A systematic review of the validity and reliability of sedentary behaviour measures used with children and adolescents
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Summary: The aim of this review was to evaluate the reliability and validity of methods used to assess the multiple components of sedentary behaviour (i.e. screen time, sitting, not moving and existing at low energy expenditure) in children and adolescents. Twenty‐six studies met our inclusion criteria and were reviewed. Thirteen studies reported the reliability of self‐ and proxy‐report measures of sedentary behaviour and seven of these were found to have acceptable test–retest reliability. Evidence for the criterion validity of self‐ and proxy‐report measures was examined in three studies with mixed results. Seven studies examined the reliability and/or validity of direct observation and the findings were generally positive. Five studies demonstrated the utility of accelerometers to accurately classify sedentary behaviour. Self‐report measures provide reliable estimates of screen time, yet their validity remains largely untested. While accelerometers can accurately classify participants' behaviour as sedentary, they do not provide information about type of sedentary behaviour or context. Studies utilizing measures of sedentary behaviour need to more adequately report on the validity and reliability of the measures used. We recommend the use of objective measures of sedentary behaviour such as accelerometers, in conjunction with subjective measures (e.g. self‐report), to assess type and context of behaviour.
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Self-reported sedentary behavior lacks measurement precision due to recall difficulties and is prone to numerous biases (eg, social desirability).
“such reporting of sedentary behavior lacks measurement precision due to recall difficulties and is prone to numerous biases (eg, social desirability) [12]”
From Using Wearable Cameras to Categorize the Type and Context of Screen-Based Behaviors Among Adolescents: Observational Study (2022) · cites this paper as [12]
Self-report methods of quantifying screen time have acceptable reliability and validity in children.
“Furthermore, self-report methods of quantifying screen time have been reported to have acceptable reliability and validity in children [29].”
From Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study (2016) · cites this paper as [29]
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“There is widespread consensus that such reporting of sedentary behavior lacks measurement precision due to recall difficulties and is prone to numerous biases (eg, social desirability) [12].”
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- Authors
- Lubans, D. R., Hesketh, K., Cliff, D. P., Barnett, L. M., Salmon, J., Dollman, J., Morgan, P. J., Hills, A. P., & Hardy, L. L.
- Affiliations
- Deakin University (AU)
- University of Wollongong (AU)
- University of South Australia (AU)
- University of Newcastle Australia (AU)
- Queensland University of Technology (AU)
- The University of Sydney (AU)
- Corresponding author
- Lubans, D. R.
- ORCID
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2011-06-16
- Volume
- 12
- Issue
- 10
- Pages
- 781-799
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W2127738326
- Cited by
- 282
- References
- 58
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 11 · 2023: 14 · 2022: 23 · 2021: 17 · 2020: 26 · 2019: 17 · 2018: 27 · 2017: 17 · 2016: 25 · 2015: 18 · 2014: 33 · 2013: 19 · 2012: 17
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Figshare (submittedVersion)
- Griffith Research Online (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- National Heart Foundation of Australia
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sedentary behavior, children, adolescents, measurement validity, measurement reliability, screen time, sitting time, accelerometer, self-report measures, direct observation, test-retest reliability, criterion validity
- MeSH terms
- Adolescent, Behavioral Symptoms, Child, Child Behavior, Energy Metabolism, Humans, Motor Activity, Reproducibility of Results, Sedentary Behavior, Self Report
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