Skip to main content
Top
Published in: Journal of Cancer Survivorship 3/2015

01-09-2015

Validation of the Godin-Shephard Leisure-Time Physical Activity Questionnaire classification coding system using accelerometer assessment among breast cancer survivors

Authors: Steve Amireault, Gaston Godin, Jason Lacombe, Catherine M. Sabiston

Published in: Journal of Cancer Survivorship | Issue 3/2015

Login to get access

Abstract

Purpose

The aim of this research was to provide convergent validity evidence for the use of the Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ) to classify breast cancer survivors into active and insufficiently active categories.

Methods

Data were collected among a sample of breast cancer survivors (N = 199; mean age = 55 years) to examine the association between physical activity assessed with a GT3X triaxial accelerometer and the use of the GSLTPAQ’s coding system recently proposed by Godin (2011). Participants self-reported moderate and vigorous physical activity (MVPA) performed in a typical week on the GSLTPAQ and those with MVPA leisure score index ≥24 were classified as active.

Results

ANCOVA revealed that the adjusted mean [95 % CI] number of recorded MVPA minutes was higher for respondents classified as active (145.54 [127.26; 163.83]) compared to respondents classified as insufficiently active (86.99 [74.04; 99.94]). The GSLTPAQ and accelerometer classified 33.8 and 27.2 % of participants as active, respectively (agreement = 70.8 %). Sensitivity and specificity values were 75.3 and 58.5 %, respectively.

Conclusion

The GSLTPAQ can be used to classify cancer survivors into active and insufficiently active categories in reference to cancer survivors’ physical activity guidelines. However, it has greater capacity to correctly identify insufficiently active respondents.

Implications for Cancer Survivors

The use of the GSLTPAQ’s classification coding in oncology research could improve the quality of physical activity recommendations and interventions handed out to cancer survivors.
Footnotes
1
In this article, physical activity refers to “any bodily movement produced by skeletal muscles that results in energy expenditure” (p.126; [1]). Leisure-time physical activity refers to any “[…] activity undertaken in the individual’s discretionary time that increases the total energy expenditure” (p. 12; [2]), whereas exercise is a planned purposeful activity specifically undertaken to promote fitness and health benefits [1], which is considered a subcategory of LTPA.
 
2
A Cohen’s d = .80 is qualitatively equivalent to a Pearson correlation coefficient = .50[43].
 
Literature
1.
go back to reference Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100:126–31.PubMedCentralPubMed Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100:126–31.PubMedCentralPubMed
2.
go back to reference Bouchard C, Blair SN, Haskell WL, Why study physical activity and health?, in Physical Activity and Health, C Bouchard, SN Blair, WL Haskell (eds) 2007, Human Kinetics, Inc.: Champaign, IL, USA. p. 3-20. Bouchard C, Blair SN, Haskell WL, Why study physical activity and health?, in Physical Activity and Health, C Bouchard, SN Blair, WL Haskell (eds) 2007, Human Kinetics, Inc.: Champaign, IL, USA. p. 3-20.
3.
go back to reference Schatzkin A, Subar AF, Moore S, Park Y, Potischman N, Thompson FE, et al. Observational epidemiologic studies of nutrition and cancer: the next generation (with better observation). Cancer Epidemiol Biomarkers Prev. 2009;18:1026–32.PubMedCentralCrossRefPubMed Schatzkin A, Subar AF, Moore S, Park Y, Potischman N, Thompson FE, et al. Observational epidemiologic studies of nutrition and cancer: the next generation (with better observation). Cancer Epidemiol Biomarkers Prev. 2009;18:1026–32.PubMedCentralCrossRefPubMed
4.
go back to reference Troiano RP, Pettee Gabriel KK, Welk GJ, Owen N, Sternfeld B. Reported physical activity and sedentary behavior: why do you ask? J Phys Act Health. 2012;9 Suppl 1:S68–75.PubMed Troiano RP, Pettee Gabriel KK, Welk GJ, Owen N, Sternfeld B. Reported physical activity and sedentary behavior: why do you ask? J Phys Act Health. 2012;9 Suppl 1:S68–75.PubMed
5.
go back to reference Kriska AM, Caspersen CJ. Introduction to a collection of physical activity questionnaires. Med Sci Sports Exerc. 1997;29:S5–9.CrossRef Kriska AM, Caspersen CJ. Introduction to a collection of physical activity questionnaires. Med Sci Sports Exerc. 1997;29:S5–9.CrossRef
6.
go back to reference Matthews CE, Moore SC, George SM, Sampson J, Bowles HR. Improving self-reports of active and sedentary behaviors in large epidemiologic studies. Exerc Sport Sci Rev. 2012;40:118–26.PubMedCentralPubMed Matthews CE, Moore SC, George SM, Sampson J, Bowles HR. Improving self-reports of active and sedentary behaviors in large epidemiologic studies. Exerc Sport Sci Rev. 2012;40:118–26.PubMedCentralPubMed
7.
go back to reference Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10:141–6.PubMed Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 1985;10:141–6.PubMed
8.
go back to reference Godin G. The Godin-Shephard Leisure-Time Physical Activity Questionnaire. Health Fit J Can. 2011;4:18–22. Godin G. The Godin-Shephard Leisure-Time Physical Activity Questionnaire. Health Fit J Can. 2011;4:18–22.
9.
go back to reference Godin G, Shephard RJ. Godin Leisure-Time Exercise Questionnaire. Med Sci Sports Exerc. 1997;26:S36–S8. Godin G, Shephard RJ. Godin Leisure-Time Exercise Questionnaire. Med Sci Sports Exerc. 1997;26:S36–S8.
10.
go back to reference Su CC, Lee KD, Yeh CH, Kao CC, Lin CC. Measurement of physical activity in cancer survivors: a validity study. J Cancer Surviv. 2014;8:205–12.CrossRefPubMed Su CC, Lee KD, Yeh CH, Kao CC, Lin CC. Measurement of physical activity in cancer survivors: a validity study. J Cancer Surviv. 2014;8:205–12.CrossRefPubMed
11.
go back to reference Liu RD, Buffart LM, Kersten MJ, Spiering M, Brug J, van Mechelen W, et al. Psychometric properties of two physical activity questionnaires, the AQuAA and the PASE, in cancer patients. BMC Med Res Methodol. 2011;11:30.PubMedCentralCrossRefPubMed Liu RD, Buffart LM, Kersten MJ, Spiering M, Brug J, van Mechelen W, et al. Psychometric properties of two physical activity questionnaires, the AQuAA and the PASE, in cancer patients. BMC Med Res Methodol. 2011;11:30.PubMedCentralCrossRefPubMed
12.
go back to reference Perna FM, Craft L, Freund KM, Skrinar G, Stone M, Kachnic L, et al. The effect of a cognitive behavioral exercise intervention on clinical depression in a multiethnic sample of women with breast cancer: a randomized controlled trial. Int J Sport Exerc Psychol. 2010;8:36–47.CrossRef Perna FM, Craft L, Freund KM, Skrinar G, Stone M, Kachnic L, et al. The effect of a cognitive behavioral exercise intervention on clinical depression in a multiethnic sample of women with breast cancer: a randomized controlled trial. Int J Sport Exerc Psychol. 2010;8:36–47.CrossRef
13.
go back to reference Grossman P, Deuring G, Garland SN, Campbell TS, Carlson LE. Patterns of objective physical functioning and perception of mood and fatigue in posttreatment breast cancer patients and healthy controls: an ambulatory psychophysiological investigation. Psychosom Med. 2008;70:819–28.CrossRefPubMed Grossman P, Deuring G, Garland SN, Campbell TS, Carlson LE. Patterns of objective physical functioning and perception of mood and fatigue in posttreatment breast cancer patients and healthy controls: an ambulatory psychophysiological investigation. Psychosom Med. 2008;70:819–28.CrossRefPubMed
14.
go back to reference Tillmann V, Darlington AS, Eiser C, Bishop NJ, Davies HA. Male sex and low physical activity are associated with reduced spine bone mineral density in survivors of childhood acute lymphoblastic leukemia. J Bone Miner Res. 2002;17:1073–80.CrossRefPubMed Tillmann V, Darlington AS, Eiser C, Bishop NJ, Davies HA. Male sex and low physical activity are associated with reduced spine bone mineral density in survivors of childhood acute lymphoblastic leukemia. J Bone Miner Res. 2002;17:1073–80.CrossRefPubMed
15.
go back to reference Andrykowski MA, Beacham AO, Jacobsen PB. Prospective, longitudinal study of leisure-time exercise in women with early-stage breast cancer. Cancer Epidemiol Biomarkers Prev. 2007;16:430–8.CrossRefPubMed Andrykowski MA, Beacham AO, Jacobsen PB. Prospective, longitudinal study of leisure-time exercise in women with early-stage breast cancer. Cancer Epidemiol Biomarkers Prev. 2007;16:430–8.CrossRefPubMed
16.
go back to reference Bélanger LJ, Plotnikoff RC, Clark A, Courneya KS. Physical activity and health-related quality of life in young adult cancer survivors: a Canadian provincial survey. J Cancer Surviv. 2011;5:44–53.CrossRefPubMed Bélanger LJ, Plotnikoff RC, Clark A, Courneya KS. Physical activity and health-related quality of life in young adult cancer survivors: a Canadian provincial survey. J Cancer Surviv. 2011;5:44–53.CrossRefPubMed
17.
go back to reference Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, et al. Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol. 2007;25:4396–404.CrossRefPubMed Courneya KS, Segal RJ, Mackey JR, Gelmon K, Reid RD, Friedenreich CM, et al. Effects of aerobic and resistance exercise in breast cancer patients receiving adjuvant chemotherapy: a multicenter randomized controlled trial. J Clin Oncol. 2007;25:4396–404.CrossRefPubMed
18.
go back to reference Santa Mina D, Guglietti CL, Alibhai SM, Matthew AG, Kalnin R, Ahmad N, et al. The effect of meeting physical activity guidelines for cancer survivors on quality of life following radical prostatectomy for prostate cancer. J Cancer Surviv, 2013. Santa Mina D, Guglietti CL, Alibhai SM, Matthew AG, Kalnin R, Ahmad N, et al. The effect of meeting physical activity guidelines for cancer survivors on quality of life following radical prostatectomy for prostate cancer. J Cancer Surviv, 2013.
19.
go back to reference Trinh L, Plotnikoff RC, Rhodes RE, North S, Courneya KS. Associations between physical activity and quality of life in a population-based sample of kidney cancer survivors. Cancer Epidemiol Biomarkers Prev. 2011;20:859–68.CrossRefPubMed Trinh L, Plotnikoff RC, Rhodes RE, North S, Courneya KS. Associations between physical activity and quality of life in a population-based sample of kidney cancer survivors. Cancer Epidemiol Biomarkers Prev. 2011;20:859–68.CrossRefPubMed
20.
go back to reference Courneya KS, Friedenreich CM. Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complem Med. 1997;3:215–26.CrossRef Courneya KS, Friedenreich CM. Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complem Med. 1997;3:215–26.CrossRef
21.
go back to reference Grimmett C, Bridgewater J, Steptoe A, Wardle J. Lifestyle and quality of life in colorectal cancer survivors. Qual Life Res. 2011;20:1237–45.CrossRefPubMed Grimmett C, Bridgewater J, Steptoe A, Wardle J. Lifestyle and quality of life in colorectal cancer survivors. Qual Life Res. 2011;20:1237–45.CrossRefPubMed
22.
go back to reference Maddocks M, Armstrong S, Wilcock A. Exercise as a supportive therapy in incurable cancer: exploring patient preferences. Psycho-Oncology. 2011;20:173–8.CrossRefPubMed Maddocks M, Armstrong S, Wilcock A. Exercise as a supportive therapy in incurable cancer: exploring patient preferences. Psycho-Oncology. 2011;20:173–8.CrossRefPubMed
23.
go back to reference Stephenson LE, Bebb DG, Reimer RA, Culos-Reed SN. Physical activity and diet behaviour in colorectal cancer patients receiving chemotherapy: associations with quality of life. BMC Gastroenterol, 2009;9. Stephenson LE, Bebb DG, Reimer RA, Culos-Reed SN. Physical activity and diet behaviour in colorectal cancer patients receiving chemotherapy: associations with quality of life. BMC Gastroenterol, 2009;9.
24.
go back to reference Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012;62:243–74.CrossRefPubMed Rock CL, Doyle C, Demark-Wahnefried W, Meyerhardt J, Courneya KS, Schwartz AL, et al. Nutrition and physical activity guidelines for cancer survivors. CA Cancer J Clin. 2012;62:243–74.CrossRefPubMed
25.
go back to reference Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–26.CrossRefPubMed Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, et al. American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc. 2010;42:1409–26.CrossRefPubMed
26.
go back to reference Ainsworth BE, Caspersen CJ, Matthews CE, Masse LC, Baranowski T, Zhu W. Recommendations to improve the accuracy of estimates of physical activity derived from self report. J Phys Act Health. 2012;9 Suppl 1:S76–84.PubMedCentralPubMed Ainsworth BE, Caspersen CJ, Matthews CE, Masse LC, Baranowski T, Zhu W. Recommendations to improve the accuracy of estimates of physical activity derived from self report. J Phys Act Health. 2012;9 Suppl 1:S76–84.PubMedCentralPubMed
27.
go back to reference Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334–59.CrossRefPubMed Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334–59.CrossRefPubMed
28.
go back to reference U.S. Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Atlanta, GA;1996. p. 278. U.S. Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Atlanta, GA;1996. p. 278.
30.
go back to reference Lamonte MJ, Ainsworth BE. Quantifying energy expenditure and physical activity in the context of dose response. Med Sci Sports Exerc. 2001;33:S370–S8.CrossRefPubMed Lamonte MJ, Ainsworth BE. Quantifying energy expenditure and physical activity in the context of dose response. Med Sci Sports Exerc. 2001;33:S370–S8.CrossRefPubMed
31.
go back to reference Greenland S. Dose-response and trend analysis in epidemiology: alternatives to categorical analysis. Epidemiol. 1995;6:356–65.CrossRef Greenland S. Dose-response and trend analysis in epidemiology: alternatives to categorical analysis. Epidemiol. 1995;6:356–65.CrossRef
32.
go back to reference Miller DJ, Freedson PS, Kline GM. Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Med Sci Sports Exerc. 1994;26:376–82.PubMed Miller DJ, Freedson PS, Kline GM. Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Med Sci Sports Exerc. 1994;26:376–82.PubMed
33.
go back to reference Godin G, Jobin J, Bouillon J. Assessment of leisure time exercise behavior by self-report: a concurrent validity study. Can J Public Health. 1986;77:359–62.PubMed Godin G, Jobin J, Bouillon J. Assessment of leisure time exercise behavior by self-report: a concurrent validity study. Can J Public Health. 1986;77:359–62.PubMed
34.
go back to reference Jacobs Jr DR, Ainsworth BE, Hartman TJ, Leon AS. A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc. 1993;25:81–91.CrossRefPubMed Jacobs Jr DR, Ainsworth BE, Hartman TJ, Leon AS. A simultaneous evaluation of 10 commonly used physical activity questionnaires. Med Sci Sports Exerc. 1993;25:81–91.CrossRefPubMed
35.
go back to reference Messick S. Validity of psychological assessment. Am Psychol. 1995;50:741–9.CrossRef Messick S. Validity of psychological assessment. Am Psychol. 1995;50:741–9.CrossRef
36.
go back to reference Masse LC, de Niet JE. Sources of validity evidence needed with self-report measures of physical activity. J Phys Act Health. 2012;9 Suppl 1:S44–55.PubMed Masse LC, de Niet JE. Sources of validity evidence needed with self-report measures of physical activity. J Phys Act Health. 2012;9 Suppl 1:S44–55.PubMed
37.
go back to reference Patterson P. Reliability, validity, and methodological response to the assessment of physical activity via self-report. Res Q Exerc Sport. 2000;71:S15–20.CrossRefPubMed Patterson P. Reliability, validity, and methodological response to the assessment of physical activity via self-report. Res Q Exerc Sport. 2000;71:S15–20.CrossRefPubMed
38.
go back to reference Bassett Jr DR, John D. Use of pedometers and accelerometers in clinical populations: validity and reliability issues. Phys Ther Rev. 2010;15:135–42.CrossRef Bassett Jr DR, John D. Use of pedometers and accelerometers in clinical populations: validity and reliability issues. Phys Ther Rev. 2010;15:135–42.CrossRef
39.
go back to reference Broderick JM, Ryan J, O'Donnell DM, Hussey J. A guide to assessing physical activity using accelerometry in cancer patients. Support Care Cancer. 2014;22:1121–30.CrossRefPubMed Broderick JM, Ryan J, O'Donnell DM, Hussey J. A guide to assessing physical activity using accelerometry in cancer patients. Support Care Cancer. 2014;22:1121–30.CrossRefPubMed
40.
go back to reference Helmerhorst HJ, Brage S, Warren J, Besson H, Ekelund U. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act. 2012;9:103.PubMedCentralCrossRefPubMed Helmerhorst HJ, Brage S, Warren J, Besson H, Ekelund U. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act. 2012;9:103.PubMedCentralCrossRefPubMed
41.
go back to reference Prince SA, Adamo KB, Hamel ME, Hardt J, Gorber SC, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56.PubMedCentralCrossRefPubMed Prince SA, Adamo KB, Hamel ME, Hardt J, Gorber SC, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56.PubMedCentralCrossRefPubMed
42.
go back to reference van Poppel MN, Chinapaw MJ, Mokkink LB, van Mechelen W, Terwee CB. Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med. 2010;40:565–600.CrossRefPubMed van Poppel MN, Chinapaw MJ, Mokkink LB, van Mechelen W, Terwee CB. Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med. 2010;40:565–600.CrossRefPubMed
44.
go back to reference Freedson PS, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30:777–81.CrossRefPubMed Freedson PS, Melanson E, Sirard J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30:777–81.CrossRefPubMed
45.
go back to reference Santos-Lozano A, Marin PJ, Torres-Luque G, Ruiz JR, Lucia A, Garatachea N. Technical variability of the GT3X accelerometer. Med Eng Phys. 2012;34:787–90.CrossRefPubMed Santos-Lozano A, Marin PJ, Torres-Luque G, Ruiz JR, Lucia A, Garatachea N. Technical variability of the GT3X accelerometer. Med Eng Phys. 2012;34:787–90.CrossRefPubMed
46.
go back to reference Crouter SE, Churilla JR, Bassett Jr DR. Estimating energy expenditure using accelerometers. Eur J Appl Physiol. 2006;98:601–12.CrossRefPubMed Crouter SE, Churilla JR, Bassett Jr DR. Estimating energy expenditure using accelerometers. Eur J Appl Physiol. 2006;98:601–12.CrossRefPubMed
47.
go back to reference Lyden K, Kozey SL, Staudenmeyer JW, Freedson PS. A comprehensive evaluation of commonly used accelerometer energy expenditure and MET prediction equations. Eur J Appl Physiol. 2011;111:187–201.PubMedCentralCrossRefPubMed Lyden K, Kozey SL, Staudenmeyer JW, Freedson PS. A comprehensive evaluation of commonly used accelerometer energy expenditure and MET prediction equations. Eur J Appl Physiol. 2011;111:187–201.PubMedCentralCrossRefPubMed
48.
go back to reference Irwin ML, Ainsworth BE, Conway JM. Estimation of energy expenditure from physical activity measures: determinants of accuracy. Obes Res. 2001;9:517–25.CrossRefPubMed Irwin ML, Ainsworth BE, Conway JM. Estimation of energy expenditure from physical activity measures: determinants of accuracy. Obes Res. 2001;9:517–25.CrossRefPubMed
49.
go back to reference Ferrari P, Friedenreich C, Matthews CE. The role of measurement error in estimating levels of physical activity. Am J Epidemiol. 2007;166:832–40.CrossRefPubMed Ferrari P, Friedenreich C, Matthews CE. The role of measurement error in estimating levels of physical activity. Am J Epidemiol. 2007;166:832–40.CrossRefPubMed
50.
go back to reference Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston: Pearson Education, Inc; 2007. 980. Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston: Pearson Education, Inc; 2007. 980.
52.
go back to reference Johnson-Kozlow M, Sallis JF, Gilpin EA, Rock CL, Pierce JP. Comparative validation of the IPAQ and the 7-Day PAR among women diagnosed with breast cancer. Int J Behav Nutr Phys Act. 2006;3:7.PubMedCentralCrossRefPubMed Johnson-Kozlow M, Sallis JF, Gilpin EA, Rock CL, Pierce JP. Comparative validation of the IPAQ and the 7-Day PAR among women diagnosed with breast cancer. Int J Behav Nutr Phys Act. 2006;3:7.PubMedCentralCrossRefPubMed
53.
go back to reference Johnson-Kozlow M, Rock CL, Gilpin EA, Hollenbach KA, Pierce JP. Validation of the WHI brief physical activity questionnaire among women diagnosed with breast cancer. Am J Health Behav. 2007;31:193–202.CrossRefPubMed Johnson-Kozlow M, Rock CL, Gilpin EA, Hollenbach KA, Pierce JP. Validation of the WHI brief physical activity questionnaire among women diagnosed with breast cancer. Am J Health Behav. 2007;31:193–202.CrossRefPubMed
54.
go back to reference Courneya KS, Jones LW, Rhodes RE, Blanchard CM. Effects of different combinations of intensity categories on self-reported exercise. Res Q Exerc Sport. 2004;75:429–33.CrossRefPubMed Courneya KS, Jones LW, Rhodes RE, Blanchard CM. Effects of different combinations of intensity categories on self-reported exercise. Res Q Exerc Sport. 2004;75:429–33.CrossRefPubMed
55.
go back to reference Hendelman D, Miller K, Baggett C, Debold E, Freedson P. Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Med Sci Sports Exerc. 2000;32:S442–S9.CrossRefPubMed Hendelman D, Miller K, Baggett C, Debold E, Freedson P. Validity of accelerometry for the assessment of moderate intensity physical activity in the field. Med Sci Sports Exerc. 2000;32:S442–S9.CrossRefPubMed
57.
go back to reference Motl RW, McAuley E, DiStefano C. Is social desirability associated with self-reported physical activity? Prev Med. 2005;40:735–9.CrossRefPubMed Motl RW, McAuley E, DiStefano C. Is social desirability associated with self-reported physical activity? Prev Med. 2005;40:735–9.CrossRefPubMed
Metadata
Title
Validation of the Godin-Shephard Leisure-Time Physical Activity Questionnaire classification coding system using accelerometer assessment among breast cancer survivors
Authors
Steve Amireault
Gaston Godin
Jason Lacombe
Catherine M. Sabiston
Publication date
01-09-2015
Publisher
Springer US
Published in
Journal of Cancer Survivorship / Issue 3/2015
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI
https://doi.org/10.1007/s11764-015-0430-6

Other articles of this Issue 3/2015

Journal of Cancer Survivorship 3/2015 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine