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Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data

Author

Listed:
  • Clara R. Warmath

    (Department of Epidemiology, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02906, USA)

  • Courtney C. Choy

    (Department of Epidemiology, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02906, USA)

  • Elizabeth A. Frame

    (Department of Epidemiology, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA)

  • Lauren B. Sherar

    (Center for Global Health and Human Development, School of Sport and Exercise Sciences, Loughborough University, Loughborough LE11 3TU, UK)

  • Rachel L. Duckham

    (Institute for Physical Activity and Nutrition (IPAN), Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia
    Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, 176 Furlong Road, St. Albans, VIC 3021, Australia)

  • Christina Soti-Ulberg

    (Ministry of Health, Ififi Street, Motootua, Apia, Samoa)

  • Take Naseri

    (Department of Epidemiology, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02906, USA
    Ministry of Health, Ififi Street, Motootua, Apia, Samoa)

  • Muagututia S. Reupena

    (Lutia i Puava ae Mapu i Fagalele, Apia, Samoa)

  • Nicola L. Hawley

    (Department of Chronic Disease Epidemiology, Yale School of Public Health, 60 College Street, New Haven, CT 06520, USA)

Abstract

Accurate measurement of physical activity is critical to understand its role in cardiometabolic health and obesity development in children and to monitor trends in behavior and evaluate interventions. An ongoing mixed-longitudinal study of child growth and development in Samoa is collecting physical activity data with both accelerometers and the Netherlands Physical Activity Questionnaire (NPAQ). The aims of our analyses were to (1) describe the response frequency and correlations of individual questions in the NPAQ, (2) develop modified NPAQ scores with selected questions and (3) examine the concordance of modified NPAQ scores with accelerometer outcomes among children aged 2–4 years. We developed two modified NPAQ scores with combinations of questions and assessed concordance of the modified scores with accelerometer data using estimated marginal means adjusted for monitor wear time. Although the evenly distributed tertiles of the modified 15-point NPAQ score showed promising trends of increasing minutes of accelerometer-assessed high-intensity physical activity with increasing tertile, the estimated marginal means were imprecise with high variance, demonstrating that NPAQ score could not accurately assess physical activity levels of preschool-aged children in Samoa. Considering that questionnaires are often considered more cost-effective tools for physical activity measurement than accelerometry, further research is necessary to develop a culturally and age-appropriate physical activity questionnaire in this population.

Suggested Citation

  • Clara R. Warmath & Courtney C. Choy & Elizabeth A. Frame & Lauren B. Sherar & Rachel L. Duckham & Christina Soti-Ulberg & Take Naseri & Muagututia S. Reupena & Nicola L. Hawley, 2021. "Comparability of The Netherlands Physical Activity Questionnaire with Accelerometer-Measured Physical Activity in Samoan Children: A Retrospective Analysis of Ola Tuputupua’e Data," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8438-:d:611679
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    References listed on IDEAS

    as
    1. Sally Brinkman & Alanna Sincovich & Binh Thanh Vu, 2017. "Early Childhood Development in Samoa," World Bank Publications - Reports 32262, The World Bank Group.
    2. Philip Brenner & John DeLamater, 2014. "Social Desirability Bias in Self-reports of Physical Activity: Is an Exercise Identity the Culprit?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 117(2), pages 489-504, June.
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