This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Jørgensen T., Andersen, L. B., Froberg, K., Maeder, U., von Huth Smith, L., Aadahl, M. (2009
AbstractA poor physical condition -expressed as physical inactivity and poor physical fitness -is associated with development of chronic diseases and premature death. The aim of this position statement is to evaluate the currently available methods for measuring physical activity and physical fitness in the general population.Physical activity is determined by duration, frequency and intensity and derives from many different domains making it difficult to assess over longer time periods and no feasible general criterion measure exist. Both objective and subjective methods are available. Of the objective methods accelerometry seems to be the most attractive technology, and is well enough developed for general use in large populations. The advantage of the method is that it is not dependent on memory of the individual, but the disadvantage is that it grossly underestimates energy expenditure, due to the lack of registration of certain activities. This may be solved to a certain extent by combining it with heart rate measurement, but it still does not measure activity in different domains.Of the subjective methods self-report questionnaires are feasible and easy to administer. Many questionnaires have been developed, but we are in need of 1) consensus on which measures to use for validation and 2) further development of internationally standardised questionnaires to be used in different settings and to different scientific questions. Many questionnaires correlate well with biological markers and development of chronic diseases, but subjective measurement will always face a certain degree of misclassification. Furthermore, unstructured physical activity like e.g.housework and gardening may be subject to recall bias. So far no measurement seem superior to the other, and the choice of instrument will depend on the research question asked. Future research should combine information from both objective and subjective methods.Physical fitness comprises several components with cardiorespiratory endurance and muscle strength and endurance as the most important. Direct measurement of oxygen consumption is the criterion measure for cardiorespiratory endurance. As regards muscle strengths and endurance only test-retest reliability is available. The hand held dynamometers greatly facilitate field testing for maximal isometric muscle strength assessment, whereas force plate measurements can be used for the lower extremities. For endurance simple tests like push-ups and sit-ups seems reliable.