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      Objective and subjective measurement of sedentary behavior in human adults: A toolkit

      research-article
      1 , 2 ,
      American Journal of Human Biology
      John Wiley & Sons, Inc.

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          Abstract

          Objectives

          Objectives: Human biologists are increasingly interested in measuring and comparing physical activities in different societies. Sedentary behavior, which refers to time spent sitting or lying down while awake, is a large component of daily 24 hours movement patterns in humans and has been linked to poor health outcomes such as risk of all‐cause and cardiovascular mortality, independently of physical activity. As such, it is important for researchers, with the aim of measuring human movement patterns, to most effectively use resources available to them to capture sedentary behavior.

          Methods

          This toolkit outlines objective (device‐based) and subjective (self‐report) methods for measuring sedentary behavior in free‐living contexts, the benefits and drawbacks to each, as well as novel options for combined use to maximize scientific rigor. Throughout this toolkit, emphasis is placed on considerations for the use of these methods in various field conditions and in varying cultural contexts.

          Results

          Objective measures such as inclinometers are the gold‐standard for measuring total sedentary time but they typically cannot capture contextual information or determine which specific behaviors are taking place. Subjective measures such as questionnaires and 24 hours‐recall methods can provide measurements of time spent in specific sedentary behaviors but are subject to measurement error and response bias.

          Conclusions

          We recommend that researchers use the method(s) that suit the research question; inclinometers are recommended for the measurement of total sedentary time, while self‐report methods are recommended for measuring time spent in particular contexts of sedentary behavior.

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          Most cited references124

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          International physical activity questionnaire: 12-country reliability and validity.

          Physical inactivity is a global concern, but diverse physical activity measures in use prevent international comparisons. The International Physical Activity Questionnaire (IPAQ) was developed as an instrument for cross-national monitoring of physical activity and inactivity. Between 1997 and 1998, an International Consensus Group developed four long and four short forms of the IPAQ instruments (administered by telephone interview or self-administration, with two alternate reference periods, either the "last 7 d" or a "usual week" of recalled physical activity). During 2000, 14 centers from 12 countries collected reliability and/or validity data on at least two of the eight IPAQ instruments. Test-retest repeatability was assessed within the same week. Concurrent (inter-method) validity was assessed at the same administration, and criterion IPAQ validity was assessed against the CSA (now MTI) accelerometer. Spearman's correlation coefficients are reported, based on the total reported physical activity. Overall, the IPAQ questionnaires produced repeatable data (Spearman's rho clustered around 0.8), with comparable data from short and long forms. Criterion validity had a median rho of about 0.30, which was comparable to most other self-report validation studies. The "usual week" and "last 7 d" reference periods performed similarly, and the reliability of telephone administration was similar to the self-administered mode. The IPAQ instruments have acceptable measurement properties, at least as good as other established self-reports. Considering the diverse samples in this study, IPAQ has reasonable measurement properties for monitoring population levels of physical activity among 18- to 65-yr-old adults in diverse settings. The short IPAQ form "last 7 d recall" is recommended for national monitoring and the long form for research requiring more detailed assessment.
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            Ecological Momentary Assessment

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              Physical activity in the United States measured by accelerometer.

              To describe physical activity levels of children (6-11 yr), adolescents (12-19 yr), and adults (20+ yr), using objective data obtained with accelerometers from a representative sample of the U.S. population. These results were obtained from the 2003-2004 National Health and Nutritional Examination Survey (NHANES), a cross-sectional study of a complex, multistage probability sample of the civilian, noninstitutionalized U.S. population in the United States. Data are described from 6329 participants who provided at least 1 d of accelerometer data and from 4867 participants who provided four or more days of accelerometer data. Males are more physically active than females. Physical activity declines dramatically across age groups between childhood and adolescence and continues to decline with age. For example, 42% of children ages 6-11 yr obtain the recommended 60 min x d(-1) of physical activity, whereas only 8% of adolescents achieve this goal. Among adults, adherence to the recommendation to obtain 30 min x d(-1) of physical activity is less than 5%. Objective and subjective measures of physical activity give qualitatively similar results regarding gender and age patterns of activity. However, adherence to physical activity recommendations according to accelerometer-measured activity is substantially lower than according to self-report. Great care must be taken when interpreting self-reported physical activity in clinical practice, public health program design and evaluation, and epidemiological research.
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                Author and article information

                Contributors
                j.m.wagnild@dur.ac.uk
                Journal
                Am J Hum Biol
                Am J Hum Biol
                10.1002/(ISSN)1520-6300
                AJHB
                American Journal of Human Biology
                John Wiley & Sons, Inc. (Hoboken, USA )
                1042-0533
                1520-6300
                05 December 2020
                January 2022
                : 34
                : 1 ( doiID: 10.1002/ajhb.v34.1 )
                : e23546
                Affiliations
                [ 1 ] Health Services Management Centre Park House, University of Birmingham England UK
                [ 2 ] Department of Anthropology Durham University Durham England UK
                Author notes
                [*] [* ] Correspondence

                Janelle Wagnild, Department of Anthropology, Durham University, Durham, DH1 3LE, England, UK.

                Email: j.m.wagnild@ 123456dur.ac.uk

                Author information
                https://orcid.org/0000-0001-6975-4570
                https://orcid.org/0000-0003-3933-6380
                Article
                AJHB23546
                10.1002/ajhb.23546
                9286366
                33277954
                2ffec870-8d4c-4459-a82a-6485c9519133
                © 2020 The Authors. American Journal of Human Biology published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 November 2020
                : 10 September 2020
                : 19 November 2020
                Page count
                Figures: 1, Tables: 1, Pages: 22, Words: 15461
                Categories
                Human Biology Toolkit
                Human Biology Toolkit
                Custom metadata
                2.0
                January 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:15.07.2022

                Human biology
                Human biology

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