Faculty of Health Sciences, University of Primorska, Izola, Slovenia.
InnoRenew CoE, Izola, Slovenia.
Int J Behav Nutr Phys Act. 2024 Aug 2;21(1):83. doi: 10.1186/s12966-024-01632-4.
Time spent in sleep, sedentary behaviour (SB), and physical activity are exhaustive and mutually exclusive parts of a 24-h day that need to be considered in a combination. The aim of this study was to identify validated self-reported tools for assessment of movement behaviours across the whole 24-h day, and to review their attributes and measurement properties.
The databases PubMed, Scopus, and SPORTDiscus were searched until September 2023. Inclusion criteria were: (i) published in English language, (ii) per-reviewed paper, (iii) assessment of self-reported time spent in sleep, SB, and physical activity, (iv) evaluation of measurement properties of all estimates across the full 24-h day, and (v) inclusion of adolescents, adults, or older adults. The methodological quality of included studies was assessed using the Consensus-based Standards for the selection of health Measurement Instruments checklist.
Our search returned 2064 records. After studies selection, we included 16 articles that reported construct validity and/or test-retest reliability of 12 unique self-reported tools - eight questionnaires, three time-use recalls, and one time-use diary. Most tools enable assessment of time spent in sleep, and domain-specific SB and physical activity, and account that sum of behaviours should be 24 h. Validity (and reliability) correlation coefficients for sleep ranged between 0.22 and 0.69 (0.41 and 0.92), for SB between 0.06 and 0.57 (0.33 and 0.91), for light-intensity physical activity between 0.18 and 0.46 (0.55 and 0.94), and for moderate- to vigorous-intensity physical activity between 0.38 and 0.56 (0.59 and 0.94). The quality of included studies being mostly fair-to-good.
This review found that only a limited number of validated self-reported tools for assessment of 24-h movement behaviours are currently available. Validity and reliability of most tools are generally adequate to be used in epidemiological studies and population surveillance, while little is known about adequacy for individual level assessments and responsiveness to behavioural change. To further support research, policy, and practice, there is a need to develop new tools that resonate with the emerging 24-h movement paradigm and to evaluate measurement properties by using compositional data analysis.
PROSPERO CRD42022330868.
睡眠、久坐行为 (SB) 和身体活动是 24 小时内互斥的活动，需要综合考虑。本研究的目的是确定评估 24 小时内整体活动行为的经过验证的自我报告工具，并审查其属性和测量特性。
截至 2023 年 9 月，我们在 PubMed、Scopus 和 SPORTDiscus 数据库中进行了搜索。纳入标准为：(i) 以英文发表，(ii) 同行评审论文，(iii) 评估自我报告的睡眠、SB 和身体活动时间，(iv) 评估整个 24 小时内所有估计值的测量特性，以及 (v) 纳入青少年、成人或老年人。使用共识基础的健康测量仪器选择标准检查表评估纳入研究的方法学质量。
我们的搜索返回了 2064 条记录。经过研究选择，我们纳入了 16 篇文章，这些文章报告了 12 种独特的自我报告工具的构建效度和/或重测信度 - 八种问卷、三种时间使用回忆和一种时间使用日记。大多数工具能够评估睡眠、特定领域的 SB 和身体活动的时间，并考虑到行为总和应为 24 小时。睡眠的有效性（和可靠性）相关系数在 0.22 到 0.69 之间（0.41 和 0.92），SB 在 0.06 到 0.57 之间（0.33 和 0.91），低强度身体活动在 0.18 到 0.46 之间（0.55 和 0.94），中等到剧烈强度身体活动在 0.38 到 0.56 之间（0.59 和 0.94）。纳入研究的质量大多为良好至中等。
本综述发现，目前仅有有限数量的经过验证的自我报告工具可用于评估 24 小时的活动行为。大多数工具的有效性和可靠性通常足以用于流行病学研究和人群监测，但对于个体水平评估和对行为变化的反应性知之甚少。为了进一步支持研究、政策和实践，需要开发新的工具，以适应新兴的 24 小时活动范式，并使用成分数据分析来评估测量特性。
PROSPERO CRD42022330868。
