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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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MethodJung, S., Smith‐Warner, S. A., Willett, W. C., Wang, M., Wu, T., Jensen, M. K., Hankinson, S. E., & Eliassen, A. H. (2016) · Nutrients · doi:10.3390/nu8090587 · Cited by 16
“Finally, though the generalizability of our results could be limited because our study population is health professionals, who are more likely to be well-nourished, the self-reported data from these individuals are known to be highly accurate [79,80] ensuring the validity of the results.”
BackgroundSelf-citationGenetic Susceptibility, Change in Physical Activity, and Long-term Weight Gain
Wang, T., Huang, T., Heianza, Y., Sun, D., Zheng, Y., Ma, W., Jensen, M. K., Kang, J. H., Wiggs, J. L., Pasquale, L. R., et al. (2017) · Diabetes · doi:10.2337/db17-0071 · Cited by 15
Self-citationSmit, K. C., Derksen, J. W. G., Beets, G. L., Belt, E. J. T., Berbée, M., Coene, P. L. O., van Cruijsen, H., Davidis, M. A., Dekker, J. W. T., Jong, J. M. V. D.-D., et al. (2022) · Cancers · doi:10.3390/cancers14041001 · Cited by 14
“In this light however, it is important to note that comparing PA associations of different studies poses challenges due to heterogeneity in assessment of physical activity [21,30,31].”
BackgroundPhysical Activity and Risk of Frailty in U.S. Women 60 Yr and Older
Fung, T. T., Lee, I.-M. M., Struijk, E. A., Rodríguez‐Artalejo, F., Willett, W. C., & López‐García, E. (2022) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000003046 · Cited by 15
“The validity of the physical activity questions was assessed in a sample of participants using four separate 1-wk diaries administered over the course of a year (12).”
BackgroundMethodSelf-citationPlant-Based Diets and Risk of Hip Fracture in Postmenopausal Women
Sotos‐Prieto, M., Rodríguez‐Artalejo, F., Fung, T. T., Meyer, H. E., Hu, F. B., Willett, W. C., & Bhupathiraju, S. N. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.1107 · Cited by 14
Self-citationZhou, R., Chen, H., Huang, Y., Zhong, Q., Li, F., Huang, R., Liu, H., Zheng, J., Xu, J., & Wu, X. (2023) · Journal of Diabetes · doi:10.1111/1753-0407.13387 · Cited by 13
Elias, M. F., Crichton, G. E., & Abhayaratna, W. P. (2015) · Journal of Human Hypertension · doi:10.1038/jhh.2015.17 · Cited by 14
Wolin, K. Y., Fagin, C., Ufere, N. N., Tuchman, H., & Bennett, G. G. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-73 · Cited by 14
“Nurses’ Health Study[ 19 ] and Health Professionals Follow-up Study[21]) included both Blacks and Whites in the same sample and reported the validity of the instrument separately for each.”
BackgroundMethodInfluentialCross‐sectional association of physical activity and periodontal antibodies
Anderson, A. P., Park, Y., Shrestha, D., Zhang, J., Liu, J., & Merchant, A. T. (2018) · Journal of Periodontology · doi:10.1002/jper.17-0709 · Cited by 14
Kim, E. S., James, P., Zevon, E. S., Trudel‐Fitzgerald, C., Kubzansky, L. D., & Grodstein, F. (2019) · American Journal of Epidemiology · doi:10.1093/aje/kwz224 · Cited by 16
Shadick, N. A., Katz, P., Iannaccone, C. K., Maica, G. L., Coblyn, J. S., Weinblatt, M. E., & Cui, J. (2019) · ACR Open Rheumatology · doi:10.1002/acr2.11088 · Cited by 16
“Physical activity was measured with the Nurse’s Health Study II physical activity scale, which is a self-reported scale assessing the frequency, duration, and intensity of physical activity in a variety of different modes of exercise in the preceding week (21).”
MethodBody Mass Index and Weight Loss in Metastatic Colorectal Cancer in CALGB (Alliance)/SWOG 80405
Guercio, B. J., Zhang, S., Venook, A. P., Ou, F., Niedzwiecki, D., Lenz, H., Innocenti, F., Mullen, B. C., O’Neil, B. H., Shaw, J. E., et al. (2020) · JNCI Cancer Spectrum · doi:10.1093/jncics/pkaa024 · Cited by 15
Diorio, C., Brisson, J., Bérubé, S., & Pollak, M. (2008) · Breast Cancer Research · doi:10.1186/bcr2093 · Cited by 14
“The levels of physical activity in metabolic equivalent-hours per week were assessed using the validated and reproducible Nurses' Health Study II Activity and Inactivity Questionnaire [18].”
MethodGender Differences In Adherence To Mediterranean Diet And Risk Of Atrial Fibrillation.
Mattioli, A. V., Pennella, S., Pedrazzi, P., & Farinetti, A. (2015) · Journal of Hypertension and Cardiology · doi:10.14302/issn.2329-9487.jhc-13-210 · Cited by 14
Gut microbiome structure and function in asymptomatic diverticulosis
Hua, X., McGoldrick, J., Nakrour, N., Staller, K. D., Chung, D. C., Xavier, R. J., & Khalili, H. (2024) · Genome Medicine · doi:10.1186/s13073-024-01374-9 · Cited by 13
“Physical activity was assessed by asking individual’s average time spent per week on various recreational activities using a previously validated questionnaire [28].”
MethodFassier, P., Kang, J. H., Lee, I.-M. M., Grodstein, F., & Vercambre, M. (2021) · The Journals of Gerontology Series A · doi:10.1093/gerona/glab169 · Cited by 15
Beason, T. S., & Colditz, G. A. (2012) · Springer eBooks · doi:10.1007/978-1-4614-2403-1_4 · Cited by 13
Self-citationYang, J., Zhang, C., Chavarro, J. E., Rich-Edwards, J. W., Wang, M., Fawzi, W. W., Manson, J. E., Lee, I.-M. M., Hu, F. B., & Tobias, D. K. (2021) · Diabetes Care · doi:10.2337/dc21-1692 · Cited by 16
Self-citationRossato, S. L., Khandpur, N., Lo, C., Castro, S. M. D. J., Drouin‐Chartier, J., Sampson, L., Yuan, C., Murta‐Nascimento, C., Carvalhães, M. A. D. B. L., Monteiro, C. A., et al. (2023) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2023.03.011 · Cited by 13
Self-citationSmoking and Barrett’s Esophagus in Women Who Undergo Upper Endoscopy
Jacobson, B. C., Giovannucci, E. L., & Fuchs, C. S. (2011) · Digestive Diseases and Sciences · doi:10.1007/s10620-011-1672-4 · Cited by 13
“Cigarette use, caloric intake, alcohol use, physical activity, menopausal status, and GERD symptoms in this cohort have been validated previously.(44-50)”
Insulin Resistance and Risk of Incident Hypertension Among Men
Lai, T., Curhan, G. C., & Forman, J. P. (2009) · Journal of Clinical Hypertension · doi:10.1111/j.1751-7176.2009.00160.x · Cited by 13
Moran, S. A. H., Denova‐Gutiérrez, E., Morán, S., Duque, X., Gallegos-Carrillo, K., Macías, N., & Salmerón, J. (2014) · Annals of Hepatology · doi:10.1016/s1665-2681(19)30984-6 · Cited by 13
Gender Differences in Lifestyle: Results of a Survey among Indian School-going Adolescents
Singh, A. P., & Misra, G. (2016) · Social Change · doi:10.1177/0049085716654816 · Cited by 15
Quinn, T., Frits, M. L., von Heideken, J., Iannaccone, C. K., Shadick, N. A., Weinblatt, M. E., & Iversen, M. D. (2017) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-017-1589-y · Cited by 13
“The International Physical Activity Questionnaire [11], Behavioral Risk Factor Surveillance System [12], Physical Activity Recall [13] and the Nurses’ Health Study Physical Activity Questionnaire II (NHSPAQ) [14, 15] are designed to describe PA behaviors, whereas the Neighborhood Environment Walkability Scale [16] is…”
MethodResultInfluentialDevelopment and Testing of an Integrated Score for Physical Behaviors
Keadle, S. K., Kravitz, E. S., Matthews, C. E., Tseng, M., & Carroll, R. J. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001955 · Cited by 12
Perception of parents' physical activity as a positive model on physical activity of adolescents
Sánchez-Zamorano, L. M., Solano-González, M., Macías, N., et al. (2019) · Preventive Medicine · doi:10.1016/j.ypmed.2019.105797 · Cited by 13
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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