Impact of methodological approaches in the agreement between subjective and objective methods for assessing screen time and sedentary behavior in pediatric population: a systematic review

Author(s)

Nascimento-Ferreira, Marcus Vinicius ^{[1, 2]} ; Ferreira de Moraes, Augusto Cesar ^{[3, 1]} ; Rendo-Urteaga, Tara ^[1] ; Toazza Oliveira, Paulo Vinicius ^[1] ; Moreno, Luis A. ^{[1, 2]} ; Carvalho, Heraclito Barbosa ^[1]

Affiliation

^[1] Univ Sao Paulo, Sch Med, Youth Child Cardiovasc Risk & Environm YCARE Res, Sao Paulo - Brazil

^[2] Univ Zaragoza, Fac Hlth Sci, Growth Exercise Nutr & Dev GENUD Res Grp, IA2, IIS Aragon, CIBERObn, Zaragoza - Spain

^[3] Univ Sao Paulo, Sch Publ Hlth, Dept Epidemiol, Sao Paulo, SP - Brazil

• Document type: Journal article
• Source: NUTRICION HOSPITALARIA; v. 36, n. 2, p. 449-462, MAR-APR 2019.
• Web of Science Citations: 0

Abstract

Abstract Introduction: sedentary behavior is an important target for health promotion. In this systematic review, we aimed to provide evidence to support decisions about measurement approach choices for subjectively assessing sedentary behavior in pediatric population, adopting objective methods as the reference. Methods: in this systematic review with meta-analysis, published studies were retrieved from electronic databases: Medline (PubMed), Web of Science, Embase, SPORTDiscus, BioMed Central and SCOPUS. We considered studies evaluating sedentary behavior agreement through questionnaire and/or diary in comparison with an objective measure. A total of six inclusion criteria were used. We synthesized the data using correlation coefficients (r) as an indicator of agreement estimates. The review protocol is registered in the PROSPERO database (CRD42014015138). Results: a total of 14 studies met the inclusion criteria with ages ranging from 3 to 17.5 years and provided 17 agreement analyses. Thirteen of these agreement analyses (76.5%) reported correlation coefficients. We found two major groups of sedentary activities: screen time (47.1%) and sedentary behaviors (52.9%). The pooled agreement between questionnaires and accelerometers for assessing self-reported screen time was negative (r = -0.15; CI 95%: -0.17 to -0.13). Conversely, when the sedentary behavior was assessed by questionnaires and accelerometers, the pooled agreement was positive for parent-reporting (r = 0.09; CI 95%: 0.04 to 0.13) and self-reporting (r = 0.43; CI 95%: 0.40 to 0.47) in children and adolescents, respectively. Conclusion: questionnaires have positive agreement with accelerometers for assessing sedentary behavior, whereas the agreement is negative for assessing screen time. Self-reported questionnaires are recommended methods to measure sedentary behavior in adolescents. (AU)

• FAPESP's process: 17/11732-3 - Statistical approach in the validation of energy balance-related behaviors: agreement between theory and practice
• Grantee: Marcus Vinicius Nascimento Ferreira
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate
• FAPESP's process: 19/02617-1 - New frontiers in pediatric nutritional and cardiovascular health: Methods development to assess the double burden of malnutrition and ideal cardiovascular health in low-in-middle income countries - SAYCARE Cohort Study
• Grantee: Augusto César Ferreira de Moraes
• Support Opportunities: Scholarships in Brazil - Young Researchers
• FAPESP's process: 15/11406-3 - SAYCARE study: South American youth/child cardiovascular and environmental study
• Grantee: Heraclito Barbosa de Carvalho
• Support Opportunities: Research Grants - Visiting Researcher Grant - International
• FAPESP's process: 17/20317-0 - New frontiers in pediatric nutritional and cardiovascular health: methods development to assess the double burden of malnutrition and ideal cardiovascular health in low-in-middle income countries - SAYCARE cohort study
• Grantee: Augusto César Ferreira de Moraes
• Support Opportunities: Research Grants - Young Investigators Grants
• FAPESP's process: 14/25233-0 - Development and validation of methods to assess dietary intake and body composition in a multicenter study: SAYCARE study
• Grantee: Tara Rendo Urteaga
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• FAPESP's process: 16/18436-8 - Measurement of energy expenditure levels in children and adolescents: validation of methods for studies epidemiologic
• Grantee: Marcus Vinicius Nascimento Ferreira
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 14/13367-2 - Design and implementation of methods to assess behaviors related to energy balance in children/adolescents in a multicenter study: SAYCARE study
• Grantee: Augusto César Ferreira de Moraes
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• FAPESP's process: 15/14319-4 - Energy balance-related behaviors in the SAYCARE study - compared and agreement to objective measurement and self-reported: a validation statistical methods
• Grantee: Augusto César Ferreira de Moraes
• Support Opportunities: Scholarships abroad - Research Internship - Post-doctor
• FAPESP's process: 14/11468-6 - Design and implementation of the SAYCARE Study: South American Youth/Child Cardiovascular and Environmental Study
• Grantee: Heraclito Barbosa de Carvalho
• Support Opportunities: Regular Research Grants