Cited by 758Physical Activity and HealthIndigenous Health and EducationDiabetes, Cardiovascular Risks, and Lipoproteins

The DOI matches its Crossref record.

Development of Questionnaire to Examine Relationship of Physical Activity and Diabetes in Pima Indians

Kriska, Andrea M, Knowler, William C, LaPorte, Ronald E, Drash, Allan L, Wing, Rena R, Blair, Steven N, Bennett, Peter H, Kuller, Lewis H·1990·Diabetes Care

DOI 10.2337/diacare.13.4.401

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Abstract

There was a need to design a questionnaire that could accurately assess the activity patterns of Native Americans to evaluate the relationship between physical activity and diabetes. Such a questionnaire was developed and implemented into the data collection scheme of the prospective Pima Indian Study of Arizona. The questionnaire, which assesses historical, past-year, and past-week leisure and occupational activity, was examined in 29 Pima individuals aged 21-36 yr and was shown to be reliable with test-retest correlations (rank-order correlations ranged from 0.62 to 0.96 for leisure and occupational activity). Reproducibility of the past-year leisure physical-activity estimate was determined in 69 participants aged 10-59 yr and was found to be reliable in all age-groups with the exception of the 10- to 14-yr-old age-group (rank-order correlations were 0.31 in the 10- to 14-yr-old age-group compared to 0.88 to 0.92 in those greater than 20 yr of age). Validity of the current-activity section of the questionnaire was demonstrated indirectly through comparisons with activity monitors. The past-week leisure-activity estimate was related to the Caltrac activity monitor counts per hour (rho = 0.62, P less than 0.05, n = 17). In summary, a physical-activity questionnaire has been developed that is both reliable and feasible to use in the Pima Indian population to evaluate the relationship of physical activity to non-insulin-dependent diabetes mellitus.

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Influential
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Method
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Method
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Background
Variation at the melanocortin 4 receptor gene and response to weight‐loss interventions in the diabetes prevention program
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MethodSelf-citation
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Method
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Background
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Method
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Method
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“Discussion The following five sessions were developed and are being tested in the target communities: (I) &dquo;Get More Exercise !&dquo; (2) &dquo;Eat Less Fat!&dquo; (3) &dquo;Eat Less Sugar!&dquo; (4) &dquo;Together We Can!&dquo; (getting and giving support for lifestyle changes), and (5) &dquo;Staying on the Path!…”
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Clinical use of physical activity measures
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Background
Dietary patterns interact with APOA1/APOC3 polymorphisms to alter the risk of the metabolic syndrome: the Tehran Lipid and Glucose Study
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Diet Quality Is Low and Differs by Sex in People with HIV
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“Physical activity assessment Physical activity was assessed using the Modifiable Activity Questionnaire to assess hours of leisure activity during the past year and is described elsewhere (30).”
Method
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“35 HDL cholesterol (mg/dl) 48 (11) 52 (12) 43 (8) 47 (10) 52 (13) 0.”
Method
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Method
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Older Elite Football Players Have Reduced Cardiac and Osteoporosis Risk Factors
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Dietary habits and leisure-time physical activity in relation to adiposity, dyslipidemia, and incident dysglycemia in the pathobiology of prediabetes in a biracial cohort study
Boucher, A. B., Adesanya, E. A. O., Owei, I., Gilles, A. K., Ebenibo, S., Wan, J. Y., Edeoga, C., & Dagogo-Jack, S. E. (2015) · Metabolism · doi:10.1016/j.metabol.2015.05.015 · Cited by 37
“For the occupational activity section of the MAQ, participants were asked to indicate the average hours of moderate or hard activity that they performed at work as well as the time spent walking or biking during their commute (17).”
BackgroundMethodInfluential
Prospective Study of Nut Consumption and Incidence of Metabolic Syndrome: Tehran Lipid and Glucose Study
Hosseinpour‐Niazi, S., Hosseini, S., Mirmiran, P., & Azizi, F. (2017) · Nutrients · doi:10.3390/nu9101056 · Cited by 36
“Physical activity was assessed using a questionnaire that included a list of common activities of daily life; the frequency and amount of time spent per week on physical activity over the last year were recorded [26].”
Method
Association between inflammatory potential of diet and odds of gestational diabetes mellitus among Iranian women
Shivappa, N., Hébert, J. R., Akhoundan, M., Mirmiran, P., & Rashidkhani, B. (2018) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2018.1466275 · Cited by 37
“Physical activity was assessed through a valid and reliable questionnaire [38].”
Method
The relationship between pre‐pregnancy dietary patterns adherence and risk of gestational diabetes mellitus in Iran: A case–control study
Asadi, M., Shahzeidi, M., Nadjarzadeh, A., yusefabad, H. H., & Mansoori, A. (2019) · Nutrition & Dietetics · doi:10.1111/1747-0080.12514 · Cited by 37
Effects of Aerobic Exercise on Premenopausal Sex Hormone Levels: Results of the WISER Study, a Randomized Clinical Trial in Healthy, Sedentary, Eumenorrheic Women
Smith, A. J., Phipps, W. R., Arikawa, A. Y., O’Dougherty, M., Kaufman, B. C., Thomas, W. T. B., Schmitz, K. H., & Kurzer, M. S. (2011) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-10-1219 · Cited by 38
“Self-reported physical activity carried out a year before the study and during the 4-month follow-up period was assessed by research staff via a modified version of the Modifiable Activity Questionnaire (27).”
Dietary phytochemical index and subsequent changes of lipid profile: A 3-year follow-up in Tehran Lipid and Glucose Study in Iran.
(2014) · Europe PMC (PubMed Central) · Cited by 36
Influence of aerobic exercise on maternal lipid levels and offspring morphometrics
Clark, E. A. S., Isler, C. M., Strickland, D. M., McMillan, A. G., Fang, X., Kuehn, D., Ravisankar, S. S., Strom, C. J., & May, L. E. (2018) · International Journal of Obesity · doi:10.1038/s41366-018-0258-z · Cited by 36
Effect of aerobic and resistance exercise on the mitochondrial peptide MOTS-c in Hispanic and Non-Hispanic White breast cancer survivors
Dieli-Conwright, C. M., Sami, N., Norris, M. K., Wan, J., Kumagai, H., Kim, S., & Cohen, P. (2021) · Scientific Reports · doi:10.1038/s41598-021-96419-z · Cited by 36
Association of the peroxisome proliferator–activated receptor γ gene with type 2 diabetes mellitus varies by physical activity among non-Hispanic whites from Colorado
Nelson, T. L., Fingerlin, T. E., Moss, L. K., Barmada, M. M., Ferrell, R. E., & Norris, J. M. (2007) · Metabolism · doi:10.1016/j.metabol.2006.10.022 · Cited by 35
Prevalence of overweight and central adiposity is associated with percentage of indigenous ancestry among native Hawaiians
Grandinetti, A., Chang, H., Chen, R. C., Fujimoto, W., Rodríguez, B. L., & Curb, J. D. (1999) · International Journal of Obesity · doi:10.1038/sj.ijo.0800921 · Cited by 34
Differences Between Actual and Expected Leisure Activities After Total Knee Arthroplasty for Osteoarthritis
Jones, D. L., Bhanegaonkar, A. J., Billings, A. A., Kriska, A. M., Irrgang, J. J., Crossett, L. S., & Kwoh, C. K. (2012) · The Journal of Arthroplasty · doi:10.1016/j.arth.2011.10.030 · Cited by 36
Self-citation
Physical Activity and Cancer: Lessons Learned from Nutritional Epidemiology
Friedenreich, C. M. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.2001.tb06962.x · Cited by 36
A Longitudinal Study of Adherence to the Mediterranean Dietary Pattern and Metabolic Syndrome in a Non-Mediterranean Population
Mirmiran, P., Moslehi, N., Mahmoudof, H., Sadeghi, M., & Azizi, F. (2015) · Intern J Endocrinol Metab · doi:10.5812/ijem.26128v2 · Cited by 35
Depressive symptoms and serum lipid levels in young adult women
Fang, C. Y., Egleston, B. L., Gabriel, K. P., Stevens, V. J., Kwiterovich, P. O., Snetselaar, L. G., Longacre, M. L., & Dorgan, J. F. (2012) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9409-1 · Cited by 35
“Adapted for use in the DISC06 Follow-Up Study, the historical MAQ is an intervieweradministered, self-report instrument that estimates historical (ages 14–21 years) and past year leisure-time physical activity levels.”
Influential
Randomized controlled trial on the long-term efficacy of a multifaceted, interdisciplinary lifestyle intervention in reducing cardiovascular risk and improving lifestyle in patients at risk of cardiovascular disease
Goyer, L., Dufour, R., Janelle, C., Blais, C., L'Abbé, C., Raymond, É., de Champlain, J., & Larochelle, P. M. (2012) · Journal of Behavioral Medicine · doi:10.1007/s10865-012-9407-3 · Cited by 40
“…was assessed at baseline, after the 6-month group treatment program in Educoeur and at 2 years for all groups by 2 validated questionnaires: the Modifiable Activity Questionnaire (Kriska et al., 1990) and the Healthy Physical Activity Participation Questionnaire (Shephard & Bouchard, 1994).”
Method
Smoking habits and incidence of cardiovascular diseases in men and women: findings of a 12 year follow up among an urban Eastern-Mediterranean population
Amiri, P., Mohammadzadeh-Naziri, K., Abbasi, B., Cheraghi, L., Jalali‐Farahani, S., Momenan, A. A., Amouzegar, A., Hadaegh, F., & Azizi, F. (2019) · BMC Public Health · doi:10.1186/s12889-019-7390-0 · Cited by 35
Effect of Manipulating Descriptive Norms and Positive Outcome Expectations on Physical Activity of University Students During Exams
Crozier, A., & Spink, K. S. (2016) · Health Communication · doi:10.1080/10410236.2016.1172295 · Cited by 33
“Daily Physical Activity In order to assess PA, the Modifiable Activity Questionnaire (Kriska et al., 1990) was used.”
BackgroundMethodInfluential
Pre-pregnancy consumption of starchy vegetables and legumes and risk of gestational diabetes mellitus among Tehranian women
Goshtasebi, A., Hosseinpour‐Niazi, S., Mirmiran, P., Lamyian, M., Moghaddam‐Banaem, L., & Azizi, F. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.02.033 · Cited by 34
10-year cumulative and bidirectional associations of domain-specific physical activity and sedentary behaviour with health-related quality of life in French adults: Results from the SU.VI.MAX studies
Omorou, A. Y., Vuillemin, A., Menai, M., Latarche, C., Kesse‐Guyot, E., Galan, P., Herçberg, S., Oppert, J., & Briançon, S. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.03.023 · Cited by 34
“Data were collected at 3 time points (1998, 2001 and 2007) using the Modifiable Activity Questionnaire (MAQ) for PA (leisure-time and occupational) and SB (screen-viewing, reading and total sitting time) and the DUKE Health Profile for HRQoL.”
MethodInfluential
Muscle Oxygen Supply and Use in Type 1 Diabetes, From Ambient Air to the Mitochondrial Respiratory Chain: Is There a Limiting Step?
Heyman, E., Daussin, F., Wieczorek, V., Caiazzo, R. J., Matran, R., Berthon, P. M., Aucouturier, J., Berthoin, S., Descatoire, A., Leclair, E., et al. (2019) · Diabetes Care · doi:10.2337/dc19-1125 · Cited by 34
“), the validated Modified Activity Questionnaire (17), and accelerometry (GT1M”
Background
Consumption of nitrate-containing vegetables is inversely associated with hypertension in adults: a prospective investigation from the Tehran Lipid and Glucose Study
Golzarand, M., Bahadoran, Z., Mirmiran, P., Zadeh–Vakili, A., & Azizi, F. (2015) · Journal of Nephrology · doi:10.1007/s40620-015-0229-6 · Cited by 33
Smoking-attributable mortality in American Indians: findings from the Strong Heart Study
Zhang, M., An, Q., Yeh, F., Zhang, Y., Howard, B. V., Lee, E. T., & Zhao, J. (2015) · European Journal of Epidemiology · doi:10.1007/s10654-015-0031-8 · Cited by 33
“This questionnaire was designed specifically for American Indians and has been shown to be valid and reliable [14].”
Normal physical working capacity in prepubertal children with type 1 diabetes compared with healthy controls
Heyman, E., Briard, D., Gratas‐Delamarche, A., Delamarche, P., & de Kerdanet, M. (2005) · Acta Paediatrica · doi:10.1111/j.1651-2227.2005.tb01809.x · Cited by 36
“All the children were questioned, with the help of their parents, about the time and intensity they spent on sports in school, on extracurricular club-organized activities both within and outside school, and on free spare-time activities, using a structured validated questionnaire [16] adapted for Caucasian children […”
Method
Associations between dairy products consumption and risk of type 2 diabetes: Tehran lipid and glucose study
Moslehi, N., Shab‐Bidar, S., Mirmiran, P., Sadeghi, M., & Azizi, F. (2015) · International Journal of Food Sciences and Nutrition · doi:10.3109/09637486.2015.1034249 · Cited by 34
“Physical activity (PA) during the previous year was determined by modified Kriska’s PA questionnaire on activities of light, moderate, high, and very high intensity according to a list of common activities of daily life and was expressed as metabolic equivalent minute per week (MET-min/wk) (Kriska et al., 1990).”
Method
Maternal physical activity mode and fetal heart outcome
May, L. E., Suminski, R. R., Jr., Berry, A. C., Langaker, M. D., & Gustafson, K. M. (2014) · Early Human Development · doi:10.1016/j.earlhumdev.2014.04.009 · Cited by 33
“In order to minimize potential bias, we used a physical activity recall instrument that has been shown to be reliable and valid in pregnant women [2,22, 23].”
Method
Sugar-Sweetened Beverage Consumption Is Associated with Metabolic Syndrome in Iranian Adults: Tehran Lipid and Glucose Study
Ejtahed, H., Bahadoran, Z., Mirmiran, P., & Azizi, F. (2015) · Endocrinology and Metabolism · doi:10.3803/enm.2015.30.3.334 · Cited by 34
The Effect of Light Rail Transit on Physical Activity: Design and Methods of the Travel-Related Activity in Neighborhoods Study
Durand, C. P., Oluyomi, A. O., Gabriel, K. P., Salvo, D., Sener, I. N., Hoelscher, D. M., Knell, G., Tang, X., Porter, A. K., Robertson, M. C., et al. (2016) · Frontiers in Public Health · doi:10.3389/fpubh.2016.00103 · Cited by 32
Physical activity and joint function in adults with severe haemophilia on long-term prophylaxis
Khawaji, M., Astermark, J., Åkesson, K., et al. (2010) · Blood Coagulation & Fibrinolysis · doi:10.1097/mbc.0b013e32834128c6 · Cited by 32
Effect of Physical Activity and Obesity on Type 2 Diabetes in a Middle-Aged Population
Ansari, R. M. (2009) · Journal of Environmental and Public Health · doi:10.1155/2009/195285 · Cited by 32
“Therefore, physical activity levels have been assessed in this population using the same activity questionnaire that is being used in a number of epidemiological studies of diabetes worldwide [12, 13].”
Method
Evaluation of the Indian Migration Study Physical Activity Questionnaire (IMS-PAQ): a cross-sectional study
Sullivan, R., Kinra, S., Ekelund, U., Av, B., Vaz, M. A. P., Kurpad, A. V., Collier, T. J., Reddy, K. S., Prabhakaran, D., Ebrahim, S. B. J., et al. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-13 · Cited by 31
“These findings are comparable with previously published values from reliability studies in other LMICs (where the International and Global Physical Activity Questionnaires (IPAQ and GPAQ) recalled activity data over last-week), [7,9] and for Pima Indians in north America, [29] although lower than values obtained from…”
Result
Association of Dietary Intakes of Total Polyphenol and Its Subclasses with the Risk of Metabolic Syndrome: Tehran Lipid and Glucose Study
Sohrab, G., Ebrahimof, S., Hosseinpour‐Niazi, S., Yuzbashian, E., Mirmiran, P., & Azizi, F. (2018) · Metabolic Syndrome and Related Disorders · doi:10.1089/met.2017.0140 · Cited by 31
“Physical activity was assessed using an oral questionnaire, including a list of common activities of daily life; the frequency and amount of time of activities spent per week over the last year were recorded.(20) Physical activity levels were expressed as metabolic equivalent hours per week (METs h/week).”
Fatigability of the Lumbopelvic Stabilizing Muscles in Women 8 and 26 Weeks Postpartum
Deering, R. E., Senefeld, J. W., Pashibin, T., Neumann, D. A., Cruz, M., & Hunter, S. K. (2018) · Journal of Womenʼs Health Physical Therapy · doi:10.1097/jwh.0000000000000109 · Cited by 31
Empirical dietary inflammatory pattern and risk of metabolic syndrome and its components: Tehran Lipid and Glucose Study
Shakeri, Z., Mirmiran, P., Khalili‐Moghadam, S., Hosseini‐Esfahani, F., Ataie‐Jafari, A., & Azizi, F. (2019) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-019-0411-4 · Cited by 31
Physical Activity and Gallbladder Disease Determined by Ultrasonography
KRISKA, A. M., BRACH, J. S., JARVIS, B. J., EVERHART, J. E., FABIO, A., RICHARDSON, C. R., & HOWARD, B. V. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181484d0e · Cited by 31
Self-citation
Metabolic syndrome profiles, obesity measures and intake of dietary fatty acids in adults: T ehran L ipid and G lucose S tudy
Shab‐Bidar, S., Hosseini‐Esfahani, F., Mirmiran, P., Hosseinpour‐Niazi, S., & Azizi, F. (2013) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12117 · Cited by 31
“To obtain various measurements of energy expenditure and physical activity, a physical activity questionnaire was used (Kriska et al., 1990).”
Method

Authors: Kriska, A. M., Knowler, W. C., LaPorte, R. E., Drash, A. L., Wing, R. R., Blair, S. N., Bennett, P. H., & Kuller, L. H.
Affiliations: University of Pittsburgh (US)
ORCID: Kriska, Andrea M
Knowler, William C
Wing, Rena R
Blair, Steven N
Bennett, Peter H
Kuller, Lewis H
Venue: Diabetes Care
Publisher: American Diabetes Association
Published: 1990-04-01
Volume: 13
Issue: 4
Pages: 401-411
ISSN: 0149-5992 (ISSN-L)
1935-5548
DOI: 10.2337/diacare.13.4.401
OpenAlex: W2004395090
Cited by: 755
References: 0
Citations by year: 2026: 9 · 2025: 18 · 2024: 19 · 2023: 31 · 2022: 20 · 2021: 36 · 2020: 35 · 2019: 29 · 2018: 30 · 2017: 28 · 2016: 31 · 2015: 37 · 2014: 36 · 2013: 42 · 2012: 39
FWCI: 1.88
Type: journal article
Language: en
Open access: closed
Locations: Diabetes Care (publishedVersion)
PubMed (publishedVersion)
Scholar Commons (University of South Carolina) (submittedVersion)
Funders: Centers for Disease Control and Prevention
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Indigenous Health and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords: physical activity, diabetes mellitus, Pima Indians, questionnaire development, leisure-time physical activity, occupational physical activity, test-retest reliability, validity, wearable activity trackers, type 2 diabetes, Native Americans
MeSH terms: Adolescent, Adult, Arizona, Child, Diabetes Mellitus, Type 2, Female, Humans, Indians, North American, Male, Middle Aged, Physical Fitness, Surveys and Questionnaires, Reproducibility of Results

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Development of Questionnaire to Examine Relationship of Physical Activity and Diabetes in Pima Indians

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