Do we have to reduce the recall period? Validity of a daily physical activity questionnaire (PAQ24) in young active adults

BMC Public Health. 2020 Jan 16;20(1):72. doi: 10.1186/s12889-020-8165-3.

Abstract

Background: Combining the strengths of physical activity (PA) diaries and questionnaires may be needed to improve the unsatisfying measurement quality of existing PA questionnaires. This study investigated the construct validity of a short PA questionnaire (Physical Activity Questionnaire for 24 h [PAQ24]) with a recall period of one day.

Methods: In this cross-sectional study, participants completed the PAQ24 on seven consecutive days while wearing an accelerometer (GENEActiv). Thereafter, the Global Physical Activity Questionnaire (GPAQ) was completed. Spearman correlation coefficients and Bland-Altman analysis were used to assess construct validity.

Results: Overall, 50 active adults (11 women, mean age = 25.1 ± 2.5) participated. Relative agreements between Total PA of PAQ24 and accelerometer were 0.37 ≤ ρ ≤ 0.72 for each day with satisfying agreement on five out of seven days. Weekly relative agreement for Total PA was moderate (ρ = 0.44). Relative agreements between PAQ24 and GPAQ were ρ = 0.43 for Total PA. Daily and weekly absolute agreements were poor indicated by wide limits of agreement.

Conclusions: In contrast to weekly Total PA, the majority of daily results of the PAQ24 showed satisfying construct validity. A short recall period may improve the measurement quality of PA questionnaires, but measurement errors and the costs of multiple administrations must be considered in future studies.

Keywords: Measurement; Physical activity; Questionnaire; Self-report; Validity.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Exercise*
  • Female
  • Humans
  • Male
  • Mental Recall*
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Time Factors
  • Young Adult