Abstract
Introduction: The body of evidence about the benefits of physical activity (PA) on health is massive. There are several distinct subjective and objective methods to evaluate PA levels, which can be a source of bias in self-reported outcomes.
Objective: The purpose of the present essay was to review findings from recent research with particular focus on PA assessment, and point out some issues for future research.
Conclusion: The variability among evaluation methods compromises comparability between studies. Special attention should be given to self-report instruments that can lead to some sort of bias. Therefore, it is important for proper theoretical basis with respect to the objectives and types of PA, which should be considered before selecting the instrument to be applied in a given population. Views of several review studies were discussed and recommendations were presented.
References
U.S., Department of Health and Human Services D. Physical activity and health: a report of the Surgeon General. London, UK: Learning, Jones Learning, Bartlett; 2008. 278 p.
Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ Can Med Assoc J. 14 de março de 2006;174(6):801–9.
Holtermann A, Marott JL, Gyntelberg F, Søgaard K, Suadicani P, Mortensen OS, et al. Does the benefit on survival from leisure time physical activity depend on physical activity at work? A prospective cohort study. PloS One. 2013;8(1):e54548.
Woodcock J, Franco OH, Orsini N, Roberts I. Non-vigorous physical activity and all-cause mortality: systematic review and meta-analysis of cohort studies. Int J Epidemiol. 2011;40(1):121–38.
Seefeldt V, Malina RM, Clark MA. Factors affecting levels of physical activity in adults. Sports Med Auckl NZ. 2002;32(3):143–68.
Duda JL, Williams GC, Ntoumanis N, Daley A, Eves FF, Mutrie N, et al. Effects of a standard provision versus an autonomy supportive exercise referral programme on physical activity, quality of life and well-being indicators: a cluster randomised controlled trial. Int J Behav Nutr Phys Act. 2014;11:10.
Strath SJ, Kaminsky LA, Ainsworth BE, Ekelund U, Freedson PS, Gary RA, et al. Guide to the assessment of physical activity: Clinical and research applications: a scientific statement from the American Heart Association. Circulation. 12 de novembro de 2013;128(20):2259–79.
Reiser LM, Schlenk EA. Clinical use of physical activity measures. J Am Acad Nurse Pract. fevereiro de 2009;21(2):87–94.
Bock C, Diehm C, Schneider S. Physical activity promotion in primary health care: results from a German physician survey. Eur J Gen Pract. junho de 2012;18(2):86–91.
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep Wash DC 1974. abril de 1985;100(2):126–31.
Ravussin E, Bogardus C. A brief overview of human energy metabolism and its relationship to essential obesity. Am J Clin Nutr. janeiro de 1992;55(1 Suppl):242S–245S.
Warren JM, Ekelund U, Besson H, Mezzani A, Geladas N, Vanhees L. Assessment of physical activity - a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. abril de 2010;17(2):127–39.
Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. setembro de 2000;32(9 Suppl):S498-504.
Lee I-M. Epidemiologic Methods in Physical Activity Studies. New York: Oxford University Press Inc.; 2009. 328 p.
Westerterp KR. Assessment of physical activity: a critical appraisal. Eur J Appl Physiol. abril de 2009;105(6):823–8.
Van Poppel MNM, Chinapaw MJM, Mokkink LB, van Mechelen W, Terwee CB. Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med Auckl NZ. 1o de julho de 2010;40(7):565–600.
Chasan-Taber L, Evenson KR, Sternfeld B, Kengeri S. Assessment of recreational physical activity during pregnancy in epidemiologic studies of birthweight and length of gestation: methodologic aspects. Women Health. 2007;45(4):85–107.
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. agosto de 2003;35(8):1381–95.
Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. novembro de 1982;36:936–42.
Hertogh EM, Monninkhof EM, Schouten EG, Peeters PH, Schuit AJ. Validity of the modified Baecke questionnaire: comparison with energy expenditure according to the doubly labeled water method. Int J Behav Nutr Phys Act. 2008;5:30.
Westerterp KR. Assessment of physical activity level in relation to obesity: current evidence and research issues. Med Sci Sports Exerc. novembro de 1999;31(11 Suppl):S522-525.
Ishikawa-Takata K, Tabata I, Sasaki S, Rafamantanantsoa HH, Okazaki H, Okubo H, et al. Physical activity level in healthy free-living Japanese estimated by doubly labelled water method and International Physical Activity Questionnaire. Eur J Clin Nutr. julho de 2008;62(7):885–91.
Terwee CB, Mokkink LB, Van Poppel MNM, Chinapaw MJM, van Mechelen W, de Vet HCW. Qualitative attributes and measurement properties of physical activity questionnaires: a checklist. Sports Med Auckl NZ. 1o de julho de 2010;40(7):525–37.
Abu-Omar K, Rütten A. Relation of leisure time, occupational, domestic, and commuting physical activity to health indicators in Europe. Prev Med. setembro de 2008;47(3):319–23.
Davis-Lameloise N, Philpot B, Janus ED, Versace VL, Laatikainen T, Vartiainen EA, et al. Occupational differences, cardiovascular risk factors and lifestyle habits in South Eastern rural Australia. BMC Public Health. 23 de novembro de 2013;13(1):1090.
Sofi F, Capalbo A, Marcucci R, Gori AM, Fedi S, Macchi C, et al. Leisure time but not occupational physical activity significantly affects cardiovascular risk factors in an adult population. Eur J Clin Invest. dezembro de 2007;37(12):947–53.
Krause N, Brand RJ, Kaplan GA, Kauhanen J, Malla S, Tuomainen T-P, et al. Occupational physical activity, energy expenditure and 11-year progression of carotid atherosclerosis. Scand J Work Environ Health. dezembro de 2007;33(6):405–24.
Koenig W, Sund M, Do¨ring A, Ernst E. Leisure-Time Physical Activity but Not Work-Related Physical Activity Is Associated With Decreased Plasma Viscosity Results From a Large Population Sample. Circulation. 21 de janeiro de 1997;95(2):335–41.
Clays E, De Bacquer D, Janssens H, De Clercq B, Casini A, Braeckman L, et al. The association between leisure time physical activity and coronary heart disease among men with different physical work demands: a prospective cohort study. Eur J Epidemiol. março de 2013;28(3):241–7.
Ainsworth B, Cahalin L, Buman M, Ross R. The Current State of Physical Activity Assessment Tools. Prog Cardiovasc Dis. 1o de janeiro de 2015;57(4):387–95.
1. U.S., Department of Health and Human Services D. Physical activity and health: a report of the Surgeon General. London, UK: Learning, Jones Learning, Bartlett; 2008. 278 p.
2. Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ Can Med Assoc J. 14 de março de 2006;174(6):801–9. 3. Holtermann A, Marott JL, Gyntelberg F, Søgaard K, Suadicani P, Mortensen OS, et al. Does the benefit on survival from leisure time physical activity depend on physical activity at work? A prospective cohort study. PloS One. 2013;8(1):e54548. 4. Woodcock J, Franco OH, Orsini N, Roberts I. Non-vigorous physical activity and all-cause mortality: systematic review and meta-analysis of cohort studies. Int J Epidemiol. 2011;40(1):121–38. 5. Seefeldt V, Malina RM, Clark MA. Factors affecting levels of physical activity in adults. Sports Med Auckl NZ. 2002;32(3):143–68. 6. Duda JL, Williams GC, Ntoumanis N, Daley A, Eves FF, Mutrie N, et al. Effects of a standard provision versus an autonomy supportive exercise referral programme on physical activity, quality of life and well-being indicators: a cluster randomised controlled trial. Int J Behav Nutr Phys Act. 2014;11:10. 7. Strath SJ, Kaminsky LA, Ainsworth BE, Ekelund U, Freedson PS, Gary RA, et al. Guide to the assessment of physical activity: Clinical and research applications: a scientific statement from the American Heart Association. Circulation. 12 de novembro de 2013;128(20):2259–79. 8. Reiser LM, Schlenk EA. Clinical use of physical activity measures. J Am Acad Nurse Pract. fevereiro de 2009;21(2):87–94. 9. Bock C, Diehm C, Schneider S. Physical activity promotion in primary health care: results from a German physician survey. Eur J Gen Pract. junho de 2012;18(2):86–91. 10. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep Wash DC 1974. abril de 1985;100(2):126–31. 11. Ravussin E, Bogardus C. A brief overview of human energy metabolism and its relationship to essential obesity. Am J Clin Nutr. janeiro de 1992;55(1 Suppl):242S–245S. 12. Warren JM, Ekelund U, Besson H, Mezzani A, Geladas N, Vanhees L. Assessment of physical activity - a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. abril de 2010;17(2):127–39. 13. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. setembro de 2000;32(9 Suppl):S498-504. 14. Lee I-M. Epidemiologic Methods in Physical Activity Studies. New York: Oxford University Press Inc.; 2009. 328 p. 15. Westerterp KR. Assessment of physical activity: a critical appraisal. Eur J Appl Physiol. abril de 2009;105(6):823–8. 16. Van Poppel MNM, Chinapaw MJM, Mokkink LB, van Mechelen W, Terwee CB. Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med Auckl NZ. 1o de julho de 2010;40(7):565–600. 17. Chasan-Taber L, Evenson KR, Sternfeld B, Kengeri S. Assessment of recreational physical activity during pregnancy in epidemiologic studies of birthweight and length of gestation: methodologic aspects. Women Health. 2007;45(4):85–107. 18. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. agosto de 2003;35(8):1381–95. 19. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. novembro de 1982;36:936–42. 20. Hertogh EM, Monninkhof EM, Schouten EG, Peeters PH, Schuit AJ. Validity of the modified Baecke questionnaire: comparison with energy expenditure according to the doubly labeled water method. Int J Behav Nutr Phys Act. 2008;5:30. 21. Westerterp KR. Assessment of physical activity level in relation to obesity: current evidence and research issues. Med Sci Sports Exerc. novembro de 1999;31(11 Suppl):S522-525. 22. Ishikawa-Takata K, Tabata I, Sasaki S, Rafamantanantsoa HH, Okazaki H, Okubo H, et al. Physical activity level in healthy free-living Japanese estimated by doubly labelled water method and International Physical Activity Questionnaire. Eur J Clin Nutr. julho de 2008;62(7):885–91. 23. Terwee CB, Mokkink LB, Van Poppel MNM, Chinapaw MJM, van Mechelen W, de Vet HCW. Qualitative attributes and measurement properties of physical activity questionnaires: a checklist. Sports Med Auckl NZ. 1o de julho de 2010;40(7):525–37. 24. Abu-Omar K, Rütten A. Relation of leisure time, occupational, domestic, and commuting physical activity to health indicators in Europe. Prev Med. setembro de 2008;47(3):319–23. 25. Davis-Lameloise N, Philpot B, Janus ED, Versace VL, Laatikainen T, Vartiainen EA, et al. Occupational differences, cardiovascular risk factors and lifestyle habits in South Eastern rural Australia. BMC Public Health. 23 de novembro de 2013;13(1):1090. 26. Sofi F, Capalbo A, Marcucci R, Gori AM, Fedi S, Macchi C, et al. Leisure time but not occupational physical activity significantly affects cardiovascular risk factors in an adult population. Eur J Clin Invest. dezembro de 2007;37(12):947–53. 27. Krause N, Brand RJ, Kaplan GA, Kauhanen J, Malla S, Tuomainen T-P, et al. Occupational physical activity, energy expenditure and 11-year progression of carotid atherosclerosis. Scand J Work Environ Health. dezembro de 2007;33(6):405–24. 28. Koenig W, Sund M, Do¨ring A, Ernst E. Leisure-Time Physical Activity but Not Work-Related Physical Activity Is Associated With Decreased Plasma Viscosity Results From a Large Population Sample. Circulation. 21 de janeiro de 1997;95(2):335–41. 29. Clays E, De Bacquer D, Janssens H, De Clercq B, Casini A, Braeckman L, et al. The association between leisure time physical activity and coronary heart disease among men with different physical work demands: a prospective cohort study. Eur J Epidemiol. março de 2013;28(3):241–7. 30. Ainsworth B, Cahalin L, Buman M, Ross R. The Current State of Physical Activity Assessment Tools. Prog Cardiovasc Dis. 1o de janeiro de 2015;57(4):387–95.
1. U.S., Department of Health and Human Services D. Physical activity and health: a report of the Surgeon General. London, UK: Learning, Jones Learning, Bartlett; 2008. 278 p.
1. U.S., Department of Health and Human Services D. Physical activity and health: a report of the Surgeon General. London, UK: Learning, Jones Learning, Bartlett; 2008. 278 p.
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