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Assessment of the physical activity level with two questions: validation with doubly labeled water

Abstract

Objective:

To validate a two-question questionnaire on physical activity with the doubly labeled water (DLW) method.

Design:

Cross-sectional study.

Subjects:

Nine volunteers, age 33–75 years, with a mean body mass index (BMI) (kg m−2) of 27.4.

Measurements:

A questionnaire with one question on physical activity at work and one question on physical activity during leisure time. The answers were converted into a PAL (physical activity level=energy expenditure/basal metabolic rate) value, which was validated with the DLW method.

Results:

The mean values (s.d.) of PAL for the questionnaire and DLW measurements were 1.7 (0.1) and 1.7 (0.1), respectively, with a mean difference of 0.004 (0.172).

Conclusions:

The results were promising to the extent that they could be used in large-scale epidemiological studies.

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References

  1. Sjöström M, Ekelund U, Yngve A . Assessment of physical activity. In: Gibney MJ, Margetts BM, Kearney JM, Arab L (eds). Public Health Nutrition. Blackwell Publishing Company: Oxford, 2004, pp 83–105.

    Google Scholar 

  2. Andrén Aronsson C, Wirfält E, Gullberg B, Hedblad B . An evaluation of different methods to assess physical activity in a sub-sample of the Malmö Diet and Cancer (MDCS) cohort. ICDAM, Copenhagen, Denmark, April 27–29 2006, P05-01, p 23.

  3. Matthiessen J, Biltoft-Jensen A, Banke Rasmussen L, Velsing Groth M, Fagt S . Validation of a new physical activity questionnaire for assessment of energy expenditure ICDAM, Copenhagen, Denmark, April 27–29 2006. P21-P05, p 88.

  4. Saltin B, Grimby G . Physiological analysis of middle-aged and old former athletes: comparison with still active athletes of the same age. Circulation 1968; 38: 1104–1115.

    Article  CAS  Google Scholar 

  5. Speakman JR . Doubly Labelled Water: Theory and Practice. Chapman & Hall: London, 1997.

    Google Scholar 

  6. Schoeller DA . Measurement of energy expenditure in free-living humans by using doubly labelled water. J Nutr 1988; 118: 1278–1289.

    Article  CAS  Google Scholar 

  7. Deurenberg P, Westrate JA, Seidell JC . Body mass index as a measure of body fatness: age- and sex-specific prediction formulas. Br J Nutr 1991; 65: 105–114.

    Article  CAS  Google Scholar 

  8. Black AE, Prentice AM, Coward WA . Use of food quotients to predict respiratory quotients for the doubly-labelled water method of measuring energy expenditure. Hum Nutr Clin Nutr 1986; 40: 381–391.

    CAS  PubMed  Google Scholar 

  9. FAO/WHO/UNU. Report of a Joint FAO/WHO/UNU Expert Consultation World Health Organization Technical Report series 724. World Health Organization: Geneva, Switzerland, 1985.

  10. Wouters-Adriaens MPE, Westerterp KR . Lower resting energy expenditure in Asians can be attributed to body composition. Obes (in press).

  11. Philippaerts RM, Westerterp KR, Lefevre J . Doubly labeled water validation of tree physical activity questionnaires. Int J Sports Med 1999; 20: 284–289.

    Article  CAS  Google Scholar 

  12. Schuit AJ, Schouten EG, Westerterp KR, Saris WHM . Validatity of the physical activity scale (PASE) for the elderly according to energy expenditure assessed by the doubly labeled water method. J Clin Epidemiol 1997; 50: 541–546.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Dr Linda Hagfors, Department of Food and Nutrition, Umeå University, for practical work with the questionnaires, the DLW method and the dietary history interviews.

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Correspondence to G Johansson.

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Johansson, G., Westerterp, K. Assessment of the physical activity level with two questions: validation with doubly labeled water. Int J Obes 32, 1031–1033 (2008). https://doi.org/10.1038/ijo.2008.42

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  • DOI: https://doi.org/10.1038/ijo.2008.42

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