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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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“corresponding MET score and self-reported hours of the activity (43, 45).”
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Association of infertility with premature mortality among US women: Prospective cohort study
Wang, Y., Farland, L. V., Wang, S., Gaskins, A. J., Wang, L., Rich-Edwards, J. W., Tamimi, R. M., Missmer, S. A., & Chavarro, J. E. (2021) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2021.100122 · Cited by 25
Liu, X., Zhu, X., Feng, L.-H., Li, X., Xu, B., Li, K., Xiao, N., Lei, M., Sun, H., & Tang, Z. (2022) · Experimental Hematology and Oncology · doi:10.1186/s40164-022-00275-0 · Cited by 26
Crichton, G. E., Elias, M. F., Davey, A., Sauvageot, N., Delagardelle, C., Beissel, J., & Alkerwi, A. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-253 · Cited by 24
Schernhammer, E. S., Feskanich, D., Niu, C., Dopfel, R. P., Holmes, M. D., & Hankinson, S. E. (2009) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.27826 · Cited by 24
“Physical activity was measured with a validated questionnaire (33) in MET-h/wk.”
MethodWu, H., Ding, E. L., Toledo, E., Campos, H., Baylín, A., Hu, F. B., & Sun, Q. (2013) · British Journal Of Nutrition · doi:10.1017/s0007114512005272 · Cited by 24
“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((14)).”
MethodCrichton, G. E., Elias, M. F., & Torres, R. V. (2016) · British Journal Of Nutrition · doi:10.1017/s0007114516000325 · Cited by 25
Physical activity is not related to risk of early menopause in a large prospective study
Zhao, M., Whitcomb, B. W., Purdue‐Smithe, A., Manson, J. E., Hankinson, S. E., ROSNER, B. A., & Bertone‐Johnson, E. R. (2018) · Human Reproduction · doi:10.1093/humrep/dey267 · Cited by 24
Self-citationShift work, job strain and changes in the body mass index among women: a prospective study
Fujishiro, K., Hibert, E. N. L., Schernhammer, E. S., & Rich-Edwards, J. W. (2016) · Occupational and Environmental Medicine · doi:10.1136/oemed-2016-103747 · Cited by 24
Lieber, S. B., Redberg, R. F., Blumenthal, R. S., Gandhi, A., Robb, K. J., & Mora, S. (2012) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2012.02.017 · Cited by 23
“PA questions and assessment measurements were drawn from a previously validated questionnaire used in healthy women in the Nurses’ Health Study and the Women’s Health Study.(6) Each activity was ssigned a metabolic equivalent (MET) score based on its nergy cost.”
MethodZhang, X., Smith‐Warner, S. A., Chan, A. T., Wu, K., Spiegelman, D. L., Fuchs, C. S., Willett, W. C., & Giovannucci, E. L. (2011) · American Journal of Epidemiology · doi:10.1093/aje/kwr115 · Cited by 23
Self-citationYuan, J., Zhang, C., Sparks, J. A., Malspeis, S., Tsoi, K. K., Kim, J. H., Fisher, B. A., Gao, F., Sumerlin, T. S., Liu, Y., et al. (2020) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.15834 · Cited by 23
Loon, K. V., Wigler, D. S., Niedzwiecki, D., Venook, A. P., Fuchs, C. S., Blanke, C. D., Saltz, L. B., Goldberg, R. M., & Meyerhardt, J. A. (2013) · Clinical Colorectal Cancer · doi:10.1016/j.clcc.2012.11.002 · Cited by 23
Identifying the threshold for vitamin D insufficiency in relation to cardiometabolic markers
Tepper, S., Shahar, D. R., Geva, D., Avizohar, O., Nodelman, M., Segal, E., & Ish‐Shalom, S. (2013) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2013.10.025 · Cited by 23
Leptin increases prostate cancer aggressiveness
Fontana, C. M. L., Maselli, M. E., Elizalde, R. F. P., Mónaco, N. A. D. M., Uvilla, A., & Laur, J. D. L. (2011) · Journal of Physiology and Biochemistry · doi:10.1007/s13105-011-0098-y · Cited by 24
“The food frequency questionnaire used in this study has been adapted from those used in two large American cohorts, the Nurses’ Health Study and the Health Professionals’ Follow-up Study [11, 50 ].”
Sotos‐Prieto, M., Mattei, J., Hu, F. B., Chomistek, A. K., Rimm, E. B., Willett, W. C., Eliassen, A. H., & Chiuve, S. E. (2016) · Circulation Cardiovascular Quality and Outcomes · doi:10.1161/circoutcomes.115.002372 · Cited by 24
Self-citationWeight Gain After Smoking Cessation and Lifestyle Strategies to Reduce it
Jain, P., Danaei, G., Manson, J. E., Robins, J. M., & Hernán, M. Á. (2019) · Epidemiology · doi:10.1097/ede.0000000000001106 · Cited by 23
Self-citationTran, C. D., Diorio, C., Bérubé, S., Pollak, M., & Brisson, J. (2006) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/84.6.1518 · Cited by 23
“The level of physical activity, expressed as metabolic equivalent (MET)–hour per week (38), was assessed by using the Nurses’ Health Study II Activity and Inactivity Questionnaire (39).”
MethodMeasurement of Physical Activity and Inactivity in Epidemiologic Studies
Pettee, K. K., Storti, K. L., Ainsworth, B. E., & Kriska, A. M. (2008) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780195183009.003.0002 · Cited by 25
Self-citationMetabolic syndrome and other factors associated with increased risk of diabetes
Streja, D. A. (2004) · Clinical cornerstone · doi:10.1016/s1098-3597(04)80094-2 · Cited by 23
Multidimensional Sleep Health Prior to SARS-CoV-2 Infection and Risk of Post–COVID-19 Condition
Wang, S., Huang, T., Weisskopf, M. G., Kang, J. H., Chavarro, J. E., & Roberts, A. L. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.15885 · Cited by 23
Stamatakis, E., Pulsford, R. M., Brunner, E. J., Britton, A. R., Bauman, A. E., Biddle, S., & Hillsdon, M. M. (2017) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096723 · Cited by 24
Statin use and risk of skin cancer
Lin, B. M., Li, W., Cho, E., et al. (2017) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2017.11.050 · Cited by 22
“However, data were prospectively collected over 10 years in this study, and information provided by these cohorts has been shown to be highly reliable in previous studies.(32,61-63) We adjusted for many potential confounders in our multivariable models, but given the relatively few cases of melanoma in our cohort, the…”
MethodJung, S. J., Winning, A., Roberts, A. L., Nishimi, K. M., Chen, Q., Gilsanz, P., Sumner, J. A., Fernandez, C. A., Rimm, E. B., Kubzansky, L. D., et al. (2019) · PLoS ONE · doi:10.1371/journal.pone.0213441 · Cited by 21
Rees‐Punia, E., Deubler, E. L., Campbell, P. T., Gapstur, S. M., & Patel, A. V. (2019) · Gerontology · doi:10.1159/000502860 · Cited by 22
Li, X., Joh, H., Hur, J., Song, M., Zhang, X., Cao, Y., Wu, K., & Giovannucci, E. L. (2023) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2023.01.006 · Cited by 22
Genetic Determinants for Body Iron Store and Type 2 Diabetes Risk in US Men and Women
He, M., Workalemahu, T., Manson, J. E., Hu, F. B., & Qi, L. (2012) · PLoS ONE · doi:10.1371/journal.pone.0040919 · Cited by 22
“Self-administered questionnaires about body weight and physical activity have been validated as described previously [35,36].”
Self-citationTabung, F. K., Fung, T. T., Chavarro, J. E., Smith‐Warner, S. A., Willett, W. C., & Giovannucci, E. L. (2016) · International Journal of Cancer · doi:10.1002/ijc.30494 · Cited by 24
“The validity of the physical activity questionnaire has been evaluated.(38,39) Regular use of aspirin or other NSAID was defined as use of 2 standard tablets (325 mg) of aspirin or 2 tablets of NSAID per week.”
MethodSelf-citation
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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