Validation of the Physical Activity Questions in the World Health Organization Health Behavior in School-Aged Children Survey Using Accelerometer Data in Japanese Children and Adolescents

J Phys Act Health. 2021 Feb 1;18(2):151-156. doi: 10.1123/jpah.2019-0671. Epub 2021 Jan 11.

Abstract

Background: An international physical activity (PA) questionnaire is beneficial to make cross-country comparisons among children and adolescents. This study assesses the validity of the PA questions in the World Health Organization Health Behavior in School-Aged Children (WHO HBSC) survey in Japanese children and adolescents.

Methods: Participants were fifth- to sixth-grade Japanese primary school students (67 students aged 10.8 [0.5] y) and first- to third-grade junior high school students (108 students aged 13.0 [0.7] y). The Japanese version of the PA questions in the WHO HBSC (WHO HBSC-J) was used. To assess the validity of the PA questions, the authors used a partial correlation adjusted for sex, age, and relative weight between the answers to the survey questions and objectively measured moderate to vigorous PA (MVPA) by an accelerometer.

Results: A significant positive correlation was found between accelerometer-measured MVPA and the number of reported days with at least 60 minutes/day of MVPA in primary school students (r = .39, P = .002) and junior high school students (r = .32, P < .001).

Conclusion: The HBSC-J has moderate validity for evaluating MVPA in Japanese primary school and junior high school students.

Keywords: accelerometry; epidemiology; youth.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accelerometry
  • Adolescent
  • Child
  • Exercise*
  • Health Behavior
  • Humans
  • Japan
  • Schools*
  • Surveys and Questionnaires
  • World Health Organization