PMID- 36126942 OWN - NLM STAT- MEDLINE DCOM- 20221005 LR - 20230404 IS - 1543-5474 (Electronic) IS - 1543-3080 (Linking) VI - 19 IP - 10 DP - 2022 Oct 1 TI - Understanding of the Single-Item Physical Activity Question for Population Surveillance. PG - 681-686 LID - 10.1123/jpah.2022-0369 [doi] AB - BACKGROUND: Sport New Zealand conducts continuous representative "Active NZ" surveys. Between 2019 and 2020 (n = 13,887), these surveys asked International Physical Activity Questionnaire (IPAQ)-long-form questions, the single-item days (SI-days) per week question, and 1 question on hours per week (single-item hours [SI-hours] per week). This study examines relationships between the established SI-days question and meeting physical activity (PA) guidelines (150 min moderate-to-vigorous physical activity per week from SI-hours question and IPAQ). METHODS: Analyses were descriptive, and the best fit between SI-days and the PA thresholds was estimated using area under the receiver operator characteristic curves and Youden index. RESULTS: Using SI-hours, 60.6% achieved 150+ minutes; 85.2% reported the IPAQ-total minimum threshold, and 40.8% met the IPAQ-leisure time PA-only threshold. Receiver operator characteristic analyses showed area under the curve values with IPAQ between 0.63 and 0.76, but the SI-days showed a very good area under the curve of 0.82 (0.81-0.83) with the SI-hours 150-minute threshold. Youden index suggested the best fit was at 3+ days per week for maximizing Sensitivity and Specificity to meet IPAQ or SI-hours-defined PA guidelines. DISCUSSION: The SI-days per week question reflects achieving PA guidelines, and the best fit was with the SI-hours per week question. This provides surveillance-relevant concurrent validity for the SI-days measure, but the cut point for broadly meeting guidelines appears to be at least 3 days per week, not 5 days per week as previously thought. FAU - Bauman, Adrian E AU - Bauman AE AUID- ORCID: 0000-0002-0369-4621 AD - School of Public Health, Sydney University, Camperdown, NSW,Australia. FAU - Richards, Justin A AU - Richards JA AD - Te Hau Kori, Victoria University of Wellington (Te Herenga Waka), Wellington,New Zealand. LA - eng PT - Journal Article DEP - 20220919 PL - United States TA - J Phys Act Health JT - Journal of physical activity & health JID - 101189457 SB - IM EIN - J Phys Act Health. 2023 Jan 31;aheadofprint(aheadofprint):. PMID: 36854388 EIN - J Phys Act Health. 2023 Jan 31;aheadofprint(aheadofprint):. PMID: 36854389 MH - *Exercise MH - Humans MH - *Motor Activity MH - Population Surveillance MH - Reproducibility of Results MH - Surveys and Questionnaires OTO - NOTNLM OT - guidelines OT - measurement OT - physical activity OT - surveillance OT - validity EDAT- 2022/09/21 06:00 MHDA- 2022/10/06 06:00 CRDT- 2022/09/20 19:42 PHST- 2022/07/10 00:00 [received] PHST- 2022/08/17 00:00 [revised] PHST- 2022/08/18 00:00 [accepted] PHST- 2022/09/21 06:00 [pubmed] PHST- 2022/10/06 06:00 [medline] PHST- 2022/09/20 19:42 [entrez] AID - 10.1123/jpah.2022-0369 [doi] PST - epublish SO - J Phys Act Health. 2022 Sep 19;19(10):681-686. doi: 10.1123/jpah.2022-0369. Print 2022 Oct 1.