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Validity and Reliability of Self-Reported Total Energy Expenditure Using a Novel Instrument

Abstract

Improved methods for quantitative self-reports of total physical activity in epidemiological studies are needed. We evaluated randomly selected individuals’ ability to integrate their perception of physical activity over time to produce an estimate of the “usual” level, using a novel instrument for self-quantification of energy expenditure. A population-based sample of 418 Swedish men and women, age 20–59, completed a questionnaire containing the new instrument. For validation, three 24 hour recalls by phone served as gold standard. Reproducibility was assessed through administering the instrument another three times. The validation involved 133 subjects and another 160 completed the reproducibility evaluation. Pearson correlation between usual daily energy expenditure measured by the instrument and the mean of the 24 hour recalls was 0.73. After subdividing the self-reported daily energy expenditure and the mean of the 24 hour recalls into quintiles, 83.5% of the participants remained in the same quintile, or one quintile apart. There was a tendency towards overestimation of usual daily physical activity. This was significantly associated with low education. Reproducibility showed an intraclass correlation of 0.55. Although integrated reports of usual daily energy expenditure over longer periods seem to be afflicted with a tendency of overestimation, total energy expenditure can be estimated with reasonable validity and reproducibility using our instrument.

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References

  1. G Wendel-Vos A Schuit E Feskens et al. (2004) ArticleTitlePhysical activity and stroke. A meta-analysis of observational data Int J Epidemiol 33 IssueID4 787–798 Occurrence Handle10.1093/ije/dyh168 Occurrence Handle1:STN:280:DC%2BD2cvntlaltw%3D%3D Occurrence Handle15166195

    Article  CAS  PubMed  Google Scholar 

  2. FB Hu RJ Sigal JW Rich-Edwards et al. (1999) ArticleTitleWalking compared with vigorous physical activity and risk of type 2 diabetes in women: A prospective study Jama 282 IssueID15 1433–1439 Occurrence Handle10.1001/jama.282.15.1433 Occurrence Handle1:STN:280:DC%2BD3c%2FgsVSqsw%3D%3D Occurrence Handle10535433

    Article  CAS  PubMed  Google Scholar 

  3. I Thune AS. Furberg (2001) ArticleTitlePhysical activity and cancer risk: dose-response and cancer, all sites and site-specific Med Sci Sports Exerc 33 IssueID6 Suppl S530–550 Occurrence Handle1:STN:280:DC%2BD3MzmsFymug%3D%3D Occurrence Handle11427781

    CAS  PubMed  Google Scholar 

  4. KJ Rothman S Greenland (1998) Modern Epidemiology Lippincott-Raven Publishers Philadelphia, PA

    Google Scholar 

  5. M Gerhardsson SE Norell H Kiviranta NL Pedersen A. Ahlbom (1986) ArticleTitleSedentary jobs and colon cancer Am J Epidemiol 123 IssueID5 775–780 Occurrence Handle1:STN:280:BimC1cznsFw%3D Occurrence Handle3962961

    CAS  PubMed  Google Scholar 

  6. M Dosemeci RB Hayes R Vetter et al. (1993) ArticleTitleOccupational physical activity, socioeconomic status, and risks of 15 cancer sites in Turkey Cancer Causes Control 4 IssueID4 313–321 Occurrence Handle10.1007/BF00051333 Occurrence Handle1:STN:280:ByyA2M%2FhtFU%3D Occurrence Handle8347780

    Article  CAS  PubMed  Google Scholar 

  7. T Moradi HO Adami R Bergstrom et al. (1999) ArticleTitleOccupational physical activity and risk for breast cancer in a nationwide cohort study in Sweden Cancer Causes Control 10 IssueID5 423–430 Occurrence Handle10.1023/A:1008922205665 Occurrence Handle1:STN:280:DyaK1MvlvVWqtA%3D%3D Occurrence Handle10530613

    Article  CAS  PubMed  Google Scholar 

  8. RC Brownson JC Chang JR Davis CA. Smith (1991) ArticleTitlePhysical activity on the job and cancer in Missouri Am J Public Health 81 IssueID5 639–642 Occurrence Handle1:STN:280:By6C1MnotFI%3D Occurrence Handle2014869

    CAS  PubMed  Google Scholar 

  9. JF Sallis BE. Saelens (2000) ArticleTitleAssessment of physical activity by self-report: Status, limitations, and future directions Res Q Exerc Sport 71 IssueID2 Suppl S1–14 Occurrence Handle1:STN:280:DC%2BD3M%2FlvVyhsw%3D%3D Occurrence Handle10925819

    CAS  PubMed  Google Scholar 

  10. BE Ainsworth DR Jacobs SuffixJr. AS Leon (1993) ArticleTitleValidity and reliability of self-reported physical activity status: the Lipid Research Clinics questionnaire Med Sci Sports Exerc 25 IssueID1 92–98 Occurrence Handle1:STN:280:ByyC2c%2FmtFA%3D Occurrence Handle8423761

    CAS  PubMed  Google Scholar 

  11. RF Gillum ME Mussolino DD. Ingram (1996) ArticleTitlePhysical activity and stroke incidence in women and men. The NHANES I Epidemiologic Follow-up Study Am J Epidemiol 143 IssueID9 860–869 Occurrence Handle1:STN:280:BymC1MnmtVA%3D Occurrence Handle8610699

    CAS  PubMed  Google Scholar 

  12. Y Trolle-Lagerros LA Mucci M Kumle et al. (2005) ArticleTitlePhysical activity as a determinant of mortality in women Epidemiology 16 IssueID6 780–785 Occurrence Handle10.1097/01.ede.0000181312.35964.22 Occurrence Handle16222168

    Article  PubMed  Google Scholar 

  13. HL Taylor DR Jacobs SuffixJr. B Schucker J Knudsen AS Leon G. Debacker (1978) ArticleTitleA questionnaire for the assessment of leisure time physical activities J Chronic Dis 31 IssueID12 741–755 Occurrence Handle10.1016/0021-9681(78)90058-9 Occurrence Handle1:STN:280:CSaC2M7ivFw%3D Occurrence Handle748370

    Article  CAS  PubMed  Google Scholar 

  14. CE Tudor-Locke AM. Myers (2001) ArticleTitleChallenges and opportunities for measuring physical activity in sedentary adults Sports Med 31 IssueID2 91–100 Occurrence Handle10.2165/00007256-200131020-00002 Occurrence Handle1:STN:280:DC%2BD3M3jsVSktQ%3D%3D Occurrence Handle11227981

    Article  CAS  PubMed  Google Scholar 

  15. BE Ainsworth WL Haskell AS Leon et al. (1993) ArticleTitleCompendium of physical activities: classification of energy costs of human physical activities Med Sci Sports Exerc 25 IssueID1 71–80 Occurrence Handle1:STN:280:ByyC2c%2FmtFU%3D Occurrence Handle8292105

    CAS  PubMed  Google Scholar 

  16. Hintze A. Use of computers and the Internet by private persons in 2003. Örebro: Statistics Sweden; 2004

  17. KA Balter O Balter E Fondell YT. Lagerros (2005) ArticleTitleWeb-based and mailed questionnaires: A comparison of response rates and compliance Epidemiology 16 IssueID4 577–579 Occurrence Handle15951679

    PubMed  Google Scholar 

  18. O Balter KA. Balter (2005) ArticleTitleDemands on web survey tools for epidemiological research Eur J Epidemiol 20 IssueID2 137–139 Occurrence Handle15792279

    PubMed  Google Scholar 

  19. MJ Lamonte BE. Ainsworth (2001) ArticleTitleQuantifying energy expenditure and physical activity in the context of dose response Med Sci Sports Exerc 33 IssueID6 Suppl S370–378 Occurrence Handle1:STN:280:DC%2BD3MzmsFynsw%3D%3D Occurrence Handle11427762

    CAS  PubMed  Google Scholar 

  20. CE Matthews PS Freedson JR Hebert EJ Stanek SuffixIII PA Merriam IS. Ockene (2000) ArticleTitleComparing physical activity assessment methods in the Seasonal Variation of Blood Cholesterol Study Med Sci Sports Exerc 32 IssueID5 976–984 Occurrence Handle1:STN:280:DC%2BD3c3lsVyjtA%3D%3D Occurrence Handle10795789

    CAS  PubMed  Google Scholar 

  21. JM Bland DG. Altman (1986) ArticleTitleStatistical methods for assessing agreement between two methods of clinical measurement Lancet 1 IssueID8476 307–310 Occurrence Handle1:STN:280:BimC3MjhvFc%3D Occurrence Handle2868172

    CAS  PubMed  Google Scholar 

  22. LI. Lin (1989) ArticleTitleA concordance correlation coefficient to evaluate reproducibility Biometrics 45 IssueID1 255–268 Occurrence Handle1:STN:280:BiaB2cjmvVA%3D Occurrence Handle2720055

    CAS  PubMed  Google Scholar 

  23. GH Beaton J Milner P Corey et al. (1979) ArticleTitleSources of variance in 24-hour dietary recall data: implications for nutrition study design and interpretation Am J Clin Nutr 32 IssueID12 2546–2549 Occurrence Handle1:STN:280:Bi%2BD283jsFY%3D Occurrence Handle506977

    CAS  PubMed  Google Scholar 

  24. DR Jacobs SuffixJr. BE Ainsworth TJ Hartman AS. Leon (1993) ArticleTitleA simultaneous evaluation of 10 commonly used physical activity questionnaires Med Sci Sports Exerc 25 IssueID1 81–91 Occurrence Handle8423759

    PubMed  Google Scholar 

  25. MA Pereira SJ FitzerGerald EW Gregg et al. (1997) ArticleTitleA collection of Physical Activity Questionnaires for health-related research Med Sci Sports Exerc 29 IssueID6 Suppl S1–205 Occurrence Handle1:STN:280:ByiA1cjksVw%3D Occurrence Handle9243481

    CAS  PubMed  Google Scholar 

  26. GC Wendel-Vos AJ Schuit WH Saris D. Kromhout (2003) ArticleTitleReproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity J Clin Epidemiol 56 IssueID12 1163–1169 Occurrence Handle10.1016/S0895-4356(03)00220-8 Occurrence Handle14680666

    Article  PubMed  Google Scholar 

  27. RC Klesges LH Eck MW Mellon W Fulliton GW Somes CL. Hanson (1990) ArticleTitleThe accuracy of self-reports of physical activity Med Sci Sports Exerc 22 IssueID5 690–697 Occurrence Handle1:STN:280:By6D2c7ms1A%3D Occurrence Handle2233209

    CAS  PubMed  Google Scholar 

  28. JA Levine LM Lanningham-Foster SK McCrady et al. (2005) ArticleTitleInterindividual variation in posture allocation: possible role in human obesity Science 307 IssueID5709 584–586 Occurrence Handle10.1126/science.1106561 Occurrence Handle1:CAS:528:DC%2BD2MXmslOitQ%3D%3D Occurrence Handle15681386

    Article  CAS  PubMed  Google Scholar 

  29. KL Falkner SE McCann M. Trevisan (2001) ArticleTitleParticipant characteristics and quality of recall of physical activity in the distant past Am J Epidemiol 154 IssueID9 865–872 Occurrence Handle10.1093/aje/154.9.865 Occurrence Handle1:STN:280:DC%2BD3MnktlSnsg%3D%3D Occurrence Handle11682369

    Article  CAS  PubMed  Google Scholar 

  30. Persson L. Level and field of education 1975–2003. Örebro: Statistics Sweden, Education; 2005

  31. ML Irwin BE Ainsworth JM. Conway (2001) ArticleTitleEstimation of energy expenditure from physical activity measures: determinants of accuracy Obes Res 9 IssueID9 517–525 Occurrence Handle1:STN:280:DC%2BD3MrjtFSlsw%3D%3D Occurrence Handle11557832

    CAS  PubMed  Google Scholar 

  32. MS Buchowski KM Townsend KY Chen SA Acra M. Sun (1999) ArticleTitleEnergy expenditure determined by self-reported physical activity is related to body fatness Obes Res 7 IssueID1 23–33 Occurrence Handle1:STN:280:DyaK1M7ks1egsA%3D%3D Occurrence Handle10023727

    CAS  PubMed  Google Scholar 

  33. A Norman R Bellocco A Bergstrom A. Wolk (2001) ArticleTitleValidity and reproducibility of self-reported total physical activity-differences by relative weight Int J Obes Relat Metab Disord 25 IssueID5 682–688 Occurrence Handle10.1038/sj.ijo.0801597 Occurrence Handle1:STN:280:DC%2BD38%2FgvFaqtg%3D%3D Occurrence Handle11360151

    Article  CAS  PubMed  Google Scholar 

  34. JR Hebert CB Ebbeling CE Matthews et al. (2002) ArticleTitleSystematic errors in middle-aged women’s estimates of energy intake: Comparing three self-report measures to total energy expenditure from doubly labeled water Ann Epidemiol 12 IssueID8 577–586 Occurrence Handle10.1016/S1047-2797(01)00297-6 Occurrence Handle12495831

    Article  PubMed  Google Scholar 

  35. DC Rubin (1988) Autobiographical Memory Cambridge University Press New York, NY

    Google Scholar 

  36. JR Hebert TG Hurley DE Chiriboga J. Barone (1998) ArticleTitleA comparison of selected nutrient intakes derived from three diet assessment methods used in a low-fat maintenance trial Public Health Nutr 1 IssueID3 207–214 Occurrence Handle10.1079/PHN19980032 Occurrence Handle1:STN:280:DC%2BD3cvls12gtg%3D%3D Occurrence Handle10933420

    Article  CAS  PubMed  Google Scholar 

  37. IM Buzzard CL Faucett RW Jeffery et al. (1996) ArticleTitleMonitoring dietary change in a low-fat diet intervention study: Advantages of using 24-hour dietary recalls vs food records J Am Diet Assoc 96 IssueID6 574–579 Occurrence Handle10.1016/S0002-8223(96)00158-7 Occurrence Handle1:STN:280:BymB2cfhtlU%3D Occurrence Handle8655904

    Article  CAS  PubMed  Google Scholar 

  38. B Arroll R Jackson R. Beaglehole (1991) ArticleTitleValidation of a three-month physical activity recall questionnaire with a seven-day food intake and physical activity diary Epidemiology 2 IssueID4 296–299 Occurrence Handle1:STN:280:By2D3c3ksFc%3D Occurrence Handle1912047

    CAS  PubMed  Google Scholar 

  39. MA Pols PH Peeters MC Ocke et al. (1997) ArticleTitleRelative validity and repeatability of a new questionnaire on physical activity Prev Med 26 IssueID1 37–43 Occurrence Handle10.1006/pmed.1996.9995 Occurrence Handle1:STN:280:ByiC28vhslc%3D Occurrence Handle9010896

    Article  CAS  PubMed  Google Scholar 

  40. W Willett (1998) Nutritional Epidemiology EditionNumber2 edn. Oxford University Press New York

    Google Scholar 

  41. S Levin DR Jacobs SuffixJr. BE Ainsworth MT Richardson AS. Leon (1999) ArticleTitleIntra-individual variation and estimates of usual physical activity Ann Epidemiol 9 IssueID8 481–488 Occurrence Handle10.1016/S1047-2797(99)00022-8 Occurrence Handle1:STN:280:DC%2BD3c%2Fhs1Sktg%3D%3D Occurrence Handle10549881

    Article  CAS  PubMed  Google Scholar 

  42. CE Matthews PS Freedson JR Hebert EJ Stanek SuffixIII PA Merriam IS. Ockene (2000) ArticleTitleComparing physical activity assessment methods in the Seasonal Variation of Blood Cholesterol Study Med Sci Sports Exerc 32 IssueID5 976–984 Occurrence Handle1:STN:280:DC%2BD3c3lsVyjtA%3D%3D Occurrence Handle10795789

    CAS  PubMed  Google Scholar 

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Correspondence to Ylva Trolle Lagerros.

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Lagerros, Y.T., Mucci, L.A., Bellocco, R. et al. Validity and Reliability of Self-Reported Total Energy Expenditure Using a Novel Instrument. Eur J Epidemiol 21, 227–236 (2006). https://doi.org/10.1007/s10654-006-0013-y

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  • DOI: https://doi.org/10.1007/s10654-006-0013-y

Keywords

  • Energy metabolism
  • Epidemiologic methods
  • Exercise
  • Questionnaires
  • Reproducibility of results
  • Validation studies