A systematic review of the validity, reliability, and feasibility of measurement tools used to assess the physical activity and sedentary behaviour of pre-school aged children

International Journal of Behavioral Nutrition and Physical Activity

Sophie M. Phillips¹  Carolyn Summerbell¹  Sonia Saxena²  Kathryn R. Hesketh³  Matthew Hobbs⁴  Cassey Muir⁵  Frances C. Hillier-Brown⁶ 

[1] Department of Sport and Exercise Sciences, Durham University, Durham City, UK;The Centre for Translational Research in Public Health (Fuse), Newcastle upon Tyne, UK;Faculty of Medicine, School of Public Health, Imperial College London, London, UK;Population Policy & Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health, London, UK;School of Health Sciences, University of Canterbury, Christchurch, New Zealand;The Centre for Translational Research in Public Health (Fuse), Newcastle upon Tyne, UK;Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK;The Centre for Translational Research in Public Health (Fuse), Newcastle upon Tyne, UK;Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK;Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK;Newcastle University Centre of Research Excellence in Healthier Lives Newcastle University, Newcastle upon Tyne, UK;

关键词: Physical activity;    Sedentary behaviour;    Pre-school;    Validity;    Reliability;    Feasibility;    Measurement;   

DOI  :  10.1186/s12966-021-01132-9

来源: Springer

【 摘 要 】

Physical activity (PA) and sedentary behaviour (SB) of pre-school aged children are associated with important health and developmental outcomes. Accurate measurement of these behaviours in young children is critical for research and practice in this area. The aim of this review was to examine the validity, reliability, and feasibility of measurement tools used to assess PA and SB of pre-school aged children.Searches of electronic databases, and manual searching, were conducted to identify articles that examined the measurement properties (validity, reliability or feasibility) of measurement tools used to examine PA and/or SB of pre-school aged children (3–7 years old). Following screening, data were extracted and risk of bias assessment completed on all included articles.A total of 69 articles, describing 75 individual studies were included. Studies assessed measurement tools for PA (n = 27), SB (n = 5), and both PA and SB (n = 43). Outcome measures of PA and SB differed between studies (e.g. moderate to vigorous activity, step count, posture allocation). Most studies examined the measurement properties of one measurement tool only (n = 65). Measurement tools examined included: calorimetry, direct observation, combined heart rate and accelerometry, heart rate monitors, accelerometers, pedometers, and proxy report (parent, carer or teacher reported) measures (questionnaires or diaries). Studies most frequently assessed the validity (criterion and convergent) (n = 65), face and content validity (n = 2), test-retest reliability (n = 10) and intra-instrument reliability (n = 1) of the measurement tools. Feasibility data was abstracted from 41 studies.Multiple measurement tools used to measure PA and SB in pre-school aged children showed some degree of validity, reliability and feasibility, but often for different purposes. Accelerometers, including the Actigraph (in particular GT3X versions), Actical, ActivPAL and Fitbit (Flex and Zip), and proxy reported measurement tools used in combination may be useful for a range of outcome measures, to measure intensity alongside contextual information.

【 授权许可】

CC BY