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Validation of the Spanish version of the physical activity questionnaire used in the Nurses' Health Study and the Health Professionals' Follow-up Study

  • Miguel Angel Martínez-González (a1), Constanza López-Fontana (a2), José Javier Varo (a1), Almudena Sánchez-Villegas (a1) (a3) and J Alfredo Martinez (a2)...
Abstract
AbstractObjective

The objective of this analysis was to test the validity of the estimates of energy expenditure and sedentary lifestyle obtained through a self-administered questionnaire of physical activity for Spanish-speaking people adapted from US questionnaires (Nurses' Health Study and Health Professionals' Follow-up Study) using a triaxial accelerometer (RT3 Triaxial Research Tracker) as the reference.

Design and setting: Validation study, calculating the non-parametric correlation coefficients between the level of physical activity and sedentary lifestyle collected by the self-administered questionnaire and the triaxial accelerometer measurements. Percentage of misclassification and kappa coefficients were also calculated.

Subjects

The study population consisted of a sample of 40 obese women who were participants of the SUN (Seguimiento Universidad de Navarra) project (a prospective cohort study among Spanish university alumni). They were selected because of their peculiar metabolic characteristics, in the search for a sub-optimal scenario for validity.

Results

Physical activity during leisure time (estimated as MET-h week-1) derived from the self-administered questionnaire moderately correlated with kcal day-1 assessed through the accelerometer (Spearman's ρ = 0.507, 95% confidence interval (CI) 0.232, 0.707). The Spearman correlation between the ratio of sedentary lifestyle to physical activity obtained through the questionnaire and the direct estimation (RT3) was -0.578 (95% CI -0.754, -0.325). The kappa index was 0.25 (P = 0.002) when assessing the cross-classification into quintiles and 0.41 for the dichotomous estimation of a sedentary lifestyle. Only 2.5% of participants were misclassified by the questionnaire more than two quintiles apart from the estimates of the RT3.

Conclusions

The moderate values obtained for correlation in a sub-optimal scenario for validity and the low percentage of extreme misclassification suggest the validity of the questionnaire to assess physical activity in Spanish-speaking women aged 20–50 years.

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*Corresponding author: Email mamartinez@unav.es
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1M Tanasescu , MF Leitzmann , EB Rimm , WC Willett , MJ Stampfer , FB Hu . Exercise type and intensity in relation to coronary heart disease in men. Journal of the American Medical Association 2002; 288: 19942000.

2AM Kriska , A Saremi , RL Hanson , PH Bennett , S Kobes , DE Williams , Physical activity, obesity, and the incidence of type 2 diabetes in a high-risk population. American Journal of Epidemiology 2003; 158: 669–75.

3A McTiernan , C Kooperberg , E White , S Wilcox , R Coates , LL Adams-Campbell , . Women's Health Initiative Cohort Study. Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women's Health Initiative Cohort Study. Journal of the American Medical Association 2003; 290: 1331–6.

4Y Mao , S Pan , SW Wen , KC Johnson . Canadian Cancer Registries Epidemiology Research Group. Physical activity and the risk of lung cancer in Canada. American Journal of Epidemiology 2003; 158: 564–75.

5JJ Varo Cenarruzabeitia , JA Martínez Hernández , MA Martínez-González . Beneficios de la actividad física y riesgos del sedentarismo. Medicina Clinica 2003; 121: 665–72.

7S Chasan-Taber , EB Rimm , MJ Stampfer , D Spiegelman , GA Colditz , E Giovannucci , Reproducibility and validity of a self-administered physical activity questionnaire for male health professionals. Epidemiology 1996; 7: 81–6.

8AM Wolf , DJ Hunter , GA Colditz , JE Manson , MJ Stampfer , KA Corsano , Reproducibility and validity of a self-administered physical activity questionnaire. International Journal of Epidemiology 1994; 23: 991–9.

9A Sánchez-Villegas , MA Martínez-González , E Toledo , J de Irala-Estevez , JA Martinez . for the SUN Project. Influencia del sedentarismo y el hábito de comer entre horas sobre la ganancia de peso. Medicina Clinica 2002; 119: 4652.

10BE Ainsworth , WL Haskell , MC Whitt , ML Irwin , AM Swartz , SJ Strath , Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise 2000; 32(Suppl. 9): S498S504.

12MA Martínez-Gonzalez , JA Martínez , FB Hu , MJ Gibney , J Kearney . Physical inactivity, sedentary lifestyle and obesity in the European Union. International Journal of Obesity and Related Metabolic Disorders 1999; 23: 110.

14KR Westerterp . Physical activity assessment with accelerometers. International Journal of Obesity and Related Metabolic Disorders 1999; 23: S45–9.

16JM Martin-Moreno , P Boyle , L Gorgojo , P Maisonneuve , JC Fernandez-Rodriguez , S Salvini , Development and validation of a food frequency questionnaire in Spain. International Journal of Epidemiology 1993; 22: 512–9.

19GJ Welk , J Almeida , G Morss . Laboratory calibration and validation of the Biotriner and Actitrac activity monitors. Medicine and Science in Sports and Exercise 2003; 35: 1057–64.

20CV Bouten , KR Westerterp , M Verduin , JD Janssen . Assessment of energy expenditure for physical activity using a triaxial accelerometer. Medicine and Science in Sports and Exercise 1994; 26: 1516–23.

21JA Levine , PA Baukol , KR Westerterp . Validation of the Tracmor triaxial accelerometer system for walking. Medicine and Science in Sports and Exercise 2001; 33: 1593–7.

22M Aadahl , T Jorgensen . Validation of a new self-report instrument for measuring physical activity. Medicine and Science in Sports and Exercise 2003; 35: 1196–202.

23BE Ainsworth , DR Bassett , SJ Strath , AM Swartz , WL O'Brien , RW Thompson , Comparison of three methods for measuring the time spent in physical activity. Medicine and Science in Sports and Exercise 2000; 32: S457–64.

24CL Craig , AL Marshall , M Sjostrom , AE Bauman , ML Booth , BE Ainsworth , International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise 2003; 35: 1381–95.

25MD Schmidt , PS Freedson , L Chasan-Taber . Estimating physical activity using the CSA accelerometer and a physical activity log. Medicine and Science in Sports and Exercise 2003; 35: 1605–11.

26DJ Miller , PS Freedson , GM Kline . Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Medicine and Science in Sports and Exercise 1994; 26: 376–82.

28M Fogelholm , H Hiilloskorpi , R Laukkanen , P Oja , W Van Marken Lichtenbelt , K Westerterp . Assessment of energy expenditure in overweight women. Medicine and Science in Sports and Exercise 1998; 30: 1191–7.

29HA Hayden-Wade , KJ Coleman , JF Sallis , C Armstrong . Validation of the telephone and in-person interview versions of the 7-day PAR. Medicine and Science in Sports and Exercise 2003; 35: 801–9.

30MA Martinez-Gonzalez , A Sanchez-Villegas , IJ De , A Marti , JA Martinez . Mediterranean diet and stroke: objectives and design of the SUN project. Seguimiento Universidad de Navarra. Nutritional Neuroscience 2002; 5: 6573.

34D Hendelman , K Miller , C Baggett , E Debold , P Freedson . Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Medicine and Science in Sports and Exercise 2000; 32: S442–9.

36JM Jakicic , BA Polley , RR Wing . Accuracy of self-reported exercise and the relationship with weight loss in overweight women. Medicine and Science in Sports and Exercise 1998; 30: 634–8.

37JF Sallis , BE Saelens . Assessment of physical activity by self-report: status, limitations, and future directions. Research Quarterly for Exercise and Sport 2000; 71: S114.

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Public Health Nutrition
  • ISSN: 1368-9800
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