Surveillance of physical activity in the UK is flawed: validation of the Health Survey for England Physical Activity Questionnaire

Basterfield, Laura; Adamson, Ashley; Parkinson, Kathryn; Maute, Ulrike; Li, P X; Reilly, John J.

doi:10.1136/adc.2007.135905

Cited by 85 publications

(87 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consequently, public health decisions and practices may be hampered or biased by inaccuracies in the measurement of PA, as found with the use of a PA questionnaire in the UK surveillance system. 16 In fact, reporting one's own activity through questionnaires is cognitively difficult for adults and much more so for children or adolescents, even in large-scale studies where large sample sizes are expected to compensate for weaknesses associated with subjectivity. 17 Thus, even the most popular and sophisticated PA questionnaires, such as those used in the WHO Health Behaviour in Schoolchildren Survey 18 or the Youth Risk…”

Section: Introductionmentioning

confidence: 99%

Level of physical activity among children and adolescents in Europe: a review of physical activity assessed objectively by accelerometry

Samouda²,

2013

View full text Add to dashboard Cite

Overall, up to 100% of youth may be sufficiently active when using a threshold of approximately >1000e1500 cpm. With the most cited cut-off point (i.e. >2000 cpm), up to 87% of European youth might be considered physically active with reference to the current recommendations. Alternatively, with a cut-off point >3000 cpm, no more than 3e5% of them appeared to achieve these recommendations. The large discrepancy in outcomes released by accelerometer data is mainly due to the variety of cut-off points for MVPA among youth, hindering the definition of a clear goal towards PA promotion in Europe.Standardization of methods is urgently required.

show abstract

Section: Introductionmentioning

confidence: 99%

Level of physical activity among children and adolescents in Europe: a review of physical activity assessed objectively by accelerometry

Samouda²,

2013

View full text Add to dashboard Cite

show abstract

“…Newcastle upon Tyne was the case study setting, Newcastle has higher than national average levels of childhood overweight and obesity (NHS IC and LS, 2010) and low reported levels of PA in young people (McLure et al, 2009;Basterfield et al, 2008) -these over-expressions of the health outcomes under examination made it an apt study location. Two socially and economically disparate areas were contrasted (according to …”

Section: Methodsmentioning

confidence: 99%

Exploring urban parks and their peripheral food environments using a case study approach: Young people and obesogenic environments

2014

View full text Add to dashboard Cite

. (2014) 'Exploring urban parks and their peripheral food environments using a case study approach : young people and obesogenic environments.', URBAN DESIGN international., Further information on publisher's website:https://doi.org/10. 1057/udi.2013.35 Publisher's copyright statement:The nal publication is available at Springer via https://doi.org/10. 1057/udi.2013.35 Additional information: Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. Inequity in obesogenic determinants are consistent with deprivation amplification and are incompatible with UK political strategy for health equity.

show abstract

“…1 Physical activity (PA) surveillance of children and adolescents in Scotland is based largely on the nationally representative Scottish Health Survey (SHeS 2 ), which uses self/parent-report measures of PA. For many years the SHeS has made the unlikely assumption that all reported PA is of moderate-to-vigorous intensity PA (MVPA). 2,3 Annually collected SHeS data suggest that adherence to the 60 minutes/ day MVPA recommendation is very high in boys and girls during childhood, but falls dramatically in early adolescence, particularly in girls. National PA strategy, based explicitly on SHeS data, 4,5 targets adolescents, particularly adolescent girls.…”

mentioning

confidence: 99%

Results From Scotland’s 2016 Report Card on Physical Activity for Children and Youth

Reilly¹,

Johnstone²,

McNeill³

et al. 2016

Journal of Physical Activity and Health

View full text Add to dashboard Cite

Background:The 2016 Active Healthy Kids Scotland Report Card aims to improve surveillance of physical activity (PA), facilitate international comparisons, and encourage evidence-informed PA and health policy.Methods:Active Healthy Kids Canada Report Card methodology was used: a search for data on child and adolescent PA and health published after the 2013 Scottish Report Card was carried out. Data sources were considered for grading if based on representative samples with prevalence estimates made using methods with low bias. Ten health behaviors/outcomes were graded on an A to F scale based on quintiles (prevalence meeting recommendations ≥80% graded A down to <20% graded F).Results:Three of the seven Health Behaviors and Outcomes received F or F- grades: Overall PA, Sedentary Behavior, and Obesity. Active and Outdoor Play and Organized Sport Participation could not be graded. Active Commuting to School was graded C, and Diet was graded D-. Family and Peer Influence was graded D-; Perceived Safety and Availability of Space for PA as well as the National Policy Environment were more favorable (both B).Conclusions:Grades were identical to those in 2013. Scotland has a generally favorable environment for PA, but children and adolescents have low PA and high sedentary behavior. Gaps in surveillance included lack of objectively measured PA, no surveillance of moderate-to-vigorous PA in children, summary surveillance data not expressed in ways which match recommendations (eg, for PA in young children; for screen-time), and no surveillance of Sport Participation, Active and Outdoor Play, or Sitting. Scottish policy does not include sedentary behavior at present.

show abstract

Surveillance of physical activity in the UK is flawed: validation of the Health Survey for England Physical Activity Questionnaire

Abstract: Public health surveillance of physical activity should not rely on this questionnaire. Levels of habitual physical activity in children are likely to be substantially lower than those reported in UK health surveys.

Cited by 85 publications

References 29 publications

Level of physical activity among children and adolescents in Europe: a review of physical activity assessed objectively by accelerometry

Level of physical activity among children and adolescents in Europe: a review of physical activity assessed objectively by accelerometry

Exploring urban parks and their peripheral food environments using a case study approach: Young people and obesogenic environments

Results From Scotland’s 2016 Report Card on Physical Activity for Children and Youth

Contact Info

Product

Resources

About