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Here, we assessed the concurrent validity of a\u00a0questionnaire and accelerometry-based measurements in a\u00a0clinical setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      From 2020 to 2022 a\u00a0total of 23\u00a0patients from a\u00a0psychosomatic clinic participated (21\u00a0with unspecified eating disorders, 2\u00a0with bulimia nervosa). During the 3rd to 4th week of the clinical stay patients completed the International Physical Activity Questionnaire-Short Form and wore an accelerometer-based multisensory device (SenseWear\u00ae Armband, SWA) for 7\u00a0days. Outcome measures included total physical activity (MET min\u00b7w\n                      <jats:sup>\u22121<\/jats:sup>\n                      ) and sitting time (min\u00b7d\n                      <jats:sup>\u22121<\/jats:sup>\n                      ). Concurrent validity (SWA as criterion) and proportional bias were assessed using regression analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The questionnaire overestimated physical activity by ~40% (+394 MET min\u00b7week\n                      <jats:sup>\u22121<\/jats:sup>\n                      ) and underestimated sitting time by ~30% (199\u202fmin\u00b7day\n                      <jats:sup>\u22121<\/jats:sup>\n                      ) compared to the SWA. Within-patient correlation for physical activity was good (r\u202f=\u20090.88,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&lt;\u20090.001) but impractical for sitting time (r\u202f=\u20090.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.005). Greater inactivity led to greater reporting errors in sitting time (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.005). Males underestimated sitting time more than females (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090.026). Converting objective to subjective measures resulted in typical errors of 238 MET min (total physical activity) and 88\u202fmin (sitting time).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Objective accelerometer-based multisensory device monitoring should be incorporated into clinical settings to treat patients with obesity and eating disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00508-026-02753-5","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T12:44:56Z","timestamp":1778589896000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Objective versus subjective physical activity assessment in a\u00a0clinical setting of patients with obesity and eating disorders"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8526-2832","authenticated-orcid":false,"given":"Hans-Peter","family":"Wiesinger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bettina","family":"Bannert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elmar","family":"Kaiser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Kutschar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"issue":"6","key":"2753_CR1","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1136\/bjsports-2018-099643","volume":"54","author":"R O\u2019Driscoll","year":"2020","unstructured":"O\u2019Driscoll\u00a0R, Turicchi\u00a0J, Beaulieu\u00a0K, Scott\u00a0S, Matu\u00a0J, Deighton\u00a0K, et\u00a0al. 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