Reliability and validity of a screen time-based sedentary behaviour questionnaire for adolescents: The HELENA study

Rey-Lopez, J. P.; Ruiz, J. R.; Ortega, F. B.; Verloigne, M.; Vicente-Rodriguez, G.; Gracia-Marco, L.; Gottrand, F.; Molnar, D.; Widhalm, K.; Zaccaria, M.; Cuenca-Garcia, M.; Sjostrom, M.; De Bourdeaudhuij, I.; Moreno, L. A.; Moreno, L. A.; Gottrand, F.; De Henauw, S.; Gonzalez-Gross, M.; Gilbert, C.; Kafatos, A.; Libersa, C.; Sanchez, J.; Kersting, M.; Molnar, D.; Dallongeville, J.; Gilbert, C.; Hall, G.; Maes, L.; Scalfi, L.; Melendez, L.; Fleta, J.; Casajus, J.; Rodriguez, J.; Tomas, J.; Mesana, M. I.; Villarroya, A.; Gil, G. M.; Ara, I.; Revenga, J.; Lachen, C.; Fernandez Alvira, C.; Bueno, G.; Lazaro, A.; Bueno, O.; Leon, J. F.; Garagorri, J. M. A.; Bueno, M.; Bueno, M.; Reylopez, J. P.; Iglesia, I.; Velasco, P.; Bel, S.; Gracia-Marco, L.; Mouratidou, T.; Marcos, A.; Warnberg, J.; Nova, E.; Gomez, S.; Ligiadiaz, E.; Romeo, J.; Veses, A.; Angeles Puertollano, M.; Zapatera, B.; Pozo, T.; Beghin, L.; Libersa, C.; Iliescu, C.; Von Berlepsch, J.; Sichert-Hellert, W.; Koeppen, E.; Molnar, D.; Erhardt, E.; Csernus, K.; Torok, K.; Bokor, S.; Angster, M.; Nagy, E.; Kovacs, E.; Repasi, J.; Kafatos, A.; Codrington, C.; Plada, M.; Papadaki, A.; Sarri, K.; Viskadourou, A.; Hatzis, C.; Kiriakakis, M.; Tsibinos, G.; Vardavas, C.; Sbokos, M.; Protoyeraki, E.; Fasoulaki, M.; Stehle, P.; Pietrzik, K.; Breidenassel, C.; Spinneker, A.; Al-Tahan, J.; Segoviano, M.; Berchtold, A.; Bierschbach, C.; Blatzheim, E.; Schuch, A.; Pickert, P.; Castillo, M. J.; Gutierrez, A.; Ruiz, J. R.; Artero, E. G.; Espana, V.; Jimenez-Pavon, D.; Chillon, P.; Sanchez-Munoz, C.; Cuenca, M.; Arcella, D.; Azzini, E.; Barrison, E.; Bevilacqua, N.; Buonocore, P.; Catasta, G.; Censi, L.; Ciarapica, D.; D'Acapito, D.; Ferrari, M.; Galfo, M.; Le Donne, C.; Leclercq, C.; Maiani, G.; Mauro, B.; Mistura, L.; Pasquali, A.; Piccinelli, R.; Polito, A.; Spada, R.; Sette, S.; Zaccaria, M.; Scalfi, L.; Vitaglione, P.; Montagnese, C.; De Bourdeaudhuij, I.; De Vriendt, T.; Maes, L.; Matthys, C.; Vereecken, C.; De Maeyer, M.; Ottevaere, C.; Huybrechts, I.; Widhalm, K.; Phillipp, K.; Dietrich, S.; Kubelka, B.; Boriss-Riedl, M.; Manios, Y.; Grammatikaki, E.; Bouloubasi, Z.; Louisa Cook, T.; Eleutheriou, S.; Consta, O.; Moschonis, G.; Katsaroli, I.; Kraniou, G.; Papoutsou, S.; Keke, D.; Petraki, I.; Bellou, E.; Tanagra, S.; Kallianoti, K.; Argyropoulou, D.; Kondaki, K.; Tsikrika, C.; Karaiskos, C.; Dallongeville, J.; Meirhaeghe, A.; Ruiz, J.; Hagstromer, M.; Hallstrom, L.; Patterson, E.; Kwak, L.; Rizzo, N.; Hurtig Wennlof, A.; Sanchez-Molero, J.; Pico, E.; Navarro, M.; Viadel, B.; Carreres, J. E.; Merino, G.; Sanjuan, R.; Lorente, M.; Sanchez, M. J.; Castello, S.; Thomas, S.; Allchurch, E.; Burguess, P.; Astrom, A.; Sverken, A.; Broberg, A.; Masson, A.; Lehoux, C.; Brabant, P.; Pate, P.; Fontaine, L.; Sebok, A.; Kuti, T.; Hegyi, A.; Maldonado, C.; Llorente, A.; Carnicas, A.; Garcia, E.; Von Fircks, H.; Lilja Hallberg, M.; Messerer, M.; Larsson, M.; Fredriksson, H.; Adamsson, V.; Borjesson, I.; Fernandez, L.; Smillie, L.; Wills, J.; Melendez, A.; Benito, P. J.; Calderon, J.; Valtuena, J.; Navarro, P.; Urzanqui, A.; Albers, U.; Pedrero, R.; Gomez Lorente, J. J.

doi:10.1093/eurpub/ckr040

Background: Although there is a growing interest in the epidemiology of sedentary behaviours, it is unknown whether sedentary behaviour questionnaires are broad markers of sedentary time. The aims of this study were to determine the: (i) reliability of the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) screen time-based sedentary behaviour questionnaire; and (ii) its validity, i.e. The ability of the questionnaire to correctly rank adolescents according to the objectively measured sedentary time. Methods: A total of 183 adolescents (104 females aged 12.5-17.5 years) were involved in the reliability study. Participants completed the HELENA sedentary questionnaire twice (1 week apart). The validity study comprised 2048 (1212 females) adolescents (12.5-17.5 years of age) included in the HELENA cross-sectional study. Questions included television viewing, computer games, console games, Internet for study and non-study reasons and study during week and weekend days. We compared median values of sedentary time, using accelerometers, by tertiles of self-reported sedentary behaviours and their sum (composite sedentary score). Results: Reliability study: κ-values showed a good agreement (>0.7), except for Internet for study reasons (0.46 weekdays, 0.33 weekend). The questionnaire correctly classified boys' sedentary time when analysed by specific behaviours and by a composite sedentary score. In girls, median values of objectively measured sedentary time were not different across tertiles of self-reported sedentary behaviours or the composite sedentary score. Conclusion: The HELENA sedentary questionnaire is reliable, yet only correctly classifies objectively measured sedentary time in boys. © The Author 2011. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.