청소년의 신체활동, 좌식행동 및 수면 측정 도구의 체계적 문헌 고찰:자기 기입형 설문지를 바탕으로
A Systematic Review of Physical Activity, Sedentary Behavior and Sleep Questionnaire for Youth
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초록
청소년들의 신체활동, 좌식행동, 수면을 측정하기 위한 자기 기입형 설문지는 국외에서 개발, 발전되어왔지만, 국내에는 미흡한 실정이다. 청소년들의 복잡한 행동양상/생활습관을 조사하기 위해 연구참여자의 부담을 최소화하는 동시에 현재 사용되고 있는 다양한 설문지를 연구목적에 적합하게 선택하는 것은 중요하다. 따라서, 본 연구는 체계적문헌 고찰을 통해 한국 청소년들의 신체활동, 좌식행동 및 수면을 조사하기 위한 청소년의 설문지를 알아보고 그 설문지의 특징과 설문지의 타당성 및 신뢰성을 종합·정리하는데 그 목적이 있다. 그 결과, 국내외 청소년의 신체활동, 좌식행동 및 수면 설문지는 총 35개로 정리되었다. 그 중에서 신체활동 설문지가 31편으로 가장 많았으며, 신체활동, 좌식행동 및 수면을 모두 포함한 설문지는 2편으로 나타났다. 활동 범주는 크게 신체활동, 좌식행동과 수면으로구분되며, 활동의 구성은 학교, 여가, 그리고 장소 이동 중 일어나는 활동으로 구성되었다. 또한, 설문지는 활동의 회상 기간에 따라 특정 기간과 평소의 활동으로 나뉘며, 활동의 시간, 빈도, 강도, 종류/유형에 따라 구분되는 것으로나타났다. 청소년의 신체활동, 좌식행동 및 수면은 독립적 또는 상호적으로 건강에 영향을 미치기 때문에 문화적으로적절하고 상황에 맞는, 그리고 타당하고 신뢰할 수 있는 설문지를 사용하는 것은 한국 청소년의 24시간 활동을 예측하는 데 중요하다. 또한, 대규모 국제적 조사를 위한 아동·청소년의 24시간 활동 조사 도구의 개발 및 타당도 및 신뢰도의 확보가 절실히 필요하다.
Abstract
Several self-administered questionnaires to measure 24-hour movement behaviors-physical activity, sedentary behavior, and sleep- among children and youth are available worldwide; however, questionnaires with established validity and reliability among the Korean population is largely lacking. To accurately monitor and evaluate 24-hour movement behaviors is important for the current and future health of Korean children and youth. The purpose of this systematic review was to summarize the characteristics, validity and reliability of self-administered questionnaires available for assessing physical activity, sedentary behavior, and sleep among children and youth. A total of 35 questionnaires were identified. Among those, physical activity questionnaires were found to be the most commonly measured behavior. Only two questionnaires measured overall 24-hour movement behaviors. By settings/contexts, questionnaires were categorized into activities occurring in school, leisure/free-time, and during transportation between places. Also, questionnaires were categorized according to recall time and collected data on duration, frequency, intensity, and types of different activities. Given that physical activity, sedentary behavior, and sleep independently and interactively influence varying aspects of health, using a culturally-appropriate, context-specific, and valid and reliable questionnaire is important to better estimate health-related 24-hour movement behaviors among Korean children and youth. Furthermore, developing a survey tool that can monitor 24-hour movement behaviors collectively among children and youth is urgently needed in future research for long-term, large-scale global surveillance.
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