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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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“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-citationPersistent Infection, Inflammation, and Functional Impairment in Older Latinos
Aiello, A. E., Haan, M. N., Pierce, C. M., Simanek, A. M., & Liang, J. (2008) · The Journals of Gerontology Series A · doi:10.1093/gerona/63.6.610 · Cited by 96
“Additionally, a self-reported measure of walking pace was used in which participants reported their usual walking pace outdoors, using a multiple-category scale consisting of, ‘‘Never walks outdoors,’’ ‘‘Unable to walk,’’ ‘‘Easy, casual,’’ ‘‘Normal, average,’’ ‘‘Brisk pace,’’ or ‘‘Very brisk/ striding’’ (31).”
Effects of exercise training on 5 inflammatory markers associated with cardiovascular risk
Hammett, C. J. K., Prapavessis, H., Baldi, J. C., Varo, N., Schoenbeck, U., Ameratunga, R., French, J. K., White, H. D., & Stewart, R. A. H. (2006) · American Heart Journal · doi:10.1016/j.ahj.2005.08.009 · Cited by 95
Halldin, M. M., Rosell, M., Fairé, U. D., & Hellénius, M.-L. (2006) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2006.01.002 · Cited by 97
Hernández, B., Gortmaker, S. L., Laird, N. M., Colditz, G. A., Parra‐Cabrera, S., & Peterson, K. E. (2000) · Salud Pública de México · doi:10.1590/s0036-36342000000400006 · Cited by 108
Self-citationHypertension, Diuretic Use, and Risk of Hearing Loss
Lin, B. M., Curhan, S. G., Wang, M., Eavey, R. D., Stanković, K. M., & Curhan, G. C. (2015) · The American Journal of Medicine · doi:10.1016/j.amjmed.2015.11.014 · Cited by 95
Chocano-Bedoya, P. O., O’Reilly, É. J., Lucas, M., Mirzaei, F., Okereke, O. I., Fung, T. T., Hu, F. B., & Ascherio, A. (2013) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.052761 · Cited by 94
“Physical activity information was collected by using a validated questionnaire (32), and metabolic equivalent task hours per week were calculated.”
MethodRestless Legs Syndrome and Hypertension in Middle-Aged Women
Batool‐Anwar, S., Malhotra, A., Forman, J. P., Winkelman, J. W., Li, Y., & Gao, X. (2011) · Hypertension · doi:10.1161/hypertensionaha.111.174037 · Cited by 94
Matthews, C. E., Cohen, S. S., Fowke, J. H., Han, X., Xiao, Q., Buchowski, M. S., Hargreaves, M. K., Signorello, L. B., & Blot, W. J. (2014) · American Journal of Epidemiology · doi:10.1093/aje/kwu142 · Cited by 94
Nephrolithiasis and Risk of Incident Bone Fracture
Taylor, E. N., Feskanich, D., Paik, J. M., & Curhan, G. C. (2015) · The Journal of Urology · doi:10.1016/j.juro.2015.12.069 · Cited by 93
Kamada, M., Shiroma, E. J., Buring, J. E., Miyachi, M., & Lee, I.-M. M. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.117.007677 · Cited by 95
“” This PA questionnaire is based on the College Alumni Health Study questionnaire,(24) and has been shown to be reliable and valid.(25) In women, the 2-year test-retest correlation was 0.”
MethodPhysical activity and risk of breast cancer in premenopausal women
Colditz, G. A., Feskanich, D., Chen, W. Y., Hunter, D. J., & Willett, W. C. (2003) · British Journal of Cancer · doi:10.1038/sj.bjc.6601175 · Cited by 94
“The ability of the questionnaire to assess total activity over the previous year was evaluated in a sample of 151 NHS II women (Wolf et al, 1994).”
MethodSelf-citationYakoob, M. Y., Shi, P., Hu, F. B., Campos, H., Rexrode, K. M., Orav, E. J., Willett, W. C., & Mozaffarian, D. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.083097 · Cited by 92
“Physical activity was assessed as the average time spent in different activities including, for example, walking, jogging, running, swimming, tennis, and aerobic exercises plus flights of stairs climbed and walking pace (35, 36) and used to calculate metabolic equivalent task–hours per week (37).”
MethodSelf-citationExposure to Fine Particulate Matter and Ovarian Reserve Among Women from a Fertility Clinic
Gaskins, A. J., Mínguez‐Alarcón, L., Fong, K. C., Abdelmessih, S., Coull, B. A., Chavarro, J. E., Schwartz, J. D., Kloog, I., Souter, I. C., Hauser, R. B., et al. (2019) · Epidemiology · doi:10.1097/ede.0000000000001029 · Cited by 93
Physical Activity in Individuals at Risk for Diabetes
Kriska, A. M., Edelstein, S. L., Hamman, R. F., Otto, A. D., Bray, G. A., Mayer‐Davis, E. J., Wing, R. R., Horton, E. S., Haffner, S. M., & Regensteiner, J. G. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000218138.91812.f9 · Cited by 93
Self-citationRelationship of a large weight loss to long-term weight change among young and middle-aged US women
Field, A., Wing, R. R., Manson, J., Spiegelman, D. L., & Willett, W. C. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801643 · Cited by 92
Self-citationMínguez‐Alarcón, L., Williams, P. L., Chiu, Y., Gaskins, A. J., Nassan, F. L., Dadd, R., Petrozza, J. C., Hauser, R. B., & Chavarro, J. E. (2018) · Environment International · doi:10.1016/j.envint.2018.10.052 · Cited by 97
Factors Protecting against a Decline in Physical Activity during the COVID-19 Pandemic
Fearnbach, S. N., Flanagan, E. W., Höchsmann, C., Beyl, R. A., Altazan, A. D., Martin, C. K., & Redman, L. M. (2021) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002602 · Cited by 91
“This instrument was modified from the Nurses’Health Study Physical Activity Questionnaire (23), and activities included walking, jogging, running, bicycling, lap swimming, aerobic exercise, low-intensity exercise, household activities, resistance training, sports, using online exercise videos, and exergaming.”
MethodLeón-Latre, M., Moreno‐Franco, B., Andres, E. M., Ledesma, M., Laclaustra, M., Alcalde, V., Peñalvo, J. L., Ordovás, J. M., & Casasnovas, J. A. (2014) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.rec.2013.10.015 · Cited by 105
“Physical activity was assessed using the validated Spanish version13 of the questionnaire on the frequency of engaging in physical activity used in the Nurses’ Health Study and the Health Professionals’ Follow-up Study.14,15 The participants were asked about the average time they had devoted to 17 different sports act…”
MethodPhysical Activity and Incident Urinary Incontinence in Middle-Aged Women
Townsend, M. K., Danforth, K. N., ROSNER, B. A., Curhan, G. C., Resnick, N. M., & Grodstein, F. (2008) · The Journal of Urology · doi:10.1016/j.juro.2007.10.058 · Cited by 89
Self-citationAcculturation and physical activity in a working class multiethnic population
Wolin, K. Y., Colditz, G. A., Stoddard, A. M., Emmons, K. M., & Sorensen, G. (2006) · Preventive Medicine · doi:10.1016/j.ypmed.2006.01.005 · Cited by 95
“The instrument has been previously validated (Chasan-Taber et al., 1996; Wolf et al., 1994) and was modified based on pilot testing in this population.”
MethodSelf-citationZhao, R. R., O’Sullivan, A. J., & Fiatarone Singh, M. A. (2018) · European Review of Aging and Physical Activity · doi:10.1186/s11556-018-0190-1 · Cited by 88
“prescribed and quantifiable, including selfadministered questionnaires or activity monitors [30, 31].”
BackgroundMethodMalik, V. S., Chiuve, S. E., Campos, H., Rimm, E. B., Mozaffarian, D., Hu, F. B., & Sun, Q. (2015) · Circulation · doi:10.1161/circulationaha.114.014911 · Cited by 89
“Physical activity was expressed as metabolic equivalents per week using the duration of moderate or vigorous forms of exercise multiplied by the intensity of the activity.(13) History of hypertension, hypercholesterolemia, diabetes mellitus, and family history of MI were based on self-reports.”
MethodDiet pattern and prodromal features of Parkinson disease
Molsberry, S. A., Bjørnevik, K., Hughes, K. C., Healy, B. C., Schwarzschild, M. A., & Ascherio, A. (2020) · Neurology · doi:10.1212/wnl.0000000000010523 · Cited by 101
Genetic Variants in the UGT1A6 Enzyme, Aspirin Use, and the Risk of Colorectal Adenoma
Chan, A. T., Tranah, G. J., Giovannucci, E. L., Hunter, D. J., & Fuchs, C. S. (2005) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/dji066 · Cited by 89
Self-citationAssociation of Nocturnal Melatonin Secretion With Insulin Resistance in Nondiabetic Young Women
McMullan, C. J., Curhan, G. C., Schernhammer, E. S., & Forman, J. P. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kws470 · Cited by 92
Weight Cycling and Mortality Among Middle-aged or Older Women
Field, A. E., Malspeis, S., & Willett, W. C. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.67 · Cited by 89
Self-citationHealthy Lifestyle Is Associated With Reduced Mortality in Patients With Inflammatory Bowel Diseases
Lo, C., Khalili, H., Song, M., Lochhead, P. J., Burke, K. E., Richter, J. M., Giovannucci, E. L., Chan, A. T., & Ananthakrishnan, A. N. (2020) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2020.02.047 · Cited by 92
Metadata
- 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 › Public Health, Environmental and Occupational Health › 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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