J Korean Biol Nurs Sci.  2021 Nov;23(4):287-297. 10.7586/jkbns.2021.23.4.287.

Agreement of Physical Activity Measured Using Self-Reporting Questionnaires with Those Using Actigraph Devices, Focusing on the Correlation with Psychological State

• Seo K
• Jung MO
• Suh M

• KMID: 2523071
• DOI: http://doi.org/10.7586/jkbns.2021.23.4.287

Abstract

Purpose
This study aimed to evaluate the correlation and agreement of physical activity (PA) between data obtained from wearable Actigraph devices and self-reporting questionnaires, and to investigate the relationship between psychological state (depression, anxiety, and fatigue) and PA.
Methods
A descriptive study was conducted using physical measurements and surveys. PA was measured through both the International Physical Activity Questionnaire (IPAQ) and the Actigraph GT3X+ device. The demographic characteristics of the subjects, as well as their depression, anxiety, and fatigue scores, were collected with structured questionnaires. The Spearman’s rank correlation coefficient and the Bland-Altman plot method were employed.
Results
Data from 36 healthy adults were analyzed. The overall levels of PA measured using the IPAQ and the Actigraph were 1,891.69 MET min/week and 669.96 MET/ day, respectively. Total levels of PA did not show a significant correlation between the two measurement methodologies. However, the moderate-intensity PA resulting from the IPAQ scores showed a significant positive correlation with the light-intensity PA recorded by the Actigraph. The Bland-Altman plot analysis demonstrated that the levels of PA as measured by the two different methods did not match. In addition, PA measured using the Actigraph showed a significant negative correlation with depression and anxiety whereas PA measured using the IPAQ showed a significant positive correlation with fatigue.
Conclusion
The conclusion of this study is that the data obtained from the subjective self-reporting questionnaire and the wearable Actigraph do not correlate or match in healthy adults. Future research should investigate the relationship between depression and PA intensity through the Actigraph, or other wearable devices equipped with smartphone apps.

Keyword

Actigraphy; Validation Study; Exercise; Anxiety; Depression