ArticleThe international journal of behavioral nutrition and physical activity2018
Systematic comparative validation of self-report measures of sedentary time against an objective measure of postural sitting (activPAL).
Article in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05961943 (Feasibility, Acceptability, and Outcomes of the "RESPONSE-2" Program in Reducing Sedentary Behavior in Patients With Peripheral Arterial Disease), which is not on this map. Cited by 76 papers, 10 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility, Acceptability, and Outcomes of the "RESPONSE-2" Program in Reducing Sedentary Behavior in Patients With Peripheral Arterial Disease: A Mixed Methods Pilot Study
Who cites it
76 citing papers in PubMed, 10 syntheses or guidelines pooled it, 163 citations in OpenAlex.
- Use of Wearable Technology for Measuring and Characterizing Sedentary Behavior in People With Mild Cognitive Impairment and Dementia: Systematic Review.JMIR aging · 2026Pooled it
- Validity and reliability of self-reported methods for assessment of 24-h movement behaviours: a systematic review.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- Effectiveness of workplace interventions with digital elements to reduce sedentary behaviours in office employees: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- The association between sedentary behaviour and sarcopenia in older adults: a systematic review and meta-analysis.BMC geriatrics · 2023Pooled it
- Associations of Sedentary Time with Heart Rate and Heart Rate Variability in Adults: A Systematic Review and Meta-Analysis of Observational Studies.International journal of environmental research and public health · 2021Pooled it
- Sedentary behaviour and bone health in older adults: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Pooled it
- Interventions for reducing sedentary behaviour in community-dwelling older adults.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Validity and reliability of subjective methods to assess sedentary behaviour in adults: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2020Pooled it
- A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2020Pooled it
- Cognitively engaging sedentary activities are associated with better cognitive function in middle-aged adults: a cross-sectional study using the 1970 British Cohort Study.Journal of activity, sedentary and sleep behaviors · 2026Article
- Ubiquitous Non-Wearable Sensor for Human Sedentary Behavior Monitoring and Characterization.Sensors (Basel, Switzerland) · 2026Article
- Association of accelerometer-measured physical activity and sedentary behavior with unplanned hospitalization in older adults: a 6-year longitudinal study.GeroScience · 2026Article
- Beyond "Move More": Combined Physical Activity and Sedentary Behavior Assessment in Individuals with MASLD from Southern Italy.Journal of clinical medicine · 2026Article
- Article
- Every move matters: physical activity, walking, sedentary behavior, and endometrial cancer survival.Cancer causes & control : CCC · 2025Article
- Prospective associations between accelerometer-measured physical activity, sedentary behavior, and healthy longevity: the Women's Health Accelerometry Collaboration.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- Sitting time and risk of cancer incidence and cancer mortality in postmenopausal women: the Women's Health Accelerometry Collaboration.Cancer causes & control : CCC · 2025Article
- Prevalence and correlates of self-reported and accelerometer-determined sedentary behavior and physical activity of German university students: cross-sectional results of the SmartMoving study.BMC public health · 2025Article
- Daily Variability in Sedentary Behaviour and Physical Activity Responsiveness in Older Women.Sensors (Basel, Switzerland) · 2025Article
16 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
12 authors at 6 institutions in 3 countries.
Funding
Abstract
backgroundSedentary behaviour is a public health concern that requires surveillance and epidemiological research. For such large scale studies, self-report tools are a pragmatic measurement solution. A large number of self-report tools are currently in use, but few have been validated against an objective measure of sedentary time and there is no comparative information between tools to guide choice or to enable comparison between studies. The aim of this study was to provide a systematic comparison, generalisable to all tools, of the validity of self-report measures of sedentary time against a gold standard sedentary time objective monitor.
methodsCross sectional data from three cohorts (N = 700) were used in this validation study. Eighteen self-report measures of sedentary time, based on the TAxonomy of Self-report SB Tools (TASST) framework, were compared against an objective measure of postural sitting (activPAL) to provide information, generalizable to all existing tools, on agreement and precision using Bland-Altman statistics, on criterion validity using Pearson correlation, and on data loss.
resultsAll self-report measures showed poor accuracy compared with the objective measure of sedentary time, with very wide limits of agreement and poor precision (random error > 2.5 h). Most tools under-reported total sedentary time and demonstrated low correlations with objective data. The type of assessment used by the tool, whether direct, proxy, or a composite measure, influenced the measurement characteristics. Proxy measures (TV time) and single item direct measures using a visual analogue scale to assess the proportion of the day spent sitting, showed the best combination of precision and data loss. The recall period (e.g. previous week) had little influence on measurement characteristics.
conclusionSelf-report measures of sedentary time result in large bias, poor precision and low correlation with an objective measure of sedentary time. Choice of tool depends on the research context, design and question. Choice can be guided by this systematic comparative validation and, in the case of population surveillance, it recommends to use a visual analog scale and a 7 day recall period. Comparison between studies and improving population estimates of average sedentary time, is possible with the comparative correction factors provided.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.