Physical Activity Assessment Methods Research Articles

Physical Activity Levels during Therapeutic Camp Activities in Youth with Disabilities in the United States

Youth with developmental disabilities (DD) face challenges that may impact their participation in physical activity. One of the biggest challenges is the availability of opportunities to engage in activities that are adapted for youth with DD. In addition, due to challenges with current physical activity assessment methods for youth with DD, the activity levels during modified activities remain unclear. The purpose of this investigation was to determine the activity levels of youth with DD during structured and unstructured activities offered during a therapeutic camp. This camp was a five-day, overnight experience in an outdoor camp center in the southeastern region of the U.S. Youth (n = 29; 14.6 ± 3.9 years) with more than one DD and with varying abilities wore accelerometers while they engaged in 13 activities of varying categories (functional/gross motor, game, sociodramatic, fine motor, free play) and contexts (ropes, horses, outdoor adventure, music and movement, yoga, come on down, sports and games, theatre, cabin challenge, arts, cooking, mad science, free play). Activity level varied by activity category and context and the intensity level of the majority of the camp activities was classified as either sedentary or light. There was a time course effect on activity; most activities resulted in a gradual decline over the session, except for cooking, sports and games, and free play. This therapeutic camp provided an opportunity for youth to engage in physical activity that would be classified as light intensity. The activities available at this camp were designed to address specific goals and objectives and provided enrichment opportunities (e.g., life skills, social skills) for youth to obtain multiple skills while using movement as a framework to deliver the content.

Оrganization of physical education for students in the distance learning settings

The article provides information on the peculiarities of the organization of physical education process for students in the distance learning settings. Methods: analysis and generalization of scientific and methodological literature and documentary materials, pedagogical research methods (pedagogical observation), physical activity assessment methods, and methods of mathematical statistics. The study was conducted at the Kyiv National Economic University. The study involved 48 first and second year male students. Certain shortcomings in the organization of physical education process in a distance learning format were emphasized. A decrease in the degree of student satisfaction with the physical education process was identified, which occurred due to a number of shortcomings of distance learning, namely, a decrease in the effectiveness of education as a result of a lack of practical knowledge and skills, a lack of live communication, undeveloped motivation, and an insufficient level of theoretical training. Furthermore, the difficulties in mastering the proper technique of exercises without special sports equipment were identified. It was found that the level of physical activity of students further deteriorated during the distance learning period. Recommendations were developed to increase the effectiveness of the organization of the physical education process during the distance learning period, which included interactive learning, keeping an electronic health journal, using a wide base of video lessons with accessible and interesting types of physical activity for students with different levels of fitness.

Effect of physical activity on the risk of frailty: A systematic review and meta-analysis.

The relationship between physical activity (PA) and the risk of frailty has not reached a conclusive result. This systematic review with meta-analysis aimed to evaluate the effect of PA on the onset of frailty in the community-dwelling middle and older age adults by pooling data from cohort studies. A systematic literature search was performed via PubMed, Embase, and Web of Science up to June 01, 2021. Pooled adjusted effect estimates (ES) with 95% confidence interval (CI) were calculated by using the random-effect model and by comparing the highest with lowest levels of PA. Heterogeneity was tested using the I2 statistic and Q-test. The quality of evidence was evaluated by using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. A total of ten cohort studies with 14 records were selected, and the GRADE approach classified the quality of evidence as low. In comparison with the lowest level of PA, the highest level of PA was associated with 41% decreased odds of frailty (ES: 0.59, 95% CI: 0.51-0.67; I2 = 70.0%, P-heterogeneity < 0.001) after pooling results from included studies. In stratified analysis by frailty assessment approach, the highest level of PA was significantly associated with 37% (ES 0.63, 95% CI: 0.52-0.77, 49% (ES: 0.51, 95% CI: 0.41-0.63), and 30% (ES: 0.70, 95% CI: 0.65-0.75) reduced odds of frailty when pooling studies using criteria of physical frailty, multidimensional model, and accumulation of disability, respectively. Stratified analyses further by PA indicators and PA assessment tools yielded similar protective effects in any subgroups. This study with moderate-certainty evidence shows that a higher level of PA was associated with lower odds of frailty, and the benefits of PA for frailty prevention were independent of frailty assessment tools, PA indicators, and PA assessment methods. Findings from this study may help implement active exercise strategies to prevent frailty.

What research evidence exists about physical activity in parents? A systematic scoping review.

ObjectivesDespite the known benefits of physical activity (PA) to physical and mental health, many people fail to achieve recommended PA levels. Parents are less active than non-parent contemporaries and constitute a large potential intervention population. However, little is known about the breadth and scope of parental PA research. This scoping review therefore aimed to provide an overview of the current evidence base on parental PA.MethodsFour databases (MEDLINE, Embase, PsycINFO and Scopus) were systematically searched to identify peer-reviewed articles focusing on parental PA from 2005 onwards, including interventional, observational or qualitative study designs. Title and abstract screening was followed by duplicate full-text screening. Data extracted for all articles (100% checked by a second reviewer) included study design, proportion of fathers and ages of children. For interventional/observational studies, PA assessment method and factors examined or targeted based on the socio-ecological model were extracted, and questions addressed in qualitative studies.ResultsOf 14 913 unique records retrieved, 213 articles were included; 27 articles reported on more than one study design; 173 articles reported on quantitative (81 cross-sectional, 26 longitudinal and 76 interventional) and 58 on qualitative data. Most articles originated from North America (62%), and 53% included only mothers, while 2% included only fathers. Articles most frequently represented parents of infants (56% of articles), toddlers (43%), preschoolers (50%) and primary-school aged children (49%). Most quantitative articles only reported self-reported PA (70%). Observational articles focused on individual correlates/determinants (88%). Likewise, most interventions (88% of articles) targeted individual factors. Most qualitative articles explored PA barriers and facilitators (57%).ConclusionsA range of quantitative and qualitative research has been conducted on parental PA. This review highlights opportunities for evidence synthesis to inform intervention development (such as barriers and facilitators of parental PA) and identifies gaps in the literature, for example, around paternal PA.Review registrationosf.io/qt9up.

Integration of Report-Based Methods to Enhance the Interpretation of Monitor-Based Research: Results From the Free-Living Activity Study for Health Project

Accelerometry-based monitors are commonly utilized to evaluate physical activity behavior, but the lack of contextual information limits the interpretability and value of the data. Integration of report-based with monitor-based data allows the complementary strengths of the two approaches to be used to triangulate information and to create a more complete picture of free-living physical behavior. This investigation utilizes data collected from the Free-Living Activity Study for Health to test the feasibility of annotating monitor data with contextual information from the Activities Completed Over Time in 24-hr (ACT24) previous-day recall. The evaluation includes data from 134 adults who completed the 24-hr free-living monitoring protocol and retrospective 24-hr recall. Analyses focused on the relative agreement of energy expenditure estimates between ACT24 and two monitor-based methods (ActiGraph and SenseWear Armband). Daily energy expenditure estimates from ACT24 were equivalent to the reference device-based estimate. Minute-level agreement of energy expenditure between ACT24 and device-based methods was moderate and was similar to the agreement between two different monitor-based methods. This minute-level agreement between ACT24 and device-based methods demonstrates the feasibility and utility of integrating self-report with accelerometer data to provide richer context on the monitored behaviors. This type of integration offers promise for advancing the assessment of physical behavior by aiding in data interpretation and providing opportunities to improve physical activity assessment methods under free-living conditions.

Longitudinal bidirectional associations of physical activity and depressive symptoms: The CARDIA study

Depression affects many aspects of health and may be attenuated through increases in physical activity. While bidirectional associations between physical activity (PA) and depressive symptoms have been examined, few studies have examined these associations using both self-reported and accelerometer-estimated measures. Using data from Years 20 (2005–06, age 38–50) and 30 of the Coronary Artery Risk Development in Young Adults (CARDIA) study (N = 2,871), the bidirectional associations between moderate to vigorous intensity physical activity (MVPA) and depressive symptoms were examined using a cross-lagged panel model. Differences in the observed associations by physical activity assessment method were also examined. An inverse bidirectional association between self-reported MVPA and depressive symptoms was found. In subsequent analyses stratified by intensity category, higher levels of vigorous intensity physical activity at baseline, but not moderate intensity physical activity were associated with lower levels of depressive symptoms at the 10-year follow-up (ϕ = −0.04, p < 0.01; ϕ = −0.03, p = 0.15, respectively). A 10-year increase in self-reported MVPA was associated with a 10-year decrease in depressive symptoms. No associations were observed between accelerometer MVPA estimates and depressive symptoms. These findings may support the notion that each assessment method captures related, but also unique, aspects of physical activity behavior. When possible, future studies should explore measures of association by each physical activity assessment method to gain a better understanding of the complex relationship between physical activity and health.

Association of parent-child physical activity: a review update of Brazilian studies – Report Card Brazil

Abstract This systematic review update aimed to search for new evidences about parent-child physical activity among Brazilian studies. A new literature search for Brazilian studies published until 31 December 2019 was performed in the databases Medline, Embase, Cinahl, Lilacs, Sport Discus, and SciELO by the combination of descriptors regarding children and adolescents, physical activity, and parental support, restricted to English and Portuguese language. As result, only one new study were included besides those from previous review which corroborated with previous findings about positive relationship of parent-child physical activity. The included studies (n=14) were presented according to geographical distribution, year of publication, research design and physical activity assessment method. Limitations and future directions about specific physical activity domains and weekly amount, as well as peers and environmental support were highlighted. This review findings reinforced that parental lifestyle behavior is an important factor for active lifestyle promotion among Brazilian children and adolescents.

Frailty Phenotype Prevalence in Community-Dwelling Older Adults According to Physical Activity Assessment Method.

IntroductionStudies have described varying prevalences of frailty as determined by Fried’s frailty phenotype. Comparability may be limited due to frailty phenotype modifications, especially the low physical activity criterion.PurposeThis study aimed to determine the variability of frailty phenotype prevalence according to the physical activity assessment method.Patients and MethodsIn a cross-sectional analysis, frailty phenotype prevalence was assessed in community-dwelling older adults. The low physical activity criterion of the frailty phenotype was determined by using five different questionnaires and an accelerometer, and three different cut-point models.ResultsIn 47 participants, frailty phenotype prevalence varied between 14.9% and 31.9%, depending on the model used to assess physical activity.ConclusionThe method of physical activity assessment and the choice of cut-points for low physical activity considerably impact frailty phenotype prevalence. More efforts to standardize and adhere to the low physical activity criterion seem warranted. The calculation of correction factors between commonly used sets of low physical activity criteria might allow better comparisons of published prevalence rates.

Physical activity as a prognostic factor of pain intensity and disability in patients with low back pain: A systematic review.

Identifying factors that influence the course of low back pain (LBP) is important to help clinicians to identify those patients at higher risk of non-recovery. The objective of this systematic review was to investigate the prognostic role of physical activity in the course of LBP. Literature searches were conducted in five electronic databases from their inception to February 2018. Prospective cohort studies investigating the influence of any type of physical activity in people with LBP were considered eligible. The primary outcomes were pain intensity and disability. Two independent reviewers extracted the data and assessed the methodological quality of the included studies. Results were stratified according to participants' symptoms duration at baseline. Twelve studies were considered eligible for this review. Of these, six included patients with chronic LBP, four studies did not specify the patients' duration of symptoms, one study included patients with acute LBP, and one study included patients with subacute LBP. Included studies were heterogeneous in terms of physical activity assessment, outcomes, follow-up duration, and statistical methods, therefore, pooling of results was not performed. We found limited evidence to support the prognostic role of physical activity in the course of LBP. Our review identified limited evidence supporting physical activity as a prognostic factor in LBP. Future cohort studies are needed to clarify the strength and importance of this association. Despite recent research in the area, this systematic review shows that there is low quality evidence that physical activity may not be a prognostic factor for predicting pain and disability in patients with LBP.

Predictors of discordance in self-report versus device-measured physical activity measurement

PurposeAccurate measurement of free-living physical activity is challenging in population-based research, whether using device-based or reported methods. Our purpose was to identify demographic predictors of discordance between physical activity assessment methods and to determine how these predictors modify the discordance between device-based and reported physical activity measurement methods. MethodsThree hundred forty-seven adults from the Survey of the Health of Wisconsin wore the ActiGraph accelerometer for 7 days and completed the Global Physical Activity Questionnaire. Multivariate linear regression was conducted to assess predictors of discordance including gender, education, body mass index, marital status, and other individual level characteristics in physical activity reporting. ResultsSeventy-seven percent of men and 72% of women self-reported meeting the U.S. Centers for Disease Control and Prevention guidelines for aerobic activity but when measured by accelerometer, only 21% of men and 17% of women met guidelines. Demographic characteristics that predicted discordance between methods in multivariate regression included greater educational attainment (P < .001) and partnered status (P = .003). ConclusionsThese varying levels of discordance imply that comparisons of self-reported activity among groups defined by (or substantially varying by) educational attainment or marital status should be done with considerable caution as observed differences may be due, in part, to systematic, differential measurement biases among groups.

Correlation of subjective and objective measurement of physical activity in young adult and assessment of general awareness of type 2 Diabetes mellitus in Pune urban population

Background: Measurement of physical activity is a challenging and complex procedure. Objective assessment of physical activity can help to overcome errors incurred by subjective methods like PAQs. Hence, this study was planned to compare measurement of physical activity subjectively using IPAQ and objectively using pedometer in young adults.Methods: Young adults in the age group of 18-22 years were included in the study. Detailed history of physical activity was taken using IPAQ (International Physical Activity Questionnaire) for subjective measurement of physical activity. Participant’s physical activity was measured with the help of pedometer for objective assessment of physical activity.Results: There was no statistically significant difference in measurement of physical activity by subjective and objective methods. IPAQ overestimates physical activity.Conclusions: In this study, there was no statistically significant difference in subjective and objective methods of physical activity assessment. Study concludes subjective method overestimates physical activity than objective method.

Inventory on the dietary assessment tools available and needed in africa: a prerequisite for setting up a common methodological research infrastructure for nutritional surveillance, research, and prevention of diet-related non-communicable diseases

abstractObjective: To carry out an inventory on the availability, challenges, and needs of dietary assessment (DA) methods in Africa as a pre-requisite to provide evidence, and set directions (strategies) for implementing common dietary methods and support web-research infrastructure across countries. Methods: The inventory was performed within the framework of the “Africa's Study on Physical Activity and Dietary Assessment Methods” (AS-PADAM) project. It involves international institutional and African networks. An inventory questionnaire was developed and disseminated through the networks. Eighteen countries responded to the dietary inventory questionnaire. Results: Various DA tools were reported in Africa; 24-Hour Dietary Recall and Food Frequency Questionnaire were the most commonly used tools. Few tools were validated and tested for reliability. Face-to-face interview was the common method of administration. No computerized software or other new (web) technologies were reported. No tools were standardized across countries. Conclusions: The lack of comparable DA methods across represented countries is a major obstacle to implement comprehensive and joint nutrition-related programmes for surveillance, programme evaluation, research, and prevention. There is a need to develop new or adapt existing DA methods across countries by employing related research infrastructure that has been validated and standardized in other settings, with the view to standardizing methods for wider use.

Measurement Methods for Physical Activity and Energy Expenditure: a Review.

Physical activity is defined as any bodily movement produced by skeletal muscles that results in energy expenditure. The benefits of physical activity for health maintenance have been well documented, especially in the prevention and management of chronic diseases. Therefore, accurate measurement of physical activity and energy expenditure is essential both for epidemiological studies and in the clinical context. Given the large number of available methods, it is important to have an understanding of each, especially when one needs to choose a technique to use. The purpose of this review was to discuss the components of total energy expenditure and present advantage and limitations of different methods of physical activity and energy expenditure assessment.

2893

F-14 Free Communication/Slide - Advancing Physical Activity Assessment Methods - Part II Friday, June 3, 2016, 1: 00 PM - 3: 00 PM Room: 206: PDF Only

Comparative Validity of Physical Activity Assessment Methods for Individuals with Schizophrenia

Individuals with schizophrenia are less physically active than the general population. In order to accurately assess the relationship between health and physical activity (PA), identify PA determinants, and develop interventions, valid and reliable methods of assessing PA must be identified. Previous research has reported that the Short-Form International Physical Activity Questionnaire (IPAQ) demonstrates similar measurement properties in this population as it does in the general population. Cognitive deficits are common among individuals with schizophrenia, and 7-day recall may be challenging. PURPOSE: The purpose of this study was to replicate and expand on the initial validation study by examining reliability over a 4-week period, and to test whether a 24-hour recall protocol improved criterion validity correlation coefficients in comparison to 7-day recall. METHODS: One hundred and eight participants completed the IPAQ at baseline and 4 weeks later. Participants wore an Actigraph GT3X+ accelerometer on their waist for 7 days in the week prior to the final IPAQ administration. A 24-hour recall modification of the IPAQ was administered after the final IPAQ assessment. Spearman’s correlation coefficients were calculated based on the minutes of moderate to vigorous PA (MVPA) determined by each method of measurement. RESULTS: Test-retest reliability for the self-administered IPAQ was ρ=.47, p<.001 for total minutes of moderate to vigorous PA. Correlation between the final IPAQ assessment and objectively measured PA was ρ=.31, p=.002. MVPA reported in the 24-hour recall correlated significantly with MVPA on the previous day ρ=.24, p=.041. CONCLUSIONS: Compared to a previous validation study, IPAQ criterion validity was similar but less reliable over a four-week period. Notably, 24-hour recall was not associated with improved criterion validity correlation coefficients. Findings provide further support that the IPAQ may be suitable as a surveillance tool to assess levels of physical activity among individuals with schizophrenia. Overall, the IPAQ demonstrated similar measurement properties as that reported among the general population. Use of the IPAQ will help increase epidemiological research and may be a suitable assessment tool for health care providers. Supported by a CIHR Operating Grant

Top 10 research questions to promote physical activity in bipolar disorders: A consensus statement from the International Organization of Physical Therapists in Mental Health

BackgroundResearch has only recently started to consider the importance and applicability of physical activity (PA) for people with bipolar disorder (BD). The aim of the current study is to highlight 10 pertinent PA research questions in people with BD. MethodsThe International Organization of Physical Therapy in Mental Health executed a consultation with all National organizations (n=13) to identify the most salient questions to guide future research on PA in BD. ResultsWe identified the following 10 questions: (1) What are the benefits of PA for people with BD? (2) What are the most prominent safety issues for PA prescription in BD? (3) What is the optimal PA prescription for people with BD? (4) What are the key barriers to PA among people with BD? (5) What are the most effective motivational strategies for ensuring PA adoption and maintenance in BD? (6) How do we translate PA research into community practice? (7) If one treatment goal is increased physical activity, what type of professionals are needed as part of a multidisciplinary team? (8) How do we incorporate PA as a vital sign in clinical practice? (9) How can we prevent sedentary behavior in BD? (10) What is the most appropriate PA assessment method? LimitationsWe did not consult people with BD. ConclusionsAddressing these questions is critical for developing evidence-based approaches for promoting and sustaining an active lifestyle in BD. Ultimately, achieving this will reduce the burden of cardiovascular disease and improve the quality of life of this population.

What are the top 10 physical activity research questions in schizophrenia?

Purpose: Research has only recently started to consider the applicability of physical activity (PA) for people with schizophrenia. Although there is increasing evidence for the benefits of physical activity, this population remains generally physically inactive and sedentary. The aim of the current study is to highlight 10 pertinent physical activity research questions in people with schizophrenia.Method: The International Organisation of Physical Therapy in Mental Health (IOPTMH) executed a consultation of its National Organisations (n = 13) to identify the most salient questions relevant to guide clinical practise on physical activity in people with schizophrenia.Results: We identified the following 10 questions: (1) What are the benefits of physical activity for people with schizophrenia? (2) What are the mechanisms of the physical activity effects in people with schizophrenia? (3) What are the most prominent safety issues for physical activity prescription in people with schizophrenia? (4) What is the most optimal physical activity prescription for people with schizophrenia? (5) What are the key barriers for engaging people with schizophrenia in physical activity? (6) What are the most effective motivational interventions for physical activity adoption and maintenance in people with schizophrenia? (7) How do we translate physical activity research into clinical and community practise? (8) How can we ensure integration of physical therapists within the multidisciplinary mental health treatment team? (9) How can we prevent sedentary behaviour in people with schizophrenia? (10) What is the most appropriate physical activity assessment method in clinical practise?Conclusions: Addressing these questions is critical for developing evidence-based approaches for promoting and sustaining an active lifestyle in people with schizophrenia. Ultimately, achieving this will improve the quality of life of this population.Implications for RehabilitationInvestigation of behaviour change interventions for people with schizophrenia is critical.A low cost, easy to use, clinical, valid physical activity questionnaire is urgently needed.

Accelerometer Validation of Questionnaires Used in Clinical Settings to Assess MVPA.

The exercise vital sign (EVS) and General Practice Physical Activity Questionnaire (GPPAQ) are questionnaires designed for clinical settings to identify individuals who are not meeting physical activity (PA) guidelines in the United States and United Kingdom, respectively. To date, neither has been objectively validated. Subjects (N = 76) from the United States (n = 38; age, 49 ± 20 yr) and United Kingdom (n = 38; age, 43 ± 21 yr) completed a health history questionnaire, wore an accelerometer for 7 d, and then completed the EVS and GPPAQ. Accelerometry, EVS, and GPPAQ data were scored to dichotomize subjects into groups of meeting (≥150 min of moderate-to-vigorous PA (MVPA) per week) or not meeting (<150 min of MVPA per week) the PA guidelines, and accelerometry was used as a criterion measure for comparing both questionnaires. The sensitivity and specificity of the EVS and GPPAQ were calculated to represent the ability of the questionnaires to identify subjects who did not and did meet the PA guidelines. Total MVPA accumulated in ≥10-min bouts were compared between accelerometry and the EVS using a 2 × 2 × 2 repeated measures ANOVA with one within-subjects effect (PA assessment method) and two between-subjects effects (gender and country). The alpha level was P = 0.05 for all analyses. The EVS had marginally better sensitivity (59% vs 46%) and specificity (77% vs 50%) than the GPPAQ. The EVS grossly overestimated the minutes of MVPA when compared to accelerometry (P < 0.05) for all subjects, except UK women. In practice, the EVS and GPPAQ may not identify ∼50% of patients who should be advised to increase their PA. Therefore, physicians should advocate that all of their patients adopt an active lifestyle, including the achievement of ≥150 min of MVPA per week.

1009

B-67 Free Communication/Slide - Advancing Physical Activity Assessment Methods - Part 1 Wednesday, May 27, 2015, 3: 15 PM - 5: 00 PM Room: 30B: PDF Only

1163

C-19 Free Communication/Slide - Advancing Physical Activity Assessment Methods - Part 2 Thursday, May 28, 2015, 8: 00 AM - 10: 00 AM Room: 26B: PDF Only