Original Research
Test-retest reliability of four physical activity measures used in population surveys

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Accurate monitoring of prevalence and trends in population levels of physical activity (PA) is a fundamental public health need. Test-retest reliability (repeatability) was assessed in population samples for four self-report PA measures: the Active Australia survey (AA, N=356), the short International Physical Activity Questionnaire (IPAQ, N=104), the physical activity items in the Behavioral Risk Factor Surveillance System (BRFSS, N=127) and in the Australian National Health Survey (NHS, N=122). Percent agreement and Kappa statistics were used to assess reliability of classification of activity status as ‘active’, ‘insufficiently active’ or ‘sedentary’. Intraclass correlations (ICCs) were used to assess agreement on minutes of activity reported for each item of each survey and for total minutes. Percent agreement scores for activity status were very good on all four instruments, ranging from 60% for the NHS to 79% for the IPAQ. Corresponding Kappa statistics ranged from 0.40 (NHS) to 0.52 (AA). For individual items, ICCs were highest for walking (0.45 to 0.78) and vigorous activity (0.22 to 0.64) and lowest for the moderate questions (0.16 to 0.44). All four measures provide acceptable levels of test-retest reliability for assessing both activity status and sedentariness, and moderate reliability for assessing total minutes of activity.

References (16)

  • BaumanA et al.

    Recent trends and socio-demographic determinants of exercise participation in Australia

    Community Health Studies

    (1990)
  • MathersC et al.

    The Burden of Disease and Injury in Australia

    (1999)
  • US Department of Health and Human Services

    Physical Activity and Health: A Report of The Surgeon General

    (1996)
  • Physical activity trends — United States 1990–1998

    MMWR

    (2001)
  • OwenN et al.

    The descriptive epidemiology of physical inactivity in adult Australians

    Int. J. Epidemiol.

    (1992)
  • ArmstrongT et al.

    Physical Activity Patterns of Australian Adults

    (2000)
  • Australian Bureau of Statistics

    National Health Survey — Summary of Results, Australia

    (2002)
  • Centres for Disease Control and Prevention

    BRFSS Survey

    (2001)
There are more references available in the full text version of this article.

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