Abstract
Background: As physical activity is important for health and well-being, it is essential to monitor population prevalence of physical activity. Surveillance is dependent on the use of valid and reliable measurement tools. The PACE+ questionnaire is used globally in youth and has acceptable reliability; however it has not been validated in a European sample. The purpose of this study is to validate this instrument in a sample of 10-18 year old Irish youth. Methods: Participants (n=419, 45.7 % male) completed the PACE+ two-item questionnaire and were asked to wear an Actigraph accelerometer for eight consecutive days. Freedson cut-points were used to estimate moderate to vigorous physical activity from accelerometer counts. Analyses compared self-report and accelerometry data in participants with (1) ≥5 and (2) seven valid accelerometer days. Calculations were performed for the whole sample, and were stratified by sex and school level (primary; post-primary). Results: Spearman correlations between self-reported physical activity levels and accelerometry derived minutes of moderate-to-vigorous physical activity per day were small (r=0.27; seven valid days) to moderate (r=0.34; ≥5 valid days). Higher correlations were found in older participants (post-primary r=0.39; primary r=0.24) and females (r=0.39; males r=0.27) using ≥5 valid days. The agreement level was high (68-96 %). The accuracy of classifying those not meeting the guidelines (specificity) was moderate to high (59-100 %). Conclusions: The PACE+ self-report instrument has acceptable validity for assessing non-achievement of the adolescent physical activity recommendations. The validity is higher in females and increases with age. The continued use of the tool is recommended and will allow for comparability between studies, tracking of physical activity over time including trends in youth population prevalence.
| Language | English |
|---|---|
| Article number | 1080 |
| Number of pages | 8 |
| Journal | BMC Public Health |
| Volume | 15 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 23 Oct 2015 |
Fingerprint
Keywords
- adolescence
- epidemiology
- physical activity
- validity
- youth
Cite this
}
Validity of a two-item physical activity questionnaire for assessing attainment of physical activity guidelines in youth. / Hardie Murphy, Michelle; Rowe, David A.; Belton, Sarahjane; Woods, Catherine B.
In: BMC Public Health, Vol. 15, No. 1, 1080, 23.10.2015.Research output: Contribution to journal › Article
TY - JOUR
T1 - Validity of a two-item physical activity questionnaire for assessing attainment of physical activity guidelines in youth
AU - Hardie Murphy, Michelle
AU - Rowe, David A.
AU - Belton, Sarahjane
AU - Woods, Catherine B.
PY - 2015/10/23
Y1 - 2015/10/23
N2 - Background: As physical activity is important for health and well-being, it is essential to monitor population prevalence of physical activity. Surveillance is dependent on the use of valid and reliable measurement tools. The PACE+ questionnaire is used globally in youth and has acceptable reliability; however it has not been validated in a European sample. The purpose of this study is to validate this instrument in a sample of 10-18 year old Irish youth. Methods: Participants (n=419, 45.7 % male) completed the PACE+ two-item questionnaire and were asked to wear an Actigraph accelerometer for eight consecutive days. Freedson cut-points were used to estimate moderate to vigorous physical activity from accelerometer counts. Analyses compared self-report and accelerometry data in participants with (1) ≥5 and (2) seven valid accelerometer days. Calculations were performed for the whole sample, and were stratified by sex and school level (primary; post-primary). Results: Spearman correlations between self-reported physical activity levels and accelerometry derived minutes of moderate-to-vigorous physical activity per day were small (r=0.27; seven valid days) to moderate (r=0.34; ≥5 valid days). Higher correlations were found in older participants (post-primary r=0.39; primary r=0.24) and females (r=0.39; males r=0.27) using ≥5 valid days. The agreement level was high (68-96 %). The accuracy of classifying those not meeting the guidelines (specificity) was moderate to high (59-100 %). Conclusions: The PACE+ self-report instrument has acceptable validity for assessing non-achievement of the adolescent physical activity recommendations. The validity is higher in females and increases with age. The continued use of the tool is recommended and will allow for comparability between studies, tracking of physical activity over time including trends in youth population prevalence.
AB - Background: As physical activity is important for health and well-being, it is essential to monitor population prevalence of physical activity. Surveillance is dependent on the use of valid and reliable measurement tools. The PACE+ questionnaire is used globally in youth and has acceptable reliability; however it has not been validated in a European sample. The purpose of this study is to validate this instrument in a sample of 10-18 year old Irish youth. Methods: Participants (n=419, 45.7 % male) completed the PACE+ two-item questionnaire and were asked to wear an Actigraph accelerometer for eight consecutive days. Freedson cut-points were used to estimate moderate to vigorous physical activity from accelerometer counts. Analyses compared self-report and accelerometry data in participants with (1) ≥5 and (2) seven valid accelerometer days. Calculations were performed for the whole sample, and were stratified by sex and school level (primary; post-primary). Results: Spearman correlations between self-reported physical activity levels and accelerometry derived minutes of moderate-to-vigorous physical activity per day were small (r=0.27; seven valid days) to moderate (r=0.34; ≥5 valid days). Higher correlations were found in older participants (post-primary r=0.39; primary r=0.24) and females (r=0.39; males r=0.27) using ≥5 valid days. The agreement level was high (68-96 %). The accuracy of classifying those not meeting the guidelines (specificity) was moderate to high (59-100 %). Conclusions: The PACE+ self-report instrument has acceptable validity for assessing non-achievement of the adolescent physical activity recommendations. The validity is higher in females and increases with age. The continued use of the tool is recommended and will allow for comparability between studies, tracking of physical activity over time including trends in youth population prevalence.
KW - adolescence
KW - epidemiology
KW - physical activity
KW - validity
KW - youth
UR - http://www.scopus.com/inward/record.url?scp=84944931314&partnerID=8YFLogxK
U2 - 10.1186/s12889-015-2418-6
DO - 10.1186/s12889-015-2418-6
M3 - Article
VL - 15
JO - BMC Public Health
T2 - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
IS - 1
M1 - 1080
ER -