The repeatability and validity of questionnaires assessing occupational physical activity--a systematic review.

OBJECTIVES This study aims to review systematically the repeatability and validity of questionnaires used to assess occupational physical activity among healthy adults. METHODS We searched PubMed and Embase using occupational, work-related, job-related, physical activity, motor activity, and questionnaires as keywords. Two reviewers independently performed article selection, data extraction, and quality assessment. The methodological quality and results of the studies were evaluated based on an existing checklist. The level of evidence and repeatability, criterion, and construct validity were rated. RESULTS We included 31 papers describing 30 questionnaires in the review. Repeatability was assessed in 22 studies, 11 used appropriate measures to assess 12 questionnaires. Intra-class correlation coefficients and weighted Cohen's kappa ranged between 0.43-0.95. Six studies used appropriate measures to assess criterion validity of 13 questionnaires. One questionnaire, the Tecumseh Self Administered Occupational Physical Activity Questionnaire (TOQ), showed good criterion validity against a physical activity (PA) record. Eighteen studies used appropriate measures to assess the construct validity of 23 questionnaires. Comparison included those against accelerometers, maximal oxygen uptake, questionnaires, and body composition measures. None showed good construct validity. CONCLUSIONS There is strong evidence for good reliability of four questionnaires. None of the reviewed questionnaires showed good criterion validity compared to objective measures. Compared to PA records, moderate-to-good validity was observed for two questionnaires. Objective measures of occupational PA are needed.

[1]  B. Hustvedt,et al.  Reliability and validity of self-reported physical activity in the Nord-Trøndelag Health Study (HUNT 2) , 2007, European Journal of Epidemiology.

[2]  S. Ingles,et al.  Leisure, home, and occupational physical activity and cardiovascular risk factors in postmenopausal women. The Postmenopausal Estrogens/Progestins Intervention (PEPI) Study. , 1996, Archives of internal medicine.

[3]  B. Ainsworth,et al.  Reliability and validity of the occupational physical activity questionnaire. , 2005, Medicine and science in sports and exercise.

[4]  E. Sobngwi,et al.  Development and validation of a questionnaire for the assessment of physical activity in epidemiological studies in Sub-Saharan Africa. , 2001, International journal of epidemiology.

[5]  Bruce K Armstrong,et al.  International Journal of Behavioral Nutrition and Physical Activity Validity and Repeatability of the Epic Physical Activity Questionnaire: a Validation Study Using Accelerometers as an Objective Measure , 2007 .

[6]  W. van Mechelen,et al.  Clinimetric review of motion sensors in children and adolescents. , 2006, Journal of clinical epidemiology.

[7]  K. Evenson,et al.  Test-retest reliability of adult surveillance measures for physical activity and inactivity. , 2005, American journal of preventive medicine.

[8]  B E Ainsworth,et al.  Quantifying energy expenditure and physical activity in the context of dose response. , 2001, Medicine and science in sports and exercise.

[9]  Heather K. Neilson,et al.  Practice of Epidemiology Reliability and Validity of the Past Year Total Physical Activity Questionnaire , 2005 .

[10]  S. Anderssen,et al.  An adapted version of the long International Physical Activity Questionnaire (IPAQ-L): construct validity in a low-income, multiethnic population study from Oslo, Norway , 2007, The international journal of behavioral nutrition and physical activity.

[11]  M. Pagano,et al.  Reproducibility of the past year and historical self-administered total physical activity questionnaire among older women , 2007, European Journal of Epidemiology.

[12]  R Bellocco,et al.  Validity and reproducibility of self-reported total physical activity—differences by relative weight , 2001, International Journal of Obesity.

[13]  Jo Mitchell,et al.  Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study , 2003, Public Health Nutrition.

[14]  B. Ainsworth,et al.  Is Participation in Occupational Physical Activity Associated With Lifestyle Physical Activity Levels? , 2006, Journal of occupational and environmental medicine.

[15]  J. Tuomilehto,et al.  Occupational, commuting and leisure-time physical activity in relation to coronary heart disease among middle-aged Finnish men and women. , 2007, Atherosclerosis.

[16]  Gregory J. Welk,et al.  Physical Activity Assessments for Health-Related Research , 2002 .

[17]  E. Howley.  Type of activity: resistance, aerobic and leisure versus occupational physical activity. , 2001, Medicine and science in sports and exercise.

[18]  K R Westerterp,et al.  Comparison of two questionnaires with a tri-axial accelerometer to assess physical activity patterns. , 2001, International journal of sports medicine.

[19]  The lifetime total physical activity questionnaire: development and reliability. , 1998, Medicine and science in sports and exercise.

[20]  M. Schroll,et al.  All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. , 2000, Archives of internal medicine.

[21]  N. Day,et al.  Validity and repeatability of the EPIC-Norfolk Physical Activity Questionnaire. , 2002, International journal of epidemiology.

[22]  A. Menotti,et al.  Physical activity at work and job responsibility as risk factors for fatal coronary heart disease and other causes of death. , 1985, Journal of Epidemiology and Community Health.

[23]  C. W. Frank,et al.  THE H.I.P. STUDY OF INCIDENCE AND PROGNOSIS OF CORONARY HEART DISEASE; PRELIMINARY FINDINGS ON INCIDENCE OF MYOCARDIAL INFARCTION AND ANGINA. , 1965, Journal of chronic diseases.

[24]  T. Lakka,et al.  Intra-person variability of various physical activity assessments in the Kuopio Ischaemic Heart Disease Risk Factor Study. , 1992, International journal of epidemiology.

[25]  R. Meeusen,et al.  Validity and reliability in a Flemish population of the WHO-MONICA Optional Study of Physical Activity Questionnaire. , 1998, Medicine and science in sports and exercise.

[26]  M. Bonnefoy,et al.  Validation of a physical activity questionnaire in the elderly , 2006, European Journal of Applied Physiology and Occupational Physiology.

[27]  H J Montoye,et al.  Assessment of the accuracy of physical activity questionnaire occupational data. , 1993, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[28]  J. Salonen,et al.  Occupational physical activity, energy expenditure and 11-year progression of carotid atherosclerosis. , 2007, Scandinavian journal of work, environment & health.

[29]  D. batty.  Reliability of a physical activity questionnaire in middle-aged men. , 2000, Public health.

[30]  J. Oppert,et al.  Relationships of self-reported physical activity domains with accelerometry recordings in French adults , 2009, European Journal of Epidemiology.

[31]  J. Lefevre,et al.  Reliability and validity of three physical activity questionnaires in Flemish males. , 1998, American journal of epidemiology.

[32]  D. Warburton,et al.  Health benefits of physical activity: the evidence , 2006, Canadian Medical Association Journal.

[33]  C. Vandelanotte,et al.  Reliability and Validity of a Computerized and Dutch Version of the International Physical Activity Questionnaire (IPAQ) , 2005 .

[34]  W. van Mechelen,et al.  Validity and reproducibility of motion sensors in youth: a systematic update. , 2009, Medicine and science in sports and exercise.

[35]  B. Ainsworth,et al.  Single Versus Multiple Item Questions on Occupational Physical Activity , 2006 .

[36]  C. Terwee,et al.  Quality criteria were proposed for measurement properties of health status questionnaires. , 2007, Journal of clinical epidemiology.

[37]  B E Ainsworth,et al.  A simultaneous evaluation of 10 commonly used physical activity questionnaires. , 1993, Medicine and science in sports and exercise.

[38]  D. Streiner,et al.  Health Measurement Scales: A practical guide to thier development and use , 1989 .

[39]  J E Frijters,et al.  A short questionnaire for the measurement of habitual physical activity in epidemiological studies. , 1982, The American journal of clinical nutrition.

[40]  J. Wilbur,et al.  Measuring physical activity in midlife women. , 1989, Public health nursing.

[41]  H. Kemper,et al.  Relative validity and repeatability of a new questionnaire on physical activity. , 1997, Preventive medicine.

[42]  M. Hagströmer,et al.  The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity , 2006, Public Health Nutrition.

[43]  B. Ainsworth,et al.  Evaluation of the kaiser physical activity survey in women. , 2000, Medicine and science in sports and exercise.

[44]  J. Tuomilehto,et al.  Low physical activity as a predictor for total and cardiovascular disease mortality in middle-aged men and women in Finland. , 2004, European heart journal.

[45]  H. Burr,et al.  Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease. , 2010, Scandinavian journal of work, environment & health.

[46]  Mark S Tremblay,et al.  Desk potatoes: the importance of occupational physical activity on health. , 2008, Canadian journal of public health = Revue canadienne de sante publique.

[47]  B Kirshner,et al.  A methodological framework for assessing health indices. , 1985, Journal of chronic diseases.

[48]  B. Ainsworth,et al.  Accuracy of recall of occupational physical activity by questionnaire. , 1999, Journal of clinical epidemiology.

[49]  H. Burr,et al.  The interplay between physical activity at work and during leisure time--risk of ischemic heart disease and all-cause mortality in middle-aged Caucasian men. , 2009, Scandinavian journal of work, environment & health.

[50]  T. Lakka,et al.  Physical activity and serum lipids: a cross-sectional population study in eastern Finnish men. , 1992, American journal of epidemiology.

[51]  K R Westerterp,et al.  Doubly labelled water validation of three physical activity questionnaires. , 1999, International journal of sports medicine.