Validity of the Sedentary Behavior Questionnaire in European Older Adults Using English, Spanish, German and Danish Versions

Oriol Sansano-Nadal, Jason Wilson, Carme Martín-Borràs, Jan Christian Brønd, Mathias Skjodt, Paolo Caserotti, Marta Roqué i Figuls, Nicole Blackburn, Jochen Klenk, Dietrich Rothenbacher, Myriam Guerra-Balic, Manel Font-Farré, Michael Denkinger, Laura Coll-Planas, Manuela Deidda, Emma McIntosh, Maria Giné-Garriga, Mark Tully

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The main aim of this study was to assess the criterion validity of the Sedentary Behavior Questionnaire (SBQ) to measure SB in community-dwelling older adults using thigh-measured accelerometry as the criterion method. 801 participants (75.6 ± 6.1 years old, 57.6% females) provided valid thigh-based accelerometer data (activPAL/Axivity) and completed the SBQ. Criterion validity was assessed using Spearman’s Rho coefficients. Bland–Altman plots, including 95% limits of agreement and Intraclass Correlation Coefficient (ICC), were used to assess the agreement between self-report and device-measured daily SB time. Strength of the association was examined using multiple linear regression. There was a weak correlation (Rho = 0.25, p < .001) between self-reported and device-based SB measures. The SBQ under-estimated daily SB time compared to accelerometry. Our results highlighted an overall weak-to-moderate correlation between measures, with significant differences between each country’s version. Researchers should be cautious when using the SBQ to provide an estimation of SB time in older adults.

Original languageEnglish
Pages (from-to)1-14
Number of pages14
JournalMeasurement in Physical Education and Exercise Science
Issue number1
Publication statusPublished (in print/issue) - 20 May 2021

Bibliographical note

Funding Information:
This work was supported by the Swiss National Foundation (Grant 32-51069.97 to Dr. Lüscher and Grant 32-49648.96 to Dr. Shaw), the Deutsche Forschungsgemeinschaft (Grant Ba 1543/1-1 to Dr. Barton and Grant Gr 728/5-1 to Dr. Gröne), the ADUMED Foundation (Dr. Barton), the Royal Dutch Academy of Sciences (to Dr. Rabelink), and the Intermedia Foundation (Bern, Switzerland) (Dr. d’Uscio). The authors are much indebted to Jane Boden for her invaluable help with the radioimmunoassays.

Publisher Copyright:
© 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.


  • Sedentary behavior
  • activpal
  • Axivity
  • older adults


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