Abstract
BackgroundThe purpose of this review was to determine the most valid and reliable questions for targeting key modes of sedentary behaviour (SB) in a broad range of national and international health surveillance surveys. This was done by reviewing the SB modules currently used in population health surveys, as well as examining SB questionnaires that have performed well in psychometric testing.MethodsHealth surveillance surveys were identified via scoping review and contact with experts in the field. Previous systematic reviews provided psychometric information on pediatric questionnaires. A comprehensive search of four bibliographic databases was used to identify studies reporting psychometric information for adult questionnaires. Only surveys/studies published/used in English or French were included.ResultsThe review identified a total of 16 pediatric and 18 adult national/international surveys assessing SB, few of which have undergone psychometric testing. Fourteen pediatric and 35 adult questionnaires with psychometric information were included. While reliability was generally good to excellent for questions targeting key modes of SB, validity was poor to moderate, and reported much less frequently. The most valid and reliable questions targeting specific modes of SB were combined to create a single questionnaire targeting key modes of SB.DiscussionOur results highlight the importance of including SB questions in survey modules that are adaptable, able to assess various modes of SB, and that exhibit adequate reliability and validity. Future research could investigate the psychometric properties of the module we have proposed in this paper, as well as other questionnaires currently used in national and international population health surveys.
Highlights
Sedentary behaviour (SB; sitting, and activities that require very low energy expenditure and done while sitting, reclining or lying down (Tremblay et al, 2017)) is a unique risk factor forHow to cite this article Prince et al (2017), Measurement of sedentary behaviour in population health surveys: a review and recommendations
Surveys included as few as one question (e.g., Global Physical Activity Questionnaire (GPAQ), European Prospective Investigation into Cancer and Nutrition-Potsdam Study (EPIC)), and as many as 12 questions (Children’s Leisure Activities Survey (CLASS)) related to SB
There was a considerable lack of published literature reporting on psychometric testing for the majority of the questionnaires used in national and international surveys for all age groups
Summary
Sedentary behaviour (SB; sitting, and activities that require very low energy expenditure and done while sitting, reclining or lying down (Tremblay et al, 2017)) is a unique risk factor forHow to cite this article Prince et al (2017), Measurement of sedentary behaviour in population health surveys: a review and recommendations. Habitual patterns of SB can be measured objectively using accelerometers and inclinometers, but these methods are often too time or resource intensive for inclusion in population-level health surveys and studies These objective methodologies are unable to distinguish between different domains (e.g., occupational/school, transportation, leisure, domestic) and modes (e.g., TV, computer use, reading, car driving) of SB. The purpose of this review was to determine the most valid and reliable questions for targeting key modes of sedentary behaviour (SB) in a broad range of national and international health surveillance surveys This was done by reviewing the SB modules currently used in population health surveys, as well as examining SB questionnaires that have performed well in psychometric testing. Future research could investigate the psychometric properties of the module we have proposed in this paper, as well as other questionnaires currently used in national and international population health surveys
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