Validation of the Arizona Activity Frequency Questionnaire using doubly labeled water

Staten, Lisa K.; Taren, Douglas; Howell, Wanda H.; Tobar, Maribel; Poehlman, Éric T.; Hill, Anabel; Reid, Phyllis M.; Ritenbaugh, Cheryl

doi:10.1097/00005768-200111000-00024

Cited by 102 publications

(83 citation statements)

References 23 publications

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“…Despite the large-scale application, reliability and validity of the measurement of habitual physical activity by questionnaires is low (Shephard 2003). Comparisons with doubly labeled water show generally low correlations with systematic underestimates (Staten et al 2001;Arvidsson et al 2005;Maddison et al 2007;Rush et al 2008), overestimates (Koebnick et al 2005;Mahabir et al 2006), or agreement at the group level with considerable error on an individual level (Bonnefoy et al 2001;Conway et al 2002;Washburn et al 2003). Probably, questionnaires can be adequately used as an activity-ranking instrument.…”

Section: Methodsmentioning

confidence: 99%

Assessment of physical activity: a critical appraisal

2009

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Assessment of physical activity in a free-living environment is important for understanding relations between physical activity and health and determining the effectiveness of interventions. Techniques include behavioral observation, questionnaires in the form of diaries, recall questionnaires and interviews, and physiological markers like heart rate, calorimetry, and motion sensors. The doubly labeled water method has become the gold standard for the validation of field methods of assessing physical activity. Then, questionnaires show a low reliability and validity but can be adequately applied as an activity-ranking instrument. The heart rate requires individual calibration to be an effective method to assess physical activity only at group level. The indicated method for the assessment of habitual physical activity in daily life is a doubly labeled water validated accelerometer. Future developments are simultaneous measurement of body acceleration and heart rate for the assessment of physical fitness. A new generation of accelerometers will provide information on body posture and activity recognition to allow objective assessment of subjects' habitual activities, options for a healthy change, and effects of the follow-up of any changes.

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Section: Methodsmentioning

confidence: 99%

Assessment of physical activity: a critical appraisal

2009

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“…An additional blood sample was drawn at hour 3 as part of the DLW protocol for adults aged .60 y. During the visit, women completed questionnaires on diet (food-frequency questionnaire) (31) and leisure physical activity, reported by 2 methods with the use of a questionnaire previously used in the WHI to capture recreational physical activity (29,32) and the Arizona Activity Frequency Questionnaire (33). Finally, the Nutrition and Physical Activity Assessment Study Viewpoints questionnaire was administered to collect data on body image, social desirability, and eating habits (34)(35)(36).…”

Section: Study Design and Diet Formulationmentioning

confidence: 99%

Dietary biomarker evaluation in a controlled feeding study in women from the Women’s Health Initiative cohort ,

Lampe

Huang

Neuhouser

et al. 2017

The American Journal of Clinical Nutrition

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Background: Controlled human feeding studies are necessary for robust nutritional biomarker development and validation. Previous feeding studies have typically evaluated single nutrients and tested relatively few diets. Objectives: The objectives were 1) to simultaneously associate dietary intake with a range of potential nutritional biomarkers in postmenopausal women by using a controlled feeding study whereby each participant was provided a diet similar to her usual diet and 2) to evaluate serum concentrations of select nutrients as potential biomarkers with the use of established urinary recovery biomarkers of energy and protein as benchmarks for evaluation. Design: Postmenopausal women from the Women's Health Initiative (n = 153) were provided with a 2-wk controlled diet in which each individual's menu approximated her habitual food intake as estimated from her 4-d food record and adjusted for estimated energy requirements. Serum biomarkers, including carotenoids, tocopherols, folate, vitamin B-12, and phospholipid fatty acids, were collected at the beginning and end of the feeding period. Doubly labeled water and urinary nitrogen biomarkers were used to derive estimates of energy and protein consumption, respectively. Results: Linear regression of (ln-transformed) consumed nutrients on (ln-transformed) potential biomarkers and participant characteristics led to the following regression (R 2 ) values for serum concentration biomarkers: folate, 0.49; vitamin B-12, 0.51; a-carotene, 0.53; b-carotene, 0.39; lutein + zeaxanthin, 0.46; lycopene, 0.32; and a-tocopherol, 0.47. R 2 values for percentage of energy from polyunsaturated fatty acids and urinary recovery biomarkers of energy and protein intakes were 0.27, 0.53, and 0.43, respectively. Phospholipid saturated fatty acids and monounsaturated fatty acids and serum g-tocopherol were weakly associated with intake (R 2 , 0.25). Conclusions: Serum concentration biomarkers of several vitamins and carotenoids performed similarly to established energy and protein urinary recovery biomarkers in representing nutrient intake variation in a feeding study, and thus are likely suitable for application in this population of postmenopausal women. Further work is needed to identify objective measures of categories of fatty acid intake. This trial was registered at clinicaltrials.gov as NCT00000611.Am J Clin Nutr 2017;105:466-75.

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“…Physical activity is assessed in Pathways with a questionnaire developed for another study of breast cancer survivors within KPNC (Life After Cancer Epidemiology Study [LACE] [22]), which was modeled loosely after the Arizona Activity Frequency Questionnaire (AAFQ) [23]. The questionnaire is divided into four main sections: job or work-related activities, activities not related to paid or volunteer work, recreational activities, and transportation.…”

Section: Physical Activitymentioning

confidence: 99%

The Pathways Study: a prospective study of breast cancer survivorship within Kaiser Permanente Northern California

Kwan

Ambrosone

Lee

et al. 2008

Cancer Causes Control

104

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Objective-With 2.3 million breast cancer survivors in the U.S. today, identification of modifiable factors associated with breast cancer recurrence and survival is increasingly important. Only recently new studies have been designed to examine the impact of lifestyle factors on prognosis, including Pathways, a prospective study of women with breast cancer in Kaiser Permanente Northern California (KPNC).Methods-Pathways aims to examine the effect on recurrence and survival of 1) lifestyle factors such as diet, physical activity, quality of life, and use of alternative therapies and 2) molecular factors such as genetic polymorphisms involved in metabolism of chemotherapeutic agents. Eligibility includes any woman diagnosed with invasive breast cancer within KPNC, no previous diagnosis of other invasive cancer, age 21 years or older, and ability to speak English, Spanish, Cantonese, or Mandarin. Newly-diagnosed patients are identified daily from electronic pathology records and are enrolled within two months of diagnosis. An extensive baseline interview is conducted, blood and saliva samples are collected, and body measurements are taken. Women are followed for lifestyle updates, treatment, and outcomes by self-report and query of KPNC databases.Results-Recruitment began in January 9, 2006, and as of January 16, 2008, 1,539 women have been enrolled along with collection of 1,323 blood samples (86%) and 1,398 saliva samples (91%). Conclusions-ThePathways Study will become a rich resource to examine behavioral and molecular factors and breast cancer prognosis.

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Validation of the Arizona Activity Frequency Questionnaire using doubly labeled water

Abstract: The AAFQ is an effective tool for the prediction of TEE and PAEE in epidemiological studies.

Cited by 102 publications

References 23 publications

Assessment of physical activity: a critical appraisal

Assessment of physical activity: a critical appraisal

Dietary biomarker evaluation in a controlled feeding study in women from the Women’s Health Initiative cohort ,

The Pathways Study: a prospective study of breast cancer survivorship within Kaiser Permanente Northern California

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