Reliability and Validity of 2 Self-Report Measures to Assess Sedentary Behavior in Older Adults

Gennuso, Keith P.; Matthews, Charles E.; Colbert, Lisa H.

doi:10.1123/jpah.2013-0546

Cited by 36 publications

(28 citation statements)

References 48 publications

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“…Four of the studies were conducted in Europe,19–22 three in Australia,23–25 one in the USA26 and one in Brazil 27. Cultural norms could influence perceptions of ‘sedentary behaviour’ and should be considered in research using self-report.…”

Section: Methodsmentioning

confidence: 99%

“…The Physical Activity Survey for Older Adults and the Community Health Activities Model Program for Seniors (CHAMPS) are widely used tools but both questionnaires were found to underestimate ST when compared with accelerometer data (ActiGraph). The CHAMPS questionnaire (n=58) underestimated ST by 5.21 hours/day 26. The Human Activity Profile Questionnaire includes 94 activities that have variable energy requirements (low to high); it had a strong correlation (−0.47) with accelerometer (ActiGraph) measured ST (n=120) 27.…”

Section: Methodsmentioning

confidence: 99%

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Sedentary time in older adults: a critical review of measurement, associations with health, and interventions

et al. 2017

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Sedentary time (ST) is an important risk factor for a variety of health outcomes in older adults. Consensus is needed on future research directions so that collaborative and timely efforts can be made globally to address this modifiable risk factor. In this review, we examined current literature to identify gaps and inform future research priorities on ST and healthy ageing. We reviewed three primary topics:(1) the validity/reliability of self-report measurement tools, (2) the consequences of prolonged ST on geriatric-relevant health outcomes (physical function, cognitive function, mental health, incontinence and quality of life) and(3) the effectiveness of interventions to reduce ST in older adults. Methods A trained librarian created a search strategy that was peer reviewed for completeness.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Sedentary time in older adults: a critical review of measurement, associations with health, and interventions

et al. 2017

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“…It should also be added that taking Harada, Chiu, King, Stewart's (ibid.) caloric expenditure as reference, this factor could be qualified as sedentary 10 , and it has been claimed that CHAMPS is not the most appropriate resource to assess sedentary behavior 15,25 , or even to estimate the amount of PA performed in populations where low-intensity activity is predominant 26 . However, the CHAMPS questionnaire proved to be an invalid tool to estimate the amount of PA performed in institutionalized populations with cognitive deterioration in this study.…”

Section: Discussionmentioning

confidence: 99%

Construct Validity of the Spanish Version of the CHAMPS Questionnaire for institutionalized patients over 65 years old

Cancela

Sánchez-Lastra

Casal

2017

Motriz: rev. educ. fis.

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Various studies have highlighted the benefits of physical activity (PA) performance in older adults on physical, cognitive, and functional levels 1 . For this reason, one of the main health strategies aimed at this group is the promotion of PA 2 . For this purpose, it is fundamental to ascertain efficient resources in order to pinpoint the level of PA that has been reached after a period of time. This would allow experts to determine the baseline from which an adequate prescription of PA performance could be established, as well as to identify the effects of the interventions with this objective in mind. In this regard, PA recall performance questionnaires are considered the most effective tool given their low-cost, ease of administration, and capacity for simultaneous assessment in larger samples 3 . In spite of this, research is still scarce regarding the psychometric properties of the Spanish versions of questionnaires that are specifically tailored for the assessment of PA performance in older adults [4][5][6][7] . It has been suggested that the questionnaire that was created on the basis of the study entitled "Community Healthy Activities Model Program for Seniors," also known as CHAMPS 8 , is the most advisable resource in situations where the main goal is to estimate the prevalence of PA performance in older adults, primarily because the questionnaire features a series of psychometric properties that are suitable for this purpose 9 . However, from an epidemiological approach, the use of CHAMPS with Spanish older populations would present a number of methodological limitations since the psychometric properties of the adapted version of CHAMPS for Hispanic populations have not yet been investigated 10 . Moreover, this version was later modified to assess its applicability in Puerto Rican populations, but only its internal consistency was analyzed by testing a very small sample of older adults between the ages of 65 and 9011 . Consequently, the degree of validity of that version remains to be determined when administered to adult Spanish populations. In addition, it has been noted that CHAMPS validity behaves differently in institutionalized older adults, a group for which a very low level of affinity has been detected between the amount of PA estimated by the questionnaire and the amount registered through accelerometry 12 . Hence, this particular line of research is yet to be fully exploited.Under these circumstances, the present study investigates the validity of a Spanish adaptation of the CHAMPS questionnaire for institutionalized older adults between the ages of 74 and 90. MethodsParticipants in this study were recruited through a collaboration agreement signed between the University of "Vigo" and "Fundación San Rosendo", a company that specializes in geriatric center management. The inclusion criteria were the following: (a)being over 65 years' old; (b) residing in a geriatric center; and (c)presenting mobility autonomy, in other words, being able to move freely without the help of another person. Ind...

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“…One promising possibility is the Yale Physical Activity Survey (YPAS) sitting score, which correlated with accelerometer-derived sedentary behavior in older adults. 10 The YPAS has been validated to measure physical activity in persons with RA, 11 but its validity to measure sedentary time in RA is yet to be examined. The purpose of this study is to examine the validity of the YPAS as a measure of subjective sedentary time compared with objective accelerometer-derived sedentary time in individuals with RA.…”

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confidence: 99%

Comparison of Subjective and Objective Measures of Sedentary Behavior Using the Yale Physical Activity Survey and Accelerometry in Patients With Rheumatoid Arthritis

Gilbert

Lee

Ma³

et al. 2016

Journal of Physical Activity and Health

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Background Sedentary behavior is associated with increased risk of functional decline and disability. Individuals with rheumatoid arthritis (RA) spend more time sedentary than healthy adults. Self-reported assessment of sedentary behavior has not been well-developed in this patient population. Methods 172 adults with RA wore an accelerometer for 7 days and completed a modified version of the Yale Physical Activity Survey (YPAS). YPAS-derived sedentary estimates included 1) daily sitting categories (<3, 3 to 6, 6 to 8, >8 hours/day), 2) continuous daily sedentary time calculated by subtracting hours spent sleeping or in physical activity from a 24-hour day, and 3) rank order of YPAS-derived continuous daily sedentary time. Each estimate was compared with objective accelerometer-derived sedentary time using linear regression and Bland-Altman analysis. Results A significant relationship was observed between accelerometer-derived sedentary time and all 3 estimates. Bland-Altman plot demonstrated systematic bias, however Bland-Altman plot of rank-order demonstrated that the ranked YPAS-derived continuous estimate was an unbiased predictor of ranked accelerometer sedentary time though limits of agreement were wide. Conclusions This patient-reported approach using the YPAS shows promise to be a useful tool to identify the most sedentary patients. Providing a practical and accurate tool may increase the frequency sedentary behavior is assessed by clinicians.

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Reliability and Validity of 2 Self-Report Measures to Assess Sedentary Behavior in Older Adults

Cited by 36 publications

References 48 publications

Sedentary time in older adults: a critical review of measurement, associations with health, and interventions

Sedentary time in older adults: a critical review of measurement, associations with health, and interventions

Construct Validity of the Spanish Version of the CHAMPS Questionnaire for institutionalized patients over 65 years old

Comparison of Subjective and Objective Measures of Sedentary Behavior Using the Yale Physical Activity Survey and Accelerometry in Patients With Rheumatoid Arthritis

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