. .... .. ... . . . .' o . a _ . .— o . s . c. 0 . Q .0 .g > n. .a a c .. . an . . . . . . o c . Q o c n . a I . . c . . . . . . . “2.90-. < - -.-.'o PHYSICAL ACTIVITY ASSESSMENT BY "'ev—‘vwo 4' ___-_"— I'V‘..'.~~QO-‘ 0“.-- h. .I. “Nf'fiuuou 7-» 11.“. -‘O V TWENTY - FOUR HOUR RECALL RECORD FOR RELIABILITY OF . WOMEN 20 - 69 YEARS 1.... Y MEASUREMENT— Thesis for the Degree of M. A. MICHIGAN STATE UNIVERSITY GAIL BROWN o. o. . o}. . a.. . ~ ..-v . .... of; .2. .oo: 1 :. . V. . 1969 . .. o .... . . . .. . . I . . . - :.. a}: ..,..... I. 2.. .. e 39...... . . . c ..._ Y..._’..—a. .. o _. . . I. u t .. . . _. . _ ...... _ .o... J. . . .3. ..o-... o... ..<.1‘Vo4 .I\\ . . .1. .e . . .. o. .. .-¢v-... . . . . l c o. . ._. c. 0a.. . ._ .._' .... ....r .0...o.¢....oxcfiv.. . . . ........ . . ,...o.a.... . . .. . , .g...o.. . ,tqo .- . . . ._ .. 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These three forms, with directions for filling out, and a stamped self-addressed envelope for returning the forms were left with each subject. The worksheets for computing energy expenditure for each descriptive activity group and energy groups, are presented in the Appendix, Forms 3—5. Treatment of Data A frequency distribution of average daily energy expenditure was calculated by age group and for the total population using the data of the yearly interview ques— tionnaire and 2A-hour recall records. The number of sub- jects falling into each division according to data obtained from each form is presented. The average daily energy expenditure for each index (descriptive and energy activity groups) was calculated from the data obtained from each form by age group. The reliability of the 2A—hour recall record was investigated using the t test. The t test used assumed two normal dependent or correlated subpopulations with nothing known about the variance: t . M2 - Ml - 50 Formula: N€D2 _ (eD)2 . N2 (N-l) 17 The .05 level of confidence was selected. In addition, rank order correlations were computed to further assess the reliability of the measurement. Using these statis— tiCal techniques, comparison was made of energy expen- diture as measured by both forms on the descriptive activity groups: leisure; occupation; homemaking/ community; total (all groups combined) by age group and for the total population. CHAPTER IV RESULTS Examination of the data presented in Table 3 shows that the greatest frequency of average daily caloric ex- penditure estimated from both the 2A—hour record and yearly interview questionnaire occurred in the 2500—2799 calorie range followed by the 2800-3099 and the 2200-2499 ranges. Only a few scattered cases fell above or below these ranges.The average daily caloric expenditures estimated from the 2A—hour recall record (short form) and yearly interview questionnaire (long form) for age group and for the total population is presented in Table A. Comparison of energy expenditures estimated from both the long and short forms are similar for age groups and for the total population. In the descriptive activity subgroups, the greatest number of calories were expended for homemaking/ community and the least number in leisure. The same pattern was evident in the energy activity groups: the greatest number in light-sedentary and the least number in active. The significant difference between the means ob- tained from the 2A-hour recall record and the yearly inter- view questionnaire occurred in the category of leisure for the 20-3A age group and for the total population. 18 l9 bump. .Upooom HHmoom hsomlzm ”Show pnonmm .oHHmCCOHpmoSG 30H>hoch mHHmow ”Shom msoq H o o o o o . o , o o mmenoomH o q o m o o o m mmHmuoomH MH MH 0 m m z m w mmnmloomm mm mm HH HH :H OH HH m mmmmloomm mH mH m a n w w o moomnoowm : m H m m m H m mommaOOHm o m. o H o H o H mmwmlooam H o o . o o o H o ammm-oosm uponm mcoq uponm wcoq uaonm mcoq upocm choq Enom Enom .Ehom . m Epom moHHOHmo Hmuoe mo owcmm cOHsmHsaom +om msnmm . Hmnom Hmpoe mmnz mmuz A mmuz mmuz madono ow< w A.m> mHmsuo zv .COHpMquoa HmBOp pom museum www.mnllmHHMCCOHumosd.3oH>Hoch athom pom onooop HHMOmH Hzoguzm Song noumEHpmm opzuHocono.oHnonO HHHmc mwmpo>w mo COHpannpmHo monogamnmul.m mqmHoch hHHmo» ”anon unonmm ”890m wcqu mmsm mmsm spew mmom msam zomm mmsm mmmm Hmpoa .o mmm mmm mmm mHm smm mam we: mmm coHpmasooo .o smH HOH HmH NOH mOH mm smm mHH oaamqu .n mmOH mmHH :HOH mHOH momH :mmH pom omOH HpHcsssoO\wcHxastMom .a m 3090 HpH>Hpo< aaHpaHaomaa .m ems mmw mew oom mmm 3mm mam 5mm spectacom .m m: Hm NH mm mm mm om o» m>Hpo¢ .o omH wsH ozH oom mmH mmH mHH mHH outpace: .o mmom Hmom amom mmom zoom OAHN mmom mmmH panq .a mm: mm: mm: mo: hm: mm: com :5: ammHm .m masopo sz>Huo< ampocm .H phonm wsoq unonm wcoq phonm wcoq phosm Hmcoq Each Shem Show N 890m mqsoaw sz>Huo< COHpmHsaom msmom mmnom mpmom mznmm mpmoz :mnom Hmpoe msuz mmuz mmuz , mmnz masons ow¢ .COHumHzaom Hmpou was adopw omm an onHmCCOHumosu 3oH>poch zHHmmz ocm opooop HHMOon msonlzm you opzuHccoqxo OHHOHMO zHHmoiowmpo> mocmonchHm m .H0. at pcmoHuchHm has m .mo. um ucmonchHm Lu: .oocohmahHU pchHLchHm m wH ohms» uwcu mcmoE .mn .mocmgogth pconchwHw o: mH otocp wcmoE .m.2m mH p cog: oonm+n . monmuw wmmmmw woummm mocoLmLmHa pcmon oo olv c c me c we v anme m mH wLoLB .m.z HNHH. I mmm. * .m.z oon. mHm. .m.2 chc. 2mm. .w.z maHH.H NHH. mopszocoaxm Hmpoe .m.z nmzH. mm>.** .m.: macm. usm.*x .m.: nzzm.H mun.** .w.z 2mm.Hr mmn.a* coHqusooo .m ouHo.mI xcm.| .m.z sHmm.Hn new. .w.2 H:@H.H| mHz. * n.m mzmz.ml mom. mpsmeq .m.z coam.H c\m.** .m.: oomo. man. a .m.: Hmmm. I ems. * w.m.z mmo.m Hmm.** szc:EEoo Ucm wcmeEoEo: mmocoaodLHc n L mmoconormHQ p L umocmnoa H; p L mmocopmdez u L masopo sz>Hpo< accoHdHcme pcmoHuHcmHm unmoHLHcmHm pcmoHdwcme m>HuaHLowmQ coHpmHaaoa Hence .omnom asumm amuom men: mmnc man: mm": m a D o m o z c a .coHpmHsaoa Hmpop och ccm quopw mwm Lou mnHmccoHumosv 3oH>Loch HHLmom Ucm Choomm HHmooL Lscctzm an masoLmQSm >BH>Hpom o>HuqHLommU mo comHLmQEooll.m mqm<9 CHAPTER V SUMMARY AND CONCLUSIONS The primary purpose of this study was to validate the data obtained from a 24-hour recall record against informa— tion obtained from an interview questionnaire covering the entire year. In this study, the reliability of the 24-hour recall record method will be determined by its ability to 4 L311: classify subjects into similar descriptive activity groups by comparison with data obtained from yearly interview questionnaires. Seventy-three Caucasian middle class women served as subjects. All subjects were volunteers. The subjects were divided into three age groups: 20-34; 35—49; and 50 and over. Four 24-hour recall records were obtained on each subject during the summer of 1966. One recall record was obtained by interview. The other three recall records were kept by each subject as a personal diary covering three consecutive days. The days covered by the recall record included two week days and two weekend days. Each subject was interviewed using the yearly interview questionnaire. The information obtained from these recall records (24-hour and yearly) was the source of data for assessing physical activity energy 23 24 expenditure. Caloric costs of different activities was determined based on information in the literature. The reliability of the 24—hour recall record was investigated using the t test and rank order correlations. Using these statistical techniques, a comparison was made of energy expenditure as measured by both forms on the descriptive activity subgroups: leisure, occupation, homemaking and community. I In general, the data obtained from these two forms revealed similar trends; distribution of caloric expenditure in the descriptive activity groups and energy groups for age and for the total population. No significant differences were found for claSsification of subjects into descriptive activity groups for homemaking/community and occupation. Leisure was the one descriptive activity group that showed significant differences. The results of the rank order correlations verified the above results. Homemaking/commun- ity and occupation had the highest rank order correlations and leisure the lowest. This difference is explainable by the fact that the weekly record was kept during the summer— time when the subjects engaged in more physical activity. It would appear that the 24-hour recall record with additional questions pertaining to change in leisure activities over the year is a reliable procedure for classifying subjects into activity subgroups with reasonable accuracy. REFERENCES 25 REFERENCES Herrold, Judith Ann. An exploratory study to investigate the effectiveness of an activity recall record for measuring the degree of physical activity in daily living among homemakers. M. A. Thesis, Michigan State University, East Lansing, Michigan, 1961. Human Energy Research Laboratory, Michigan State University, East Lansing, Michigan, 1967. Data for reproduci- bility of physical activity measures obtained through yearly interview questionnaire. Lebeau, Deann. Physical activity recall record for adult women: validation of the method. M. A. Thesis, Mighigan State University, East Lansing, Michigan, 19 5. Odell, C. W. An Introduction to Educational Statistics. New York: Prentice—Hall, Inc., 1946, p. 165. Passmore, R. and J.V.G.A. Durnin. Human energy expenditure. Physiol. Rev. 35: 801-840, 1955. Wessel, Janet A., H. J. Montoye, and H. Mitchell. Physical activity assessment: by recall record. Amer. J. Pub; Health, 55(9): 1430-1436. “—"“’ Wessel, Janet A. Yearly Interview QuestiOnnaire for Physical Activity Assessment of Women. Human Energy Research Laboratory, Dep. HPR, MSU, East Lansing, Michigan, 1966. 26 APPENDICES 2? Form Form Form Form Form Form APPENDIX A Background Information Instructions and 24-Hour Activity Recall Record (short form). 24—Hour Recall Record—~Descriptive Activity Groups. Part I. Work Sheet. Part 2. Summary Work Sheet. 24-Hour Recall Record--Energy Groups. Part I. Work Sheet. Part 2. Summary Work Sheet. Wessel's Yearly Interview Activity Questionnaire. Work Sheet - Yearly Questionnaire. Part 1. Part 2. 28 (“'13-‘- I. 29 meHmm OHHnsm .N x903 Hmcommmm no upon one .0 .m : mHmmm an30m :0 mowmz mCOHmmHEEoo .zHMHmm onprzom .mmom .muHhonm .m .. Hoco xoonov nuHmoz uocnmm .m moEOQCH aHHemm n30» mucmspmm>cH use mwcH>mm woanoncH .H mo monsom Hohms map mH awn: cushouoon .: tapas: .m HaHaaaHHaaa EH HOHonomm .m 020 xoozov wzom on vocsm3m msoHaHn Hoonom stm .H batman pmmcsz an» mH page mIH monHoo .: mHlm .oom .m Hoco xoonov oopoHano wIH HEon .m ocoz .H :0» oomaw umoaan mH awn: COHquSOoo m.vcmnmsn .ooHnsms 9H mapmpm HmpHpms mango: macs» HMHuHsH pmnHm _ pqu oumonann pmmH pm om< . opmocpHHm osmz ill. nmon>noch opma hahssz sownnam msmz COHmeLomcH panchwxomm .H 590m 30 Form 2. Instructions and 24—Hour Activity Recall Record. Name Subject Number Date Given 1. Fill out form twenty-four hour activity recall record. Include 3 consecutive days- Friday, Saturday, Sunday, or Saturday, Sunday, and Monday in the four—day record. Friday (Date) Saturday (Date) Sunday (Date) . Monday (Date) tWNI—J 2. Start each day when you wake up in the morning. 3. Count hours of sleep from when you go to bed until you wake up the following morning. 4. Be as accurate as possible in time spent in each activity. 5. In activities which are not self-explanatory, be sure to indicate whether you were sitting, standing, or walking. 6. If you lifted, carried, or pushed something, please indicate how much it weighed. 7. Include the number of times you climbed stairs- up and down counts as one trip. This number may be added at the end of the day. 8. At the left-hand side of each line, write the time spent for each activity. Then write what the activity was. Start each new time on a new line. If you need more room, write on the back of the page. 9. Each record should be filled out at the same time each day. 10. Return these records in the attached self—addressed stamped envelope. 11. If you run into difficulty, call Gail Brown at this phone number 355-6074. Thank you so much for your cooperation. 31 Amazon Hmpopv amon oEHB Hmuoe mucoesoo oEHB Hmpoe mucoEEoo mEHe Hmpoe mucoesoo .3. .m .m Q .m .m .2 .m .m .H pcmam msHa HuH>Hpo< psaam asHs spH>Hpo< human msHe HpHaHpo< pom o» mcHoo on Ham: MCHco>m Hmoz wchm>m on Hmmz cooz Ham: cooz on do wCprow ll '25. x88 ll Ilse; x88 III lute; x88 HmeHsH pmHHm pde .02 3oH>Hoch HozmH>Hoch open oemz .oz mcoo mssom am I whooom HHmoom sz>Huo¢ HmOHmznm .m Enos 32 sac: nsHs COHuooccoo CH no Bosh \ou wcH>HHQ 2300 wchH wcHmez wcHesmpm .mamo chHupHmv Hmcompom wchmm wCprHm asapcmnom .>H wsHupHm HoHan wCHxHo3 IGOHumasooo .H> onsmHoq .> wCHQmmHm .HHH szCSEEoo .HH wsHsmoHo HMHoon .EOOH Inpmm wchaaHo opmo vHHso wCH>HpQ mAOOHm wCHaaoz .ms3< , hthpOHo wch mcHxazuomm Iusm a MCHpHom moHOpm Bosh .wstoozm .wcH ascmoHo a 20H» .oom wcwaEom w .wCHconH \Op wcHmez lessom> .MCHpmsQ Ishmaoam Hmoz w wcHnaanm .wchmmz pSMHH a wcHdaonm as wchopanmapm wcHxMEosom .H mama mam Hones: noonnsm osmz samnm xaoz .H scam mmsomw muH>Hpo< o>HuQHHomoQIIonoomm HHmoom psomlzm .m Ehom 33 onspHocodxm zHHmm proa mH¢BOB AHmo + H.mv AHmo 0.0 I m.:v AHmo =.: I H.Hv AHmo Hv n MEM N ACHZV x mOHuH>Hpo¢ o>Huo< spasmooz panH . Qoon m2: oEHB zHHmQ mama man .02 poownsm osmz pomnm xnoz HHmEEdm .m ppmm mQSOHG zuH>Hpo< m>HuQHAomoQIvaoomm HHMOom hsomIzm .m Epom 34 mqHpo< m>HpQHLohma CH ucoom ”mm: x wouscsz spoon mqHpo< Hanan Hmpoe acaxtts hamstt: its: stag sat: xaaz masoso th>Huo< m>HpQHLomoQ CH HumpscHEV ucmam oEHe, \ H used .ummzm xsoz massesmIIoLooom HHwoom LzozIzm .2 Egon mums nacho mw< .oz satnhsm was: Form 5. Wessel's Yearly Interview Activity Questionnaire1 Name Subject Number Date Interviewer Introduction: We know that most of us receive assistance with household duties from one or more members of our families. I am interested in the time you, yourself, spend in these activities rather than in the total time spent by the family or by professional help outside of the family. Homemaking - Weekly, Regplar - First, I would like to ask you some questIons about homemaking duties which the majority of women do daily or weekly. (Where time is indicated, interviewer should note time in hours and minutes). Time Spent About how much time did you spend last week doing the following: Marketing and shopping? Include the time you were in the stores and the time spent in load- ing and unloading the groceries and packages but not the time spent in getting to and from the store. 1. Getting to and from the stores by: (a) walking 2a. (b) bicycle 2b. Preparing meals? Include preparing the food, setting the table, serving the food and pack— ing lunches. 3a. Breakfasts 3b. Lunches 3c. Dinners Total 3. 1Form developed over a period of three years in conjunction with physiological assessment of women carried on at the Human Energy Research Laboratory, Dept. H.P.R., M.S.U.. Not to be reproduced without permission! 36 37 4. Cleaning up after meals? Include clearing the table; putting food away; scraping, stacking, washing, rinsing, drying and putting the dishes away; cleaning the stove and sink and emptying the garbage. 4a. Breakfasts 4b. Lunches 4c. Dinners Total 4. 5. Gathering clothes and linens; spotting, put- ting clothes into and removing from the washer if you use one? Include light hand washing and the time taken to put clothes in and remove from an automatic dryer if you use one. 5. 6. Scrubbing clothes, hand wringing or hanging clothes on a line to dry? 6. 7a. Dampening, hand ironing, folding and putting clothes away? 7a. 7b. Ironing or pressing using a mangle? 7b. 8. Dusting, vacuuming and sweeping? 8. 9. Picking up clothes, putting rooms in order and making beds on days you didn't strip them? 9. 10. Stripping beds and remaking them? 10. 11. Wet mopping and sponging floors and cleaning the bathroom? Even if you do it weekly, please don't include scrubbing and waxing floors or shaking rugs. These will be asked later. ll. 12. Driving a car for such purposes as visiting, - getting to and from community activities, ‘ chauffeuring family members to school, work, music lessons, sports, etc., in other words, for anything other than getting to and from your work or in connection with your work? 12. B. Homemaking - Weekly, Special - Now I would like to ask about other activities you might do weekly, depending on your own personal situation. ' 13. 14. 38 Do you have small children or infants who need assistance with feeding, bathing, dressing and so on? Yes No (if "no", interviewer should go on to question 14; if "yes", ask sub-questions under 13.) 13a. How much time did you spend last week feeding, bathing, dressing and putting the children to bed? 13b. Lifting or carrying small children or infants. How much does each child weigh? 13c. What types of physical activities do you regularly do with small children or infants such as playing on the floo with them, pushing a stroller, playing in the yard, etc;? How much time did you spend last week doing each? (Don't use weight of child for playing, walke ing in the yard, or pushing child on swings, etc.) 13cl ‘ActIvIty 2 Activity 130 13c3 Activity Are there family members or others who have physical impairments or chronic conditions requiring special care which you, yourself, have performed for approximately the last year? Yes No (if "no", go to question 15; if "yes", ask sub-questions.) 14a. About how much time did you spend last AQ-3 Subject No.__ 13a. 13b. wgt. wgt. I‘ 13c 13c 130 week carrying, lifting, or pushing this person? How much does the person weigh? 14a. 14b. Carrying trays, bringing medications and running errands? 14c. Are there other things you do for this person? How much time did you spend last week doing them? (List) wgt. 14b. 39 AQ-4 Subject No.__ 14c , l4 1 * C1 1402 1402 15. a. About how many times did you ascend and descend a full flight of stairs last week? Count up and down as one trip. (Except in occupation.) 15a. No. of trips b. About how many times did you ascend and descend a partial flight of stairs last week? This would roughly be between 3 and 9 steps. 15b. No. of trips 16. About how many hours do you sleep a night? 16. hours/night *fiifiiflfiflfi'lfifllflfifiiflifififlfiflifi*flflfiifi In relationship to what you have just told me about your weekly activities, would you say that the time you spend in these homemaking activities changed much in the last year? (If questioned on the word "much", check "yes" and ask questions, a,b and c) Yes No (if "no" skip to Catagory "C"; if "yes", ask a, b, and c.) a. For how long did it change? (weeks) b. What kind of change was it? (Find out which weekly activities changed and get a quantitative estimate of how much more or less time was spent - e.g. l/2 as much, 5 hours per week more, didn't do any at all, etc.) activities more Or less time? c. Why did it change? ifiifllfllfl*flflfiflfiifliflflfiiflflflfliiiflflfifl’ C. Homemaking - Yearly — Now, if I may, I would like to ask about' some of the things you may have done over the last year, but which you probably did not do as regularly as what I have already asked. (In all questions concerning 17. 18. 19. 20. 21. 40 AQ-5 Subject No.__ yearly activities, help respondent to figure total time in hours per year by asking "for how many weeks?" If she tends to think in hours per week record in hours per year.) About how much time did you spend in the last year doing such things as scrubbing floors on hands and knees, waxing floors, shampooing rugs or furniture, polishing furniture, beating rugs, washing woodwork, walls or windows, cleaning cupboards, rearranging furniture or doing other special cleaning? About how much time did you spend in the last year in doing work around the home such as painting walls or ceilings, hanging wallpaper, doing carpentry work such as building shelves or cupboards, sawing or chopping wood, laying flagstone or cement for a patio, painting the outside of the house, painting lawn furniture and washing, painting or hanging screens or storm windows? Did you spend any time in the last year taking care of a temporarily sick or injured person? Yes NO (if "no", skip to question 20; if "yes", ask 19 a, b and c.) a. About how much time did you spend carrying, lifting, or pushing this person? How much does this person weigh? b. How much time carrying trays, bringing medications and running errands? 0. Were there other things you did for this person? . How much time did you spend doing them? About how much time did you spend last year shoveling snow? Are there any community activities or clubs such as Girl Scouts, church activities, Red Cross work, soliciting for the Mother's March, garden clubs, hospital work that you do? Yes NO (if "no" skip to question 22; if "yes", ask questions 21a, b and c and fill in the chart on Community Activities.) (21. Community Activity scores go directly from chart to Work Sheet.) 17. 18. 19a. wgt. 19b. 190. 20. U ”I l ‘ v - -o 41 AQ—6 Subject No.__ 21a. What are the names of the organizations or groups? (Interviewer should list here and also fill in the names of the organizations on the chart (Community Activities Chart). 21b. Would you tell me, generally, the types of things you do in each? Please mention if you use machines, tools or equipment in these activities. (Interviewer should repeat the names of the organizations and list the types of things done by the name of the organization. List separately things done that are of different activity levels-- such as typing and making beds as might be the case with volunteer hospital work.) 210. About how much time did you spend last year doing each of these activities? (Interviewer should again repeat the name of the organiza- tion and the types of work done and list the times on the chart - e.g. "How much time do you spend typing at the hospital?" "About how much time do you spend making beds at the hospital?" NOTE: If any of the work involves lifting, carrying or pushing, find out the weight of the object and record this in the "kinds of things done" column. ,. .'.'-'I uCUPPb time/yr x L i have of Irfllhiffifififl alwi; “f ILiugn lone Time yr. ”“ lffih’ Auicraze Active TKJ‘TALS 42 AQ-7 Subject No.__ 22. About how much time did you spend in the last year working on your lawn and in your garden doing such things as mowing, raking, digging, cultivating, weeding, planting and fertilizing? 22. 23. How much time did you spend last year working on such active hobbies as refinishing furniture or redecorating rooms? 23. 24. Did you take an active part in golf, swimming, basketball or other sports, 24. (Sports Act- activities in the past year? YES ivities Scores NO (if "no" skip to question 24 a are to be put and b and fill in the Sports Activity directly from Chart.) chart to Work Sheet.) a. What sports did you take part in? (List here and fill in names of sports, as necessary, on chart.) b. How many times would you say you did each of these sports activities in the last year? (Repeat names of sports.) The interviewer calculates min./exposure, etc. from metabolic cost scoring table. SPORTS ACTIVITY CHART .JCDI‘E’.) — fl Times Time/yr x BER pecial Instructions Pone/ Mins/ W:_ Name of Sport (check applicable blanks) Yr. Expos. HR. Light Moderate Active Swimming Twimmer___ Golf Others: or ion Swimmer , Holes or 18 Holes alk__ or Cart__ 43 AQ—8 Subject No.__ 25. Did you participate last year in such recreational activities as fishing, hunting, hiking, bicycl- 25. (Recreational ing, boating, walking or dancing? Activities Scores Yes No (if "no", go to are to be put question 26; if "yes", ask 25 a directly from the and b and fill in Recreational chart to the work Activities Chart.) sheet.) a. What active recreational activities Time/yr. did you take part in? (List here and fill in on chart.) b. How many times would you say you did each activity last year? (Repeat names of activities. The interviewer calculates mins./exposure etc. from Metabolic Cost Scoring Table. OTHER RECREATIONAL ACTIVITIES CHART I "‘“ ““‘ "‘“F'n r 'f‘ i _ I scores - Hfiu ' Time/yr x BER Name of Special Instructions Times/ Mins/ Time/ Eli Activity E(check applicable blanks? Yr. Expos. Yr. ‘TR Lirht Moderate Active Fishing hype? stream__, boat__, lshore__, etc. Hunting gyrind? h]ind__, fieli__ I 'Kind? social__, folk or Dance square__, contemporary__ Boating Type? row__, canoo__, 881 1__, moi. CI!"— Hiking Type? Mts.__, flat ‘ walks__ ‘ Others: Totals 26. 27. 28. 29. 30. 44 AQ-9 Subject No.__ About how many times did you walk for one half hour or more last year? Please do not include any time you mentioned under hiking. 26. Timesx60=Time About how many times did you do conditioning exercises, gymnastics exercises or exercises for the purpose of loosing weight, figure control or for any other purpose for one half hour or more last year? 27. Timesx60=Time What other non-sitting activities did you engage in that have not been included? And how often did you do each? 28a. 28a. 28b. 28b. 28c. 28c. Employment - A few last questions on your work if you are employed or self—employed. Have you been employed in the last year? Yes No (if "no", the interview is completed; thank respondent for assistance; if "yes", continue with the questions.) Are you currently employed? Yes No . (if "no", go to questions under Non-Current Employment; if "yes", ask questions under Current Employment.) Current Employment What is your present occupation? How many hours a week do you work? How many weeks per year do you do this work? How many hours last week did you spend driving in connection with this work? Include time driving to and from work and any driving you do during work? 29. How many hours did you spend last week walk— ing to or from work? 30. 31. 32. 33. 34. 35. 36. 45 AQ-lO Subject No.__ How many hours did you spend last week riding a bicycle to, from or in connection with your work? How much time did you spend last week walking while at work? 32a. What types of things do you do while walking? How much time did you spend last week standing while at work? 33a. What types of things do you do while standing? How much time did you spend last week sitting while at work? 34a. What types of things do you do while sitting? How much time did you spend last week lifting, pushing or carrying objects while at work?_ 35a. About how much do these things weigh? About how many times last week did you ascend and descend a full flight of stairs? Count up and down as one trip. No. 31. 32. 33. 34. 35. 36. of trips 46 AQ—ll Subject No.__ ******************************* Have you basically done the same type of activity each week while you have worked at this occupation over the last year? Yes. No (if "yes", skip questions a, b and c; if "no", ask questions a, b and c.) a. For how many weeks did it differ? b. What kind of change was it? (Find out what activities changed and get a quantitative estimate of how much more or less time was spent.) activities More or less time spent? 0. Why did it change? ***********§**********fififlflflflififl'fl’ Have you held any other job in the last year? Yes No (if "no", the interview is over; thank respondent; if ”yes", ask the questions under Non—Current Employment.) Non-Current Employment While you are not currently doing this work, what other kinds of employment have you had in the last year? _ _ _ _5¥ (S - use dotted Iifieg Ir“2‘h6h:cErFth’36b§ - were held in the last year) How many hours per week did you work? _ _ _ _ For how many weeks did you work at this in the past year? _ _ _ _ 37. How many hours per week did you spend driving in connection with this work? Include time driving to and from work and any driving in connection with the work. 37. 38. How many hours per week did you spend walking to and from work? 38. 39. 40. 41. 42. 43. 44. 4? AQ—l2 Subject No._fl How many hours per week did you spend riding a bicycle to and from work or in connection with your work? 39. How much time did you spend per week sitting while at work? 40. 40a. What types of things did you do while Sitting? _———.—__——— How much time did you spend per week standing while at work? 41. 41a. What types of things did you do while standing? How much time did you spend walking while at work? 42. 42a. What types of things did you do while walking? _-——_—__-—-__ How much time did you spend per week lifting, carrying or pushing objects? 43.__ 43a. About how much did these objects weigh? wgtT — — wgt._ About how many times per week did you walk up and down a full flight of stairs? 44. “—- fl!!!*****************fiil'flfl'fii-fifiie*it-it- 48 AQ—l3 Subject No.__ Did you basically do the same type of activity each week while you worked at this occupation? Yes No Yes No (if "yes", interview is concluded; thank Fespahdeat? if "no", ask questions a, b and c.) a. For how many weeks did it differ? b. What kind of change was it? — —AEtIvItIe§ — — — How mu3h_m3re or-IESS time? 0. Why did it change? (Interview is concluded; thank respondent for assistance.) 49 Form 6. Work Sheet-—Yearly Questionnaire. Name Date Tabulator Subject Number Score = time/year x g%% Time/week in mins. Time/week Weeks Light Moderate Active (153+bare (use only if time £35 1.1- 4.5—6.0 6.1+ in A of spent changed Time/Year EHH 4.4 cal. cal. Activity times) Wezks during the year) in mine. * cal. l 4.0 2a 4.0 2b 5 0 3 3.2 4 3 2 5 3.2 6 4.5 7a '2' ’) 7b 4.2 8 4.2 9 u I. 10 4.5 11 4.5 12 2.0 13a 3.0 13b * ___ 13c1 * l3c2 * 1303 * 14a * ___ 14b 4.2 14cl * l4c2 ' * 15a 6.7 15b 3.3 Totals Homemaking Weekly 16 1.0 50 Form 6. Part l-—continued. Name Date Tabulator Subject Number mrp 1‘, .. = ': /.. a "'.l .co.e tire yelr x EAR Time/week Weeks ..g * flclerate Active Time/week (use only if time Time/year WMR 1.1— 4.5—6 0 6.1+ in spent changed in ETE 4.4 cal cal Activity minutes Weeks in the year) minutes * cal. 29 9.0 30 4.0 31 5.0 2 9t- 33 * 3n * 35 * 36- 6.7 37 2.0 R 3. 4.0 39 r A job? 40 * 41 * 42 * 43 * uu 6 7 Totals Occupation Grand Total Homemaking, Community, Leisure and Occupation (*1-15, 17-44) Totals Sedentary** Grand Total - Homemaking, Community, Leisure, Occupation, Sedentary (everything but sleep) (Al-15, 17-44) *WMR BMR will depend on weight, activity, etc. and cannot be filled in until questionnaire is given. Where weight is variable, it is boxed in in the top right box. **Sedentary Time = 525600 minutes—-total minutes accounted for (include time for homemaking, community, leisure, occupation, and sleep). Sedentary Score = 1.4 cal. x time. 51 Form 6. Part l--continued. Name Date Tatulator Subject Number o WMR Score = time/year x BMR ”mp Light Moderate Active II..il . m. . H .H- 1.1- 4.'-6.0 6.1+ Time/week glee; Nlnu./ lime/year rmh 4 4 :11 cal Activity (mins.) Weeks Done/year expas. (mins.) * “:1 ’ ' 'VJJI ;_I \1 ,. fl H F) C‘ C .1 19a * 19b 4.2 10.0 * 20 5.8 Totals Homemaking Yearly Grand Total Homemaking Weekly and Yearly (l—l? and 17-22) 21 Totals Community Grand Total Homemaking and Community (Al—15 and 17-31) t. 22 6.1 23 5.8 24 25 26 ‘ 4. C) 28c - * Totals Leisure Grand Total Homemaking, Community and Leisure (Al—15 and 17—28) 52? mmo\owwso>< mepoe ocmso III III III III III III poumHsono Hsmucooom III III III III III III mH doon III III :sIam :oHpmasoac III III mmlmm osstoq z CJEEO III III HmIsH pHocm 0 new mHIH mcmeEoon .Hmo .Hmo .Hoo .Hmo o.H as; .Hso .Hs: .Hno .Hmo c.H ama\.m:Hz mcoHpmosa noHsowopmo +H.m o.qu.. 2.:IH.H dooHa \oumbosd +H.m o.unu.: 3.:IH.H ooon oEHe co oommm o>Hpo< omeoHoz panq oncom o>Hpo< oposcegb Draw; Homes House mom a osooo aHhmo> u once. mHHma hoa\mouucwEIIoEHe Hence .amc\o;cou rec oeHEIoLHmccoHpmoso mHLmo> Lon poocm someezm .w Esom who; dsosm om< .0: soaHszu dime 52? etpmHonmo 0H :zdom wmlmm HNIBH ocm mHIH mmo\ommno>< mepoe ocmsw zsmucooom doon coHmeSOOO ossmHoq mpHCJEEoo ocm mcwaEoEo: .Hmo .Hmo .Hmo +H.w o.mIm.: :.:IH.H o>Hpo< ooohosos pcqu anmo J .Hmo o.H >m: doon \omoho>¢ oncom Hopes Hea\.thz ama\mopscHEIIoEHe mcoprosa co oommm moHLomopmo toes ososo om< .oz poomozw 05m: .mma\o;coo to: otHeIoLHoccoHpmosa zHLmox Lou poocm zsmeesm .w Egon Thesis EA. 1969 I. 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