Reproducibility and validity of a self-administered physical activity questionnaire
Abstract
BACKGROUND: The reproducibility and validity of self-administered questionnaires on physical activity and inactivity were examined in a random (representative) sample of the Nurses' Health Study II cohort and a random sample of African-American women in that cohort. METHODS: Repeat questionnaires were administered 2 years apart. Past-week activity recalls and 7-day activity diaries were the referent methods; these instruments were sent to participants four times over a 1-year period. RESULTS: The 2-year test-retest correlation for activity was 0.59 for the representative sample (n = 147) and 0.39 for the African-American sample (n = 84). Correlations between activity reported on recalls and that reported on questionnaire were 0.79 and 0.83 for the representative and African-American samples, respectively. Correlations between activity reported in diaries and that reported on questionnaire were 0.62 and 0.59, respectively. Test-retest coefficients for inactivity were 0.52 and 0.55, respectively. Correlations between inactivity reported in diaries and that reported on questionnaire were 0.41 and 0.44, respectively. CONCLUSION: The simple, short questionnaires on activity and inactivity used in the Nurses' Health Study II are reasonably valid measures for epidemiological research.
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Self-administered questionnaires on adult physical activity have reproducibility and validity appropriate for epidemiologic research.
“The reproducibility and validity of self-administered questionnaires on adult physical activity were examined in a prospective cohort and found to be appropriate for epidemiologic research (77).”
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Self-citationSnoring as a Risk Factor for Type II Diabetes Mellitus: A Prospective Study
Al‐Delaimy, W. K., Manson, J. E., Willett, W. C., Stampfer, M. J., & Hu, F. B. (2002) · American Journal of Epidemiology · doi:10.1093/aje/155.5.387 · Cited by 328 · see citing works
Self-citationProspective Study of Oral Contraceptives and Hypertension Among Women in the United States
Chasan-Taber, L., Willett, W. C., Manson, J. E., Spiegelman, D., Hunter, D. J., Curhan, G., Colditz, G. A., & Stampfer, M. J. (1996) · Circulation · doi:10.1161/01.cir.94.3.483 · Cited by 328 · see citing works
Self-citationBelenchia, A. M., Tosh, A. K., Hillman, L. S., & Peterson, C. A. (2013) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.050013 · Cited by 328 · see citing works
“The following 4 questionnaires were administered to all participants at the baseline visit: a one-page sun-exposure questionnaire developed for this study to assess tanning bed use, outdoor sun exposure, and sunscreen use; a Fitzpatrick skin typing questionnaire (17); the Harvard Youth/Adolescent Questionnaire, a self…”
MethodTobias, D. K., Stuart, J. J., Li, S., Chavarro, J., Rimm, E. B., Rich-Edwards, J., Hu, F. B., Manson, J. E., & Zhang, C. (2017) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2017.2790 · Cited by 323 · see citing works
“These responses were converted into metabolic equivalent tasks (METs) and summed across activities to calculate total physical activity in METs per week.(31) Usual dietary intake was assessedevery4years via a validated semiquantitative food frequencyquestionnaire.”
MethodSelf-citationPhysical activity and reduced risk of colon cancer: implications for prevention
Colditz, G. A., Cannuscio, C. C., & Frazier, A. L. (1997) · Cancer Causes & Control · doi:10.1023/a:1018458700185 · Cited by 311 · see citing works
Self-citationEnvironmental and Lifestyle Factors Associated with Overweight and Obesity in Perth, Australia
Giles‐Corti, B., MacIntyre, S., Clarkson, J. P., Pikora, T., & Donovan, R. J. (2003) · American Journal of Health Promotion · doi:10.4278/0890-1171-18.1.93 · Cited by 307 · see citing works
Zhang, C., Solomon, C. G., Manson, J. E., & Hu, F. B. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.5.543 · Cited by 306 · see citing works
Self-citationAssociations between diet, lifestyle factors, and telomere length in women
Cassidy, A., Vivo, I. D., Liu, Y., Han, J., Prescott, J., Hunter, D. J., & Rimm, E. B. (2010) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.28947 · Cited by 307 · see citing works
“Physical activity, expressed in terms of metabolic equivalent task (MET) hours, was assessed by using a previously validated questionnaire (57).”
MethodSelf-citationQi, Q., Chu, A. Y., Kang, J. H., Huang, J., Rose, L. M., Jensen, M. K., Liang, L., Curhan, G. C., Pasquale, L. R., Wiggs, J. L., et al. (2014) · BMJ · doi:10.1136/bmj.g1610 · Cited by 305 · see citing works
Self-citationPhysical activity and cancer etiology: associations and mechanisms
McTiernan, A., Ulrich, C., Slate, S., & Potter, J. (1998) · Cancer Causes & Control · doi:10.1023/a:1008853601471 · Cited by 302 · see citing works
“Shorter, self-administered physical activity questionnaires have been used and found to be relatively reliable and valid.(25) The self-report of physical activity exposure may be inaccurate, however.”
MethodCirculating 25-Hydroxyvitamin D Levels and Survival in Patients With Colorectal Cancer
Ng, K., Meyerhardt, J. A., Wu, K., Feskanich, D., Hollis, B. W., Giovannucci, E. L., & Fuchs, C. S. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.15.1027 · Cited by 301 · see citing works
“As participants were health professionals, the accuracy of self-reported data is likely to be high; information on many exposures have been validated previously.(41,42) Several limitations of our study deserve comment.”
BackgroundQuantifying energy expenditure and physical activity in the context of dose response.
LaMonte, M., & Ainsworth, B. (2001) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-200106001-00006 · Cited by 337 · see citing works
Validation of Self-reported Periodontal Disease: A Systematic Review
Blicher, B., JOSHIPURA, K. J., & Eke, P. I. (2005) · Journal of Dental Research · doi:10.1177/154405910508401003 · Cited by 295 · see citing works
“…disease (Newell et al., 1999), and juvenile rheumatoid arthritis (Wright et al., 1994), as well as risk factors for disease, such as diet (Willett, 1990; Rimm et al., 1992), physical activity (Wolf et al., 1994), high blood pressure (Tormo et al., 2000), and general health (Sheridan et al., 1998).”
BackgroundFreiburger Fragebogen zur körperlichen Aktivität-Entwicklung, Prüfung und Anwendung
Frey, I., Berg, A., Grathwohl, D., & Keul, J. (1999) · Sozial- und Präventivmedizin · doi:10.1007/bf01667127 · Cited by 295 · see citing works
Shan, Z., Li, Y., Zong, G., Guo, Y., Li, J., Manson, J. E., Hu, F. B., Willett, W. C., Schernhammer, E. S., & Bhupathiraju, S. N. (2018) · BMJ · doi:10.1136/bmj.k4641 · Cited by 306 · see citing works
Self-citationHealthy Lifestyle in the Primordial Prevention of Cardiovascular Disease Among Young Women
Chomistek, A. K., Chiuve, S. E., Eliassen, A. H., Mukamal, K. J., Willett, W. C., & Rimm, E. B. (2015) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2014.10.024 · Cited by 283 · see citing works
“The healthy lifestyle factors examined in this study were self-reported; however, this method of data collection has been validated for many factors, including physical activity (9), diet (8,32), alcohol (33), and weight (34).”
Self-citationPhysical activity, obesity, and risk of colorectal adenoma in women (United States)
Giovannucci, E. L., Colditz, G. A., Stampfer, M. J., & Willett, W. C. (1996) · Cancer Causes & Control · doi:10.1007/bf00051301 · Cited by 285 · see citing works
Self-citationLee, D. H., Rezende, L. F. M., Joh, H.-K., Keum, N., Ferrari, G., Rey-Lopez, J. P., Rimm, E. B., Tabung, F. K., & Giovannucci, E. L. (2022) · Circulation · doi:10.1161/circulationaha.121.058162 · Cited by 288 · see citing works
Impact of Television Viewing Patterns on Fruit and Vegetable Consumption Among Adolescents
Boynton‐Jarrett, R., Thomas, T. N., Peterson, K. E., Wiecha, J. L., Sobol, A. M., & Gortmaker, S. L. (2003) · PEDIATRICS · doi:10.1542/peds.112.6.1321 · Cited by 273 · see citing works
Coffee, Caffeine, and Risk of Type 2 Diabetes
van Dam, R. M., Willett, W. C., Manson, J. E., & Hu, F. B. (2006) · Diabetes Care · doi:10.2337/diacare.29.02.06.dc05-1512 · Cited by 273 · see citing works
“Validation studies for the assessment of body weight and physical activity have been previously reported (19,20).”
BackgroundSelf-citationLiving Arrangements, Social Integration, and Change in Functional Health Status
Michael, Y. L., Berkman, L. F., Colditz, G. A., & Kawachi, I. I. (2001) · American Journal of Epidemiology · doi:10.1093/aje/153.2.123 · Cited by 271 · see citing works
“Health behaviors. Health behaviors assessed by questionnaire in 1992 included smoking status, leisure-time physical activity ( 22 ), and current weight (23).”
BackgroundSelf-citationA prospective study of dietary patterns, meat intake and the risk of gestational diabetes mellitus
Zhang, C., Schulze, M. B., Solomon, C. G., & Hu, F. B. (2006) · Diabetologia · doi:10.1007/s00125-006-0422-1 · Cited by 266 · see citing works
“62, respectively [25].”
Physical Activity and Male Colorectal Cancer Survival
Meyerhardt, J. A. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.412 · Cited by 260 · see citing works
- Authors
- WOLF, A. M., HUNTER, D. J., COLDITZ, G. A., MANSON, J. E., STAMPFER, M. J., CORSANO, K. A., ROSNER, B., KRISKA, A., & WILLETT, W. C.
- Affiliations
- Brigham and Women's Hospital (US)
- University of Pittsburgh (US)
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1994
- Volume
- 23
- Issue
- 5
- Pages
- 991-999
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2158187071
- Cited by
- 1,038
- References
- 0
- Citations by year
- 2026: 22 · 2025: 27 · 2024: 29 · 2023: 41 · 2022: 52 · 2021: 53 · 2020: 49 · 2019: 57 · 2018: 57 · 2017: 55 · 2016: 67 · 2015: 54 · 2014: 50 · 2013: 40 · 2012: 50
- FWCI
- 3.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (CA-55075, CA50385, R01CA050385)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- physical activity questionnaire, reproducibility, validity, test-retest reliability, physical inactivity, activity diaries, Nurses' Health Study II, African American women, self-reported physical activity
- MeSH terms
- Adult, Epidemiologic Methods, Female, Humans, Surveys and Questionnaires, Random Allocation, Reproducibility of Results, Exercise
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