Estimation of reproducibility and relative validity of the questions included in the EPIC Physical Activity Questionnaire

Pols, Margreet A.; Peeters, Petra H.M.; Ocké, Marga C.; Slimani, Nadia; Bueno-De-Mesquita, H. Bas; Collette, H. J. A.

doi:10.1093/ije/26.suppl_1.s181

Cited by 309 publications

(237 citation statements)

References 14 publications

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“…40 In accordance with this, validation of the lifestyle questionnaire used in the present study showed that sport and cycling were closely associated with energy expenditure, whereas the 4 other low-intensity activities were weakly associated with energy expenditure. 30 Although the physical activity questions have performed well in validation, 31 some misclassification may still be present. Physical activity was assessed only at baseline and the reported physical activity may not reflect physical activity earlier in life nor changes after baseline, and furthermore, any protective effect of physical activity may require lifelong exposure.…”

Section: Discussionmentioning

confidence: 99%

“…29,30 The performance of the physical activity questions was assessed among 126 men and women using an extensive physical activity questionnaire administered 3 times (at baseline and after 5 and 11 months) and the questionnaire was found to rank participants satisfactorily with regard to their physical activity level. 31 Data on physical activity included questions about the number of hours spent in a typical week, during summer and winter, in the past year, on 4 types of leisure time physical activities: sport (fitness, aerobics, swimming, jogging, tennis, etc. ), cycling (cycling to work, shopping and leisure time), walking (walking to work, shopping and leisure time) and gardening.…”

Section: Exposure Assessmentmentioning

confidence: 99%

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Physical activity and risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Johnsen

Tjønneland

Thomsen

et al. 2009

Intl Journal of Cancer

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The evidence concerning the possible association between physical activity and the risk of prostate cancer is inconsistent and additional data are needed. We examined the association between risk of prostate cancer and physical activity at work and in leisure time in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. In our study, including 127,923 men aged 20-97 years from 8 European countries, 2,458 cases of prostate cancer were identified during 8.5 years of followup. Using the Cox proportional hazards model, we investigated the associations between prostate cancer incidence rate and occupational activity and leisure time activity in terms of participation in sports, cycling, walking and gardening; a metabolic equivalent (MET) score based on weekly time spent on the 4 activities; and a physical activity index. MET hours per week of leisure time activity, higher score in the physical activity index, participation in any of the 4 leisure time activities, and the number of leisure time activities in which the participants were active were not associated with prostate cancer incidence. However, higher level of occupational physical activity was associated with lower risk of advanced stage prostate cancer (p trend 5 0.024). In conclusion, our data support the hypothesis of an inverse association between advanced prostate cancer risk and occupational physical activity, but we found no support for an association between prostate cancer risk and leisure time physical activity. ' 2009 UICC Key words: physical activity; exercise; prostate cancer; cohort Prostate cancer is a leading cause of morbidity and mortality in men, 1 but the causes of prostate cancer are essentially unknown and identification of modifiable risk factors is urgently needed.Physical activity might protect against prostate cancer by lowering the level of testosterone and IGF-1 and improving energy balance, immune function and antioxidative defense systems. 2 However, the epidemiological literature on physical activity and prostate

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Section: Discussionmentioning

confidence: 99%

Section: Exposure Assessmentmentioning

confidence: 99%

Physical activity and risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Johnsen

Tjønneland

Thomsen

et al. 2009

Intl Journal of Cancer

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“…Blood pressure, weight, and height were measured by trained staff according to standardized protocols (Beulens et al 2010). Physical activity was assessed using a validated questionnaire (Haftenberger et al 2002) and classified according to the Cambridge Physical Activity Index (CPAI) with single imputed data for missing values (n = 4930) (Pols et al 1997). The CPAI has four categories, i.e., inactive, moderately inactive, moderately active, and active.…”

Section: Lifestyle and Anthropometric Variablesmentioning

confidence: 99%

Identification of data-driven Dutch dietary patterns that benefit the environment and are healthy

et al. 2018

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More sustainable dietary patterns are needed to mitigate global warming. This study aims to identify data-driven healthy dietary patterns that benefit the environment. In EPIC-NL, diet was assessed using a 178-item FFQ in 36,203 participants aged 20-70 years between 1993 and 1997. The Dutch Healthy Diet index 2015 (DHD15-index) was used to score healthiness of the diet. As proxy for environmental impact, greenhouse gas (GHG) emissions were calculated using life cycle analysis. To determine patterns that are both healthy and environmentally friendly, reduced rank regression was applied. A BPlant-based Pattern^characterized by high consumption of fruits, vegetables, and legumes, and low consumption of fries, red meat, and processed meat and a BDairy-based Pattern^characterized by high consumption of dairy, and nuts and seeds and low consumption of coffee and tea, sugar-containing sodas, lowfiber bread, and savory sauces were derived. At equal energy intake, the diet of adherents (highest quartile) to the BPlant-based Pattern^were significantly healthier (89.8 points on the DHD15-index, p < 0.0001) and more sustainable (3.96 kg C0 2 -eq/day, p < 0.0001) compared to the average diet (76.2 points, 4.06 kg C0 2 -eq/day), whereas the BDairy-based Pattern^was somewhat healthier (77.9 points, p < 0.0001), but less sustainable (4.43 kg C0 2 -eq/day, p < 0.0001). When deriving dietary patterns based on health and environmental aspects of the diets, a BPlant-based^and a BDairy-based^pattern were observed in our study population. Of these, the plant-based diet benefits health as well as the environment.

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“…Physical activity was measured with the questionnaire used in the EPIC-Spain cohort (15), and sedentary behavior was estimated by time spent watching television as assessed by the Nurse´s Health Study questionnaire validated in Spain (16). Food consumption in the previous year was collected using a validated computerized diet history developed from that used in the EPIC-Spain cohort study, and energy intake was calculated using Spanish food composition tables (17).…”

Section: Sociodemographic Variables Lifestyle Obesity and Reported mentioning

confidence: 99%

Diabetes and Risk of Frailty and Its Potential Mechanisms: A Prospective Cohort Study of Older Adults

García‐Esquinas

Graciani

Guallar‐Castillón

et al. 2015

Journal of the American Medical Directors Association

141

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Estimation of reproducibility and relative validity of the questions included in the EPIC Physical Activity Questionnaire

Cited by 309 publications

References 14 publications

Physical activity and risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Physical activity and risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Identification of data-driven Dutch dietary patterns that benefit the environment and are healthy

Diabetes and Risk of Frailty and Its Potential Mechanisms: A Prospective Cohort Study of Older Adults

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