Methods of Measurement in epidemiology: Sedentary Behaviour (original) (raw)

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

*Corresponding author. United Kingdom Clinical Research Collaboration (UKCRC) Centre for Diet and Activity Research, Box 296, Institute of Public Health, Forvie Site, Robinson Way, Cambridge, CB2 0SR, UK. E-mail: aa595@medschl.cam.ac.uk

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

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1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

Search for other works by this author on:

1British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 2School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK, 3Department of Cardiovascular Sciences, University of Leicester, Leicester, UK, 4NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK, 5Diabetes Research Department, University Hospitals of Leicester, Leicester, UK, 6Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK, 7Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and 8School of Exercise and Nutritional Sciences, San Diego State University, CA, USA 9Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK

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Published:

04 October 2012

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Andrew J Atkin, Trish Gorely, Stacy A Clemes, Thomas Yates, Charlotte Edwardson, Soren Brage, Jo Salmon, Simon J Marshall, Stuart JH Biddle, Methods of Measurement in epidemiology: Sedentary Behaviour, International Journal of Epidemiology, Volume 41, Issue 5, October 2012, Pages 1460–1471, https://doi.org/10.1093/ije/dys118
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Abstract

Background Research examining sedentary behaviour as a potentially independent risk factor for chronic disease morbidity and mortality has expanded rapidly in recent years.

Methods We present a narrative overview of the sedentary behaviour measurement literature. Subjective and objective methods of measuring sedentary behaviour suitable for use in population-based research with children and adults are examined. The validity and reliability of each method is considered, gaps in the literature specific to each method identified and potential future directions discussed.

Results To date, subjective approaches to sedentary behaviour measurement, e.g. questionnaires, have focused predominantly on TV viewing or other screen-based behaviours. Typically, such measures demonstrate moderate reliability but slight to moderate validity. Accelerometry is increasingly being used for sedentary behaviour assessments; this approach overcomes some of the limitations of subjective methods, but detection of specific postures and postural changes by this method is somewhat limited. Instruments developed specifically for the assessment of body posture have demonstrated good reliability and validity in the limited research conducted to date. Miniaturization of monitoring devices, interoperability between measurement and communication technologies and advanced analytical approaches are potential avenues for future developments in this field.

Conclusions High-quality measurement is essential in all elements of sedentary behaviour epidemiology, from determining associations with health outcomes to the development and evaluation of behaviour change interventions. Sedentary behaviour measurement remains relatively under-developed, although new instruments, both objective and subjective, show considerable promise and warrant further testing.

Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2012; all rights reserved.

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