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<title xml:lang="en">Methods of Measurement in epidemiology: Sedentary Behaviour</title>
<author>
<name sortKey="Atkin, Andrew J" sort="Atkin, Andrew J" uniqKey="Atkin A" first="Andrew J" last="Atkin">Andrew J. Atkin</name>
<affiliation>
<nlm:aff id="dys118-AFF1">British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gorely, Trish" sort="Gorely, Trish" uniqKey="Gorely T" first="Trish" last="Gorely">Trish Gorely</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Clemes, Stacy A" sort="Clemes, Stacy A" uniqKey="Clemes S" first="Stacy A" last="Clemes">Stacy A. Clemes</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Yates, Thomas" sort="Yates, Thomas" uniqKey="Yates T" first="Thomas" last="Yates">Thomas Yates</name>
<affiliation>
<nlm:aff id="dys118-AFF1">Department of Cardiovascular Sciences, University of Leicester, Leicester, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Edwardson, Charlotte" sort="Edwardson, Charlotte" uniqKey="Edwardson C" first="Charlotte" last="Edwardson">Charlotte Edwardson</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">Diabetes Research Department, University Hospitals of Leicester, Leicester, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brage, Soren" sort="Brage, Soren" uniqKey="Brage S" first="Soren" last="Brage">Soren Brage</name>
<affiliation>
<nlm:aff id="dys118-AFF1">Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Salmon, Jo" sort="Salmon, Jo" uniqKey="Salmon J" first="Jo" last="Salmon">Jo Salmon</name>
<affiliation>
<nlm:aff wicri:cut=" and" id="dys118-AFF1">Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marshall, Simon J" sort="Marshall, Simon J" uniqKey="Marshall S" first="Simon J" last="Marshall">Simon J. Marshall</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Exercise and Nutritional Sciences, San Diego State University, CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Biddle, Stuart Jh" sort="Biddle, Stuart Jh" uniqKey="Biddle S" first="Stuart Jh" last="Biddle">Stuart Jh Biddle</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK,</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">23045206</idno>
<idno type="pmc">3465769</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3465769</idno>
<idno type="RBID">PMC:3465769</idno>
<idno type="doi">10.1093/ije/dys118</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">000363</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Methods of Measurement in epidemiology: Sedentary Behaviour</title>
<author>
<name sortKey="Atkin, Andrew J" sort="Atkin, Andrew J" uniqKey="Atkin A" first="Andrew J" last="Atkin">Andrew J. Atkin</name>
<affiliation>
<nlm:aff id="dys118-AFF1">British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gorely, Trish" sort="Gorely, Trish" uniqKey="Gorely T" first="Trish" last="Gorely">Trish Gorely</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Clemes, Stacy A" sort="Clemes, Stacy A" uniqKey="Clemes S" first="Stacy A" last="Clemes">Stacy A. Clemes</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Yates, Thomas" sort="Yates, Thomas" uniqKey="Yates T" first="Thomas" last="Yates">Thomas Yates</name>
<affiliation>
<nlm:aff id="dys118-AFF1">Department of Cardiovascular Sciences, University of Leicester, Leicester, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Edwardson, Charlotte" sort="Edwardson, Charlotte" uniqKey="Edwardson C" first="Charlotte" last="Edwardson">Charlotte Edwardson</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">Diabetes Research Department, University Hospitals of Leicester, Leicester, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Brage, Soren" sort="Brage, Soren" uniqKey="Brage S" first="Soren" last="Brage">Soren Brage</name>
<affiliation>
<nlm:aff id="dys118-AFF1">Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK,</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Salmon, Jo" sort="Salmon, Jo" uniqKey="Salmon J" first="Jo" last="Salmon">Jo Salmon</name>
<affiliation>
<nlm:aff wicri:cut=" and" id="dys118-AFF1">Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marshall, Simon J" sort="Marshall, Simon J" uniqKey="Marshall S" first="Simon J" last="Marshall">Simon J. Marshall</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Exercise and Nutritional Sciences, San Diego State University, CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Biddle, Stuart Jh" sort="Biddle, Stuart Jh" uniqKey="Biddle S" first="Stuart Jh" last="Biddle">Stuart Jh Biddle</name>
<affiliation>
<nlm:aff id="dys118-AFF1">School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="dys118-AFF1">NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK,</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">International Journal of Epidemiology</title>
<idno type="ISSN">0300-5771</idno>
<idno type="eISSN">1464-3685</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<bold>Background</bold>
Research examining sedentary behaviour as a potentially independent risk factor for chronic disease morbidity and mortality has expanded rapidly in recent years.</p>
<p>
<bold>Methods</bold>
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.</p>
<p>
<bold>Results</bold>
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.</p>
<p>
<bold>Conclusions</bold>
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.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Int J Epidemiol</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Epidemiol</journal-id>
<journal-id journal-id-type="publisher-id">ije</journal-id>
<journal-id journal-id-type="hwp">intjepid</journal-id>
<journal-title-group>
<journal-title>International Journal of Epidemiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0300-5771</issn>
<issn pub-type="epub">1464-3685</issn>
<publisher>
<publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23045206</article-id>
<article-id pub-id-type="pmc">3465769</article-id>
<article-id pub-id-type="doi">10.1093/ije/dys118</article-id>
<article-id pub-id-type="publisher-id">dys118</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Methods of Measurement</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Methods of Measurement in epidemiology: Sedentary Behaviour</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Atkin</surname>
<given-names>Andrew J</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>9</sup>
</xref>
<xref ref-type="corresp" rid="dys118-COR1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gorely</surname>
<given-names>Trish</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Clemes</surname>
<given-names>Stacy A</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yates</surname>
<given-names>Thomas</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Edwardson</surname>
<given-names>Charlotte</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Brage</surname>
<given-names>Soren</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Salmon</surname>
<given-names>Jo</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Marshall</surname>
<given-names>Simon J</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Biddle</surname>
<given-names>Stuart JH</given-names>
</name>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="dys118-AFF1">
<sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="dys118-AFF1">
<sup>1</sup>
British Heart Foundation National Centre for Physical Activity and Health, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,
<sup>2</sup>
School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK,
<sup>3</sup>
Department of Cardiovascular Sciences, University of Leicester, Leicester, UK,
<sup>4</sup>
NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, University Hospitals of Leicester, Loughborough University and University of Leicester, UK,
<sup>5</sup>
Diabetes Research Department, University Hospitals of Leicester, Leicester, UK,
<sup>6</sup>
Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Cambridge, UK,
<sup>7</sup>
Centre for Physical Activity and Nutrition Research, Deakin University, Burwood, Australia and
<sup>8</sup>
School of Exercise and Nutritional Sciences, San Diego State University, CA, USA
<sup>9</sup>
Present address: UKCRC Centre for Diet and Activity Research, Institute of Public Health, Cambridge, UK</aff>
<author-notes>
<corresp id="dys118-COR1">*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:
<email>aa595@medschl.cam.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>4</day>
<month>10</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>10</month>
<year>2013</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>41</volume>
<issue>5</issue>
<fpage>1460</fpage>
<lpage>1471</lpage>
<history>
<date date-type="accepted">
<day>2</day>
<month>7</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-statement>Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2012; all rights reserved.</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract>
<p>
<bold>Background</bold>
Research examining sedentary behaviour as a potentially independent risk factor for chronic disease morbidity and mortality has expanded rapidly in recent years.</p>
<p>
<bold>Methods</bold>
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.</p>
<p>
<bold>Results</bold>
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.</p>
<p>
<bold>Conclusions</bold>
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.</p>
</abstract>
<kwd-group>
<kwd>Sedentary behaviour</kwd>
<kwd>epidemiology</kwd>
<kwd>validity</kwd>
<kwd>reliability</kwd>
</kwd-group>
<counts>
<page-count count="12"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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