Assessment of Physical Activity: a Critical Appraisal

Overview

Journal Eur J Appl Physiol

Specialty Physiology

Date 2009 Feb 12

PMID 19205725

Citations 163

Authors

Klaas R Westerterp

Affiliations

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Abstract

Assessment of physical activity in a free-living environment is important for understanding relations between physical activity and health and determining the effectiveness of interventions. Techniques include behavioral observation, questionnaires in the form of diaries, recall questionnaires and interviews, and physiological markers like heart rate, calorimetry, and motion sensors. The doubly labeled water method has become the gold standard for the validation of field methods of assessing physical activity. Then, questionnaires show a low reliability and validity but can be adequately applied as an activity-ranking instrument. The heart rate requires individual calibration to be an effective method to assess physical activity only at group level. The indicated method for the assessment of habitual physical activity in daily life is a doubly labeled water validated accelerometer. Future developments are simultaneous measurement of body acceleration and heart rate for the assessment of physical fitness. A new generation of accelerometers will provide information on body posture and activity recognition to allow objective assessment of subjects' habitual activities, options for a healthy change, and effects of the follow-up of any changes.

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References

Schulz L, Schoeller D . A compilation of total daily energy expenditures and body weights in healthy adults. Am J Clin Nutr. 1994; 60(5):676-81. DOI: 10.1093/ajcn/60.5.676. View

Ermes M, Parkka J, Mantyjarvi J, Korhonen I . Detection of daily activities and sports with wearable sensors in controlled and uncontrolled conditions. IEEE Trans Inf Technol Biomed. 2008; 12(1):20-6. DOI: 10.1109/TITB.2007.899496. View

Carlsson S, Andersson T, Lichtenstein P, Michaelsson K, Ahlbom A . Genetic effects on physical activity: results from the Swedish Twin Registry. Med Sci Sports Exerc. 2006; 38(8):1396-401. DOI: 10.1249/01.mss.0000228941.17034.c1. View

Bouten C, Verboeket-Van De Venne W, Westerterp K, Verduin M, Janssen J . Daily physical activity assessment: comparison between movement registration and doubly labeled water. J Appl Physiol (1985). 1996; 81(2):1019-26. DOI: 10.1152/jappl.1996.81.2.1019. View

Mahabir S, Baer D, Giffen C, Clevidence B, Campbell W, Taylor P . Comparison of energy expenditure estimates from 4 physical activity questionnaires with doubly labeled water estimates in postmenopausal women. Am J Clin Nutr. 2006; 84(1):230-6. DOI: 10.1093/ajcn/84.1.230. View

Caspersen C, Powell K, Christenson G . Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985; 100(2):126-31. PMC: 1424733. View

Zhang K, Pi-Sunyer F, Boozer C . Improving energy expenditure estimation for physical activity. Med Sci Sports Exerc. 2004; 36(5):883-9. DOI: 10.1249/01.mss.0000126585.40962.22. View

Wareham N, Jakes R, Rennie K, Schuit J, Mitchell J, Hennings S . 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. Public Health Nutr. 2003; 6(4):407-13. DOI: 10.1079/PHN2002439. View

Torun B . Energy requirements of children and adolescents. Public Health Nutr. 2005; 8(7A):968-93. DOI: 10.1079/phn2005791. View

10.

Black A, Coward W, Cole T, Prentice A . Human energy expenditure in affluent societies: an analysis of 574 doubly-labelled water measurements. Eur J Clin Nutr. 1996; 50(2):72-92. View

11.

Koebnick C, Wagner K, Thielecke F, Moeseneder J, Hoehne A, Franke A . Validation of a simplified physical activity record by doubly labeled water technique. Int J Obes (Lond). 2005; 29(3):302-9. DOI: 10.1038/sj.ijo.0802882. View

12.

Rush E, Valencia M, Plank L . Validation of a 7-day physical activity diary against doubly-labelled water. Ann Hum Biol. 2008; 35(4):416-21. DOI: 10.1080/03014460802089825. View

13.

Rennie K, Livingstone M, Wells J, McGloin A, Coward W, Prentice A . Association of physical activity with body-composition indexes in children aged 6-8 y at varied risk of obesity. Am J Clin Nutr. 2005; 82(1):13-20. DOI: 10.1093/ajcn.82.1.13. View

14.

Kaprio J, Koskenvuo M, Sarna S . Cigarette smoking, use of alcohol, and leisure-time physical activity among same-sexed adult male twins. Prog Clin Biol Res. 1981; 69 Pt C:37-46. View

15.

Bonnefoy M, Normand S, Pachiaudi C, Lacour J, Laville M, Kostka T . Simultaneous validation of ten physical activity questionnaires in older men: a doubly labeled water study. J Am Geriatr Soc. 2001; 49(1):28-35. DOI: 10.1046/j.1532-5415.2001.49006.x. View

16.

Staten L, Taren D, Howell W, Tobar M, Poehlman E, Hill A . Validation of the Arizona Activity Frequency Questionnaire using doubly labeled water. Med Sci Sports Exerc. 2001; 33(11):1959-67. DOI: 10.1097/00005768-200111000-00024. View

17.

Karantonis D, Narayanan M, Mathie M, Lovell N, Celler B . Implementation of a real-time human movement classifier using a triaxial accelerometer for ambulatory monitoring. IEEE Trans Inf Technol Biomed. 2006; 10(1):156-67. DOI: 10.1109/titb.2005.856864. View

18.

Ainsworth B, Haskell W, Whitt M, Irwin M, Swartz A, Strath S . Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000; 32(9 Suppl):S498-504. DOI: 10.1097/00005768-200009001-00009. View

19.

Westerterp K . Physical activity as determinant of daily energy expenditure. Physiol Behav. 2008; 93(4-5):1039-43. DOI: 10.1016/j.physbeh.2008.01.021. View

20.

Zhang K, Werner P, Sun M, Pi-Sunyer F, Boozer C . Measurement of human daily physical activity. Obes Res. 2003; 11(1):33-40. DOI: 10.1038/oby.2003.7. View