摘要
目的系统回顾近10年全球儿童青少年身体活动问卷的结构内容和验证研究,评估国际上现有问卷的总体效度和信度。方法以Physical Activity和Questionnaire OR Self-report OR Recall检索词进行组合,以Child*OR Adolescen*OR Youth和Valid*OR Reliab*OR Reproducib*OR Sensitiv*OR Responsiv*为关键词,在PubMed/Medline和EMBASE数据库检索2008年1月至2018年12月关于儿童青少年身体活动问卷评价研究。使用健康测量工具选择的统一标准(COSMIN)对文献质量进行评价。结果共纳入37篇文献,合计7989名研究对象,儿童青少年身体活动问卷36种,共涉及68个研究,其中45个效度研究,23个信度研究。纳入问卷效度研究的Spearman相关系数中位数分别为0.28(中高强度身体活动)、0.15(中等强度身体活动)、0.27(高强度身体活动)和0.31(身体活动能量消耗)。信度研究的组间相关系数中位数分别为0.32(静态行为)、0.53(低强度身体活动)、0.80(中高强度身体活动)、0.54(中等强度身体活动)和0.69(高强度身体活动)。结论目前全球儿童青少年身体活动问卷测量中高强度身体活动的信度在可接受范围内,但效度较低。
Objective To systematically review the structure and content of physical activity questionnaires for children and adolescents and assess the overall validity and reliability of the existing international questionnaires in the last 10 years.Methods Search terms,including"Physical Activity"AND"Questionnaire"OR"Self-report"OR"Recall"AND"Child*"OR"Adolescen*"OR"Youth"AND'Valid*’OR"Reliab*"OR"Reproducib*"OR"Sensitiv*"OR"Responsiv*",were searched for evaluation studies on physical activity questionnaires for children and adolescents in PubMed/Medline and EMBASE database from January 2008 to December 2018.The quality of eligible literature was assessed by using the consensus-based standards for the selection of health status measurement instruments(COSMIN).Results A total of 37 articles containing 36 physical activity questionnaires in 7989 participants were included.There were 68 studies on the assessment of the validity and reliability of assorted physical activity questionnaires,45 studies for validity and 23 for reliability.The median Spearman correlation coefficients in validity studies were 0.28 for moderate-to-vigorous intensity physical activity,0.15 for moderate-intensity physical activity,0.27 for vigorous-intensity physical activity and 0.31 for physical activity energy expenditure.The median reliability correlation coefficients were 0.32 for sedentary behaviors,0.53 for light-intensity physical activity,0.80 for moderate-to-vigorous intensity physical activity,0.54 for moderate-intensity physical activity and 0.69 for vigorous-intensity physical activity.Conclusion The reliability of physical activity questionnaires measured moderate-to-vigorous intensity physical activity for children and adolescents is acceptable,but the validity is low.
作者
杨曦
陈婧祎
翟屹
赵文华
Yang Xi;Chen Jingyi;Zhai Yi;Zhao Wenhua(National Institute for Nutrition and Health,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Beijing Tiantan Hospital,Capital Medical University,China National Clinical Research Center for Neurological Diseases,Beijing 100070,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2019年第12期1290-1295,共6页
Chinese Journal of Preventive Medicine
关键词
儿童
青少年
运动活动
系统综述
Child
Adolescent
Motor activity
Systematic review