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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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Li, Y., Munger, K. L., Batool‐Anwar, S., Vito, K. D., Ascherio, A., & Gao, X. (2012) · Neurology · doi:10.1212/wnl.0b013e3182553c5b · Cited by 67
Physical Activity and Survival in Women With Advanced Breast Cancer
Palesh, O. G., Kamen, C. S., Sharp, S. L., Golden, A., Neri, E., Spiegel, D., & Koopman, C. (2017) · Cancer Nursing · doi:10.1097/ncc.0000000000000525 · Cited by 71
Guercio, B. J., Zhang, S., Ou, F., Venook, A. P., Niedzwiecki, D., Lenz, H., Innocenti, F., O’Neil, B. H., Shaw, J. E., Polite, B. N., et al. (2019) · Journal of Clinical Oncology · doi:10.1200/jco.19.01019 · Cited by 70
“Assessment of Physical Activity Assessment of physical activity has been described and extensively validated previously.(10,16,28-30) The paper questionnaire for activity assessment was given to patients within 1 month after initiating chemotherapy before any documented cancer progression.”
MethodGarcía‐Aymerich, J., Varraso, R., Danaei, G., Camargo, C. A., & Hernán, M. Á. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kwt229 · Cited by 71
“We relied on self-reported information, which is subject to measurement error, but several validation substudies on asthma diagnosis, weight measurement, and physical activity have previously shown very good relationships between self-reported and measured data (4, 15, 16).”
MethodAdherence to Healthful Dietary Patterns Is Associated with Lower Risk of Hearing Loss in Women
Curhan, S. G., Wang, M., Eavey, R. D., Stampfer, M. J., & Curhan, G. C. (2018) · Journal of Nutrition · doi:10.1093/jn/nxy058 · Cited by 67
Self-citationLey, S. H., Chavarro, J. E., Li, M., Bao, W., Hinkle, S. N., Wander, P. L., Rich-Edwards, J. W., Olsen, S. F., Vaag, A. A., Damm, P., et al. (2020) · Diabetes Care · doi:10.2337/dc19-2237 · Cited by 69
Borgi, L., Curhan, G. C., Willett, W. C., Hu, F. B., Satija, A., & Forman, J. P. (2015) · Journal of Hypertension · doi:10.1097/hjh.0000000000000722 · Cited by 69
Self-citationModerate physical activity and breast cancer risk: the effect of menopausal status
Ángeles-Llerenas, A., Ortega-Olvera, C., Pérez‐Rodríguez, E., Esparza-Cano, J. P., Lazcano-Ponce, E. C., Romieu, I., & Torres-Mejı́a, G. (2010) · Cancer Causes & Control · doi:10.1007/s10552-009-9487-8 · Cited by 66
“[55], but in the study by Norman et al.”
ResultPhysical Activity and Albuminuria
Robinson, E., Fisher, N. D. L., Forman, J. P., & Curhan, G. C. (2010) · American Journal of Epidemiology · doi:10.1093/aje/kwp442 · Cited by 67
Prolonged Leisure Time Spent Sitting in Relation to Cause-Specific Mortality in a Large US Cohort
Patel, A. V., Maliniak, M. L., Rees‐Punia, E., Matthews, C. E., & Gapstur, S. M. (2018) · American Journal of Epidemiology · doi:10.1093/aje/kwy125 · Cited by 67
“79 between reported behavior on questionnaires and recalls (28).”
BackgroundMattioli, A. V., Miloro, C., Pennella, S., Pedrazzi, P., & Farinetti, A. (2011) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2011.03.005 · Cited by 65
“Physical activity was assessed with a self-administered questionnaire that has been shown to be valid and reliable [17].”
MethodMeasures of energy balance and mammographic density in the Nurses’ Health Study
Samimi, G., Colditz, G. A., Baer, H. J., & Tamimi, R. M. (2007) · Breast Cancer Research and Treatment · doi:10.1007/s10549-007-9631-7 · Cited by 66
“For this analysis, the results were categorized into <3, 3 to <9, 9 to <15, 15 to <24, and ‡24 METs/week, corresponding to the equivalent of <1, 1 to <3, 3 to <5, 5 to <8, and ‡ 8 h per week of walking at an average pace [31].”
MethodSelf-citationRelation between dairy food intake and cognitive function: The Maine-Syracuse Longitudinal Study
Crichton, G. E., Elias, M. F., Dore, G. A., & Robbins, M. A. (2011) · International Dairy Journal · doi:10.1016/j.idairyj.2011.08.001 · Cited by 70
“Procedure and assessment Participants completed the Centre for Epidemiologic Studies Depression Scale (CES-D) (Radloff, 1977), the Nurses’ Health Study Activity Questionnaire (Wolf et al., 1994), and the Nutrition and Health Questionnaire (Kaaks & Riboli, 1997) within two weeks prior to their laboratory visit.”
MethodAnalgesic Use and the Risk of Hearing Loss in Women
Curhan, S. G., Shargorodsky, J., Eavey, R. D., & Curhan, G. C. (2012) · American Journal of Epidemiology · doi:10.1093/aje/kws146 · Cited by 64
Nelson, S. H., Marinac, C. R., Patterson, R. E., Nechuta, S., Flatt, S. W., Caan, B. J., Kwan, M. L., Poole, E. M., Chen, W. Y., Shu, X., et al. (2016) · Breast Cancer Research and Treatment · doi:10.1007/s10549-016-3694-2 · Cited by 67
“The NHS questionnaire has been validated against physical activity diaries [15].”
MethodDietary Fat Intake and Endogenous Sex Steroid Hormone Levels in Postmenopausal Women
Holmes, M. D., Spiegelman, D. L., Willett, W. C., et al. (2000) · Journal of Clinical Oncology · doi:10.1200/jco.2000.18.21.3668 · Cited by 66
Self-citationYuan, J., He, Q., Nguyen, L. H., Wong, M. C. S., Huang, J., Yu, Y., Xia, B., Tang, Y., He, Y., & Zhang, C. (2020) · Gut · doi:10.1136/gutjnl-2020-322557 · Cited by 65
Plasma homocysteine, dietary B vitamins, betaine, and choline and risk of peripheral artery disease
Bertoia, M. L., Pai, J. K., Cooke, J. P., Joosten, M. M., Mittleman, M. A., Rimm, E. B., & Mukamal, K. J. (2014) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2014.04.010 · Cited by 66
Physical Activity, Energy Intake and the Risk of Incident Kidney Stones
Ferraro, P. M., Curhan, G. C., Sorensen, M. D., Gambaro, G., & Taylor, E. N. (2014) · The Journal of Urology · doi:10.1016/j.juro.2014.09.010 · Cited by 66
Yue, Y., Hur, J., Cao, Y., Tabung, F. K., Wang, M., Wu, K., Song, M., Zhang, X., Liu, Y., Meyerhardt, J. A., et al. (2021) · Annals of Oncology · doi:10.1016/j.annonc.2021.03.200 · Cited by 66
Self-citationTest-Retest Reliability and Validity of the 400-Meter Walk Test in Healthy, Middle-Aged Women
Gabriel, K. P., Rankin, R. L., Lee, C., Charlton, M. E., Swan, P. D., & Ainsworth, B. E. (2010) · Journal of Physical Activity and Health · doi:10.1123/jpah.7.5.649 · Cited by 64
“Physical activity levels are calculated as the product of the duration and frequency of each activity (in h/wk), weighted by an estimate of the MET of the activity,(23) and summed to give a total activity score in MET·h/wk.(25)”
MethodPHYSICAL ACTIVITY, INCLUDING WALKING, AND COGNITIVE FUNCTION IN OLDER WOMEN
Weuve, J., Kang, J. H., Manson, J. E., Breteler, M. M. B., Ware, J. H., & Grodstein, F. (2005) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200501000-00012 · Cited by 63
Self-citationKehm, R. D., Genkinger, J. M., MacInnis, R. J., John, E. M., Phillips, K., Dite, G. S., Milne, R. L., Zeinomar, N., Liao, Y., Knight, J. A., et al. (2019) · Cancer Research · doi:10.1158/0008-5472.can-19-1847 · Cited by 64
“Further, while self-reported physical activity is known to be overestimated (32), prior studies have demonstrated the reliability (33-35) and validity (33, 35) of using of self-reported measures of recreational physical activity for rank ordering physical activity levels (i.”
Background
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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