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Validity of self-reported leisure-time sedentary behavior in adolescents

Olivia Affuso1*, June Stevens2, Diane Catellier3, Robert G McMurray4, Dianne S Ward5, Leslie Lytle6, Melinda S Sothern7 and Deborah R Young8

Author Affiliations

1 Department of Epidemiology, University of Alabama at Birmingham, 1530 Third Ave, South, RPHB 220E, Birmingham, AL 35294-0022, USA

2 Department of Nutrition, University of North Carolina at Chapel Hill 245 Rosenau Hall, CB#7461, Chapel Hill, NC 27599-7461, USA

3 Department of Biostatistics, University of North Carolina at Chapel Hill 137 E. Franklin Street, Suite 203, CB#8030, Chapel Hill, NC 27599-8030, USA

4 Department of Nutrition, University of North Carolina at Chapel Hill, 305 Wollen Gym, CB#8605, Chapel Hill, NC 27599-8605, USA

5 Department of Nutrition, University of North Carolina at Chapel Hill, 2206 McGavran-Greenberg, CB#7461, Chapel Hill, NC 27599-7461, USA

6 Division of Epidemiology and Community Health, University of Minnesota, 1300 S. Second Street, Suite 300, Minneapolis, MN 55454-1015, USA

7 Division of Behavioral and Community Health Sciences, Louisiana State University, 1615 Poydras Street, Suite 1400, New Orleans, LA 70112-1272, USA

8 Department of Epidemiology and Biostatistics, University of Maryland, 1242A School of Public Health Building, College Park, MD 20742-0001, USA

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Journal of Negative Results in BioMedicine 2011, 10:2  doi:10.1186/1477-5751-10-2

Published: 11 February 2011

Abstract

Background

To evaluate the concordance between leisure-time sedentary behavior in adolescents assessed by an activity-based questionnaire and accelerometry.

A convenience sample of 128 girls and 73 boys, 11-15 years of age (12.6 ± 1.1 years) from six states across the United States examined as part of the feasibility studies for the Trial of Activity in Adolescent Girls (TAAG). Three days of self-reported time spent watching TV/videos, using computers, playing video/computer games, and talking on the phone was assessed using a modified version of the Self-Administered Physical Activity Checklist (SAPAC). Criterion measure of sedentary behavior was via accelerometry over three days using a cut point of < 50 counts · 30 sec-1 epoch. Comparisons between sedentary behavior by the two instruments were made.

Results

Adolescents generally underestimated minutes of sedentary behavior compared to accelerometry-measured minutes. The overall correlation between minutes of sedentary behavior by self-report and accelerometry was weak (Spearman r = 0.14; 95% CI 0.05, 0.23). Adjustment of sedentary minutes of behavior for total minutes assessed using either percentages or the residuals method tended to increase correlations slightly. However, regression analyses showed no significant association between self-reported sedentary behavior and minutes of sedentary behavior captured via accelerometry.

Discussion

These findings suggest that the modified 3-day Self-Administered Physical Activity Checklist is not a reliable method for assessing sedentary behavior. It is recommended that until validation studies for self-report instruments of sedentary behavior demonstrate validity, objective measures should be used.