PMID- 20881882 OWN - NLM STAT- MEDLINE DCOM- 20110830 LR - 20220408 IS - 1530-0315 (Electronic) IS - 0195-9131 (Print) IS - 0195-9131 (Linking) VI - 43 IP - 5 DP - 2011 May TI - Comparative validity of physical activity measures in older adults. PG - 867-76 LID - 10.1249/MSS.0b013e3181fc7162 [doi] AB - PURPOSE: To compare the validity of various physical activity measures with doubly labeled water (DLW)-measured physical activity energy expenditure (PAEE) in free-living older adults. METHODS: Fifty-six adults aged >/=65 yr wore three activity monitors (New Lifestyles pedometer, ActiGraph accelerometer, and a SenseWear (SW) armband) during a 10-d free-living period and completed three different surveys (Yale Physical Activity Survey (YPAS), Community Health Activities Model Program for Seniors (CHAMPS), and a modified Physical Activity Scale for the Elderly (modPASE)). Total energy expenditure was measured using DLW, resting metabolic rate was measured with indirect calorimetry, the thermic effect of food was estimated, and from these, estimates of PAEE were calculated. The degree of linear association between the various measures and PAEE was assessed, as were differences in group PAEE, when estimable by a given measure. RESULTS: All three monitors were significantly correlated with PAEE (r=0.48-0.60, P<0.001). Of the questionnaires, only CHAMPS was significantly correlated with PAEE (r=0.28, P=0.04). Statistical comparison of the correlations suggested that the monitors were superior to YPAS and modPASE. Mean squared errors for all correlations were high, and the median PAEE from the different tools was significantly different from DLW for all but the YPAS and regression-estimated PAEE from the ActiGraph. CONCLUSIONS: Objective devices more appropriately rank PAEE than self-reported instruments in older adults, but absolute estimates of PAEE are not accurate. Given the cost differential and ease of use, pedometers seem most useful in this population when ranking by physical activity level is adequate. CI - (c) 2011 by the American College of Sports Medicine FAU - Colbert, Lisa H AU - Colbert LH AD - Department of Kinesiology, University of Wisconsin, Madison, WI 53706, USA. lhcolbert@education.wisc.edu FAU - Matthews, Charles E AU - Matthews CE FAU - Havighurst, Thomas C AU - Havighurst TC FAU - Kim, Kyungmann AU - Kim K FAU - Schoeller, Dale A AU - Schoeller DA LA - eng GR - R21 AG025839/AG/NIA NIH HHS/United States GR - P30 CA014520/CA/NCI NIH HHS/United States GR - P30 CA014520-38/CA/NCI NIH HHS/United States GR - UL1 RR025011/RR/NCRR NIH HHS/United States GR - R21AG025839/AG/NIA NIH HHS/United States GR - R21 AG025839-02/AG/NIA NIH HHS/United States GR - UL1 RR025011-05/RR/NCRR NIH HHS/United States GR - UL1 RR025011-04/RR/NCRR NIH HHS/United States GR - UL1 TR000427/TR/NCATS NIH HHS/United States GR - P30 CA14520/CA/NCI NIH HHS/United States GR - 1UL1RR025011/RR/NCRR NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Validation Study PL - United States TA - Med Sci Sports Exerc JT - Medicine and science in sports and exercise JID - 8005433 SB - IM MH - Actigraphy/*instrumentation MH - Aged MH - Energy Metabolism/physiology MH - Female MH - Humans MH - Male MH - Models, Statistical MH - Motor Activity/*physiology MH - Surveys and Questionnaires/*standards PMC - PMC3303696 MID - NIHMS356986 COIS- The authors report no conflicts of interest. EDAT- 2010/10/01 06:00 MHDA- 2011/08/31 06:00 PMCR- 2012/05/01 CRDT- 2010/10/01 06:00 PHST- 2010/10/01 06:00 [entrez] PHST- 2010/10/01 06:00 [pubmed] PHST- 2011/08/31 06:00 [medline] PHST- 2012/05/01 00:00 [pmc-release] AID - 10.1249/MSS.0b013e3181fc7162 [doi] PST - ppublish SO - Med Sci Sports Exerc. 2011 May;43(5):867-76. doi: 10.1249/MSS.0b013e3181fc7162.