As the importance of physical activity is recognised in health promotion, the task of measuring it becomes a central research and practice challenge. Measurement of physical activity is important to policy makers interested in population surveillance, as well as to practitioners interested in programme evaluation and research. This review outlines 'best practice' in physical activity measurement, and provides an inventory of established physical activity and related measures for use in health promotion programme evaluation, research and surveillance at the national and local level.
Addy, C.L., Wilson, D.K., Kirtland, K.A., Ainsworth, B.E., Sharpe, P. and Kimsey, D. (2004): Associations of perceived social and physical environmental supports with physical activity and walking behaviour. American Journal of Public Health. 94 (3), 440-443.
2.
Ainsworth, B.E., Haskell, W.L., Whitt, M.C., Irwin, M.L., Swartz, A.M., Strath, S.J. et al. (2000): Compendium of Physical Activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise. 32, S498-516.
3.
Ainsworth, B.E., Leon, A.S., Richardson, M.T., Jacobs Jr., D.R. and Paffenbarger, R.S. (1993): Accuracy of the College Alumnus Physical Activity Questionnaire. Journal of Clinical Epidemiology. 46, 1403-1411.
4.
Albanes, D., Conway, J.M., Taylor, PR, Moe, P.W. and Judd, J. (1990): Validation and comparison of eight physical activity questionnaires. Epidemiology. 1, 65-71.
5.
American College of Sports Medicine (ACSM, 1978) The recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults. Medicine and Science in Sports. 10, vii-x.
6.
Andersen, L.B., Schnohr, P., Schroll, M. and Hein, H.O. (2000) All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Arch Intern Med. 160(11), pp. 1621-1628.
7.
Ball, K., Bauman, A., Leslie, E. and Owen, N. (2001): Perceived environmental aesthetics and convenience and company are associated with walking for exercise amongAustralian adults. Preventive Medicine. 33, 434-440.
8.
Bauman, A. (1987): Trends in exercise prevalence in Australia. Community Health Studies. 11 (3), 190-6.
9.
Bauman, A. and Merom, D. (2002): Measurement and surveillance of physical activity in Australia - an introductory guide. Australasian Epidemiologist . 9 (2), 2-6.
10.
Bauman, A., Armstrong, T., Davies, J., Owen, N., Brown, W., Bellew, B., Vita, P. (2003): Trends in physical activity participation and the impact of integrated campaigns among Australian adults, 1997-1999. Australia and New Zealand Journal of Public Health, 27, 76-79
11.
Bauman, A., Sallis, J.F. and Owen, N. (2002): Environmental and policy measurement in physical activity research. In G. Welk (Ed.). Physical Activity Assessments for HealthRelated Research (pp. 241-251). Champaign, Illinois: Human Kinetics.
12.
Bauman, A. (2004): Updating the evidence that physical activity is good for health - an epidemiological review 2000-2003. Journal of Science and Medicine in Sport. Physical Activity Supplement, 7 (1), 6-19.
13.
Booth, M.L., Owen, N., Bauman, A., Clavisi, O. and Leslie, E. (2000): Social-cognitive and perceived environment influences associated with physical activity in older Australians. Preventive Medicine. 31, 15-22.
14.
Booth, M., Owen, N., Bauman, A., and Gore, C. (1996): Retest reliability of recall measures of leisure time physical activity inAustralian adults. International Journal of Epidemiology, 25, 15-159.
15.
Brown, W., Trost, S., Bauman, A., Mummery, K. and Owen, N. (2004): Test retest reliability of four physical activity measures used in populations. Journal of Sports Science and Medicine. 7 (2), 205-215.
16.
Brown, W.J. and Bauman, A.E. (2000): Comparing two estimates of population levels of physical activity using two measures. Australia and New Zealand Journal of Public Health, 24, 520-5.
17.
Brownson, R.C., Housemann, R.A., Brown, D.R., Jackson-Thompson, J., King, A.C., Malone, B.R., Sallis, J.F. (2000): Promoting physical activity in rural communities: walking trail access, use, and effects. American Journal of Preventive Medicine. 18, 235-41.
18.
Caspersen, C.J. (1985): Physical activity, exercise and fitness: definitions and distinctions for health related research. Public Health Reports. 100 (2), 126-131.
19.
Cavill, N., and Bauman, A. (2004): Changing the way people think about health-enhancing physical activity: do mass media campaigns have a role? Journal of Sports Sciences. 22, 771-90.
20.
Centers for Disease Control and Prevention (CDC) (2003): Behavioral Risk Factor Surveillance System State Questionnaire. Dec 2002, Atlanta, USA.
21.
Cerin, E., Leslie, E., Bauman, A. and Owen, N. (2005): Levels of physical activity for colon-cancer prevention compared to generic public health recommendations: Population prevalence and socio-demographic correlates. Cancer Epidemiology, Biomarkers and Prevention. 14, 1000-1002.
22.
Craig, C.L., Russell, S.J., Cameron, C. and Bauman, A. (2004): Twenty-year trends in physical activity among Canadian adults. Canadian Journal of Public Health. Revue Canadienne de Sante Publique. 95 (1), 5963.
23.
Craig, C.L., Marshall, A.L., Sjostrom, M., Bauman, A., Booth, M.L., Ainsworth, B.E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J.F. and Oja, P. (2003): International Physical Activity Questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise. 1381-1395.
24.
Craig, C.L., Brownson, R.C., Cragg, S.E., Dunn, A.L. (2002): Exploring the effect of the environment on physical activity. A study examining walking to work. American Journal of Preventive Medicine. 23 (2S), 36-43.
25.
Denmark-Wahnefried, W., Morey, M.C., Clipp, E.C., Pieper, C.F., Clutter Snyder, D., Sloane, R. and Cohen, H.J. (2003): Controlled Clinical Trials. 24, 206-223.
26.
DiPietro, L., Caspersen, C.J., Ostfeld, A.M. and Nadel, E.R. (1993): A survey for assessing physical activity among older adults. Medicine and Science in Sport and Exercise. 25, 628-642.
27.
Dishman, R.K. and Steinhardt, M. (1988): Reliability and concurrent validity for a 7-d recall of physical activity in college students. Medicine and Science in Sports and Exercise. 20, 14-25.
28.
Evenson KR, McGinn AP (2005) Test-retest reliability of a questionnaire to assess physical environmental factors pertaining to physical activity. Int J Behav Nutr Phys Act. Jun15;2:7.
29.
Folsom, A.R., Jacobs, D.R., Caspersen, C.J., Gomez-Marin, O. and Knudsen, J. (1986): Test-retest reliability of the Minnesota Leisure Time Physical Activity Questionnaire. Journal of Chronic Diseases . 39, 505-511.
30.
Giles-Cortie, B. and Donovan, R.J. (2002): Socioeconomic status differences in recreational physical activity levels and real perceived access to a supportive physical environment. Preventive Medicine. 35, 601-611.
31.
Godin, G. and Shephard, R.J. (1985): A simple method to assess exercise behaviour in the community. Canadian Journal of Applied Sport Science . 8, 104-114.
32.
Godin, G., Jobin, J. and Bouillon, J. (1986): Assessment of leisure time exercise behaviour by self-report: A concurrent validity study. Canadian Journal of Public Health. 77, 359-362.
33.
Harada, N.D., Chiu, V., King, A.C. and Stewart, A.L. (2001): An evaluation of three self-report physical activity instruments for older adults. Medicine and Science in Sports and Exercise. 962-970.
34.
Helasoja, V., Prättälä, R., Dregval, L., Pudule, I. and Kasmel, A. (2002): Late response and item nonresponse in the Finbalt Health Monitor survey. European Journal of Public Health . 12 (2), 17-23.
35.
Jacobs, D.R. (1997): Minnesota Leisure-Time Physical Activity Questionnaire . Medicine and Science in Sports and Exercise. Suppl29 (6), S62-S72.
36.
Jacobs, D.R., Ainsworth, B.E., Hartman, T.J., Leon, A.S. (1993): A simultaneous evaluation of ten commonly used physical activity questionnaires. Medicine and Science in Sports and Exercise. 25, 81-91.
37.
Kendzierski, D. and DeCarlo, K.J. (1991): Physical Activity Enjoyment Scale: Two Validation Studies. Journal of Sport and Exercise Psychology. 13, 50-64.
38.
Kerner, M.S and Grossman, A.H. (2001): Scale construction for measuring attitude, beliefs, perception of control, and intention to exercise. Journal of Sports Medicine and Physical Fitness. 41, 124-131.
39.
King, A.C., Castro, C., Wilcox, S., Eyler, A.A., Sallis, J.F. and Brownson, R.C. (2000) Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and olderaged women. Health Psychology. 19 (4), 354-364.
40.
Kirtland, K.A., Porter, D.E., Addy, C.L., Neet, M.J., Williams, J.E., Sharpe, P.A., Neff, L.J., Kimsey Jr, C.D. and Ainsworth, B.E. (2003): Environmental measures of physical activity supports - perception versus reality. American Journal of Preventive Medicine. 24 (4), 323-331.
41.
Kriska AM, Caspersen, C.J. (1997). Introduction to a collection of physical activity questionnaires. Medicine and Science in Sports and Exercise.29 (6), S5-S9.
42.
Leslie, E., Owen, N., Salmon, J., Bauman, A., Sallis, J.F. and Kai Lo, S. (1999): Insufficiently Active Australian College Students: perceived personal, social, and environmental influences. Preventive Medicine. 28, 20-27.
43.
Lowther, M., Mutrie, N., Loughlan, C. and McFarlane, C. (1999): Development of a Scottish physical activity questionnaire: a tool for use in physical activity interventions. British Journal of Sports Medicine. 33, 244-249. McKenzie, T.L., Marshall, S.J., Sallis, J.F. and Conway, T.L. (2000): Leisure-time physical activity in school environments: an observational study using SOPLAY. Preventive Medicine. 30, 70-7.
44.
Marcus, B.H., Rakowski, W. and Rossi, JS (1992): Assessing motivational readiness and decision-making for exercise. Health Psychology. 11, 257-261.
45.
Manson JE, Greenland P., LaCroix AZ, Stefanick ML, Mouton CP, Oberman A., Perri MG, Sheps DS, Pettinger MB, Siscovick DS (2002) Walking compared with vigorous exercise for the prevention of cardiovascular events in women. New England Journal of Medicine. 347, 716-25.
46.
Mathers, C., Vos , T., Stevenson, C. (1999). The burden of disease and injury in Australia. AIHW cat. no. PHE 17. Canberra: Australian Institute of Health and Welfare .
47.
Merom, D., Bauman, A., Vita, P., Close, G. (2003): An environmental intervention to promote walking and cycling-the impact of a newly constructed Rail Trail in Western Sydney . Preventive Medicine. 36, 235-42.
48.
Nelson, D.E., Holtzman, D., Bolen, J., Stanwyck, C.A. and Mack, K.A. (2001): Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). Sozial- und Praeventivmedizin.46 (Suppl 1), S3-42.
49.
Nutbeam D.Evaluating health promotion- progress, problems and solutions. 1998 . Health Promotion International. 13 (1), 27-44.
50.
Nutbeam D., Bauman A.Evaluation in a nutshell. McGraw-HillSydney2006 (in press).
51.
Owen, N., Humpel, N., Leslie, E., Bauman, A. and Sallis, J.F (2004). Understanding environmental influences on walking: Review and research agenda. American Journal of Preventive Medicine. 27, 67-76.
52.
Pikora, T., Giles-Corti, B., Bull, F., Jamrozik, K., Donovan, R. (2003): Developing a framework for assessment of the environmental determinants of walking and cycling. Social Science and Medicine . 56, 1693-1703.
53.
Pikora, T.J., Bull, F.C.L., Jamrozik, K., Knuiman, M., Giles-Cortie, B. and Donovan, R.J. (2002): Developing a reliable audit instrument to measure the physical activity environment for physical activity. American Journal of Preventive Medicine. 23 (3), 187-194.
54.
Prättälä, R., Helasoja, V. and the Finbalt-group. (2003): Finbalt Health Monitor. Monitoring health behaviour in Finland and the Baltic countries. In: McQueen, D. , Puska, P. (ed). Global Behaviour Risk Factor Surveillance. pp. 57-72. New York: Kluwer.
55.
Prättälä, R., Helasoja, V., Kasmel, A., Klumbiene, J. and Pudule, I. (1999): FINBALT Health Monitor - Feasibility of a collaborative system for monitoring health behaviour in Finland and Baltic countries. Publications of the National Public Health Institute B21/1999, Helsinki.
56.
Rauh, M.J.D., Hovell, M.F., Hofstetter, C.R., Sallis, J.F., Gleghorn, A. (1992): Reliability and validity of self-reported physical activity in Latinos. International Journal of Epidemiology . 21, 966-971.
57.
Resnick, B. and Jenkins, L.S. (2000): Testing the reliability and validity of the Self-efficacy for Exercise Scale. Nursing Research. 49 (3), 154-159.
58.
Rhodes, R.E. and Courneya, K.S. (2003): Investigating multiple components of attitude, subjective norm, and perceived control: An examination of the theory of planned behaviour in the exercise domain. British Journal of Social Psychology. 42, 129-146.
59.
Richardson, M.T., Leon, A.S., Jacobs, D.R., Ainsworth, B.E. and Serfass, R. (1994): Comprehensive evaluation of the Minnesota Leisure Time Physical Activity Questionnaire. Journal of Clinical Epidemiology. 47 (3), 271-281.
60.
Saelens, B.E., Sallis, J.F., Black, J.B. and Chen, D. (2003) Neighborhood-based differences in physical activity: and environment scale evaluation. American Journal of Public Health. 93 (9), 1552-1558.
61.
Sallis, J.F. (1997): Seven-Day Physical Activity Recall. Medicine and Science in Sports and Exercise. Suppl29 (6), S89-S103.
62.
Sallis, J.F., Bauman, A., Pratt, M. (1998): Environmental and policy interventions to promote physical activity. American Journal of Preventive Medicine . 15 (4), 379-397.
63.
Sallis, J.F., Pinski, R.B., GrossmanR.M., Patterson, T.L. and Nader, P.R. (1987): The development of scales to measure social support for diet and exercise behaviors. Preventive Medicine. 16, 825-836.
64.
Sallis, J.F., Johnson, M.F., Calfas, K.J., Caparosa, S. and Nichols, J.F. (1997): Assessing perceived physical environmental variables that may influence physical activity. Research Quarterly for Exercise and Sport. 68 (4), 345-351.
65.
Sallis, J. F and Owen, N. (2002): Ecological models of health behavior. In K. Glanz, F.M. Lewis and B.K. Rimer (Eds.). Health Behaviour and Health Education: Theory, Research, and Practice . pp. 462-484. 3rd edn. San Francisco: Jossey-Bass.
66.
Sallis, J.F. and Owen, N. (1999): Physical activity and behavioral medicine. Thousand Oaks, Ca., Sage.
67.
Sallis, J.F., Pinski, R.B., Grossman, R.M., Patterson, T.L. and Nader, P.R. (1988): The development of self-efficacy scales for health-related diet and exercise behaviours. Health Education Research. 3, 283-292.
68.
Saris WH, Blair SN, van Baak MA, Eaton SB, Davies PS, Di Pietro L., Fogelholm M., Rissanen A., Schoeller D., Swinburn B., Tremblay A., Westerterp KR, Wyatt H.2003. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1 st Stock Conference and consensus statement . Obes Rev. 4(2):10114.
69.
Sobngwi, E., Mbanya, J.C.N., Unwin, N.C. and Aspray, T.J. (2001): Development and validation of a questionnaire for the assessment of physical activity in epidemiological studies in Sub-Saharan Africa. International Journal of Epidemiology. 30, 1361-1368.
70.
Stahl, T., Rutten, A., Nutbeam, D., Bauman, A., Kannas, L., Abel, T., Lüschen, G., Rodriquez, D.J.A., Vinck, J. and van der Zee, J. (2001): The importance of the social environment for physically active lifestyle - results from an international study. Social Science and Medicine. 52, 1-10.
71.
Stein, A.D., Lederman, R.I. and Shea, S. (1993): The Behavioral Risk factor Surveillance System Questionnaire: Its reliability on a state-wide sample. American Journal of Public Health. 83 (12), 1768-1772.
72.
Stewart, A.L., Mills, K.M., King, A.C., Haskell, W.L., Gillis, D. and Ritter, P.L. (2001): CHAMPS Physical Activity Questionnaire for older adults: outcomes for interventions. Medicine and Science in Sports and Exercise. 1126-1141.
73.
Taylor, H.L., Jacobs, D.R., Shucker, B., Knudsen, J., Leon, A.S. and DeBacker, G. (1978): A questionnaire for the assessment of leisure-time physical activities. Journal of Chronic Diseases. 31, 741-755.
74.
Taylor, C.B., Coffey, T., Berra, K., laffaldano, R., Casey, K. and Haskell, W.L. (1984): Sevenday activity and self report compared to a direct measure of physical activity. American Journal of Epidemiology. 127, 933-941.
75.
Thune, I. and Furberg, A. (2001): Physical activity and cancer risk: dose response and cancer, all sites and site specific. Medicine and Science in Sports and Exercise. 33 (6), S520-550.
76.
Tudor-Locke, C.E. and Myers, A.M. (2001): Challenges and opportunities for measuring physical activity in sedentary adults. Sports Medicine. 31, 91-100.
77.
Tuomilehto, J., Lindstrom, J., Eriksson, J.G., et al., for the Finnish Diabetes Prevention Study Group. (2001): Prevention of Type 2 Diabetes Mellitus by Changes in Lifestyle among Subjects with Impaired Glucose Tolerance , New England Journal of Medicine, 344, 1343-1350.
78.
United States Department of Health and Human Services (USDHHS) (1996): Physical activity and health: a report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion.
79.
Washburn, R., Heath, G. and Jackson, A. (2000): Reliability and validity issues concerning large scale surveillance of physical activity. Research Quarterly Exercise and Sport. 71, 104-113.
80.
Washburn, R.A., Smith, L.L., Goldfield, S.R. and McKinlay, J.R. (1991) Reliability and physiologic correlates of the Harvard Alumni Activity Survey in a general population. Journal of Clinical Epidemiology. 44, 1319-1326.
81.
Welk, G.J. (Ed) (2002): Physical activity assessments for health-related research. Human Kinetics.
82.
Wilcox, S., Castro, C., King, A.C., Housemann, R. and Brownson, R.C. (2000): Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. Journal of Epidemiology and Community Health. 54 (9), 667-672.
83.
World Health Organization (2005). Preventing Chronic Disease - a vital investment, www.who.int/chp WHO, Geneva, Switzerland: World Health Organization .
84.
World Health Organization. (2004): Global Strategy on Diet, Physical Activity and Health. 22 May 2004. WHA57.17 . Geneva, Switzerland: World Health Organization.