 women randomized to a control (CON, n=5), high intensity interval training (HIIT, n = 5) and high-intensity circuit training (HICT, n=6) groups. Statistical analysis showed negative correlations between CAT and vigorous PA (VPA) (r s=-0.41, p=0.037); and between percent body fat (%BF), fat mass (FM), and all PA levels (r s=-0.41- -0.68, p<0.05); while muscle mass was positively associated with moderate-to-vigorous PA, and upper-body lean mass with all PA levels (r s =0.40-0.53, p<0.05). The HICT intervention showed significant improvements (p<0.05) in %BF, FM, fat free mass, and whole-body and lower extremities lean mass and strength after three weeks; however, only leg strength and upper extremities' FM improved significantly compared to CON and HICT. In conclusion, although all types of PA showed a positive influence on body fat content, only VPA significantly impacted on CAT volume. Moreover, three weeks of HICT induced positive changes in PFit in women with obesity. Further research is needed to explore VPA levels and high-intensity exercise interventions for short- and long-term CAT management.
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Affiliation(s)
- Sumsen Thapa
- Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, United States
| | - Bharath S. Selvaraj
- Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, United States
- Iowa Digestive Disease Center, Heartland Medical Research, Inc., Clive, IA, United States
| | - Paige N. Davis
- Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, United States
- Department of Cardiopulmonary Rehabilitation, Charleston Area Medical Center (CAMC) Memorial Hospital at West Virginia, Charleston, WV, United States
| | - Bryan Smith
- Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, United States
| | - Amy H. Givan
- Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, United States
- Division of Rehabilitation Sciences, University of Texas Medical Branch at Galveston, Galveston, TX, United States
| | - Jose A. Perez-Rivera
- Department of Cardiology, University Hospital of Burgos, Burgos, Spain
- Facultad de Ciencias de la Salud, Universidad Isabel I, Isabel, Spain
| | - Pamela K. Woodard
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, United States
| | - Jon D. Klingensmith
- Department of Electrical and Computer Engineering, Southern Illinois University Edwardsville, Edwardsville, IL, United States
| | - Maria Fernandez-del-Valle
- Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, United States
- Department of Functional Biology, University of Oviedo, Oviedo, Spain
- Health Research Institute of the Principality of Asturias (ISPA), Oviedo, Spain
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Carrasco-Uribarren A, Ortega-Martínez A, Amor-Barbosa M, Cadellans-Arróniz A, Cabanillas-Barea S, Bagur-Calafat MC. Improvement of In-School Physical Activity with Active School-Based Interventions to Interrupt Prolonged Sitting: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1636. [PMID: 36674388 PMCID: PMC9863961 DOI: 10.3390/ijerph20021636] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 01/07/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Sedentary behaviors have increased in recent years and their consequences have led the World Health Organization to make recommendations for promoting a more active lifestyle. The school environment has been defined as a key place for achieving this objective for children and adolescents. This systematic review and meta-analysis aims to analyze the effect of active-break interventions for interrupting prolonged sitting times during school-time on physical activity (PA) and sedentary behavior (SB), at school, in childhood and youth. METHODS A systematic review and meta-analysis were carried out, including clinical trials aimed at assessing the effects of interrupting prolonged sitting at school with active breaks on in-school PA and/or SB. Multimodal and static interventions were excluded. Six databases were analyzed: Medline, WOS, Cochrane Library, SPORT Discus, CINAHL and EMBASE. PA, SB; moderate-to-vigorous physical activity (MVPA) were the variables considered. RESULTS Nine studies were included, with a total of 2145 children between 6 and 12 years old. The heterogeneity in the duration (five-sixty min), the frequency (one-three times per-day up to three times per week), and duration (five days to three years) of the interventions was detected. The meta-analyses for in-school PA, MVPA, and SB were performed, showing a significant improvement in both PA and MVPA. CONCLUSIONS Interrupting prolonged sitting with active-based school interventions could improve PA and MVPA levels during school time. (PROSPERO: CRD42022358933).
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Affiliation(s)
| | - Anna Ortega-Martínez
- Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
- Physiotherapy Department, Fundació Aspace Catalunya, 08001 Barcelona, Spain
| | - Marta Amor-Barbosa
- Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
| | - Aida Cadellans-Arróniz
- Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
| | - Sara Cabanillas-Barea
- Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain
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Physical Activity Measured by Pedometer in a Peri-Urban Mozambican Population. J Phys Act Health 2022; 19:777-785. [DOI: 10.1123/jpah.2022-0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 08/30/2022] [Accepted: 09/01/2022] [Indexed: 11/06/2022]
Abstract
Aim: This study was performed to describe physical activity behavior and its demographic associations in a peri-urban population from Mozambique, using device-based data. Methods: Physical activity was assessed by pedometers in a sample of 15- to 64-year-old subjects from Maputo, Mozambique. Participants wore a pedometer for 7 consecutive days, and physical inactivity was classified using a variety of approaches: sedentary (<5000 steps/d), physically inactive (<7500 steps/d), and no moderate-to-vigorous physical activity (MVPA < 1 min/d). Results: The percentage of sedentary subjects was 17.8%, and the percentage who were physically inactive was 41.8%. A total of 9.0% of participants participated in no MVPA (<1 min/d). Logistic regression analysis showed that females had a higher odds of being sedentary or inactive and having no MVPA compared with males. Unemployed participants were more sedentary and inactive than those who were employed. Socioeconomic status and body mass index did not show any significant association with physical activity. Conclusions: Findings suggest that physical activity levels of this peri-urban African city population are insufficient relative to the amount of activity recommended to improve health. Moreover, being sedentary and inactive was associated with occupation and gender but not with other sociodemographic characteristics and body mass index.
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Questionnaires measuring movement behaviours in adults and older adults: Content description and measurement properties. A systematic review. PLoS One 2022; 17:e0265100. [PMID: 35275936 PMCID: PMC8916622 DOI: 10.1371/journal.pone.0265100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 02/22/2022] [Indexed: 01/14/2023] Open
Abstract
Background Sleep, sedentary behaviour and physical activity are constituent parts of a 24h period and there are several questionnaires to measure these movement behaviours, the objective was to systematically review the literature on content and measurement properties of self- and proxy-reported questionnaires measuring movement behaviours in adults and older adults. Methods The databases PubMed, CINAHL, PsycINFO and SPORTDiscus were systematically searched until April 2021. Articles were included if: the questionnaires were design for adults and older adults; the sample size for validity studies had at least 50 participants; at least, both validity and test-retest reliability results of questionnaire that were developed specifically to measure the amount of sleep, sedentary behaviour or physical activity, or their combination were reported; and articles had to be written in English, Spanish, French, Portuguese, German, Italian or Chinese. Findings and conclusions Data extraction, results, studies’ quality, and risk of bias were evaluated using the Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines. Fifty-five articles were included in this review, describing 60 questionnaires. None of the questionnaires showed adequate criterion validity and adequate reliability, simultaneously; 68.3% showed adequate content validity. The risk of bias for criterion validity and reliability were very low in 72.2% and 23.6% of the studies, respectively. Existing questionnaires have insufficient measurement properties and frequent methodologic limitations, and none was developed considering the 24h movement behaviour paradigm. The lack of valid and reliable questionnaires assessing 24h movement behaviours in an integrated way, precludes accurate monitoring and surveillance systems of 24h movement behaviours.
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Rist C, Karlsson N, Necander S, Da Silva CA. Physical activity endpoints in trials of chronic respiratory diseases: summary of evidence. ERJ Open Res 2022; 8:00541-2021. [PMID: 35295234 PMCID: PMC8918933 DOI: 10.1183/23120541.00541-2021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 01/19/2022] [Indexed: 11/21/2022] Open
Abstract
Background Physical activity contributes to improving respiratory symptoms. However, validated end-points are few, and there is limited consensus about what is a clinically meaningful improvement for patients. This review summarises the evidence to date on the range of physical activity end-points used in COPD, asthma and idiopathic pulmonary fibrosis (IPF) whilst evaluating their appropriateness as end-points in trials and their relation to patients’ everyday life. Methods Trials reporting physical activity end-points were collected using Citeline's database Trialtrove; this was supplemented by searches in PubMed. Results The daily-patient-reported outcome (PRO)active and clinical visit-PROactive physical activity composite end-points appeared superior at capturing the full experience of physical activity in patients with COPD and were responsive to bronchodilator intervention. Time spent in moderate-to-vigorous physical activity is a recently validated end-point for IPF that correlates with exercise capacity and quality of life. Step count appears the best available physical activity measure for asthma, which consistently declines with worse disease status. However, evidence suggests a time lag before significant improvement in step count is seen which may reflect the impact of human behaviour on physical activity. Conclusions Physical activity represents a challenging domain to accurately measure. This is the first review evaluating physical activity measures used specifically within the respiratory field. Whilst physical activity can be effectively captured using PROactive in patients with COPD, this review highlights the unmet need for novel patient-focused end-points in asthma and IPF which would offer opportunities to develop efficacious medicines with impact on patients’ therapeutic care and quality of life. Physical activity (PA) is a challenging domain to measure accurately. Patient-centric measures have been developed for the COPD population; however, the appropriateness of PA measures used in asthma and IPF populations remains sporadic and controversial.https://bit.ly/3HmmaGp
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Hegaard HK, Rom AL, Christensen KB, Broberg L, Høgh S, Christiansen CH, Nathan NO, de Wolff MG, Damm P. Lifestyle Habits among Pregnant Women in Denmark during the First COVID-19 Lockdown Compared with a Historical Period-A Hospital-Based Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:7128. [PMID: 34281064 PMCID: PMC8297181 DOI: 10.3390/ijerph18137128] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 06/23/2021] [Accepted: 06/29/2021] [Indexed: 01/25/2023]
Abstract
The first national lockdown in Denmark due to the COVID-19 pandemic was declared on 11 March 2020. From this date, national restrictions were imposed. We aimed to assess the potential influence of this first nationwide lockdown on exercise, alcohol consumption, and smoking in early pregnancy. Using a cross-sectional study based on routinely collected patient-reported data, we compared the lifestyle habits of women who were pregnant during the first phase of the pandemic (COVID-19 group) (n = 685) with those of women who were pregnant the year before (Historical group) (n = 787). We found a reduction in any exercise (PR = 0.91, 95% CI (0.84 to 0.99), in adherence to national recommendations of exercise (PR = 0.89, 95% CI (0.80 to 0.99), in cycling (15% vs. 28%, p < 0.0001), and swimming (0.3% vs. 3%, p = 0.0002) in the COVID-19 group compared with the Historical group. The prevalence of binge drinking was reduced in the COVID-19 group compared with the Historical group (PR = 0.80, 95% CI (0.68 to 0.93). In contrast, the prevalence of any weekly alcohol consumption and smoking cessation during pregnancy was similar between groups. Our findings indicate that national restrictions due to the COVID-19 pandemic influenced the lifestyle habits of pregnant women and should be addressed in antenatal counseling.
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Affiliation(s)
- Hanne Kristine Hegaard
- Department of Obstetrics, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; (A.L.R.); (L.B.); (S.H.); (N.O.N.); (M.G.d.W.); (P.D.)
- The Juliane Marie Centre, The Research Unit for Women’s and Children’s Health, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark;
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
| | - Ane Lilleøre Rom
- Department of Obstetrics, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; (A.L.R.); (L.B.); (S.H.); (N.O.N.); (M.G.d.W.); (P.D.)
- The Juliane Marie Centre, The Research Unit for Women’s and Children’s Health, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark;
- Research Unit of Gynecology and Obstetrics, Department of Clinical Research, University of Southern Denmark, J.B Winsløws Vej 4, 5000 Odense, Denmark
| | - Karl Bang Christensen
- Section of Biostatistics, Department of Public Health, University of Copenhagen, Østre Farimagsgade 5, 1353 K Copenhagen, Denmark;
| | - Lotte Broberg
- Department of Obstetrics, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; (A.L.R.); (L.B.); (S.H.); (N.O.N.); (M.G.d.W.); (P.D.)
- The Juliane Marie Centre, The Research Unit for Women’s and Children’s Health, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark;
| | - Stinne Høgh
- Department of Obstetrics, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; (A.L.R.); (L.B.); (S.H.); (N.O.N.); (M.G.d.W.); (P.D.)
- The Juliane Marie Centre, The Research Unit for Women’s and Children’s Health, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark;
- Neurobiology Research Unit, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark
| | - Cecilie Holm Christiansen
- The Juliane Marie Centre, The Research Unit for Women’s and Children’s Health, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark;
| | - Nina Olsen Nathan
- Department of Obstetrics, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; (A.L.R.); (L.B.); (S.H.); (N.O.N.); (M.G.d.W.); (P.D.)
- The Juliane Marie Centre, The Research Unit for Women’s and Children’s Health, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark;
| | - Mie Gaarskjaer de Wolff
- Department of Obstetrics, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; (A.L.R.); (L.B.); (S.H.); (N.O.N.); (M.G.d.W.); (P.D.)
- The Juliane Marie Centre, The Research Unit for Women’s and Children’s Health, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark;
| | - Peter Damm
- Department of Obstetrics, Copenhagen University Hospital—Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark; (A.L.R.); (L.B.); (S.H.); (N.O.N.); (M.G.d.W.); (P.D.)
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark
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Amor-Barbosa M, Girabent-Farrés M, Rosés-Noguer F, Ortega-Martínez A, Medina-Rincón A, Bagur-Calafat C. Development and Content Validity of the Physical Activity Questionnaire-Young Children (PAQ-YC) to Assess Physical Activity in Children between 5 and 7 Years. Healthcare (Basel) 2021; 9:655. [PMID: 34072953 PMCID: PMC8230329 DOI: 10.3390/healthcare9060655] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 05/22/2021] [Accepted: 05/28/2021] [Indexed: 11/17/2022] Open
Abstract
Childhood is a critical period in the development and consolidation of healthy habits, such as the practice of physical activity (PA). It is essential to have valid instruments to measure PA from an early age. The aim of this study was to design and evaluate the content validity of the Physical Activity Questionnaire-Young Children (PAQ-YC) to measure the PA level in children aged 5-7 years. The first version of the questionnaire was tested by a 2-round Delphi study. It was established as a consensus criterion that the relative interquartile range (RIR) and/or the coefficient of variation (CV) were ≤20%. The most significant discrepancies in the Delphi survey (n = 11-13) were observed for items about hours of Physical Education or similar activities at school (item 7: RIR = 20, CV = 38.73) and for items about participation in Physical Education (item 8: RIR = 25, CV = 15.45). The cognitive interviews (n = 5) confirmed the version agreed by the experts. The results show that the PAQ-YC presents adequate content validity in terms of relevance, comprehensiveness and comprehensibility.
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Affiliation(s)
- Marta Amor-Barbosa
- Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain; (M.A.-B.); (A.O.-M.); (C.B.-C.)
| | - Montserrat Girabent-Farrés
- Physiotherapy Department, School of Health Sciences, TecnoCampus-Pompeu Fabra University, Mataró, 08302 Barcelona, Spain;
| | - Ferran Rosés-Noguer
- Paediatric Cardiology Department, Vall d’Hebron University Hospital, 08035 Barcelona, Spain;
- Paediatric Cardiology Department, Royal Brompton and Harefield NHS Foundation Trust, London SW3 6NR, UK
| | - Anna Ortega-Martínez
- Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain; (M.A.-B.); (A.O.-M.); (C.B.-C.)
- Physiotherapy Department, Fundació Aspace Catalunya, 08001 Barcelona, Spain
| | - Almudena Medina-Rincón
- Physiotherapy Department, School of Health Sciences, TecnoCampus-Pompeu Fabra University, Mataró, 08302 Barcelona, Spain;
- Rehabilitation Section, Centro Hospitalario Pere Virgili, 08023 Barcelona, Spain
| | - Caritat Bagur-Calafat
- Physiotherapy Department, Universitat Internacional de Catalunya, 08195 Barcelona, Spain; (M.A.-B.); (A.O.-M.); (C.B.-C.)
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Ramakrishnan R, He JR, Ponsonby AL, Woodward M, Rahimi K, Blair SN, Dwyer T. Objectively measured physical activity and all cause mortality: A systematic review and meta-analysis. Prev Med 2021; 143:106356. [PMID: 33301824 DOI: 10.1016/j.ypmed.2020.106356] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 12/02/2020] [Accepted: 12/04/2020] [Indexed: 12/16/2022]
Abstract
Current physical activity recommendations have been based on evidence from systematic reviews of questionnaire-based data. Questionnaire-based physical activity data are subject to both random and non-random error. If the estimated association between physical activity and health outcomes was different when a more accurate, objective measure was used, this would have important health policy implications for physical activity. We conducted a systematic review and meta-analysis of published cohort studies that investigated the association between an objective measure of physical activity and all cause mortality. We searched PubMed, Scopus, Embase, Cochrane library, and SPORTDiscus for prospective cohort studies that examined the association between objectively measured (accelerometer, pedometer, or doubly labeled water method) physical activity and mortality in adults aged≥18 years, of either sex. Summary hazard ratios and 95% confidence interval [CI]s were computed using random-effects models. Thirty-three articles from 15 cohort studies were identified that together ascertained 3903 deaths. The mean years of follow-up ranged from 2.3-14.2 years. Individuals in the highest category of light, moderate-to-vigorous, and total physical activity had 40% (95%CI 20% to 55%), 56% (95%CI 41% to 67%), and 67% (95%CI 57% to 75%), respectively, lower risk for mortality compared to individuals in the lowest category of light, moderate-to-vigorous, and total physical activity. The summary hazard ratio for objectively measured physical activity and all cause mortality is lower than previously estimated from questionnaire based studies. Current recommendations for physical activity that are based on subjective measurement may underestimate the true reduction in mortality risk associated with physical activity.
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Affiliation(s)
- Rema Ramakrishnan
- The George Institute for Global Health, Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK; University of New South Wales, Faculty of Medicine, Sydney, Australia
| | - Jian-Rong He
- The George Institute for Global Health, Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK; Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Anne-Louise Ponsonby
- The Florey Institute for Neuroscience and Mental Health, Melbourne, Australia; Department of Environmental and Genetic Epidemiology, Murdoch Children's Research Institute, Royal Children's Hospital, University of Melbourne, Melbourne, Australia; National Centre for Epidemiology and Population Health, Australian National University, Australia
| | - Mark Woodward
- The George Institute for Global Health, Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK; The George Institute for Global Health, University of New South Wales, Sydney, Australia; Department of Epidemiology, Johns Hopkins University, Baltimore, USA
| | - Kazem Rahimi
- The George Institute for Global Health, Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, UK; National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom; Deep Medicine, Oxford Martin School, University of Oxford, United Kingdom; Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
| | - Steven N Blair
- Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Terence Dwyer
- Nuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK; Murdoch Children's Research Institute, Melbourne, Australia.
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12
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Maximal Walking Distance in Persons with a Lower Limb Amputation. SENSORS 2020; 20:s20236770. [PMID: 33256247 PMCID: PMC7729984 DOI: 10.3390/s20236770] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 11/20/2020] [Accepted: 11/24/2020] [Indexed: 11/17/2022]
Abstract
The distance one can walk at a time could be considered an important functional outcome in people with a lower limb amputation. In clinical practice, walking distance in daily life is based on self-report (SIGAM mobility grade (Special Interest Group in Amputee Medicine)), which is known to overestimate physical activity. The aim of this study was to assess the number of consecutive steps and walking bouts in persons with a lower limb amputation, using an accelerometer sensor. The number of consecutive steps was related to their SIGAM mobility grade and to the consecutive steps of age-matched controls in daily life. Twenty subjects with a lower limb amputation and ten age-matched controls participated in the experiment for two consecutive days, in their own environment. Maximal number of consecutive steps and walking bouts were obtained by two accelerometers in the left and right trouser pocket, and one accelerometer on the sternum. In addition, the SIGAM mobility grade was determined and the 10 m walking test (10 MWT) was performed. The maximal number of consecutive steps and walking bouts were significantly smaller in persons with a lower limb amputation, compared to the control group (p < 0.001). Only 4 of the 20 persons with a lower limb amputation had a maximal number of consecutive steps in the range of the control group. Although the maximal covered distance was moderately correlated with the SIGAM mobility grade in participants with an amputation (r = 0.61), for 6 of them, the SIGAM mobility grade did not match with the maximal covered distance. The current study indicated that mobility was highly affected in most persons with an amputation and that the SIGAM mobility grade did not reflect what persons with a lower limb amputation actually do in daily life. Therefore, objective assessment of the maximal number of consecutive steps of maximal covered distance is recommended for clinical treatment.
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13
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[Physical activity in the German National Cohort (NAKO): use of multiple assessment tools and initial results]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2020; 63:301-311. [PMID: 32055903 DOI: 10.1007/s00103-020-03099-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND Physical activity is a complex behavior that is difficult to measure validly and reliably in large, population-based studies. Data on physical activity are available for the initial 100,000 participants of the German National Cohort. OBJECTIVES To describe the baseline physical activity assessment in the cohort and to present initial descriptive results. MATERIAL AND METHODS Physical activity was assessed using a combination of tools, including two self-administered questionnaires, the Questionnaire on Annual Physical Activity Pattern (QUAP) and the Global Physical Activity Questionnaire (GPAQ); a computer-based 24‑h physical activity recall (cpar24); and 7‑day accelerometry (Actigraph GT3X/+; ActiGraph, Pensacola, FL, USA). RESULTS The availability of data varied between assessment instruments (QUAP: n = 16,372; GPAQ: n = 90,900; cpar24: n = 23,989; accelerometry: n = 35,218). Analyses across measurement tools showed that on average, women spent 75 to 216 min/d, and men spent 73 to 224 min/d in moderate or higher intensity total physical activity. Persons aged 20-39 years spent 66 to 200 min/d, and persons aged 40-69 years spent 78 to 244 min/d in moderate or higher intensity total physical activity. CONCLUSIONS Initial baseline analyses of physical activity in this cohort show the value of using a combination of questionnaires, 24‑h recalls, and a movement sensor. The comprehensive data collection represents a valuable resource for future analyses and will improve our understanding of the association between physical activity and disease prevention.
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Liu R, Zhao Y, Li Q, Dang S, Yan H. Body Fat Mass, Fat Distribution and Egg Consumption: a Population-Based Study in Chinese Adults. J Am Coll Nutr 2020; 39:528-536. [PMID: 31922457 DOI: 10.1080/07315724.2019.1700200] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Objective: Egg is the vital source for many nutrients. The present study aimed to evaluate how egg consumption contributes to body fat mass and fat distribution in general Chinese adults.Methods: In a representative study of Chinese adults, 2241 rural adults aged 18-80 years completed physical measurements and semi quantitative food frequency questionnaire (FFQ). Body fat percentage (BF%) was estimated through validated Chinese-specific equations including age, body mass index (BMI), waist circumference (WC), gender and their interaction.Results: The prevalence of excessive body fat and central obesity in males were 44.2% and 31.3%, lower than that in females (60.7% and 36.1%, p < 0.05). 37.3% of lean or normal-weight individuals by BMI experienced excessive body fat given their BF% and 43.5% were central obesity according to WC. In females, egg consumption was associated with better body fat mass and its distribution. Compared with non-consumers, individuals consumed egg >50 g/d had a 34% lower risk of central obesity (OR:0.66, 0.39-0.99) and 38% lower risk of excessive body fat (OR:0.62, 0.37-1.00). There were significant dose-response relationships between egg consumption and overweight with excessive body fat/central obesity (p for linear trend <0.05). However, these associations were not significant in males.Conclusion: Our findings underscore the necessity for future public health guidelines to assess body fat mass and distribution simultaneously in Chinese adults. Egg consumption might be beneficial for weight regulation, especially for overweight with excessive body fat/central obesity in females. Further research is warrant to establish the causal inference.
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Affiliation(s)
- Ruru Liu
- Department of Disinfection, Xi'an Center for Disease Control and Prevention, Xi'an, Shaanxi Province, China.,Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China
| | - Yaling Zhao
- Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China
| | - Qiang Li
- Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China
| | - Shaonong Dang
- Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China
| | - Hong Yan
- Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China
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15
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Kittiskulnam P, Sheshadri A, Johansen KL. Validation of a New Physical Activity Instrument Against Pedometers Among Dialysis Patients. J Ren Nutr 2019; 29:498-503. [PMID: 31078404 DOI: 10.1053/j.jrn.2019.03.081] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Revised: 02/06/2019] [Accepted: 03/17/2019] [Indexed: 02/03/2023] Open
Abstract
OBJECTIVE(S) The newly developed Low Physical Activity Questionnaire (LoPAQ) was designed to capture the low activity level among typically sedentary patients undergoing dialysis and correlated well with a physical activity questionnaire used in the general population. However, this instrument has not been validated against a more objective measure. METHODS We recruited patients receiving dialysis for ≥3 months from 3 dialysis facilities in San Francisco. Spontaneous walking activity was measured by pedometers over 7 days including a weekend and used as the standard reference. Patients were instructed to record their activities and step count readings. Study coordinators administered the LoPAQ during a dialysis session (hemodialysis [HD]) or clinic visit (peritoneal dialysis [PD]). The LoPAQ ascertains time and energy expended in walking activity, as well as light, moderate, and vigorous activity, and total physical activity during a 1-week recall period with 11 simple questions and requires approximately 10 minutes to administer. The LoPAQ also asks about time spent in sitting activities over 1 week. Spearman correlation was used to determine whether the LoPAQ results correlate with step counts. RESULTS Sixty dialysis patients (HD = 48, PD = 12) completed the LoPAQ and wore a pedometer for 1 week. Mean age was 58.0 ± 12.7 years, 78.3% were men, and median dialysis vintage was 3.1 (IQR, 1.1-5.8) years. Median step count was 2,630.5 (1,270.7-5,137) steps/day. Most patients (82.8%) reported walking activity around the neighborhood, for transportation, and/or for fitness or pleasure, with a median of 595 (70-1,566.3) kcal/week. Total kilocalories per week of physical activity reported on the LoPAQ were 655 (422.8-2,336.8). Participants reported an average of 5 (3-8) sedentary hours per day. Energy expenditure in walking by the LoPAQ was highly correlated with weekly step counts (rho = 0.53, P < .001). In addition, the overall activity reported on the LoPAQ correlated with weekly pedometer readings (rho = 0.35, P = .01) and did not differ between HD and PD patients. CONCLUSIONS The LoPAQ was easier and less time-consuming than previously validated physical activity questionnaires. LoPAQ demonstrated a good correlation with objective pedometer step counts among dialysis patients, similar to other physical activity instruments used in healthier and more active populations.
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Affiliation(s)
- Piyawan Kittiskulnam
- Division of Internal Medicine-Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand; Special Task force for Activating Research in Renal Nutrition (Renal Nutrition Research Group), Office of Research Affairs, Chulalongkorn University, Bangkok, Thailand
| | - Anoop Sheshadri
- Division of Nephrology, San Francisco and San Francisco VA Medical Center, University of California, San Francisco, California
| | - Kirsten L Johansen
- Division of Nephrology, San Francisco and San Francisco VA Medical Center, University of California, San Francisco, California; Division of Nephrology, Hennepin County Medical Center, Minneapolis, Minnesota.
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16
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Vandelanotte C, Duncan MJ, Stanton R, Rosenkranz RR, Caperchione CM, Rebar AL, Savage TN, Mummery WK, Kolt GS. Validity and responsiveness to change of the Active Australia Survey according to gender, age, BMI, education, and physical activity level and awareness. BMC Public Health 2019; 19:407. [PMID: 30991980 PMCID: PMC6466730 DOI: 10.1186/s12889-019-6717-1] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Accepted: 03/27/2019] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND This study aimed to investigate the validity of the Active Australia Survey across different subgroups and its responsiveness to change, as few previous studies have examined this. METHODS The Active Australia Survey was validated against the ActiGraph as an objective measure of physical activity. Participants (n = 465) wore the ActiGraph for 7 days and subsequently completed the Active Australia Survey. Moderate activity, vigorous activity and total moderate and vigorous physical activity were compared using Spearman rank-order correlations. Changes in physical activity between baseline and 3-month assessments were correlated to examine responsiveness to change. The data were stratified to assess outcomes according to different subgroups (e.g., gender, age, weight, activity levels). RESULTS With regards to the validity, a significant correlation of ρ = 0.19 was found for moderate physical activity, ρ = 0.33 for vigorous physical activity and ρ = 0.23 for moderate and vigorous physical activity combined. For vigorous physical activity correlations were higher than 0.3 for most subgroups, whereas they were only higher than 0.3 in those with a healthy weight for the other activity outcomes. With regards to responsiveness to change, a correlation of ρ = 0.32 was found for moderate physical activity, ρ = 0.19 for vigorous physical activity and ρ = 0.35 for moderate and vigorous physical activity combined. For moderate and vigorous activity combined correlations were higher than 0.4 for several subgroups, but never for vigorous physical activity. CONCLUSIONS Little evidence for the validity of Active Australia Survey was found, although the responsiveness to change was acceptable for several subgroups. Findings from studies using the Active Australia Survey should be interpreted with caution. TRIAL REGISTRATION World Health Organisation Universal Trial Number: U111-1119-1755. Australian New Zealand Clinical Trials Registry, ACTRN12611000157976 . Registration date: 8 March 2011.
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Affiliation(s)
- Corneel Vandelanotte
- Physical Activity Research Group, School of Human, Health and Social Sciences, Central Queensland University, Rockhampton, QLD Australia
| | - Mitch J. Duncan
- School of Medicine & Public Health; Priority Research Centre for Physical Activity and Nutrition, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW Australia
| | - Rob Stanton
- School of Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD Australia
| | - Richard R. Rosenkranz
- Department of Food, Nutrition, Dietetics and Health, Kansas State University, Manhattan, KS USA
| | - Cristina M. Caperchione
- School of Health and Exercise Sciences, University of Technology Sydney, Sydney, NSW Australia
| | - Amanda L. Rebar
- Physical Activity Research Group, School of Human, Health and Social Sciences, Central Queensland University, Rockhampton, QLD Australia
| | - Trevor N. Savage
- School of Science and Health, Western Sydney University, Sydney, NSW Australia
| | - W. Kerry Mummery
- Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Alberta Canada
| | - Gregory S. Kolt
- School of Science and Health, Western Sydney University, Sydney, NSW Australia
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Schilling R, Schärli E, Fischer X, Donath L, Faude O, Brand S, Pühse U, Zahner L, Rosenbaum S, Ward PB, Carraro A, Gerber M. The utility of two interview-based physical activity questionnaires in healthy young adults: Comparison with accelerometer data. PLoS One 2018; 13:e0203525. [PMID: 30192832 PMCID: PMC6128548 DOI: 10.1371/journal.pone.0203525] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 08/22/2018] [Indexed: 02/02/2023] Open
Abstract
Background Accurate assessment of physical activity is essential to determine the magnitude of the health-related benefits of regular physical activity. While physical activity questionnaires are easy to use, their accuracy in comparison to objective measures has been questioned. The purpose of the present study was to examine the utility of two interview-based questionnaires; a recently-developed instrument, the Simple Physical Activity Questionnaire (SIMPAQ), and the Seven Day-Physical Activity Recall (7DPAR). Methods Accelerometer data was collected in 72 university students (50% females). Telephone interviews were conducted to complete the SIMPAQ and the 7DPAR. Results Significant correlations (p < .001) were found between accelerometer-based moderate-to-vigorous physical activity (MVPA), the amount of self-reported moderate-to-vigorous exercise assessed via the SIMPAQ (rho = .49), and vigorous physical activity assessed via the 7DPAR (rho = .50). Exercise assessed via the SIMPAQ was significantly correlated with the vigorous physical activity score of the 7DPAR (rho = .56, p < .001). While participants needed three minutes less to complete the SIMPAQ (p < .001), participants tended to be more confident about the accuracy of the answers they provided on the 7DPAR (p < .01). Conclusions These two questionnaire measures of physical activity performed similarly in a healthy young adult sample. The SIMPAQ can be completed in 15 minutes, which could be an advantage in settings where time for physical activity assessment is limited.
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Affiliation(s)
- René Schilling
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Eveline Schärli
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Xenia Fischer
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Lars Donath
- Department of Intervention Research in Exercise Training, German Sport University, Cologne, Germany
| | - Oliver Faude
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Serge Brand
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
- Psychiatric Clinic of the University of Basel, Basel, Switzerland
| | - Uwe Pühse
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Lukas Zahner
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Simon Rosenbaum
- School of Psychiatry, UNSW, Sydney, Australia
- Black Dog Institute, Randwick, Australia
| | - Philip B. Ward
- School of Psychiatry, UNSW, Sydney, Australia
- Schizophrenia Research Unit, Ingham Institute of Applied Medical Research, Liverpool, Australia
| | - Attilio Carraro
- Department of Biomedical Sciences, University of Padua, Padua, Italy
| | - Markus Gerber
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
- * E-mail:
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18
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Ries D, Carriquiry A, Shook R. Modeling energy balance while correcting for measurement error via free knot splines. PLoS One 2018; 13:e0201892. [PMID: 30161152 PMCID: PMC6116982 DOI: 10.1371/journal.pone.0201892] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 06/26/2018] [Indexed: 11/18/2022] Open
Abstract
Measurements of energy balance components (energy intake, energy expenditure, changes in energy stores) are often plagued with measurement error. Doubly-labeled water can measure energy intake (EI) with negligible error, but is expensive and cumbersome. An alternative approach that is gaining popularity is to use the energy balance principle, by measuring energy expenditure (EE) and change in energy stores (ES) and then back-calculate EI. Gold standard methods for EE and ES exist and are known to give accurate measurements, albeit at a high cost. We propose a joint statistical model to assess the measurement error in cheaper, non-intrusive measures of EE and ES. We let the unknown true EE and ES for individuals be latent variables, and model them using a bivariate distribution. We try both a bivariate Normal as well as a Dirichlet Process Mixture Model, and compare the results via simulation. Our approach, is the first to account for the dependencies that exist in individuals' daily EE and ES. We employ semiparametric regression with free knot splines for measurements with error, and linear components for error free covariates. We adopt a Bayesian approach to estimation and inference and use Reversible Jump Markov Chain Monte Carlo to generate draws from the posterior distribution. Based on the semiparameteric regression, we develop a calibration equation that adjusts a cheaper, less reliable estimate, closer to the true value. Along with this calibrated value, our method also gives credible intervals to assess uncertainty. A simulation study shows our calibration helps produce a more accurate estimate. Our approach compares favorably in terms of prediction to other commonly used models.
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Affiliation(s)
- Daniel Ries
- Statistical Sciences Department, Sandia National Laboratories, Albuquerque, NM, United States of America
- Department of Statistics, Iowa State University, Ames, IA, United States of America
- * E-mail:
| | - Alicia Carriquiry
- Department of Statistics, Iowa State University, Ames, IA, United States of America
| | - Robin Shook
- Center for Children’s Healthy Lifestyles & Nutrition, Children’s Mercy, Kansas City, MO, United States of America
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Mendes MDA, da Silva I, Ramires V, Reichert F, Martins R, Ferreira R, Tomasi E. Metabolic equivalent of task (METs) thresholds as an indicator of physical activity intensity. PLoS One 2018; 13:e0200701. [PMID: 30024953 PMCID: PMC6053180 DOI: 10.1371/journal.pone.0200701] [Citation(s) in RCA: 85] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Accepted: 05/20/2018] [Indexed: 11/18/2022] Open
Abstract
The purpose of the study was to identify and compare validity parameters of different absolute intensity thresholds in METs, using relative intensity classification as criterion measure. Convenience sampling was used to recruit total of 112 adults. The participants carried out an incremental maximal cycle ergometer test and asked to perform nine free-living activities. The oxygen uptake was measured by a VO2000® gas analyser throughout the tests. The intensity thresholds were identified using Receiver Operator Characteristic (ROC) curve analysis, having relative intensity categories as criterion measure. A total of 103 participants attended the two visits. Among 54 men and 49 women, the mean (± SD) ages were 36.1 (± 11.1) and 33.9 (± 10.6) years, respectively. The intensity thresholds identified were 4.9 METs for moderate and 6.8 METs for vigorous physical activity. In conclusion, the physical activity thresholds, generated according to the entire sample, were higher and presented improved specificity when compared to thresholds currently recommended. Moreover, these parameters presented relatively high accuracy, even when applied to specific groups such as sex, age, nutritional status and physical fitness.
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Affiliation(s)
| | - Inácio da Silva
- Physical Education School, Federal University of Pelotas, Pelotas, Brazil
| | - Virgílio Ramires
- Sul-rio-grandense Federal Institute for Education, Science and Technology, Camaquã, Brazil
| | - Felipe Reichert
- Physical Education School, Federal University of Pelotas, Pelotas, Brazil
| | - Rafaela Martins
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
| | - Rodrigo Ferreira
- Physical Education School, Federal University of Pelotas, Pelotas, Brazil
| | - Elaine Tomasi
- Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
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Self-Reported Physical Activity is Not a Valid Method for Measuring Physical Activity in 15-Year-Old South African Boys and Girls. CHILDREN-BASEL 2018; 5:children5060071. [PMID: 29882794 PMCID: PMC6025032 DOI: 10.3390/children5060071] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 05/30/2018] [Accepted: 06/01/2018] [Indexed: 01/04/2023]
Abstract
Physical activity plays an important role in the prevention of chronic lifestyle-related diseases. The development of valid instruments for the assessment of physical activity remains a challenge in field studies. The purpose of the present study was therefore to determine the level of agreement between physical activity objectively measured by the ActiHeart® (Cambridge Neurotechnology Ltd, Cambridge, UK) device and subjectively reported physical activity by means of the International Physical Activity Questionnaire Short Form (IPAQ-SF) among adolescents attending schools in the Tlokwe Local Municipality, South Africa. A cross-sectional study design was used with a total of 63 boys and 45 girls aged 15 years who took part in the Physical Activity and Health Longitudinal Study (PHALS). Stature and weight were measured according to standard International Society for the Advancement of Kinanthropometry (ISAK) protocols. Objective physical activity (PA) was measured by a combined heart rate and accelerometer device (ActiHeart®) for seven consecutive days. Time spent in moderate-to-vigorous intensity physical activity (MVPA) was assessed. Subjective physical activity was assessed with the self-reported IPAQ-SF. Objective PA indicated that 93% of the participants were inactive and only 6% were highly active. The IPAQ-SF showed that 24% were inactive, with 57% active. A non-significant correlation (r = 0.11; p = 0.29) between the ActiHeart® measure of activity energy expenditure (AEE) and total physical activity (IPAQ-SF) was observed. The Bland–Altman plot showed no agreement between the two measurement instruments and also a variation in the level of equivalence. When Cohen’s kappa (κ) was run to determine the agreement between the two measurement instruments for estimated physical activity, a poor agreement (κ = 0.011, p < 0.005) between the two was found. The poor level of agreement between the objective measure of physical activity (ActiHeart®) and the IPAQ-SF questionnaire should be interpreted cautiously. Future physical activity research using a combination of subjective and objective assessment methods in a large-scale cohort in adolescents is recommended.
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Dang AK, Nguyen LH, Nguyen AQ, Tran BX, Tran TT, Latkin CA, Zhang MWB, Ho RCM. Physical activity among HIV-positive patients receiving antiretroviral therapy in Hanoi and Nam Dinh, Vietnam: a cross-sectional study. BMJ Open 2018; 8:e020688. [PMID: 29748343 PMCID: PMC5950700 DOI: 10.1136/bmjopen-2017-020688] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Revised: 03/22/2018] [Accepted: 04/13/2018] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES Antiretroviral therapy (ART) has facilitated the transition of HIV infection into a chronic disease, where adherence to medications is required along with keeping a healthy lifestyle. Therefore, an increase in physical activity has been recommended for patients with HIV in order to maintain their health status. This study looked to determine the physical activity level and its associated factors among patients with HIV receiving ART treatment. SETTINGS Eight outpatient clinic sites across different levels of the health systems in both rural and urban settings in Hanoi and Nam Dinh, Vietnam. STUDY DESIGN AND PARTICIPANTS A cross-sectional study was performed among 1133 patients with HIV receiving ART treatment from January to August 2013. PRIMARY AND SECONDARY OUTCOME MEASURES Physical activity level was measured using the International Physical Activity Questionnaire (IPAQ). Socioeconomic, health-related quality of life, ART adherence and ART-related characteristics were self-reported. RESULTS 16% of participants were inactive, and 68% were reported active via health-enhancing physical activity. Rural participants reported a higher level of physical activity compared with urban participants. Participants having a longer duration of ART were less likely to be physically active. Participants who were female and self-employed, who had higher CD4 cell count, higherEuroQol - 5 dimensions - 5levels (EQ-5D-5L) index/EQ-Visual Analogue Scale, and shared their health status with their peers were more likely to have a higher IPAQ score or be physically active. A lower IPAQ score was associated with participants living in urban areas and being at the symptomatic stage. Participants having poor adherence and longer duration of ART were more likely to be physically inactive. CONCLUSION The majority of participants who received ART were physically active. There is a need for interventions to promote physical activity among patients with HIV in urban areas and in the later ART treatment phases. Other potential interventions to increase the level of physical activity include peer support and job guidance.
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Affiliation(s)
- Anh Kim Dang
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Long Hoang Nguyen
- School of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam
| | - Anh Quynh Nguyen
- School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA
| | - Bach Xuan Tran
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Tung Thanh Tran
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam
| | - Carl A Latkin
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Melvyn W B Zhang
- Biomedical Global Institute of Healthcare Research & Technology (BIGHEART), National University of Singapore, Singapore
| | - Roger C M Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Affiliation(s)
- Catherine E Handy
- Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.,Department of Oncology, Johns Hopkins University, Baltimore, MD
| | - Michael J Blaha
- Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD .,Department of Medicine, Johns Hopkins University, Baltimore, MD
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23
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Piazza L, Ferreira E, Minsky R, Pires G, Silva R. Assesment of physical activity in amputees: A systematic review of the literature. Sci Sports 2017. [DOI: 10.1016/j.scispo.2017.07.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
BACKGROUND In western populations, a higher level of dietary B vitamins intake has been associated with a lower risk of hypertension. However, data in Chinese is limited, whose B vitamins consumption is low and rates of hypertension are high. AIM OF THE STUDY To investigate whether the three B vitamins are associated with hypertension in rural Chinese. METHODS Cross-sectional survey among 2241 rural Chinese aged 18-80 years was conducted in northwestern China in 2010. Blood pressure was measured by trained medical staff and dietary nutrients were assessed with a semiquantitative food frequency questionnaire. RESULTS 592 cases of hypertension were newly diagnosed. The deficiency proportions were 20.5% for vitamin B-6, 43.9% for folate and 98.5% for B-12. For females, participants in the highest quartile of B-6 intake had a significantly lower risk of hypertension (OR = 0.69; 95% CI: 0.50-0.93; p for trend <0.05). For males, the multivariable OR for the same comparison was 0.75 (95% CI: 0.56-0.99, p for trend >0.05). No significant associations were observed between B-12, folate intake and hypertension. For females, the highest quartile of both folate and B-6 intake was associated with a reduced risk of hypertension (OR = 0.53; 95% CI: 0.29-0.89), compared with in the middle quartile of both vitamins. CONCLUSIONS Higher intake of vitamin B-6 is independently associated with lower risk of hypertension in Chinese rural adults. Among females with high folate intake, the association between B-6 and hypertension was strongest. Additional studies are warrant to establish the causal inference.
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Kohler S, Behrens G, Olden M, Baumeister SE, Horsch A, Fischer B, Leitzmann MF. Design and Evaluation of a Computer-Based 24-Hour Physical Activity Recall (cpar24) Instrument. J Med Internet Res 2017; 19:e186. [PMID: 28559229 PMCID: PMC5470012 DOI: 10.2196/jmir.7620] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2017] [Revised: 04/03/2017] [Accepted: 04/03/2017] [Indexed: 02/05/2023] Open
Abstract
Background Widespread access to the Internet and an increasing number of Internet users offers the opportunity of using Web-based recalls to collect detailed physical activity data in epidemiologic studies. Objective The aim of this investigation was to evaluate the validity and reliability of a computer-based 24-hour physical activity recall (cpar24) instrument with respect to the recalled 24-h period. Methods A random sample of 67 German residents aged 22 to 70 years was instructed to wear an ActiGraph GT3X+ accelerometer for 3 days. Accelerometer counts per min were used to classify activities as sedentary (<100 counts per min), light (100-1951 counts per min), and moderate to vigorous (≥1952 counts per min). On day 3, participants were also requested to specify the type, intensity, timing, and context of all activities performed during day 2 using the cpar24. Using metabolic equivalent of task (MET), the cpar24 activities were classified as sedentary (<1.5 MET), light (1.5-2.9 MET), and moderate to vigorous (≥3.0 MET). The cpar24 was administered twice at a 3-h interval. The Spearman correlation coefficient (r) was used as primary measure of concurrent validity and test-retest reliability. Results As compared with accelerometry, the cpar24 underestimated light activity by −123 min (median difference, P difference <.001) and overestimated moderate to vigorous activity by 89 min (P difference <.001). By comparison, time spent sedentary assessed by the 2 methods was similar (median difference=+7 min, P difference=.39). There was modest agreement between the cpar24 and accelerometry regarding sedentary (r=.54), light (r=.46), and moderate to vigorous (r=.50) activities. Reliability analyses revealed modest to high intraclass correlation coefficients for sedentary (r=.75), light (r=.65), and moderate to vigorous (r=.92) activities and no statistically significant differences between replicate cpar24 measurements (median difference for sedentary activities=+10 min, for light activities=−5 min, for moderate to vigorous activities=0 min, all P difference ≥.60). Conclusion These data show that the cpar24 is a valid and reproducible Web-based measure of physical activity in adults.
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Affiliation(s)
- Simone Kohler
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
| | - Gundula Behrens
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
| | - Matthias Olden
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
| | - Sebastian E Baumeister
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany.,Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany
| | - Alexander Horsch
- Department of Computer Science, UiT - The Arctic university of Norway, Breivika, Tromsø, Norway
| | - Beate Fischer
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
| | - Michael F Leitzmann
- Department of Epidemiology and Preventive Medicine, University of Regensburg, Regensburg, Germany
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Laeremans M, Dons E, Avila-Palencia I, Carrasco-Turigas G, Orjuela JP, Anaya E, Brand C, Cole-Hunter T, de Nazelle A, Götschi T, Kahlmeier S, Nieuwenhuijsen M, Standaert A, De Boever P, Int Panis L. Physical activity and sedentary behaviour in daily life: A comparative analysis of the Global Physical Activity Questionnaire (GPAQ) and the SenseWear armband. PLoS One 2017; 12:e0177765. [PMID: 28520781 PMCID: PMC5433749 DOI: 10.1371/journal.pone.0177765] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 05/03/2017] [Indexed: 12/03/2022] Open
Abstract
Reduction of sedentary time and an increase in physical activity offer potential to improve public health. However, quantifying physical activity behaviour under real world conditions is a major challenge and no standard of good practice is available. Our aim was to compare the results of physical activity and sedentary behaviour obtained with a self-reported instrument (Global Physical Activity Questionnaire (GPAQ)) and a wearable sensor (SenseWear) in a repeated measures study design. Healthy adults (41 in Antwerp, 41 in Barcelona and 40 in London) wore the SenseWear armband for seven consecutive days and completed the GPAQ on the final day. This was repeated three times. We used the Wilcoxon signed rank sum test, Spearman correlation coefficients, mixed effects regression models and Bland-Altman plots to study agreement between both methods. Mixed models were used to assess the effect of personal characteristics on the absolute and relative difference between estimates obtained with the GPAQ and SenseWear. Moderate to vigorous energy expenditure and duration derived from the GPAQ were significantly lower (p<0.05) compared to the SenseWear, yet these variables showed significant correlations ranging from 0.45 to 0.64. Estimates of vigorous-intensity physical activity in particular showed high similarity (r>0.59). Results for sedentary behaviour did not differ, yet were poorly correlated (r<0.25). The differences between all variables were reproducible across repeated measurements. In addition, we observed a relationship between these differences and BMI, body fat and physical activity domain. Due to the lack of a standardized protocol, results from different studies measuring physical activity and sedentary behaviour are difficult to compare. Therefore, we suggested an easy-to-implement approach for future studies adding the GPAQ to the wearable of choice as a basis for comparisons.
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Affiliation(s)
- Michelle Laeremans
- Environmental Risk and Health unit (MRG), Flemish Institute for Technological Research (VITO), Mol, Belgium
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, Belgium
| | - Evi Dons
- Environmental Risk and Health unit (MRG), Flemish Institute for Technological Research (VITO), Mol, Belgium
- Centre for Environmental Sciences, Hasselt University, Diepenbeek, Belgium
| | - Ione Avila-Palencia
- ISGlobal, Centre for Research in Environmental Epidemiology, Barcelona, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
- CIBER Epidemiología y Salud Pública, Madrid, Spain
| | - Glòria Carrasco-Turigas
- ISGlobal, Centre for Research in Environmental Epidemiology, Barcelona, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
- CIBER Epidemiología y Salud Pública, Madrid, Spain
| | - Juan Pablo Orjuela
- Centre for Environmental Policy (CEP), Imperial College London, London, United Kingdom
| | - Esther Anaya
- Centre for Environmental Policy (CEP), Imperial College London, London, United Kingdom
| | - Christian Brand
- Transport Studies Unit, University of Oxford, Oxford, United Kingdom
| | - Tom Cole-Hunter
- ISGlobal, Centre for Research in Environmental Epidemiology, Barcelona, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
- CIBER Epidemiología y Salud Pública, Madrid, Spain
- Department of Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, Colorado, United States of America
| | - Audrey de Nazelle
- Centre for Environmental Policy (CEP), Imperial College London, London, United Kingdom
| | - Thomas Götschi
- Physical Activity and Health Unit, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Sonja Kahlmeier
- Physical Activity and Health Unit, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
| | - Mark Nieuwenhuijsen
- ISGlobal, Centre for Research in Environmental Epidemiology, Barcelona, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
- CIBER Epidemiología y Salud Pública, Madrid, Spain
| | - Arnout Standaert
- Environmental Risk and Health unit (MRG), Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Patrick De Boever
- Environmental Risk and Health unit (MRG), Flemish Institute for Technological Research (VITO), Mol, Belgium
- Centre for Environmental Sciences, Hasselt University, Diepenbeek, Belgium
| | - Luc Int Panis
- Environmental Risk and Health unit (MRG), Flemish Institute for Technological Research (VITO), Mol, Belgium
- Transportation Research Institute (IMOB), Hasselt University, Diepenbeek, Belgium
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27
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Cho MH. Preliminary reliability of the five item physical activity questionnaire. J Phys Ther Sci 2016; 28:3393-3397. [PMID: 28174459 PMCID: PMC5276768 DOI: 10.1589/jpts.28.3393] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Accepted: 08/20/2016] [Indexed: 12/04/2022] Open
Abstract
[Purpose] The purpose of this study was to design a physical activity questionnaire reflecting on the basic principles and recommendations of exercise and to examine its reliability. [Subjects and Methods] 342 males and 374 females from the community centers (senior center, residential culture center, sport center, and YWCA center) participated in this study. [Results] The test-retest reliability of the physical activity questionnaire, measured with an interval of three months, being between 0.61 and 0.91 signifies that the questionnaire was useful instrument for assessing physical activity levels. [Conclusion] This study found that the simple physical activity questionnaire containing the frequency, duration, intensity, overall length, and type of activities that the person performed during their leisure time was reliable.
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Affiliation(s)
- Min-Haeng Cho
- Department of Sports and Leisure, College of Humanity,
Daegu University, Republic of
Korea
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28
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Thompson D, Batterham AM, Peacock OJ, Western MJ, Booso R. Feedback from physical activity monitors is not compatible with current recommendations: A recalibration study. Prev Med 2016; 91:389-394. [PMID: 27330025 PMCID: PMC5061550 DOI: 10.1016/j.ypmed.2016.06.017] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2016] [Revised: 06/02/2016] [Accepted: 06/12/2016] [Indexed: 01/06/2023]
Abstract
Wearable devices to self-monitor physical activity have become popular with individuals and healthcare practitioners as a route to the prevention of chronic disease. It is not currently possible to reconcile feedback from these devices with activity recommendations because the guidelines refer to the amount of activity required on top of normal lifestyle activities (e.g., 150 minutes of moderate-to-vigorous intensity activity per week over-and-above normal moderate-to-vigorous lifestyle activities). The aim of this study was to recalibrate the feedback from self-monitoring. We pooled data from four studies conducted between 2006 and 2014 in patients and volunteers from the community that included both sophisticated measures of physical activity and 10-year risk for cardiovascular disease and type 2 diabetes (n=305). We determined the amount of moderate-to-vigorous intensity activity that corresponded to FAO/WHO/UNU guidance for a required PAL of 1.75 (Total Energy Expenditure/Basal Metabolic Rate). Our results show that, at the UK median PAL, total moderate-to-vigorous intensity physical activity will be around 735 minutes per week (~11% of waking time). We estimate that a 4% increase in moderate-to-vigorous intensity activity will achieve standardised guidance from FAO/WHO/UNU and will require ~1000 minutes of moderate-to-vigorous intensity activity per week. This study demonstrates that feedback from sophisticated wearable devices is incompatible with current physical activity recommendations. Without adjustment, people will erroneously form the view that they are exceeding recommendations by several fold. A more appropriate target from self-monitoring that accounts for normal moderate-to-vigorous lifestyle activities is ~1000 minutes per week, which represents ~15% of waking time.
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Affiliation(s)
- Dylan Thompson
- Department for Health, University of Bath, Bath BA2 7AY, UK.
| | - Alan M Batterham
- Health and Social Care Institute, Teesside University, Middlesbrough TS1 3BA, UK
| | | | - Max J Western
- Department for Health, University of Bath, Bath BA2 7AY, UK
| | - Rahuman Booso
- Directorate of Health Services, Air Force Head Quarters, P.O. BOX 1592, Colombo 02, Sri Lanka
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Abstract
Background Obesity is a consequence of chronic energy imbalance. We need accurate and precise measurements of energy intake and expenditure, as well as the related behaviors, to fully understand how energy homeostasis is regulated in order to develop interventions and evaluate their effectiveness to combat the global obesity epidemic. Scope of review We provide an in-depth review of the methodologies currently used to measure energy intake and expenditure in humans, including their principles, advantages, and limitations in the clinical research setting. The aim is to provide researchers with a comprehensive guide to conduct obesity research of the highest possible quality. Major conclusions An array of methodologies is available to measure various aspects of energy metabolism and none is perfect under all circumstances. The choice of methods should be specific to particular research questions with practicality and quality of data the priorities for consideration. A combination of complementary measurements may be preferable. There is an imperative need to develop new methodologies to improve the accuracy and precision of energy intake assessments. Image-based technology is a significant step to improve energy intake measurement. Physical activity informs patterns but not absolute energy expenditure. Combining complementary measurements overcomes shortfalls of individual methods.
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30
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van Laarhoven SN, Lipperts M, Bolink SAAN, Senden R, Heyligers IC, Grimm B. Validation of a novel activity monitor in impaired, slow-walking, crutch-supported patients. Ann Phys Rehabil Med 2016; 59:308-313. [PMID: 27659237 DOI: 10.1016/j.rehab.2016.05.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Revised: 05/25/2016] [Accepted: 05/29/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND A growing need in clinical practice of rehabilitation and orthopaedic medicine is for objective outcome tools to estimate physical activity. Current techniques show limited validity or are too demanding for routine clinical use. Accelerometer-based activity monitors (AMs) have shown promise for measuring physical activity in healthy people but lack validity in impaired patients. OBJECTIVES This study aimed to validate an accelerometer-based AM in impaired, slow-walking, crutch-supported patients after total joint arthroplasty (TJA). METHODS Shortly after TJA, patients who were safely mobilized with 2 crutches and 8 healthy participants completed a trial of different activities while wearing the AM on the lateral upper leg and being videotaped. Outcome variables (e.g., time walking, number of gait cycles, sit-stand-sit transfers) were compared to video recordings, and sensitivity, predictive value and mean percentage difference (MPD) values were calculated. RESULTS We included 40 patients (mean age: 65±9 years; mean BMI: 30±6kg/m2; male:female ratio: 18:22) and 8 healthy participants (mean age: 49±20 years; mean BMI: 23±0.7kg/m2; male:female ratio: 5:3). The AM showed excellent sensitivity (>95%) and predictive value (>95%) in identifying activities (e.g., walking, sitting, resting) and detecting the number of gait cycles and sit-stand-sit transfers (mean percentage difference: ±2%). Detection of number of steps ascending and descending stairs and cadence was more difficult but still showed good results (mean percentage difference: ±7%). CONCLUSIONS This is the first validation study to assess physical activity with an AM in impaired, slow-walking, crutch-supported patients. The AM was a valid tool for measuring physical activity in these patients. The tool may help in evaluating and optimizing rehabilitation programs for patients after TJA, those recovering from stroke or chronic impaired patients.
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Affiliation(s)
- Simon N van Laarhoven
- Department of orthopaedics, Atrium medical center Heerlen, 5, Henri Dunantstraat, 6419PC Heerlen, The Netherlands.
| | - Matthijs Lipperts
- Department of orthopaedics, Atrium medical center Heerlen, 5, Henri Dunantstraat, 6419PC Heerlen, The Netherlands
| | - Stijn A A N Bolink
- Department of orthopaedics, Atrium medical center Heerlen, 5, Henri Dunantstraat, 6419PC Heerlen, The Netherlands
| | - Rachel Senden
- Department of orthopaedics, Atrium medical center Heerlen, 5, Henri Dunantstraat, 6419PC Heerlen, The Netherlands
| | - Ide C Heyligers
- Department of orthopaedics, Atrium medical center Heerlen, 5, Henri Dunantstraat, 6419PC Heerlen, The Netherlands
| | - Bernd Grimm
- Department of orthopaedics, Atrium medical center Heerlen, 5, Henri Dunantstraat, 6419PC Heerlen, The Netherlands
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31
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Gobbi E, Elliot C, Varnier M, Carraro A. Psychometric Properties of the Physical Activity Questionnaire for Older Children in Italy: Testing the Validity among a General and Clinical Pediatric Population. PLoS One 2016; 11:e0156354. [PMID: 27228050 PMCID: PMC4881960 DOI: 10.1371/journal.pone.0156354] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Accepted: 05/12/2016] [Indexed: 12/17/2022] Open
Abstract
The purpose of this research was to assess an Italian version of the Physical Activity Questionnaire for Older Children (PAQ-C-It). Three separate studies were conducted, whereby testing general psychometric properties, construct validity, concurrent validity and the factor structure of the PAQ-C-It among general and clinical pediatric population. Study 1 (n = 1170) examined the psychometric properties, internal consistency, factor structure (exploratory factor analysis, EFA) and construct validity with enjoyment perception during physical activity. Study 2 (n = 59) reported on reliability, construct validity with enjoyment and BMI, and on cross-sectional concurrent validity with objectively measured MVPA (tri-axial accelerometry) over the span of seven consecutive days. Study 3 (n = 58) examined the PAQ-C-It reliability, construct validity with BMI and VO2max as the objective measurement among a population of children with congenital heart defects (CHD). In study 2 and 3, the factor structure of the PAQ-C-It was then re-examined with an EFA. The PAQ-C-It showed acceptable to good reliability (alpha .70 to .83). Results on construct validity showed moderate but significant association with enjoyment perception (r = .30 and .36), with BMI (r = -.30 and -.79 for CHD simple form), and with the VO2max (r = .55 for CHD simple form). Significant concurrent validity with the objectively measured MVPA was reported (rho = .30, p < .05). Findings of the EFA suggested a two-factor structure for the PAQ-C-It, with items 2, 3, and 4 contributing little to the total score. This study supports the PAQ-C-It as an appropriate instrument to assess the MVPA levels of Italian children, including children with simple forms of CHD. Support is given to the possible instrument effectiveness on a large international perspective in order to level out data gathering across the globe.
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Affiliation(s)
- Erica Gobbi
- Department of Biomedical Sciences, University of Padua, Padova, Italy
- * E-mail:
| | - Catherine Elliot
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | | | - Attilio Carraro
- Department of Biomedical Sciences, University of Padua, Padova, Italy
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Bihan H, Backholer K, Peeters A, Stevenson CE, Shaw JE, Magliano DJ. Socioeconomic Position and Premature Mortality in the AusDiab Cohort of Australian Adults. Am J Public Health 2016; 106:470-7. [PMID: 26794164 DOI: 10.2105/ajph.2015.302984] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To determine the association of socioeconomic position indicators with mortality, without and with adjustment for modifiable risk factors. METHODS We examined the relationships of 2 area-based indices and educational level with mortality among 9338 people (including 8094 younger than 70 years at baseline) of the Australian Diabetes Obesity and Lifestyle (AusDiab) from 1999-2000 until November 30, 2012. RESULTS Age- and gender-adjusted premature mortality (death before age 70 years) was more likely among those living in the most disadvantaged areas versus least disadvantaged (hazard ratio [HR] = 1.48; 95% confidence interval [CI] = 1.08, 2.01), living in inner regional versus major urban areas (HR = 1.36; 95% CI = 1.07, 1.73), or having the lowest educational level versus the highest (HR = 1.64; 95% CI = 1.17, 2.30). The contribution of modifiable risk factors (smoking status, diet quality, physical activity, stress, cardiovascular risk factors) in the relationship between 1 area-based index or educational level and mortality was more apparent as age of death decreased. CONCLUSIONS The relation of area-based socioeconomic position to premature mortality is partly mediated by behavioral and cardiovascular risk factors. Such results could influence public health policies.
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Affiliation(s)
- Hélène Bihan
- Hélène Bihan is with the Department of Endocrinology, Diabetology and Metabolic Diseases, Avicenne Hospital, Bobigny, France. Kathrin Backholer, Anna Peeters, Jonathan E. Shaw, and Dianna J. Magliano are with the Baker IDI Heart and Diabetes Institute, Melbourne, Australia. Christopher E. Stevenson is with the School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne
| | - Kathrin Backholer
- Hélène Bihan is with the Department of Endocrinology, Diabetology and Metabolic Diseases, Avicenne Hospital, Bobigny, France. Kathrin Backholer, Anna Peeters, Jonathan E. Shaw, and Dianna J. Magliano are with the Baker IDI Heart and Diabetes Institute, Melbourne, Australia. Christopher E. Stevenson is with the School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne
| | - Anna Peeters
- Hélène Bihan is with the Department of Endocrinology, Diabetology and Metabolic Diseases, Avicenne Hospital, Bobigny, France. Kathrin Backholer, Anna Peeters, Jonathan E. Shaw, and Dianna J. Magliano are with the Baker IDI Heart and Diabetes Institute, Melbourne, Australia. Christopher E. Stevenson is with the School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne
| | - Christopher E Stevenson
- Hélène Bihan is with the Department of Endocrinology, Diabetology and Metabolic Diseases, Avicenne Hospital, Bobigny, France. Kathrin Backholer, Anna Peeters, Jonathan E. Shaw, and Dianna J. Magliano are with the Baker IDI Heart and Diabetes Institute, Melbourne, Australia. Christopher E. Stevenson is with the School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne
| | - Jonathan E Shaw
- Hélène Bihan is with the Department of Endocrinology, Diabetology and Metabolic Diseases, Avicenne Hospital, Bobigny, France. Kathrin Backholer, Anna Peeters, Jonathan E. Shaw, and Dianna J. Magliano are with the Baker IDI Heart and Diabetes Institute, Melbourne, Australia. Christopher E. Stevenson is with the School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne
| | - Dianna J Magliano
- Hélène Bihan is with the Department of Endocrinology, Diabetology and Metabolic Diseases, Avicenne Hospital, Bobigny, France. Kathrin Backholer, Anna Peeters, Jonathan E. Shaw, and Dianna J. Magliano are with the Baker IDI Heart and Diabetes Institute, Melbourne, Australia. Christopher E. Stevenson is with the School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Melbourne
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Roberts EB, Fleischhacker S, Pardilla M, Treuth M, Gadhoke P, Christiansen K, Gittelsohn J. Self-Reported Physical Activity Among American Indian Adults From Two Diverse Regions. J Rural Health 2015; 32:146-55. [PMID: 26717878 DOI: 10.1111/jrh.12168] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/26/2015] [Indexed: 11/28/2022]
Abstract
PURPOSE Physical activity may be a protective factor against the disproportionate rates of chronic diseases faced by American Indians. Nevertheless, few studies report any cultural adoptions made to capture physical activity behaviors among this hard-to-reach population. Existing studies reporting the prevalence of physical activity among American Indians are often aggregated and tend to obscure regional, local, and tribal-level variations. This study examines the prevalence of physical activity and inactivity levels, along with associated factors, among rural dwelling American Indian adults from 2 distinct regions. METHODS Baseline self-reported data were collected using a culturally modified version of the International Physical Activity Questionnaire (IPAQ) short form during the Obesity Research Prevention and Evaluation of Intervention Effectiveness in Native North Americans trial (OPREVENT) among rural American Indian adults (aged 18-75 years) from 5 tribal communities in Michigan and New Mexico. FINDINGS Most participants were classified as moderately physically active (43.5%), and the majority reported access to physical activity facilities (83.5%). Michigan participants reported engaging in more moderate and total physical activity than those in New Mexico (P < .001) and reported spending less time sitting (P < .001). CONCLUSIONS Differences in physical activity among the American Indian communities may be due to regional variations in occupations, climate, and tribal and community support and infrastructure. The unexpected high level of activity evokes uncertainty in the accuracy and appropriateness of the data collection instrument. Research is needed to understand culturally appropriate approaches to measure physical activity and inactivity among rural American Indians.
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Affiliation(s)
- Erica Blue Roberts
- Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, Maryland
| | - Sheila Fleischhacker
- The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Office of Nutrition Research, Bethesda, Maryland
| | - Marla Pardilla
- Department of International Health, Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | - Margarita Treuth
- Department of Kinesiology, University of Maryland Eastern Shore, Princess Anne, Maryland
| | - Preety Gadhoke
- Department of Pharmacy Administration and Public Health, College of Pharmacy and Health Sciences, St. John's University, Queens, New York
| | - Karina Christiansen
- Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | - Joel Gittelsohn
- Department of International Health, Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
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Gerovasili V, Agaku IT, Vardavas CI, Filippidis FT. Levels of physical activity among adults 18-64 years old in 28 European countries. Prev Med 2015; 81:87-91. [PMID: 26299619 DOI: 10.1016/j.ypmed.2015.08.005] [Citation(s) in RCA: 71] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2015] [Revised: 08/10/2015] [Accepted: 08/13/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND Sedentary lifestyle is associated with more than three million deaths annually. Data from the 2013 Eurobarometer survey were analyzed to assess levels of physical activity across the European Union (EU) and to explore factors associated with adequate and high physical activity. METHODS A representative sample of n=19,978 individuals aged 18-64 years from the 28 EU countries (sub-sample of the Eurobarometer survey, wave 80.2) was analyzed. Frequency and average duration of walking, moderate and vigorous physical activity was assessed with a self-reported questionnaire. Participants were then classified as physically inactive or adequately/highly active, based on the World Health Organization's (WHO) recommendations. The total amount of MET-minutes (MET-min) per week was also calculated for each respondent. RESULTS The proportion of physically inactive individuals was 28.6%, (12.4% in Sweden to 53.7% in Cyprus), while 59.1% of the respondents (37.9% in Portugal and Cyprus to 72.2% in Sweden) were classified as highly active. The mean total weekly physical activity was 2151 MET-min (95%CI: 2095-2206), of which 891 MET-min (95%CI: 858-924) were contributed by vigorous exercise, 559 MET-min (95%CI: 540-578) by moderate exercise (excluding walking) and 690 MET-min (95%CI: 673-706) by walking. Male gender, younger age, residence in rural areas and Northern Europe, higher education level and ability to pay bills were independently associated with higher physical activity. CONCLUSION One fourth of the EU population did not meet the WHO's recommendations for physical activity, with wide inequalities between and within countries. Wide-reaching environmental approaches are required to promote physical activity and address these inequalities.
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Affiliation(s)
- Vasiliki Gerovasili
- Ergospirometry and Rehabilitation, Medical School, National and Kapodistrian University of Athens, Greece
| | - Israel T Agaku
- Department of Social and Behavioral Sciences, Center for Global Tobacco Control, Harvard School of Public Health, Boston, MA, USA
| | - Constantine I Vardavas
- Department of Social and Behavioral Sciences, Center for Global Tobacco Control, Harvard School of Public Health, Boston, MA, USA; Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Greece
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Falck RS, McDonald SM, Beets MW, Brazendale K, Liu-Ambrose T. Measurement of physical activity in older adult interventions: a systematic review. Br J Sports Med 2015; 50:464-70. [DOI: 10.1136/bjsports-2014-094413] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2015] [Indexed: 12/11/2022]
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Amireault S, Godin G, Lacombe J, Sabiston CM. The use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire in oncology research: a systematic review. BMC Med Res Methodol 2015; 15:60. [PMID: 26264621 PMCID: PMC4542103 DOI: 10.1186/s12874-015-0045-7] [Citation(s) in RCA: 181] [Impact Index Per Article: 20.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2014] [Accepted: 07/06/2015] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND The Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ) is one of the most often used questionnaires in oncology research, yet modifications to the scale are done with little evidence of psychometric testing. This study aimed to (i) document the frequency of use of the questionnaire for ranking (i.e., level of activity) and classification (i.e., active versus insufficiently active) purposes, (ii) summarize how the GSLTPAQ is used in terms of item content and scoring, and (iii) evaluate the extent to which validity evidence supports the use of the scale among cancer survivors. METHODS A systematic review was conducted with evidence drawn from English-written articles published between January 1(st) 1985 (year the GSLTPAQ was published) and December 31, 2014. A search of six databases, a scan of reference list of included articles, and a cited reference search identified articles that reported using the GSLTPAQ among cancer survivors. RESULTS A total of 212 articles were retrieved. The GSLTPAQ was used for classifying cancer survivors into active and insufficiently active categories in 51 % of the articles. Moreover, a modified version of the questionnaire was used in 81 % of the research studies. Three studies reported validity evidence based on the relationship between the scores on the GSLTPAQ (i.e., leisure score index, LSI) and accelerometer or pedometer-derived activity data. Validity evidence supporting the use of the GSLTPAQ for assessing changes in LSI was computed from six randomized trials. CONCLUSIONS The use of the GSLTPAQ for classification purpose in oncology research is common. Standardization in the use and interpretation of the GSLTPAQ in oncology research is warranted. Although limited, there is support for using the original form of the GSLTPAQ and interpreting the LSI for ranking cancer survivors from the lowest to highest levels of leisure-time physical activity.
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Affiliation(s)
- Steve Amireault
- Faculty of Kinesiology and Physical Education, Warren Stevens Building, University of Toronto, 55 Harbord St, ON M5S 2W6; Department of Psychology, Faculty of Arts and Science, PY Building, Concordia University, 7141 Sherbrooke West, Montreal, QC H4B 1R6, Canada.
- Department of Psychology, Faculty of Arts and Science, Concordia University, Montreal, QC, Canada.
| | - Gaston Godin
- Faculty of Nursing, Université Laval, 1050 Avenue de la Médecine, Pavillon Ferdinand-Vandry, Quebec City, G1V 0A4, QC, Canada.
| | - Jason Lacombe
- Department of Health and Kinesiology, Purdue University, Lambert Fieldhouse, 800 W. Stadium Ave. Room 311A, West Lafayette, IN, 47907-2046, USA.
| | - Catherine M Sabiston
- Department of Health and Kinesiology, Purdue University, Lambert Fieldhouse, 800 W. Stadium Ave. Room 311A, West Lafayette, IN, 47907-2046, USA.
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Monjazebi F, Dalvandi A, Ebadi A, Khankeh HR, Rahgozar M, Richter J. Functional Status Assessment of COPD Based on Ability to Perform Daily Living Activities: A Systematic Review of Paper and Pencil Instruments. Glob J Health Sci 2015; 8:210-23. [PMID: 26493419 PMCID: PMC4803967 DOI: 10.5539/gjhs.v8n3p210] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2015] [Accepted: 05/05/2015] [Indexed: 11/12/2022] Open
Abstract
Context: Activity of daily living (ADL) is an important predictor of mortality in patients with chronic obstructive pulmonary disease (COPD). Increasing ADL is important in patients with COPD and assessment of ADL is one of the best ways to evaluate the status of COPD patients. Objectives: The objective of this systematic review was to provide an overview of the psychometric properties of paper and pencil instruments measuring ADL in patients with COPD. Data Sources: English papers published from 1980 to 2014 regarding ADL in patients with COPD were searched in Web of Science, MEDLINE, Google Scholar, Cochrane, PubMed, ProQuest, and CINAHL databases using the following keywords: “COPD”, “ADL”, “activities of daily living”, “daily activities”, “instrument”, “questionnaire”, “paper-and-pencil instruments”, and “measure”. Following the Internet search, manual search was also done to find article references. Study Selection: A total of 186 articles were found. Of those, 31 met the inclusion criteria. Full texts of articles meeting the inclusion criteria were studied. Consensus-based standards for the selection of health measurement instruments”(COSMIN) were used to assess the quality of the studies. Data Extraction: Data extraction form based on research aims developed by researchers and psychometric experts, with 17 questions was used. Results: In these articles, 14 pen and paper instruments were identified for examining ADL in patients with COPD; of which, 4 dealt directly with ADL while 9 assessed other criteria i.e. dyspnea as ADL indicator. The majority of instruments only dealt with two main dimensions of ADL: Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL), and did not consider Advanced Activities of Daily Living (AADL), which is influenced by cultural and motivational factors. Conclusion: Despite several ADL instruments identified, complete psychometric processes have only been done in a few of them. Selection of the appropriate instrument should focus on the aim of the study and the target construct.
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Affiliation(s)
- Fateme Monjazebi
- Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
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Rommel AS, Lichtenstein P, Rydell M, Kuja-Halkola R, Asherson P, Kuntsi J, Larsson H. Is Physical Activity Causally Associated With Symptoms of Attention-Deficit/Hyperactivity Disorder? J Am Acad Child Adolesc Psychiatry 2015; 54:565-70. [PMID: 26088661 PMCID: PMC4984951 DOI: 10.1016/j.jaac.2015.04.011] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2014] [Revised: 04/15/2015] [Accepted: 05/01/2015] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Emerging evidence suggests that physical activity (PA) enhances cognition and may be a protective factor for attention-deficit/hyperactivity disorder (ADHD). Yet the impact of PA on ADHD symptoms has been investigated only in a few undersized, nonrandomized, and retrospective studies. We examined the effect of PA during late adolescence on ADHD symptoms in early adulthood while controlling for unmeasured genetic and shared environmental confounding. METHOD The effect of PA at age 16 to 17 years (baseline) on ADHD symptoms at age 19 to 20 years (follow-up) was examined using a within-monozygotic (MZ) twins fixed-effects model in 232 MZ twin pairs born in Sweden between May 1985 and December 1986. Parents rated their children's DSM ADHD symptoms at baseline and follow-up. Participants' weekly energy expenditure (in metabolic equivalent task minutes per week) was based on self-reports at baseline of PA frequency, intensity, and duration. RESULTS Greater weekly energy expenditure in adolescence was significantly associated with reduced ADHD symptom levels in early adulthood, even when controlling for unmeasured confounding (all genetic and environmental factors shared within MZ twin pairs) as well as ADHD symptoms and body mass index (BMI) at baseline, β = -0.21, p = .013 (95% CI = -0.38 to -0.05). Similar results were observed for the 2 ADHD subcomponents: hyperactivity/impulsivity, β = -0.21, p = .022 (95% CI = -0.39 to -0.03), and inattention, β = -0.19, p = .049 (95% CI = -0.36 to -0.0005). CONCLUSION In line with a causal hypothesis, PA was inversely associated with ADHD symptoms, even after adjusting for unmeasured confounding. These findings suggest that PA in adolescence might decrease ADHD symptoms in early adulthood. However, given the size of the effect, the clinical value of this intervention needs to be explored further.
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Affiliation(s)
- Anna-Sophie Rommel
- Medical Research Council Social, Genetic and Developmental Psychiatry Centre, at the Institute of Psychiatry, Psychology and Neuroscience, King's College London.
| | | | | | | | - Philip Asherson
- Medical Research Council Social, Genetic and Developmental Psychiatry Centre, at the Institute of Psychiatry, Psychology and Neuroscience, King's College London
| | - Jonna Kuntsi
- Medical Research Council Social, Genetic and Developmental Psychiatry Centre, at the Institute of Psychiatry, Psychology and Neuroscience, King's College London
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Lee J, Chang RW, Ehrlich-Jones L, Kwoh CK, Nevitt M, Semanik PA, Sharma L, Sohn MW, Song J, Dunlop DD. Sedentary behavior and physical function: objective evidence from the Osteoarthritis Initiative. Arthritis Care Res (Hoboken) 2015; 67:366-73. [PMID: 25155652 DOI: 10.1002/acr.22432] [Citation(s) in RCA: 100] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Accepted: 08/05/2014] [Indexed: 12/31/2022]
Abstract
OBJECTIVE Investigate the relationship between sedentary behavior and physical function in adults with knee osteoarthritis (OA), controlling for moderate-vigorous physical activity (MVPA) levels. METHODS Sedentary behavior was objectively measured by accelerometer on 1,168 participants ages 49-83 years in the Osteoarthritis Initiative with radiographic knee OA at the 48-month clinic visit. Physical function was assessed using 20-meter walk and chair stand testing. Sedentary behavior was identified by accelerometer activity counts/minute <100. The cross-sectional association between sedentary quartiles and physical function was examined by multiple linear regression, adjusting for demographic factors (age, sex, race/ethnicity, education level), health factors (comorbidity, body mass index, knee pain, knee OA severity, presence of knee symptoms), and average daily MVPA minutes. RESULTS Adults with knee OA spent two-thirds of their daily time in sedentary behavior. The average gait speed among the most sedentary quartile was 3.88 feet/second, which was significantly slower than the speed of the less sedentary groups (4.23, 4.33, and 4.33 feet/second, respectively). The average chair stand rate among the most sedentary group was significantly lower (25.9 stands/minute) than the rates of the less sedentary behavior groups (28.9, 29.1, and 31.1 stands/minute, respectively). These trends remained significant in multivariable analyses adjusted for demographic factors, health factors, and average daily MVPA minutes. CONCLUSION Being less sedentary was related to better physical function in adults with knee OA independent of MVPA time. These findings support guidelines to encourage adults with knee OA to decrease time spent in sedentary behavior in order to improve physical function.
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Assah F, Mbanya JC, Ekelund U, Wareham N, Brage S. Patterns and correlates of objectively measured free-living physical activity in adults in rural and urban Cameroon. J Epidemiol Community Health 2015; 69:700-7. [PMID: 25841243 PMCID: PMC4484252 DOI: 10.1136/jech-2014-205154] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Accepted: 02/01/2015] [Indexed: 11/30/2022]
Abstract
Background Urbanisation in sub-Saharan Africa is changing lifestyles and raising non-communicable disease burden. Understanding the underlying pattern of physical activity and its correlates may inform preventive interventions. We examined correlates of objectively-measured physical activity in rural and urban Cameroon. Methods Participants were 544 adults resident in rural (W-156, M-89) or urban (W-189, M-110) regions. Physical activity was measured using individually-calibrated combined heart rate and movement sensing over seven continuous days. Sociodemographic data were collected by self-report. Independent associations of sociodemographic correlates with physical activity energy expenditure (PAEE) or moderate-to-vigorous physical activity (MVPA) were analysed in multivariate regression models. Results Rural dwellers were significantly more active than their urban counterparts (PAEE: 58.0 vs 42.9 kJ/kg/day; MVPA: 107 vs 62 min/day; MVPA of 150 min/week in >10 min bouts: 62 vs 39%) and less sedentary (923 vs 1026 min/day); p<0.001. There was no significant seasonal difference (dry vs rainy) in activity in urban dwellers whereas in rural dwellers activity was higher during dry seasons compared to rainy seasons (p<0.001). Age, obesity and education showed significant inverse associations with activity. Urban dwellers who considered themselves adequately active were only as active as rural dwellers who thought they were not adequately active. Conclusions This is the first study providing data on sociodemographic patterning of objectively-measured physical activity in rural and urban sub-Saharan Africa. Age, urban residence, obesity and higher educational level are important correlates of lower levels of physical activity. These suggest targets for public health interventions to improve physical activity in Cameroon.
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Affiliation(s)
- Felix Assah
- Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Jean Claude Mbanya
- Department of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon
| | - Ulf Ekelund
- MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | | | - Soren Brage
- MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
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Inter- and intraindividual correlations of background abundances of (2)H, (18)O and (17)O in human urine and implications for DLW measurements. Eur J Clin Nutr 2015; 69:1091-8. [PMID: 25804273 DOI: 10.1038/ejcn.2015.10] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2014] [Revised: 12/21/2014] [Accepted: 12/23/2014] [Indexed: 12/16/2022]
Abstract
BACKGROUND/OBJECTIVES The method of choice for measuring total energy expenditure in free-living individuals is the doubly labeled water (DLW) method. This experiment examined the behavior of natural background isotope abundance fluctuations within and between individuals over time to assess possible methods of accounting for variations in the background isotope abundances to potentially improve the precision of the DLW measurement. SUBJECTS/METHODS In this work, we measured natural background variations in (2)H, (18)O and (17)O in water from urine samples collected from 40 human subjects who resided in the same geographical area. Each subject provided a urine sample for 30 consecutive days. Isotopic abundances in the samples were measured using Off-Axis Integrated Cavity Output Spectroscopy. RESULTS Autocorrelation analyses demonstrated that the background isotopes in a given individual were not temporally correlated over the time scales of typical DLW studies. Using samples obtained from different individuals on the same calendar day, cross-correlation analyses demonstrated that the background variations of different individuals were not correlated in time. However, the measured ratios of the three isotopes (2)H, (18)O and (17)O were highly correlated (R(2)=0.89-0.96). CONCLUSIONS Although neither specific timing of DLW water studies nor intraindividual comparisons were found to be avenues for reducing the impact of background isotope abundance fluctuations on DLW studies, strong inter-isotope correlations within an individual confirm that use of a dosing ratio of 8‰:1‰ (0.6 p.p.m.: p.p.m.) optimizes DLW precision. Theoretical implications for the possible use of (17)O measurements within a DLW study require further study.
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Lynch BM, Friedenreich CM, Khandwala F, Liu A, Nicholas J, Csizmadi I. Development and testing of a past year measure of sedentary behavior: the SIT-Q. BMC Public Health 2014; 14:899. [PMID: 25179551 PMCID: PMC4158075 DOI: 10.1186/1471-2458-14-899] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Accepted: 08/15/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Most sedentary behavior measures focus on occupational or leisure-time sitting. Our aim was to develop a comprehensive measure of adult sedentary behavior and establish its measurement properties. METHOD The SIT-Q was developed through expert review (n = 7), cognitive interviewing (n = 11) and pilot testing (n = 34). A convenience sample of 82 adults from Calgary, Alberta, Canada, participated in the measurement property study. Test-retest reliability was assessed by intraclass correlation coefficients (ICCs) comparing two administrations of the SIT-Q conducted one month apart. Convergent validity was established using Spearman's rho, by comparing the SIT-Q estimates of sedentary behaviour with values derived from a 7-Day Activity Diary. RESULTS The SIT-Q exhibited good face validity and acceptability during pilot testing. Within the measurement property study, the ICCs for test-retest reliability ranged from 0.31 for leisure-time computer use to 0.86 for occupational sitting. Total daily sitting demonstrated substantial correlation (ICC = 0.65, 95% CI: 0.49, 0.78). In terms of convergent validity, correlations varied from 0.19 for sitting during meals to 0.76 for occupational sitting. For total daily sitting, estimates derived from the SIT-Q and 7 Day Activity Diaries were moderately correlated (ρ = 0.53, p < 0.01). CONCLUSION The SIT-Q has acceptable measurement properties for use in epidemiologic studies.
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Affiliation(s)
- Brigid M Lynch
- Physical Activity Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.
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Beydoun MA, Gamaldo AA, Canas JA, Beydoun HA, Shah MT, McNeely JM, Zonderman AB. Serum nutritional biomarkers and their associations with sleep among US adults in recent national surveys. PLoS One 2014; 9:e103490. [PMID: 25137304 PMCID: PMC4138077 DOI: 10.1371/journal.pone.0103490] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Accepted: 07/02/2014] [Indexed: 12/27/2022] Open
Abstract
Background The associations between nutritional biomarkers and measures of sleep quantity and quality remain unclear. Methods Cross-sectional data from the National Health and Nutrition Examination Surveys (NHANES) 2005–2006 were used. We selected 2,459 adults aged 20–85, with complete data on key variables. Five sleep measures were constructed as primary outcomes: (A) Sleep duration; (B) Sleep disorder; (C) Three factors obtained from factor analysis of 15 items and labeled as “Poor sleep-related daytime dysfunction” (Factor 1), “Sleepiness” (Factor 2) and “Sleep disturbance” (Factor 3). Main exposures were serum concentrations of key nutrients, namely retinol, retinyl esters, carotenoids (α-carotene, β-carotene, β-cryptoxanthin, lutein+zeaxanthin, lycopene), folate, vitamin B-12, total homocysteine (tHcy), vitamin C, 25-hydroxyvitamin D (25(OH)D) and vitamin E. Main analyses consisted of multiple linear, logistic and multinomial logit models. Results Among key findings, independent inverse associations were found between serum vitamin B-12 and sleep duration, 25(OH)D and sleepiness (as well as insomnia), and between folate and sleep disturbance. Serum total carotenoids concentration was linked to higher odds of short sleep duration (i.e. 5–6 h per night) compared to normal sleep duration (7–8 h per night). Conclusions A few of the selected serum nutritional biomarkers were associated with sleep quantity and quality. Longitudinal studies are needed to ascertain temporality and assess putative causal relationships.
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Affiliation(s)
- May A. Beydoun
- National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland, United States of America
- * E-mail:
| | - Alyssa A. Gamaldo
- National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland, United States of America
| | - Jose A. Canas
- Pediatric Endocrinology, Diabetes and Metabolism Nemours Children's Clinic, Jacksonville, Florida, United States of America
| | - Hind A. Beydoun
- Graduate program in Public Health, Eastern Virginia Medical School, Norfolk, Virginia, United States of America
| | - Mauli T. Shah
- National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland, United States of America
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, Maryland, United States of America
| | - Jessica M. McNeely
- National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland, United States of America
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, Maryland, United States of America
| | - Alan B. Zonderman
- National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland, United States of America
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Golubic R, May AM, Benjaminsen Borch K, Overvad K, Charles MA, Diaz MJT, Amiano P, Palli D, Valanou E, Vigl M, Franks PW, Wareham N, Ekelund U, Brage S. Validity of electronically administered Recent Physical Activity Questionnaire (RPAQ) in ten European countries. PLoS One 2014; 9:e92829. [PMID: 24667343 PMCID: PMC3965465 DOI: 10.1371/journal.pone.0092829] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2013] [Accepted: 02/25/2014] [Indexed: 01/12/2023] Open
Abstract
OBJECTIVE To examine the validity of the Recent Physical Activity Questionnaire (RPAQ) which assesses physical activity (PA) in 4 domains (leisure, work, commuting, home) during past month. METHODS 580 men and 1343 women from 10 European countries attended 2 visits at which PA energy expenditure (PAEE), time at moderate-to-vigorous PA (MVPA) and sedentary time were measured using individually-calibrated combined heart-rate and movement sensing. At the second visit, RPAQ was administered electronically. Validity was assessed using agreement analysis. RESULTS RPAQ significantly underestimated PAEE in women [median(IQR): 34.9 (22.3, 52.8) vs. 40.6 (32.4, 50.9) kJ/kg/day, 95%LoA: -44.4, 66.1 kJ/kg/day) and overestimated PAEE in men [45.9 (30.6, 71.1) vs. 45.5 (34.1, 57.6) kJ/kg/day, 95%LoA: -44.8, 102.6 kJ/kg/day]. Using individualised definition of 1MET, RPAQ significantly underestimated MVPA in women [median(IQR): 63.7 (30.5, 126.9) vs. 73.6 (47.8, 107.2) min/day, 95%LoA: -127.4, 311.9 min/day] and overestimated MVPA in men [90.0 (42.3, 188.6) vs. 83.3 (55.1, 125.0) min/day, 95%LoA: -134.8, 427.3 min/day]. Correlations (95%CI) between subjective and objective estimates were statistically significant [PAEE: women, rho = 0.20 (0.15-0.26); men, rho = 0.37 (0.30-0.44); MVPA: women, rho = 0.18 (0.13-0.24); men, rho = 0.31 (0.24-0.38)]. When using non-individualised definition of 1MET (3.5 mlO2/kg/min), MVPA was substantially overestimated (16 min/day, and 32 min/day in women and men, respectively). Revisiting occupational intensity assumptions in questionnaire estimation algorithms with occupational group-level empirical distributions reduced median PAEE-bias in manual (38.8 kJ/kg/day vs. 6.8 kJ/kg/day, p<0.001) and heavy manual workers (63.6 vs. -2.8 kJ/kg/day, p<0.001) in an independent hold-out sample [corrected]. CONCLUSION Relative validity of RPAQ-derived PAEE and MVPA is comparable to previous studies but underestimation of PAEE is smaller. Electronic RPAQ may be used in large-scale epidemiological studies including surveys, providing information on all domains of PA.
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Affiliation(s)
- Rajna Golubic
- MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
| | - Anne M. May
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
| | - Kristin Benjaminsen Borch
- Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway
| | - Kim Overvad
- Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark and Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark
| | - Marie-Aline Charles
- Inserm, Centre for research in Epidemiology and Population Health, U1018, Lifelong epidemiology of obesity, diabètes and chronic renal disease Team, F-94807, Villejuif, France; Univ Paris-Sud, UMRS 1018, F-94807, Villejuif, France
| | - Maria Jose Tormo Diaz
- Department of Epidemiology, Murcia Regional Health Authority, Murcia, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Spain
- Department Sociosanitary Sciences, Murcia School of Medicine, Murcia, Spain
| | - Pilar Amiano
- Subdirección de Salud Pública de Gipuzkoa, Gobierno Vasco, San Sebastian, Spain
| | - Domenico Palli
- Molecular and Nutritional Epidemiology Unit, ISPO, Cancer Prevention and Research Institute, Florence, Italy
| | | | - Matthaeus Vigl
- Department of Epidemiology, Deutsches Institut für Ernährungsforschung Potsdam-Rehbrücke, Nuthetal, Germany
| | - Paul W. Franks
- Department of Clinical Sciences, Genetic & Molecular Epidemiology Unit, Skåne University Hospital, Lund University, Malmö, Sweden
- Genetic Epidemiology & Clinical Research Group, Department of Public Health & Clinical Medicine, Section for Medicine, Umeå University, Umeå, Sweden
| | - Nicholas Wareham
- MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
| | - Ulf Ekelund
- MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
| | - Soren Brage
- MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
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How Do Older Adults Respond to Active Australia Physical Activity Questions? Lessons From Cognitive Interviews. J Aging Phys Act 2014; 22:74-86. [DOI: 10.1123/japa.2012-0175] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The aim of this study was to examine older adults’ understanding and interpretation of a validated questionnaire for physical activity surveillance, the Active Australia Survey (AAS). To address this aim, cognitive interviewing techniques were used during face-to-face semistructured interviews with 44 adults age 65–89 years. Qualitative data analysis revealed that participants were confused with questionnaire phrasing, misunderstood the scope of activities to include in answers, and misunderstood the time frame of activities to report. They also struggled to accurately estimate the frequency and duration of their activities. Our findings suggest that AAS questions may be interpreted differently by older adults than intended by survey developers. Findings also suggest that older adults use a range of methods for calculating PA frequency and duration. The issues revealed in this study may be useful for adapting AAS for use in older community-dwelling adults.
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Wang C, Chen P, Zhuang J. Validity and reliability of International Physical Activity Questionnaire-Short Form in Chinese youth. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2013; 84 Suppl 2:S80-S86. [PMID: 24527570 DOI: 10.1080/02701367.2013.850991] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE The psychometric profiles of the widely used International Physical Activity Questionnaire-Short Form (IPAQ-SF) in Chinese youth have not been reported. The purpose of this study was to examine the validity and reliability of the IPAQ-SF using a sample of Chinese youth. METHOD One thousand and twenty-one youth (M(age) = 14.26 +/- 1.63 years, 52.8% boys) from 11 cities in China wore accelerometers for 7 consecutive days and completed the IPAQ-SF on the 8th day to recall their physical activity (PA) during accelerometer-wearing days. A subsample of 92 youth (M(age) = 15.90 +/- 1.35 years, 46.7% boys) completed the IPAQ-SF again a week later to recall their PA during accelerometer-wearing days. Differences in PA estimated by the IPAQ-SF and accelerometer were examined by paired-sample t test. Spearman correlation coefficients were used to examine the correlation between the IPAQ-SF and accelerometer. Test-retest reliability of the IPAQ-SF was determined by the intraclass correlation coefficient (ICC). RESULTS Compared with accelerometer, the IPAQ-SF overestimated sedentary time, moderate PA (MPA), vigorous PA (VPA), and moderate-to-vigorous PA (MVPA). Correlations between PA (total PA, MPA, VPA, and MVPA) and sedentary time measured by 2 instruments ranged from "none" to "low" (p = .08-.31). Test-retest ICC of the IPAQ-SF ranged from "moderate" to "high" (ICC = .43-.83), except for sitting in boys (ICC = .06), sitting for the whole sample (ICC = .32), and VPA in girls (ICC = .35). CONCLUSION The IPAQ-SF was not a valid instrument for measuring PA and sedentary behavior in Chinese youth.
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Affiliation(s)
- Chao Wang
- Shanghai University of Sport, 399 Chang Hai Road, Shanghai 200438, PR China
| | - Peijie Chen
- Shanghai University of Sport, 399 Chang Hai Road, Shanghai 200438, PR China
| | - Jie Zhuang
- Shanghai University of Sport, 399 Chang Hai Road, Shanghai 200438, PR China
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Freene N, Waddington G, Chesworth W, Davey R, Cochrane T. Validating two self-report physical activity measures in middle-aged adults completing a group exercise or home-based physical activity program. J Sci Med Sport 2013; 17:611-6. [PMID: 24332192 DOI: 10.1016/j.jsams.2013.11.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2013] [Revised: 10/26/2013] [Accepted: 11/11/2013] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To compare self-reported physical activity recorded in physical activity diaries or the Active Australia Survey with objectively measured physical activity using accelerometry in sedentary middle-aged adults completing two physical activity interventions. DESIGN Cross-sectional study. METHODS Sedentary 50-65 year olds were recruited to a non-randomized 6-month community group exercise program (G) or a physiotherapist-led home-based physical activity program (HB). Over 7-days, 76 participants (HB 39, G 37) wore an ActiGraph GT1M accelerometer (5s epochs), completed the Active Australia Survey (AAS) and a daily physical activity diary. Data were analysed using descriptive statistics and Spearman rank-order correlations. RESULTS The two interventions had similar demographic and physical activity characteristics except that home-based participants were younger (p < 0.01), more likely to be employed full time (p ≤ 0.001) and reported less moderate-to-vigorous physical activity in the physical activity diaries compared to group exercise participants (HB 29 ± 21 min d(-1) vs. G 57 ± 35 min d(-1), p ≤ 0.001). Home-based participants had fair-to-good agreement between the physical activity diaries and AAS or ActiGraph data (r = 0.39-0.68, p < 0.05). Group exercise physical activity diary data did not correlate significantly with either the AAS or ActiGraph data. In contrast, group exercise AAS data had good correlations with ActiGraph data (r = 0.49-0.64, p ≤ 0.001). CONCLUSIONS Physical activity diaries should be interpreted cautiously unless intervention participants have an adequate understanding of physical activity intensity. The AAS is the preferred self-report measure in middle-aged adults independent of intervention.
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Affiliation(s)
- Nicole Freene
- Faculty of Health, University of Canberra, ACT 2601, Australia.
| | - Gordon Waddington
- Physiotherapy, Faculty of Health, University of Canberra, ACT 2601, Australia
| | - Wendy Chesworth
- Physiotherapy, Faculty of Health, University of Canberra, ACT 2601, Australia
| | - Rachel Davey
- Centre for Research & Action in Public Health, Faculty of Health, University of Canberra, ACT 2601, Australia
| | - Tom Cochrane
- Centre for Research & Action in Public Health, Faculty of Health, University of Canberra, ACT 2601, Australia
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Ikezoe T, Asakawa Y, Shima H, Kishibuchi K, Ichihashi N. Daytime physical activity patterns and physical fitness in institutionalized elderly women: An exploratory study. Arch Gerontol Geriatr 2013; 57:221-5. [DOI: 10.1016/j.archger.2013.04.004] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2012] [Revised: 04/08/2013] [Accepted: 04/10/2013] [Indexed: 11/26/2022]
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Beydoun MA, Beydoun HA, Boueiz A, Shroff MR, Zonderman AB. Antioxidant status and its association with elevated depressive symptoms among US adults: National Health and Nutrition Examination Surveys 2005-6. Br J Nutr 2013; 109:1714-29. [PMID: 22935166 PMCID: PMC3810278 DOI: 10.1017/s0007114512003467] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
We examined the relationship of elevated depressive symptoms with antioxidant status. Cross-sectional data from the National Health and Nutrition Examination Surveys 2005–6 on US adults aged 20–85 years were analysed. Depressive symptoms were measured using the Patient Health Questionnaire with a score cut-off point of 10 to define ‘elevated depressive symptoms’. Serum antioxidant status was measured by serum levels of carotenoids, retinol (free and retinyl esters), vitamin C and vitamin E. The main analyses consisted of multiple logistic and zero-inflated Poisson regression models, taking into account sampling design complexity. The final sample consisted of 1798 US adults with complete data. A higher total serum carotenoid level was associated with a lower likelihood of elevated depressive symptoms with a reduction in the odds by 37 % overall with each sd increase in exposure, and by 34 % among women (P< 0·05). A dose–response relationship was observed when total serum carotenoids were expressed as quartiles (Q4 (1·62–10·1 μmol/l) v. Q1 (0·06–0·86 μmol/l): OR 0·41; 95 % CI 0·23, 0·76, P< 0·001; P for trend = 0·035), though no significant associations were found with the other antioxidant levels. Among carotenoids, β-carotene (men and women combined) and lutein+zeaxanthins (women only, after control for dietary lutein+zeaxanthin intake and supplement use) had an independent inverse association with elevated depressive symptoms among US adults. None of the other serum antioxidants had a significant association with depressive symptoms, independently of total carotenoids and other covariates. In conclusion, total carotenoids (mainly β-carotene and lutein+zeaxanthins) in serum were associated with reduced levels of depressive symptoms among community-dwelling US adults.
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Affiliation(s)
| | - Hind A. Beydoun
- Graduate Program in Public Health, Eastern Virginia Medical School,
Norfolk, VA
| | - Adel Boueiz
- Department of Internal Medicine, Johns Hopkins University,
Baltimore, MD
| | - Monal R. Shroff
- Department of Epidemiology, University of Michigan at Ann Arbor, Ann
Arbor, MI
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Holen MS, Een R, Mildestvedt T, Eide GE, Meland E. Two Valid Measures of Self-rated Physical Activity and Capacity. Open Cardiovasc Med J 2012; 6:156-62. [PMID: 23346259 PMCID: PMC3551239 DOI: 10.2174/1874192401206010156] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2012] [Revised: 12/15/2012] [Accepted: 12/20/2012] [Indexed: 01/14/2023] Open
Abstract
Objectives: Questionnaires on physical activity (PA) and physical capacity (PC) are valuable tools, as they are cost beneficial, and have high response rates. The validity of short versions of such questionnaires has not been examined satisfactorily. Therefore, we aimed at examining the validity of a set of questions coding for PA and PC. Design: The questions were administered to 217 men and women attending a cardiac rehabilitation program. Participants also gave blood samples, measuring HDL cholesterol, triglycerides (TG), insulin, glucose, and microCRP. The relations between PA and PC and biological markers were examined by linear regression analyses. Results: Measures for PC and for PA were identified by factor analysis, which proved internally consistent. TG, homeostatic model assessment (HOMA) score, and mCRP were all significantly associated with the measures of PC and PA. Conclusions: The measures of PA and PC are valid compared with biological markers, allowing cost-beneficial and time-efficient evaluation of important measures for cardiovascular health.
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Affiliation(s)
- Marit Sundal Holen
- Department of Public Health and Primary Health Care, Research Group for General Practice, University of Bergen, Bergen, Norway
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