Validation of Marshall-D to Monitor Domain-specific Sitting Time among Danish Adults

Ida H Danquah¹ and Janne S Tolstrup^1,

¹National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark

Cite this paper:
Ida H Danquah and Janne S Tolstrup. Validation of Marshall-D to Monitor Domain-specific Sitting Time among Danish Adults. Journal of Physical Activity Research. 2020; 5(1):9-13. doi: 10.12691/jpar-5-1-3

Abstract

Awareness of the health risks related to high amounts of sitting has increased the need for reliable and valid measures to monitor sitting time. The aim of the present study was to test the reliability and validity of a modified version of the Marshall domain-specific questionnaire (called Marshall-D) to monitor sitting time in large population-based studies. A convenience sample of 122 participants was included. The questionnaire, Marshall-D, considered sitting on weekdays and weekend days during transport, work, leisure screen time and other leisure sitting time. The questionnaire was repeated after two weeks. Sitting time was measured objectively by Axivity worn on the thigh 24 h/day for seven days. Correlations between test and retest and between objective and self-reported measures were assessed by Spearman’s rank correlation and Bland Altman plots. Data collection took place in Denmark in 2016. 110 participants had valid data. For test-retest reliability Spearman’s rho was 0.68 and 0.35 for weekdays and weekend days. Correlation between self-report and objectively measured total sitting was Spearman’s rho=0.44 for weekdays and for weekend days 0.18. In conclusion Marshall-D was found to have acceptable reliability and validity to monitor sitting time during weekdays in population-based surveys. For weekend days reliability and validity levels were unacceptable.

Keywords:
marshall domain-specific questionnaire workforce sitting questionnaire sedentary behaviour reliability validity

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References:

[1]	Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours". Appl Physiol Nutr Metab 2012, 37(3): 540-542.
[2]	Clemes SA, David BM, Zhao Y, Han X, Brown W: Validity of two self-report measures of sitting time. Journal of physical activity & health 2012, 9(4): 533-539.
[3]	Healy GN, Clark BK, Winkler EA, Gardiner PA, Brown WJ, Matthews CE: Measurement of adults' sedentary time in population-based studies. AmJPrevMed 2011, 41(2): 216-227.
[4]	Pulsford RM, Stamatakis E, Britton AR, Brunner EJ, Hillsdon M: Associations of sitting behaviours with all-cause mortality over a 16-year follow-up: the Whitehall II study. Int J Epidemiol 2015, 44(6): 1909-1916.
[5]	Healy GN, Clark BK, Winkler EA, Gardiner PA, Brown WJ, Matthews CE: Measurement of adults' sedentary time in population-based studies. Am J Prev Med 2011, 41(2): 216-227.
[6]	Chau JY, van der Ploeg HP, Dunn S, Kurko J, Bauman AE: A tool for measuring workers' sitting time by domain: the Workforce Sitting Questionnaire. Br J Sports Med 2011, 45(15): 1216-1222.
[7]	Marshall AL, Miller YD, Burton NW, Brown WJ: Measuring total and domain-specific sitting: a study of reliability and validity. Med Sci Sports Exerc 2010, 42(6): 1094-1102.
[8]	Willis GB: Cognitive Interviewing - A "How To" Guide, vol. 1: Research Triangle Institute; 1999.
[9]	Walter SD, Eliasziw M, Donner A: Sample size and optimal designs for reliability studies. Statist Med 1998, 17(1): 101-110.
[10]	Danquah IH, Petersen CB, Skov SS, Tolstrup JS: Validation of the NPAQ-short - a brief questionnaire to monitor physical activity and compliance with the WHO recommendations. BMC Public Health 2018, 18(1): 601.
[11]	World Medical Association: World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013, 310(20): 2191-2194.
[12]	Axivity product page AX3 [http://axivity.com/product/ax3].
[13]	Ingebrigtsen JS, I.; Christiansen; C., Skotte, J.; Hanisch, C.; Krustrup, P.; Holtermann, A.: Validation of a Commercial and Custom Made Accelerometer-Based Software for Step Cound and Frequency during Walking and Running. Ergonomics 2013, 3(2).
[14]	Skotte J, Korshoj M, Kristiansen J, Hanisch C, Holtermann A: Detection of physical activity types using triaxial accelerometers. Journal of physical activity & health 2014, 11(1):76-84.
[15]	Stemland I, Ingebrigtsen J, Christiansen CS, Jensen BR, Hanisch C, Skotte J, Holtermann A: Validity of the Acti4 method for detection of physical activity types in free-living settings: comparison with video analysis. Ergonomics 2015, 58(6):953-965.
[16]	Danquah IH, Kloster S, Holtermann A, Aadahl M, Bauman A, Ersboll AK, Tolstrup JS: Take a Stand!-a multi-component intervention aimed at reducing sitting time among office workers-a cluster randomized trial. Int J Epidemiol 2016.
[17]	Cleland CL, Hunter RF, Kee F, Cupples ME, Sallis JF, Tully MA: Validity of the global physical activity questionnaire (GPAQ) in assessing levels and change in moderate-vigorous physical activity and sedentary behaviour. BMC Public Health 2014, 14(1): 1255.
[18]	Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF et al: International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc 2003, 35(8): 1381-1395.
[19]	Altman DG: Practical Statistics for Medical Research: Chapman & Hall; 1999.
[20]	Chau JY, van der Ploeg HP, Dunn S, Kurko J, Bauman AE: A tool for measuring workers' sitting time by domain: the Workforce Sitting Questionnaire. BrJSports Med 2011, 45(15):1216-1222.
[21]	Christensen AL, Ekholm O, Davidsen M, Juel K: Sundhed og Sygelighed i Danmark 2010 - og udviklingen siden 1987. In. København: Statens Institut for Folkesundhed, Syddansk Universitet; 2012.