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Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data

Accurate measurement of physical activity is critical to understand its role in cardiometabolic health and obesity development in children and to monitor trends in behavior and evaluate interventions. An ongoing mixed-longitudinal study of child growth and development in Samoa is collecting physical...

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Autores principales: Warmath, Clara R., Choy, Courtney C., Frame, Elizabeth A., Sherar, Lauren B., Duckham, Rachel L., Soti-Ulberg, Christina, Naseri, Take, Reupena, Muagututia S., Hawley, Nicola L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391931/
https://www.ncbi.nlm.nih.gov/pubmed/34444185
http://dx.doi.org/10.3390/ijerph18168438
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author Warmath, Clara R.
Choy, Courtney C.
Frame, Elizabeth A.
Sherar, Lauren B.
Duckham, Rachel L.
Soti-Ulberg, Christina
Naseri, Take
Reupena, Muagututia S.
Hawley, Nicola L.
author_facet Warmath, Clara R.
Choy, Courtney C.
Frame, Elizabeth A.
Sherar, Lauren B.
Duckham, Rachel L.
Soti-Ulberg, Christina
Naseri, Take
Reupena, Muagututia S.
Hawley, Nicola L.
author_sort Warmath, Clara R.
collection PubMed
description Accurate measurement of physical activity is critical to understand its role in cardiometabolic health and obesity development in children and to monitor trends in behavior and evaluate interventions. An ongoing mixed-longitudinal study of child growth and development in Samoa is collecting physical activity data with both accelerometers and the Netherlands Physical Activity Questionnaire (NPAQ). The aims of our analyses were to (1) describe the response frequency and correlations of individual questions in the NPAQ, (2) develop modified NPAQ scores with selected questions and (3) examine the concordance of modified NPAQ scores with accelerometer outcomes among children aged 2–4 years. We developed two modified NPAQ scores with combinations of questions and assessed concordance of the modified scores with accelerometer data using estimated marginal means adjusted for monitor wear time. Although the evenly distributed tertiles of the modified 15-point NPAQ score showed promising trends of increasing minutes of accelerometer-assessed high-intensity physical activity with increasing tertile, the estimated marginal means were imprecise with high variance, demonstrating that NPAQ score could not accurately assess physical activity levels of preschool-aged children in Samoa. Considering that questionnaires are often considered more cost-effective tools for physical activity measurement than accelerometry, further research is necessary to develop a culturally and age-appropriate physical activity questionnaire in this population.
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spelling pubmed-83919312021-08-28 Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data Warmath, Clara R. Choy, Courtney C. Frame, Elizabeth A. Sherar, Lauren B. Duckham, Rachel L. Soti-Ulberg, Christina Naseri, Take Reupena, Muagututia S. Hawley, Nicola L. Int J Environ Res Public Health Article Accurate measurement of physical activity is critical to understand its role in cardiometabolic health and obesity development in children and to monitor trends in behavior and evaluate interventions. An ongoing mixed-longitudinal study of child growth and development in Samoa is collecting physical activity data with both accelerometers and the Netherlands Physical Activity Questionnaire (NPAQ). The aims of our analyses were to (1) describe the response frequency and correlations of individual questions in the NPAQ, (2) develop modified NPAQ scores with selected questions and (3) examine the concordance of modified NPAQ scores with accelerometer outcomes among children aged 2–4 years. We developed two modified NPAQ scores with combinations of questions and assessed concordance of the modified scores with accelerometer data using estimated marginal means adjusted for monitor wear time. Although the evenly distributed tertiles of the modified 15-point NPAQ score showed promising trends of increasing minutes of accelerometer-assessed high-intensity physical activity with increasing tertile, the estimated marginal means were imprecise with high variance, demonstrating that NPAQ score could not accurately assess physical activity levels of preschool-aged children in Samoa. Considering that questionnaires are often considered more cost-effective tools for physical activity measurement than accelerometry, further research is necessary to develop a culturally and age-appropriate physical activity questionnaire in this population. MDPI 2021-08-10 /pmc/articles/PMC8391931/ /pubmed/34444185 http://dx.doi.org/10.3390/ijerph18168438 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Warmath, Clara R.
Choy, Courtney C.
Frame, Elizabeth A.
Sherar, Lauren B.
Duckham, Rachel L.
Soti-Ulberg, Christina
Naseri, Take
Reupena, Muagututia S.
Hawley, Nicola L.
Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data
title Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data
title_full Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data
title_fullStr Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data
title_full_unstemmed Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data
title_short Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data
title_sort comparability of the netherlands physical activity questionnaire with accelerometer-measured physical activity in samoan children: a retrospective analysis of ola tuputupua’e data
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391931/
https://www.ncbi.nlm.nih.gov/pubmed/34444185
http://dx.doi.org/10.3390/ijerph18168438
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