Reliability and validity of a sedentary behavior questionnaire for South American pediatric population: SAYCARE study

Author(s):Show less -

Ferreira De Moraes, Augusto Cesar ^{[1, 2]} ; Vinicius Nascimento-Ferreira, Marcus ^{[2, 3]} ; de Moraes Forjaz, Claudia Lucia ^[4] ; Carlos Aristizabal, Juan ^[5] ; Azzaretti, Leticia ^[6] ; Nascimento Junior, Walter Viana ^[7] ; Miguel-Berges, Maria L. ^[3] ; Skapino, Estela ^[8] ; Delgado, Carlos ^{[9, 10]} ; Moreno, Luis A. ^[3] ; Carvalho, Heraclito Barbosa ^[2]

Affiliation

^[1] Univ Sao Paulo, Sch Publ Hlth, Dept Epidemiol, Sao Paulo - Brazil

^[2] Univ Sao Paulo, Fac Med, YCARE Youth Child cArdiovasc Risk & Environm Res, Sao Paulo - Brazil

^[3] Univ Zaragoza, Growth Exercise NUtr & Dev GENUD Res Grp, Inst Invest Sanitaria Aragon IIS Aragon, IA2, Ctr Invest Biomed Red Fisiopatol Obesidad & N, Zaragoza - Spain

^[4] Univ Sao Paulo, Sch Phys Educ & Sport, Exercise Hemodynam Lab, Sao Paulo - Brazil

^[5] Univ Antioquia, Grp Invest Fisiol & Bioquim PHYSIS, Medellin - Colombia

^[6] Univ Buenos Aires, Fac Med, Escuela Nutr, Buenos Aires, DF - Argentina

^[7] Univ Fed Piaui, Metab Dis Exercise & Nutr DOMEN Res Grp, Teresina - Brazil

^[8] UdelaR, Escuela Nutr, Montevideo - Uruguay

^[9] UNMSM, Sch Med, Dept Pediat, Lima - Peru

^[10] INSN, Neonatal Unit, Lima - Peru

• Document type: Journal article
• Source: BMC MEDICAL RESEARCH METHODOLOGY; v. 20, n. 1 JAN 10 2020.
• Web of Science Citations: 0

Abstract

Background Multicenter studies from Europe and the United States have developed specifically standardized questionnaires for assessing and comparing sedentary behavior, but they cannot be directly applied for South American countries. The aim of this study was to assess the reliability and validity of the South American Youth Cardiovascular and Environmental (SAYCARE) sedentary behavior questionnaire. Methods Children and adolescents from seven South American cities were involved in the test-retest reliability (children: n = 55; adolescents: n = 106) and concurrent validity (children: n = 93; adolescents: n = 94) studies. The SAYCARE sedentary behavior questionnaire was administered twice with two-week interval and the behaviors were parent-reported for children and self-reported for adolescents. Questions included time spent watching television, using a computer, playing console games, passive playing (only in children) and studying (only in adolescents) over the past week. Accelerometer was used for at least 3 days, including at least one weekend day. We compared values of sedentary time, using accelerometers, by quartiles of reported sedentary behavior time and their sum. Results The reliability of sedentary behavior time was moderate for children (rho >= 0.45 and k >= 0.40) and adolescents (rho >= 0.30). Comparisons between the questionnaire and accelerometer showed a low overall agreement, with the questionnaire systematically underreporting sedentary time in children (at least, - 332.6 +/- 138.5 min/day) and adolescents (at least, - 399.7 +/- 105.0 min/day). Conclusion The SAYCARE sedentary behavior questionnaire has acceptable reliability in children and adolescents. However, the findings of current study indicate that SAYCARE questionnaire is not surrogate of total sedentary time. (AU)

• 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: 14/11468-6 - 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
• 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: 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: 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: 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