Cited by 57Physical Activity and HealthContext-Aware Activity Recognition SystemsObesity, Physical Activity, Diet

Predictors of discordance in self-report versus device-measured physical activity measurement

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Gorzelitz, Jessica, Peppard, Paul E., Malecki, Kristen, Gennuso, Keith, Nieto, F. Javier, Cadmus-Bertram, Lisa·2018·Annals of Epidemiology

Abstract

Purpose Accurate measurement of free-living physical activity is challenging in population-based research, whether using device-based or reported methods. Our purpose was to identify demographic predictors of discordance between physical activity assessment methods and to determine how these predictors modify the discordance between device-based and reported physical activity measurement methods.Methods Three hundred forty-seven adults from the Survey of the Health of Wisconsin wore the ActiGraph accelerometer for 7 days and completed the Global Physical Activity Questionnaire. Multivariate linear regression was conducted to assess predictors of discordance including gender, education, body mass index, marital status, and other individual level characteristics in physical activity reporting.Results Seventy-seven percent of men and 72% of women self-reported meeting the U.S. Centers for Disease Control and Prevention guidelines for aerobic activity but when measured by accelerometer, only 21% of men and 17% of women met guidelines. Demographic characteristics that predicted discordance between methods in multivariate regression included greater educational attainment (P < .001) and partnered status (P = .003).Conclusions These varying levels of discordance imply that comparisons of self-reported activity among groups defined by (or substantially varying by) educational attainment or marital status should be done with considerable caution as observed differences may be due, in part, to systematic, differential measurement biases among groups.

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Authors
Gorzelitz, J., Peppard, P. E., Malecki, K., Gennuso, K., Nieto, F. J., & Cadmus-Bertram, L.
Affiliations
  • University of Wisconsin–Madison (US)
  • Oregon State University (US)
Venue
Annals of Epidemiology
Publisher
Elsevier BV
Published
2018-07
Volume
28
Issue
7
Pages
427-431
ISSN
1047-2797 (ISSN-L)
OpenAlex
W2794672066
Cited by
57
References
28
Citations by year
2026: 7 · 2025: 5 · 2024: 9 · 2023: 6 · 2022: 11 · 2021: 7 · 2020: 4 · 2019: 7 · 2018: 1
FWCI
3.27
Type
journal article
Language
en
Open access
Locations
  • Annals of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes for Health (5ULRR025011, 1RC2HL101468, 1K07CA178870)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
physical activity measurement, measurement bias, accelerometer, Global Physical Activity Questionnaire, ActiGraph, educational attainment, marital status, sex differences, free-living physical activity
MeSH terms
Population Health, Adult, Aged, Female, Humans, Male, Middle Aged, Population Surveillance, Quality of Life, Surveys and Questionnaires, Wisconsin, Exercise, Body Mass Index, Guideline Adherence, Self Report, Accelerometry

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