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© 1994 Oxford University Press

research-article

Reproducibility and Validity of a Self-Administered Physical Activity Questionnaire

ANNE M WOLF*, DAVID J HUNTER*,**, GRAHAM A COLDITZ*,**, JOANN E MANSON*,{dagger}, MEIR J STAMPFER*,**, KAREN A CORSANO*, BERNARD ROSNER*,{ddagger}, ANDREA KRISKA§ and WALTER C WILLETT*,**,||

* Channing Laboratory, Department of Medicine, 180 Longwood Avenue, Harvard Medical School and Brigham and Women's Hospital Boston, MA 02115, USA
** Department of Epidemiology, Harvard School of Public Health Boston, MA, USA
{dagger} Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital Boston, MA, USA
{ddagger} Department of Biostatistics, Harvard School of Public Health Boston. MA, USA
§ Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh PA, USA
|| Department of Nutrition, Harvard School of Public Health Boston, MA, USA

BACKGROUND: The reproducibility and validity of self-administered questionnaires on physical activity and inactivity were examined in a random (representative) sample of the Nurses' Health Study II cohort and a random sample of African-American women in that cohort.

METHODS: Repeat questionnaires were administered 2 years apart. Past-week activity recalls and 7-day activity diaries were the referent methods; these instruments were sent to participants four times over a 1-year period.

RESULTS: The 2-year test-retest correlation for activity was 0.59 for the representative sample (n = 147) and 0.39 for the African-American sample (n = 84). Correlations between activity reported on recalls and that reported on questionnaire were 0.79 and 0.83 for the representative and African-American samples, respectively. Correlations between activity reported in diaries and that reported on questionnaire were 0.62 and 0.59, respectively. Test-retest coefficients for inactivity were 0.52 and 0.55, respectively. Correlations between inactivity reported in diaries and that reported on questionnaire were 0.41 and 0.44, respectively.

CONCLUSIONS: The simple, short questionnaires on activity and inactivity used in the Nurses' Health Study II are reasonably valid measures for epidemiological research.

Received 1 March 1994


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Promoting Behavior Change Among Working-Class, Multiethnic Workers: Results of the Healthy Directions--Small Business Study
Am J Public Health, August 1, 2005; 95(8): 1389 - 1395.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
S. Berube, C. Diorio, B. Masse, N. Hebert-Croteau, C. Byrne, G. Cote, M. Pollak, M. Yaffe, and J. Brisson
Vitamin D and Calcium Intakes from Food or Supplements and Mammographic Breast Density
Cancer Epidemiol. Biomarkers Prev., July 1, 2005; 14(7): 1653 - 1659.
[Abstract] [Full Text] [PDF]


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AJPHHome page
K. M. Emmons, A. M. Stoddard, R. Fletcher, C. Gutheil, E. G. Suarez, R. Lobb, J. Weeks, and J. A. Bigby
Cancer Prevention Among Working Class, Multiethnic Adults: Results of the Healthy Directions-Health Centers Study
Am J Public Health, July 1, 2005; 95(7): 1200 - 1205.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
T. Wu, W. C. Willett, S. E. Hankinson, and E. Giovannucci
Caffeinated Coffee, Decaffeinated Coffee, and Caffeine in Relation to Plasma C-Peptide Levels, a Marker of Insulin Secretion, in U.S. Women
Diabetes Care, June 1, 2005; 28(6): 1390 - 1396.
[Abstract] [Full Text] [PDF]


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JAMAHome page
M. D. Holmes, W. Y. Chen, D. Feskanich, C. H. Kroenke, and G. A. Colditz
Physical Activity and Survival After Breast Cancer Diagnosis
JAMA, May 25, 2005; 293(20): 2479 - 2486.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
C. Diorio, M. Pollak, C. Byrne, B. Masse, N. Hebert-Croteau, M. Yaffe, G. Cote, S. Berube, C. Morin, and J. Brisson
Insulin-Like Growth Factor-I, IGF-Binding Protein-3, and Mammographic Breast Density
Cancer Epidemiol. Biomarkers Prev., May 1, 2005; 14(5): 1065 - 1073.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
E. K. Wei, J. Ma, M. N. Pollak, N. Rifai, C. S. Fuchs, S. E. Hankinson, and E. Giovannucci
A Prospective Study of C-Peptide, Insulin-like Growth Factor-I, Insulin-like Growth Factor Binding Protein-1, and the Risk of Colorectal Cancer in Women
Cancer Epidemiol. Biomarkers Prev., April 1, 2005; 14(4): 850 - 855.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
A. T. Chan, G. J. Tranah, E. L. Giovannucci, D. J. Hunter, and C. S. Fuchs
Genetic Variants in the UGT1A6 Enzyme, Aspirin Use, and the Risk of Colorectal Adenoma
J Natl Cancer Inst, March 16, 2005; 97(6): 457 - 460.
[Abstract] [Full Text] [PDF]


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JAMAHome page
J. P. Forman, E. B. Rimm, M. J. Stampfer, and G. C. Curhan
Folate Intake and the Risk of Incident Hypertension Among US Women
JAMA, January 19, 2005; 293(3): 320 - 329.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
D. S. Michaud, C. S. Fuchs, S. Liu, W. C. Willett, G. A. Colditz, and E. Giovannucci
Dietary Glycemic Load, Carbohydrate, Sugar, and Colorectal Cancer Risk in Men and Women
Cancer Epidemiol. Biomarkers Prev., January 1, 2005; 14(1): 138 - 147.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
D. E. Laaksonen, J. Lindstrom, T. A. Lakka, J. G. Eriksson, L. Niskanen, K. Wikstrom, S. Aunola, S. Keinanen-Kiukaanniemi, M. Laakso, T. T. Valle, et al.
Physical Activity in the Prevention of Type 2 Diabetes: The Finnish Diabetes Prevention Study
Diabetes, January 1, 2005; 54(1): 158 - 165.
[Abstract] [Full Text] [PDF]


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NEJMHome page
F. B. Hu, W. C. Willett, T. Li, M. J. Stampfer, G. A. Colditz, and J. E. Manson
Adiposity as Compared with Physical Activity in Predicting Mortality among Women
N. Engl. J. Med., December 23, 2004; 351(26): 2694 - 2703.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
E. Lopez-Garcia, M. B Schulze, T. T Fung, J. B Meigs, N. Rifai, J. E Manson, and F. B Hu
Major dietary patterns are related to plasma concentrations of markers of inflammation and endothelial dysfunction
Am. J. Clinical Nutrition, October 1, 2004; 80(4): 1029 - 1035.
[Abstract] [Full Text] [PDF]


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JAMAHome page
J. Weuve, J. H. Kang, J. E. Manson, M. M. B. Breteler, J. H. Ware, and F. Grodstein
Physical Activity, Including Walking, and Cognitive Function in Older Women
JAMA, September 22, 2004; 292(12): 1454 - 1461.
[Abstract] [Full Text] [PDF]


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JAMAHome page
A. R. Weinstein, H. D. Sesso, I. M. Lee, N. R. Cook, J. E. Manson, J. E. Buring, and J. M. Gaziano
Relationship of Physical Activity vs Body Mass Index With Type 2 Diabetes in Women
JAMA, September 8, 2004; 292(10): 1188 - 1194.
[Abstract] [Full Text] [PDF]


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JAMAHome page
M. B. Schulze, J. E. Manson, D. S. Ludwig, G. A. Colditz, M. J. Stampfer, W. C. Willett, and F. B. Hu
Sugar-Sweetened Beverages, Weight Gain, and Incidence of Type 2 Diabetes in Young and Middle-Aged Women
JAMA, August 25, 2004; 292(8): 927 - 934.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
M. B Schulze, S. Liu, E. B Rimm, J. E Manson, W. C Willett, and F. B Hu
Glycemic index, glycemic load, and dietary fiber intake and incidence of type 2 diabetes in younger and middle-aged women
Am. J. Clinical Nutrition, August 1, 2004; 80(2): 348 - 356.
[Abstract] [Full Text] [PDF]


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J. Am. Soc. Nephrol.Home page
E. L. Knight, E. B. Rimm, J. K. Pai, K. M. Rexrode, C. C. Cannuscio, J. E. Manson, M. J. Stampfer, and G. C. Curhan
Kidney Dysfunction, Inflammation, and Coronary Events: A Prospective Study
J. Am. Soc. Nephrol., July 1, 2004; 15(7): 1897 - 1903.
[Abstract] [Full Text] [PDF]


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J. Am. Coll. Nutr.Home page
W. K. Al-Delaimy, E. B. Rimm, W. C. Willett, M. J. Stampfer, and F. B. Hu
Magnesium Intake and Risk of Coronary Heart Disease among Men
J. Am. Coll. Nutr., February 1, 2004; 23(1): 63 - 70.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
S. Higginbotham, Z.-F. Zhang, I-M. Lee, N. R. Cook, J. E. Buring, and S. Liu
Dietary Glycemic Load and Breast Cancer Risk in the Women's Health Study
Cancer Epidemiol. Biomarkers Prev., January 1, 2004; 13(1): 65 - 70.
[Abstract] [Full Text] [PDF]


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Diabetes CareHome page
R. Lopez-Ridaura, W. C. Willett, E. B. Rimm, S. Liu, M. J. Stampfer, J. E. Manson, and F. B. Hu
Magnesium Intake and Risk of Type 2 Diabetes in Men and Women
Diabetes Care, January 1, 2004; 27(1): 134 - 140.
[Abstract] [Full Text] [PDF]


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Am J EpidemiolHome page
C. E. Matthews, X.-O. Shu, G. Yang, F. Jin, B. E. Ainsworth, D. Liu, Y.-T. Gao, and W. Zheng
Reproducibility and Validity of the Shanghai Women's Health Study Physical Activity Questionnaire
Am. J. Epidemiol., December 1, 2003; 158(11): 1114 - 1122.
[Abstract] [Full Text] [PDF]


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PediatricsHome page
R. Boynton-Jarrett, T. N. Thomas, K. E. Peterson, J. Wiecha, A. M. Sobol, and S. L. Gortmaker
Impact of Television Viewing Patterns on Fruit and Vegetable Consumption Among Adolescents
Pediatrics, December 1, 2003; 112(6): 1321 - 1326.
[Abstract] [Full Text] [PDF]


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JAMAHome page
I-M. Lee
Physical Activity in Women: How Much Is Good Enough?
JAMA, September 10, 2003; 290(10): 1377 - 1379.
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Br. J. Sports. Med.Home page
R J Shephard and A Vuillemin
Limits to the measurement of habitual physical activity by questionnaires * Commentary
Br. J. Sports Med., June 1, 2003; 37(3): 197 - 206.
[Abstract] [Full Text] [PDF]


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JAMAHome page
F. B. Hu, T. Y. Li, G. A. Colditz, W. C. Willett, and J. E. Manson
Television Watching and Other Sedentary Behaviors in Relation to Risk of Obesity and Type 2 Diabetes Mellitus in Women
JAMA, April 9, 2003; 289(14): 1785 - 1791.
[Abstract] [Full Text] [PDF]



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