Self-report vs. objectively assessed physical activity: which is right for public health?

J Phys Act Health. 2011 Jan;8(1):62-70. doi: 10.1123/jpah.8.1.62.

Abstract

Background: To examine the agreement between self-reported and objectively assessed physical activity (PA) according to current public health recommendations.

Methods: One-hundred and fourteen British University students wore a combined accelerometer and heart rate monitor (Actiheart; AHR) to estimate 24-hour energy expenditure over 7 consecutive days. Data were extracted based on population-based MET-levels recommended to improve and maintain health. On day 8, participants were randomly assigned to complete either the short-form International Physical Activity Questionnaire (IPAQ) or the Leisure-Time Exercise Questionnaire (LTEQ). Estimates of duration (IPAQ; N = 46) and frequency (LTEQ; N = 41) of PA were compared with those recorded by the AHR.

Results: Bland-Altman analysis showed the mean bias between the IPAQ and AHR to be small for moderate-intensity and total PA, however the 95% limits of agreement (LOA) were wide. The mean number of moderate bouts of PA estimated by the LTEQ was similar to those derived by the AHR but the 95% LOA between the 2 measures were large.

Conclusions: Although self-report questionnaires may provide an approximation of PA at a population level, they may not determine whether an individual is participating in the type, intensity, and amount of PA advocated in current public health recommendations.

Publication types

  • Comparative Study

MeSH terms

  • Accelerometry / methods*
  • Body Mass Index
  • Double-Blind Method
  • Electrocardiography, Ambulatory / methods*
  • Exercise / psychology*
  • Female
  • Heart Rate / physiology
  • Humans
  • Leisure Activities / psychology*
  • Male
  • Metabolic Equivalent / physiology
  • Public Health
  • Self Report*
  • Social Desirability
  • Students / psychology*
  • Students / statistics & numerical data
  • Surveys and Questionnaires
  • United Kingdom
  • Waist Circumference
  • Young Adult