[Physical activity in the German National Cohort (NAKO): use of multiple assessment tools and initial results]

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Mar;63(3):301-311. doi: 10.1007/s00103-020-03099-7.
[Article in German]

Abstract

Background: Physical activity is a complex behavior that is difficult to measure validly and reliably in large, population-based studies. Data on physical activity are available for the initial 100,000 participants of the German National Cohort.

Objectives: To describe the baseline physical activity assessment in the cohort and to present initial descriptive results.

Material and methods: Physical activity was assessed using a combination of tools, including two self-administered questionnaires, the Questionnaire on Annual Physical Activity Pattern (QUAP) and the Global Physical Activity Questionnaire (GPAQ); a computer-based 24‑h physical activity recall (cpar24); and 7‑day accelerometry (Actigraph GT3X/+; ActiGraph, Pensacola, FL, USA).

Results: The availability of data varied between assessment instruments (QUAP: n = 16,372; GPAQ: n = 90,900; cpar24: n = 23,989; accelerometry: n = 35,218). Analyses across measurement tools showed that on average, women spent 75 to 216 min/d, and men spent 73 to 224 min/d in moderate or higher intensity total physical activity. Persons aged 20-39 years spent 66 to 200 min/d, and persons aged 40-69 years spent 78 to 244 min/d in moderate or higher intensity total physical activity.

Conclusions: Initial baseline analyses of physical activity in this cohort show the value of using a combination of questionnaires, 24‑h recalls, and a movement sensor. The comprehensive data collection represents a valuable resource for future analyses and will improve our understanding of the association between physical activity and disease prevention.

Keywords: Cohort study; Epidemiology; Prevention.

MeSH terms

  • Accelerometry
  • Adult
  • Aged
  • Cohort Studies
  • Exercise*
  • Female
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Surveys and Questionnaires
  • Young Adult