Older adults’ reporting of specific sedentary behaviors: validity and reliability

BMC Public Health

Benedicte Deforche³  Neville Owen⁴  Ilse De Bourdeaudhuij²  Veerle Van Holle¹  Jelle Van Cauwenberg¹ 

[1] Fund for Scientific Research Flanders (FWO), Egmontstraat 5, 1000 Brussels, Belgium;Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, Watersportlaan 2, 9000 Ghent, Belgium;Department of Human Biometry and Biomechanics, Faculty of Physical Education and Physical Therapy, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium;Baker IDI Heart and Diabetes Institute, The University of Queensland, Melbourne University and Monash University, Commercial Rd, Melbourne 3004Victoria, Australia

关键词: Accelerometers;    Self-report;    Seniors;    Psychometrics;    Television viewing;    Sitting time;   

Others  :  1128987
DOI  :  10.1186/1471-2458-14-734

 received in 2014-03-10, accepted in 2014-07-10,  发布年份 2014

【 摘 要 】

Background

Previous questionnaires targeting older adults’ sedentary time have underestimated total sedentary time, possibly by not including all relevant specific sedentary behaviors. The current study aimed to investigate the criterion validity and test-retest reliability of a new questionnaire assessing a comprehensive set of sedentary behaviors. Additionally, we examined whether the criterion validity of the questionnaire differed according to age, gender and educational level.

Methods

A sample of home-dwelling Belgian older adults (>64 years, n = 508) completed a newly-developed questionnaire assessing twelve specific sedentary behaviors and wore an accelerometer for seven consecutive days as criterion measure. A subsample (n = 28) completed the questionnaire a second time to examine test-retest reliability. Data collection occurred between September 2010 and October 2012.

Results

Correlational analyses examining self-reported total sitting time and accelerometer-derived sedentary time yielded a Spearman’s ρ of 0.30. Using the Bland-Altman regression procedure, self-reported total sitting time underestimated accelerometer-derived sedentary time by -82 minutes/day for a participant with an average level of sedentary time (539 minutes/day). Corresponding 95% limits of agreement were wide (-364, 200 minutes/day). Better, but still not ideal, validity findings were observed in the younger, male and tertiary-educated subgroups. Acceptable test-retest reliability (ICC > 0.70) was found for total sitting time, TV viewing, computer use, and driving a car.

Conclusion

Validity for older adults’ self-reported total sitting time against accelerometer-derived sedentary time was not strong, but comparable to previous studies. However, underestimation of total sedentary time was lower compared to previous studies, possibly explained by the inclusion of additional specific sedentary behaviors. Further research is needed to develop self-report tools and objective criterion measures that accurately measure engagement in (specific) sedentary behavior(s) among different subgroups of the older population.

【 授权许可】

   
2014 Van Cauwenberg et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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