Evaluation of a Questionnaire to Assess Sedentary and Active Behaviors in the Southern Community Cohort Study

Buchowski, Maciej S.; Matthews, Charles E.; Cohen, Sarah S.; Signorello, Lisa B.; Fowke, Jay H.; Hargreaves, Margaret; Schlundt, David G.; Blot, William J.

doi:10.1123/jpah.9.6.765

Cited by 29 publications

(33 citation statements)

References 43 publications

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“…Because of the prospective study design, misclassification is expected to be non-differential and likely will attenuate study results. Additionally, validation studies found physical activity and sedentary behavior questionnaires used in the SCCS to correlate with relevant criterion measures, 40 and food frequency questionnaire estimates significantly correlate with biochemical indicators of micronutrient levels. 15 Both validation studies found the performance of the SCCS questionnaire in regard to physical activity, sedentary behavior, and diet to be consistent across racial subgroups.…”

Section: Discussionmentioning

confidence: 97%

Combined Impact of Health Behaviors on Mortality in Low-Income Americans

Andersen

Wang

Sonderman

et al. 2016

American Journal of Preventive Medicine

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Introduction African Americans and low-income whites have higher mortality than the U.S. general population. This study prospectively investigated the combined influence of major lifestyle factors and poverty on mortality in this vulnerable population. Methods Data were collected in 2002–2009 from 79,101 Southern Community Cohort Study participants, of which 67% were African American and 55% had household incomes <$15,000. Mortality outcomes were identified from the National Death Index though December 31, 2011 (data analyzed in 2014–2015). Healthy behavior scores were created based on tobacco smoking, alcohol intake, diet, physical activity, and sedentary time. The primary analysis was performed based on the score created by counting each participant as having met/not met public health guidelines for each behavior. Results Healthy behavior scores were associated with reduced cancer, cardiovascular disease, and all-cause mortality. Associations were stronger for whites than African Americans: hazard ratios for all-cause mortality comparing participants meeting four or five guidelines versus participants meeting zero were 0.41 (95% CI=0.30, 0.55) for African American men, 0.36 (95% CI=0.24, 0.55) for white men, 0.46 (95% CI=0.36, 0.59) for African American women, and 0.27 (95% CI=0.18, 0.43) for white women. The association between healthy lifestyle and all-cause mortality was weaker among those with incomes <$15,000 than those with higher income, particularly in men (p<0.05 for interaction). Conclusions This study demonstrates the importance of health behaviors on mortality among all groups, but highlights the need for additional research to identify factors contributing to high risk of mortality among low-income and African American populations.

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Section: Discussionmentioning

confidence: 97%

Combined Impact of Health Behaviors on Mortality in Low-Income Americans

Andersen

Wang

Sonderman

et al. 2016

American Journal of Preventive Medicine

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“…The study questionnaire (available online) (17) contained questions about demographic, medical, familial, lifestyle and other participant characteristics. It also contained a physical activity questionnaire (18) and an 89-item food frequency questionnaire (19, 20). …”

Section: Methodsmentioning

confidence: 99%

“…The SCCS PAQ was evaluated in 118 participants (87 black, 31 white) using test-retest reliability methodology and via comparisons with a physical activity monitor (accelerometer) and a last-month physical activity survey administered up to four times in each participant, and there was general consistency in the magnitude of correlations between blacks and whites in the validation study (18). …”

Section: Methodsmentioning

confidence: 99%

Sedentary Behavior, Physical Activity, and Likelihood of Breast Cancer among Black and White Women: A Report from the Southern Community Cohort Study

Cohen

Matthews

Bradshaw

et al. 2013

Cancer Prevention Research

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Increased physical activity has been shown to be protective for breast cancer although few studies have examined this association in black women. In addition, limited evidence to date indicates that sedentary behavior may be an independent risk factor for breast cancer. We examined sedentary behavior and physical activity in relation to subsequent incident breast cancer in a nested case-control study within 546 cases (374 among black women) and 2,184 matched controls enrolled in the Southern Community Cohort Study. Sedentary and physically active behaviors were assessed via self-report at study baseline (2002–2009) using a validated physical activity questionnaire. Conditional logistic regression was used to estimate mutually adjusted odds ratios (OR) and corresponding 95% confidence intervals (CI) for quartiles of sedentary and physical activity measures in relation to breast cancer risk. Being in the highest versus lowest quartile of total sedentary behavior (≥12 hours/day versus <5.5 hours/day) was associated with increased odds of breast cancer among white women (OR=1.94 [95% CI 1.01–3.70], p for trend=0.1) but not black women (OR=1.23 [95% CI 0.82–1.83], p for trend=0.6) after adjustment for physical activity. After adjustment for sedentary activity, greater physical activity was associated with reduced odds for breast cancer among white women (p for trend=0.03) only. In conclusion, independent of one another, sedentary behavior and physical activity are risk factors for breast cancer among white women. Differences in these associations between black and white women require further investigation. Reducing sedentary behavior and increasing physical activity are potentially independent targets for breast cancer prevention interventions.

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“…The evidence for validity and reliability was similar to that documented for other self-report PA instruments in two systematic reviews 4,8 and low-income populations. 29,30 However, our data suggest that the modified RESIDE questionnaire may not capture PA as accurately among women with a BMI ≥ 37 kg/m 2 and employed women. Modifications that may improve the validity of the questionnaire include additional items to capture occupational and light intensity PA, specifically walking at work, and contextual cues to aid respondents in recalling short-duration PA bouts.…”

Section: Discussionmentioning

confidence: 66%

Psychometric properties of the modified RESIDE physical activity questionnaire among low-income overweight women

Jones

Evenson

Johnston

et al. 2015

Journal of Science and Medicine in Sport

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Objective This study explored the criterion-related validity and test-retest reliability of the modified RESIDential Enviroment (RESIDE) physical activity questionnaire and whether the instrument’s validity varied by body mass index (BMI), education, race/ethnicity, or employment status. Design Validation study using baseline data collected for randomized trial of a weight loss intervention. Method Participants recruited from health departments wore an ActiGraph accelerometer and self-reported non-occupational walking, moderate and vigorous physical activity on the modified RESIDE questionnaire. We assessed validity (n=152) using Spearman correlation coefficients (SCC), and reliability (n=57) using intraclass correlation coefficients (ICC). Results When compared to steps, moderate physical activity, and bouts of moderate/vigorous physical activity measured by accelerometer, these questionnaire measures showed fair evidence for validity: recreational walking (SCC 0.23–0.36), total walking (SCC 0.24–0.37), and total moderate physical activity (SCC 0.18–0.36). Correlations for self-reported walking and moderate physical activity were higher among unemployed participants and women with lower BMIs. Generally no other variability in the validity of the instrument was found. Evidence for reliability of RESIDE measures of recreational walking, total walking, and total moderate physical activity was substantial (ICC 0.56–0.68). Conclusions Evidence for questionnaire validity and reliability varied by activity domain and was strongest for walking measures. The questionnaire may capture physical activity less accurately among women with higher BMIs and employed participants. Capturing occupational activity, specifically walking at work, may improve questionnaire validity.

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Evaluation of a Questionnaire to Assess Sedentary and Active Behaviors in the Southern Community Cohort Study

Cited by 29 publications

References 43 publications

Combined Impact of Health Behaviors on Mortality in Low-Income Americans

Combined Impact of Health Behaviors on Mortality in Low-Income Americans

Sedentary Behavior, Physical Activity, and Likelihood of Breast Cancer among Black and White Women: A Report from the Southern Community Cohort Study

Psychometric properties of the modified RESIDE physical activity questionnaire among low-income overweight women

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