Workplace Sitting Breaks Questionnaire (SITBRQ): an assessment of concurrent validity and test-retest reliability

BMC Public Health

Jo Salmon²  Adrian E Bauman¹  David W Dunstan⁴  David A Crawford²  Anna F Timperio²  Jason A Bennie³  Zeljko Pedisic¹ 

[1]Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Sydney, Australia

[2]Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia

[3]Institute of Sport, Exercise and Active Living (ISEAL), Victoria University, Melbourne, Australia

[4]School of Sport Science, Exercise and Health, The University of Western Australia, Perth, Australia

关键词: Self-report;    Accelerometer;    Validity;    Reliability;    Light-intensity physical activity;    Desk-based employees;    Sedentary behaviour;    Physical activity;    Breaks in sitting time;   

Others  :  1122857
DOI  :  10.1186/1471-2458-14-1249

 received in 2014-10-15, accepted in 2014-11-24,  发布年份 2014

【 摘 要 】

Background

Breaks in prolonged sitting may have beneficial cardiometabolic and musculoskeletal health outcomes. Desk-based work settings are an important environment to promote and support breaks in sitting time. However, few studies have reported the psychometric properties of self-report measures to assess the frequency and duration of breaks from sitting. This study examined the concurrent validity and test-retest reliability of the Workplace Sitting Breaks Questionnaire (SITBRQ) designed to assess frequency and duration of breaks in sitting within desk-based work settings.

Methods

To assess the concurrent validity, a sample of 147 desk-based employees completed the SITBRQ and wore an Actigraph GT1M accelerometer for seven consecutive days. To establish test-retest reliability, SITBRQ was administered on two separate occasions 7–14 days apart to a separate sample of 96 desk-based employees.

Results

A low relative agreement with accelerometry (Spearman’s r = 0.24 [95% CI 0.07 - 0.40]) was determined for self-reported frequency, but not for the duration of sitting breaks (Spearman’s r = 0.05 [95% CI −0.12 - 0.22]). Adequate reliability was determined for both self-reported frequency (Spearman’s r = 0.71 [95% CI 0.59 - 0.79], Cohen’s kappa = 0.74 [95% CI 0.64 - 0.84]) and duration of sitting breaks (Spearman’s r = 0.59 [95% CI 0.45 - 0.71], Cohen’s kappa = 0.61 [95% CI 0.38 - 0.85]).

Conclusion

SITBRQ may be used for assessment of the frequency of sitting breaks within desk-based work settings with validity and reliability similar to other self-reports in the field of sedentary behaviour research. However, until adequately improved and re-evaluated, it should not be used to collect data about the duration of breaks in sitting time.

【 授权许可】

   
2014 Pedisic et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012, 380:219-229.
• [2]World Health Organization: Global Recommendations on Physical Activity for Health. Geneva, CH: World Health Organization; 2010.
• [3]Owen N, Sparling PB, Healy GN, Dunstan DW, Matthews CE: Sedentary behavior: emerging evidence for a new health risk. Mayo Clin Proc 2010, 85:1138-1141.
• [4]Proper KI, Singh AS, Van Mechelen W, Chinapaw MJ: Sedentary behaviors and health outcomes among adults: a systematic review of prospective studies. Am J Prev Med 2011, 40:174-182.
• [5]Thorp AA, Owen N, Neuhaus M, Dunstan DW: Sedentary behaviors and subsequent health outcomes in adults: a systematic review of longitudinal studies, 1996–2011. Am J Prev Med 2011, 41:207-215.
• [6]Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, Khunti K, Yates T, Biddle SJH: Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia 2012, 55:2895-2905.
• [7]Katzmarzyk PT, Church TS, Craig CL, Bouchard C: Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc 2009, 41:998-1005.
• [8]Matthews CE, George SM, Moore SC, Bowles HR, Blair A, Park Y, Troiano RP, Hollenbeck A, Schatzkin A: Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr 2012, 95:437-445.
• [9]Stamatakis E, Chau JY, Pedisic Z, Bauman A, Macniven R, Coombs N, Hamer M: Are sitting occupations associated with increased all-cause, cancer, and cardiovascular disease mortality risk? A pooled analysis of seven british population cohorts. PLoS One 2013, 8:0073753.
• [10]Van Der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman A: Sitting time and all-cause mortality risk in 222 497 Australian adults. Arch Intern Med 2012, 172:494-500.
• [11]Buman MP, Hekler EB, Haskell WL, Pruitt L, Conway TL, Cain KL, Sallis JF, Saelens BE, Frank LD, King AC: Objective light-intensity physical activity associations with rated health in older adults. Am J Epidemiol 2010, 172:1155-1165.
• [12]Carson V, Ridgers ND, Howard BJ, Winkler EAH, Healy GN, Owen N, Dunstan DW, Salmon J: Light-intensity physical activity and cardiometabolic biomarkers in US Adolescents. PLoS One 2013, 8:e71417.
• [13]Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR, Leon AS: Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000, 32:S498-S504.
• [14]Owen N, Bauman A, Brown W: Too much sitting: a novel and important predictor of chronic disease risk? Br J Sports Med 2009, 43:81-83.
• [15]Dunstan DW, Kingwell BA, Larsen R, Healy GN, Cerin E, Hamilton MT, Shaw JE, Bertovic DA, Zimmet PZ, Salmon J, Owen N: Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care 2012, 35:976-983.
• [16]Stephens BR, Granados K, Zderic TW, Hamilton MT, Braun B: Effects of 1 day of inactivity on insulin action in healthy men and women: interaction with energy intake. Metabolism 2011, 60:941-949.
• [17]Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, Owen N: Objectively measured light-intensity physical activity is independently associated with 2-h plasma glucose. Diabetes Care 2007, 30:1384-1389.
• [18]Pescatello LS, Murphy D, Costanzo D: Low-intensity physical activity benefits blood lipids and lipoproteins in older adults living at home. Age Ageing 2000, 29:433-439.
• [19]Healy GN, Matthews CE, Dunstan DW, Winkler EA, Owen N: Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003–06. Eur Heart J 2011, 32:590-597.
• [20]Brown W, Bauman A, Bull F, Burton N: Development of Evidence-based Physical Activity Recommendations for Adults (18–64 years). Australian Government Department of Health 2012.
• [21]Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, Nieman DC, Swain DP: American College of Sports Medicine position stand. quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011, 43:1334-1359.
• [22]Dunstan DW, Howard B, Healy GN, Owen N: Too much sitting - a health hazard. Diabetes Res Clin Pract 2012, 97:368-376.
• [23]Todd AI, Bennett AI, Chrisitie CJ: Physical implications of prolonged sitting in a confined posture - a literature review. J Ergon Soc S Afr 2007, 19:7-21.
• [24]Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, Owen N: Breaks in sedentary time - beneficial associations with metabolic risk. Diabetes Care 2008, 31:661-666.
• [25]Ryde GC, Brown HE, Peeters GM, Gilson ND, Brown WJ: Desk-based occupational sitting patterns: weight-related health outcomes. Am J Prev Med 2013, 45:448-452.
• [26]Chau JY, van der Ploeg HP, Dunn S, Kurko J, Bauman AE: A tool for measuring workers’ sitting time by domain: the Workforce Sitting Questionnaire. Br J Sports Med 2011, 45:1216-1222.
• [27]Pronk N: The problem with too much sitting a workplace conundrum. Acsms Health Fitness J 2011, 15:41-43.
• [28]Thorp AA, Healy GN, Winkler E, Clark BK, Gardiner PA, Owen N, Dunstan DW: Prolonged sedentary time and physical activity in workplace and non-work contexts: a cross-sectional study of office, customer service and call centre employees. Int J Behav Nutr Phys Act 2012, 9:128. BioMed Central Full Text
• [29]Toomingas A, Forsman M, Mathiassen SE, Heiden M, Nilsson T: Variation between seated and standing/walking postures among male and female call centre operators. BMC Public Health 2012, 12:154. BioMed Central Full Text
• [30]Parry S, Straker L: The contribution of office work to sedentary behaviour associated risk. BMC Public Health 2013, 13:296. BioMed Central Full Text
• [31]Healy GN, Eakin EG, Lamontagne AD, Owen N, Winkler EA, Wiesner G, Gunning L, Neuhaus M, Lawler S, Fjeldsoe BS, Dunstan DW: Reducing sitting time in office workers: short-term efficacy of a multicomponent intervention. Prev Med 2013, 57:43-48.
• [32]Healy GN, Clark BK, Winkler EA, Gardiner PA, Brown WJ, Matthews CE: Measurement of adults’ sedentary time in population-based studies. Am J Prev Med 2011, 41:216-227.
• [33]Shephard RJ, Aoyagi Y: Measurement of human energy expenditure, with particular reference to field studies: an historical perspective. Eur J Appl Physiol 2012, 112:2785-2815.
• [34]Bankoski A, Harris TB, McClain JJ, Brychta RJ, Caserotti P, Chen KY, Berrigan D, Troiano RP, Koster A: Sedentary activity associated with metabolic syndrome independent of physical activity. Diabetes Care 2011, 34:497-503.
• [35]Henson J, Yates T, Biddle SJH, Edwardson CL, Khunti K, Wilmot EG, Gray LJ, Gorely T, Nimmo MA, Davies MJ: Associations of objectively measured sedentary behaviour and physical activity with markers of cardiometabolic health. Diabetologia 2013, 56:1012-1020.
• [36]Scheers T, Philippaerts R, Lefevre J: SenseWear-determined physical activity and sedentary behavior and metabolic syndrome. Med Sci Sports Exerc 2013, 45:481-489.
• [37]Reis JP, Dubose KD, Ainsworth BE, Macera CA, Yore MM: Reliability and validity of the occupational physical activity questionnaire. Med Sci Sports Exerc 2005, 37:2075-2083.
• [38]Chau JY, Van Der Ploeg HP, Dunn S, Kurko J, Bauman AE: Validity of the occupational sitting and physical activity questionnaire. Med Sci Sports Exerc 2012, 44:118-125.
• [39]Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P: International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc 2003, 35:1381-1395.
• [40]Wareham NJ, Jakes RW, Rennie KL, Mitchell J, Hennings S, Day NE: Validity and repeatability of the EPIC-Norfolk physical activity questionnaire. Int J Epidemiol 2002, 31:168-174.
• [41]Baecke JAH, Burema J, Frijters JER: A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr 1982, 36:936-942.
• [42]Clark BK, Thorp AA, A h Winkler E, Gardiner PA, Healy GN, Owen N, Dunstan DW: Validity of self-reported measures of workplace sitting time and breaks in sitting time. Med Sci Sports Exerc 2011, 43:1907-1912.
• [43]Lynch BM, Friedenreich CM, Khandwala F, Liu A, Nicholas J, Csizmadi I: Development and testing of a past year measure of sedentary behavior: the SIT-Q. BMC Public Health 2014, 14:899. BioMed Central Full Text
• [44]Wijndaele K, De Bourdeaudhuij I, Godino JG, Lynch BM, Griffin SJ, Westgate K, Brage S: Reliability and validity of a domain-specific last 7-d sedentary time questionnaire. Med Sci Sports Exerc 2014, 46:1248-1260.
• [45]Bennie JA, Timperio AF, Crawford DA, Dunstan DW, Salmon JL: Associations between social ecological factors and self-reported short physical activity breaks during work hours among desk-based employees. Prev Med 2011, 53:44-47.
• [46]Baranowski T: Validity and reliability of self-report measures of physical activity: an information-processing perspective. Res Q Exerc Sport 1988, 59:314-327.
• [47]Plasqui G, Bonomi AG, Westerterp KR: Daily physical activity assessment with accelerometers: new insights and validation studies. Obes Rev 2013, 14:451-462.
• [48]Troiano RP: Large-scale applications of accelerometers: new frontiers and new questions. Med Sci Sports Exerc 2007, 39:1501.
• [49]Freedson PS, Melanson E, Sirard J: Calibration of the computer science and applications, Inc. accelerometer. Med Sci Sports Exerc 1998, 30:777-781.
• [50]ABS: 1220.0 - Australian Standard Classification of Occupations (ASCO) Second Edition. Canberra: Statistics ABo ed; 1997.
• [51]Oliver M, Schofield GM, Badland HM, Shepherd J: Utility of accelerometer thresholds for classifying sitting in office workers. Prev Med 2010, 51:357-360.
• [52]Landis JR, Koch GG: The measurement of observer agreement for categorical data. Biometrics 1977, 33:159-174.
• [53]Helmerhorst HJ, Brage S, Warren J, Besson H, Ekelund U: A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act 2012, 9:103. BioMed Central Full Text
• [54]McCormack G, Giles-Corti B, Milligan R: The test-retest reliability of habitual incidental physical activity. Aust N Z J Public Health 2003, 27:428-433.