Enter your details:
Name:
E-mail:
 
Thank you for subscribing.
Subscribe to our newsletter!


Petra Rajkovic Vuletic1,2, Paula Matijasevic1,2, Vladimir Pavlinovic1

1University of Split, Faculty of Kinesiology, Split, Croatia
2University of Zagreb, Faculty of Kinesiology, Zagreb, Croatia

Is the PAQ-C a Valid Measurement Tool for Evaluating Physical Activity Levels in Rural Children? Cross-Sectional Study in Southern Croatia

Sport Mont 2025, 23(1), 85-91 | DOI: 10.26773/smj.250213

Abstract

The physical activity level (PAL) of rural children has rarely been studied, especially considering the validity of measurement tools used for the evaluation of PAL. The aim of this study was to evaluate the criterion validity of the Physical Activity Questionnaire for Children (PAQ-C) in rural children from Croatia by comparing the data obtained via the PAQ-C to those recorded via direct measurement via accelerometers. The participants were 47 children from rural regions in southern Croatia who were simultaneously tested on the PAL directly, via GENEActiv triaxial accelerometers, and indirectly, via the PAQ-C. Gender-stratified Pearson’s correlations and multiple regressions were calculated to evaluate associations between variables, whereas a t test was used to determine differences between genders in the study variables. Associations between direct and indirect measurements were weak (boys: R=0.08–0.29, p>0.05; girls: R=0.04–0.35, p>0.05). Boys had higher directly measured vigorous PAL (t test = 3.22, p<0.05) and PAQ-C (t test =2.04, p 0.05). The results revealed poor criterion validity of the PAQ-C in rural children. Therefore, more comprehensive and context-specific assessment indirect measurement tools that capture the diverse range of activities common in rural settings are needed.

Keywords

prepuberty, school, living environment, type of physical activity, multiple regression



View full article
(PDF – 564KB)

References

Ayyavoo, A., Derraik, J. G., Hofman, P. L., Biggs, J., & Cutfield, W. S. (2014). Metabolic, cardiovascular and anthropometric differences between prepubertal girls and boys. Clinical Endocrinology, 81(2), 238-243. https://doi.org/10.1111/cen.12436

Barreira, T. V., Schuna, J. M., Tudor-Locke, C., Chaput, J. P., Church, T. S., Fogelholm, M., . . . Katzmarzyk, P. T. (2015). Reliability of accelerometer-determined physical activity and sedentary behavior in school-aged children: a 12-country study. International Journal of Obesity Supplements, 5(Suppl 2), S29-35. https://doi.org/10.1038/ijosup.2015.16

Clark, C. C. T., Nobre, G. C., Fernandes, J. F. T., Moran, J., Drury, B., Mannini, A., . . . Podstawski, R. (2018). Physical activity characterization: does one site fit all? Physiological Measurement, 39(9). https://doi.org/ARTN 09TR0210.1088/1361-6579/aadad0

Cuberek, R., Janikova, M., & Dygryn, J. (2021). Adaptation and validation of the Physical Activity Questionnaire for Older Children (PAQ-C) among Czech children. PLoS One, 16(1), e https://doi.org/0245256.10.1371/journal.pone.0245256

Dilley, E. K., Zou, L., & Loprinzi, P. D. (2019). The effects of acute exercise intensity on episodic and false memory among young adult college students. Health Promot Perspect, 9(2), 143-149. https://doi.org/10.15171/hpp.2019.20

Eime, R. M., Payne, W. R., Casey, M. M., & Harvey, J. T. (2010). Transition in participation in sport and unstructured physical activity for rural living adolescent girls. Health Education Research, 25(2), 282-293.

Esliger, D. W., Rowlands, A. V., Hurst, T. L., Catt, M., Murray, P., & Eston, R. G. (2011). Validation of the GENEA Accelerometer. Medicine and Science in Sports and Exercise, 43(6), 1085-1093. https://doi.org/10.1249/MSS.0b013e31820513be

Garcia, A. W., Pender, N. J., Antonakos, C. L., & Ronis, D. L. (1998). Changes in physical activity beliefs and behaviors of boys and girls across the transition to junior high school. Journal of Adolescent Health, 22(5), 394-402. https://doi.org/10.1016/s1054-139x(97)00259-0

Hrg, K., Lončar, P., Zelanto, W. H., Novak, D., & Podnar, H. (2023). Attainment of the Health Outcomes by Implementing Educational Videos During the Final Part of the Physical Education Lesson. Montenegrin Journal of Sports Science & Medicine, 12(2). https://doi.org/10.26773/mjssm.230902

Lago-Ballesteros, J., García-Pascual, M., González-Valeiro, M. Á., & Fernández-Villarino, M. Á. (2021). Gender Influences on Physical Activity Awareness of Adolescents and Their Parents. International Journal of Environmental Research and Public Health, 18(11), 5707. https://doi.org/10.3390/ijerph18115707.

Larouche, R., Rostami Haji Abadi, M., Aubert, S., Bhawra, J., Brazo-Sayavera, J., Carson, V., . . . Tremblay, M. S. (2024). Development and validation of the Global Adolescent and Child Physical Activity Questionnaire (GAC-PAQ) in 14 countries: study protocol. BMJ Open, 14(7), e082275. https://doi.org/10.1136/bmjopen-2023-082275

Lynch, B. A., Kaufman, T. K., Rajjo, T. I., Mohammed, K., Kumar, S., Murad, M. H., . . . Levine, J. A. (2019). Accuracy of Accelerometers for Measuring Physical Activity and Levels of Sedentary Behavior in Children: A Systematic Review. Journal of Primary Care & Community Health, 10, 2150132719874252. https://doi.org/10.1177/2150132719874252

McCulloch, C. L., Koopmans, A., & Pelletier, C. A. (2005). Building awareness of barriers to exercise in rural and remote areas. Health, 21, 239-244.

Montoye, H. J. (1996). Measuring Physical Activity and Energy Expenditure. Human Kinetics.

Peiris, D., Duan, Y., Vandelanotte, C., Liang, W., Yang, M., & Baker, J. S. (2022). Effects of In-Classroom Physical Activity Breaks on Children's Academic Performance, Cognition, Health Behaviours and Health Outcomes: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. International Journal of Environmental Research and Public Health, 19(15). https://doi.org/10.3390/ijerph19159479

Prochnow, T., Umstattd Meyer, M. R., Bridges Hamilton, C. N., & Pollack Porter, K. M. (2020). Differences in Child Physical Activity Levels at Rural Play Streets Due to Activity Type and Sex. Journal of Healthy Eating and Active Living, 1(1), 16-26.

Samaržija, D. V., & Mišigoj-Duraković, M. (2013). Reliability of Croatian version of the questionnaire for assessment of overall level of physical activity of younger school children. Hrvatski športskomedicinski vjesnik, 28(1), 24-32.

Sekulic, D., Blazevic, M., Gilic, B., Kvesic, I., & Zenic, N. (2020). Prospective analysis of levels and correlates of physical activity during COVID-19 pandemic and imposed rules of social distancing; gender specific study among adolescents from Southern Croatia. Sustainability, 12(10), 4072. https://doi.org/10.3390/su12104072

Sekulic, D., Rodek, J., & Sattler, T. (2020). Factors associated with physical activity levels in late adolescence: a prospective study. Medycyna Pracy. Workers’ Health and Safety, 71(6), 637-647. https://doi.org/10.13075/mp.5893.01012.

Sunda, M., Gilic, B., & Bascevan, A. (2022). Association between enjoyment in physical education online classes and physical activity levels in adolescents during the COVID-19 pandemic. Sport Mont, 20(1), 97-101. https://doi.org/10.26773/smj.220217

Sylejmani, B., Myrtaj, N., Maliqi, A., Gontarev, S., Georgiev, G., & Kalac, R. (2019). Physical fitness in children and adolescents in rural and urban areas. Journal of Human Sport and Exercise. https://doi.org/10.14198/jhse.2019.144.15

Sipalo Lilic, A., Vuletic, P. R., Pehar, M., Uzicanin, E., Zovko, I. C., Bujakovic, B., & Zenić, N. (2024). Analyzing the Associations between Physical Literacy, Physical Activity Levels, and Sedentary Behavior: Cross-sectional Study in Preadolescent Children. Sport Mont, 22(2). https://doi.org/10.26773/smj.240708

Tzuriel, D., & Egozi, G. (2010). Gender differences in spatial ability of young children: The effects of training and processing strategies. Child Development, 81(5), 1417-1430.

Užičanin, E., Gilić, B., Babajić, F., Huremović, T., Hodžić, S., Bilalić, J., & Sajber, D. (2024). The international study of movement behaviours in the early years: A pilot study from Bosnia and Herzegovina. Montenegrin Journal of Sports Science and Medicine, 13(2), 3-10. https://doi.org/10.26773/mjssm.240901

Van Hees, V. T., Fang, Z., Langford, J., Assah, F., Mohammad, A., Da Silva, I. C., . . . Brage, S. (2014). Autocalibration of accelerometer data for free-living physical activity assessment using local gravity and temperature: an evaluation on four continents. Journal of Applied Physiology, 117(7), 738-744.

Wang, K., Li, Y., Liu, H., Zhang, T., & Luo, J. (2024). Can physical activity counteract the negative effects of sedentary behavior on the physical and mental health of children and adolescents? A narrative review. Frontiers in Public Health, 12, 1412389. https://doi.org/10.3389/fpubh.2024.1412389