title: How should activity guidelines for young people be operationalised?
abstract: BACKGROUND
  If guidelines regarding recommended activity levels for young people are to be meaningful and comparable, it should be clear how they are operationalised. It is usually open to interpretation whether young people are required to meet activity and screen time targets (1) all days of the week, (2) on most days of the week, (3) on average across all days, or (4) whether compliance should be understood as the probability that a randomly selected young person meets the guidelines on a randomly selected day. This paper studies this question using data drawn from the Australian Health of Young Victorians study.
  
  
  METHODS
  The subjects for this study were 885 13-19 year olds who recalled four days of activities using a computerised use-of-time instrument, the Multimedia Activity Recall for Children and Adolescents (MARCA). Daily minutes of moderate-to-vigorous physical activity (MVPA) and screen time were calculated. The prevalence of compliance to Australian guidelines (> or = 60 min/day of MVPA and < or = 120 min/day of screen time outside of school hours) was calculated using the four methods.
  
  
  RESULTS
  The four methods resulted in significantly different prevalence estimates for compliance to the MVPA guideline (20-68%), screen guideline (12-42%) and both guidelines (2-26%). Furthermore, different individuals were identified as compliant by the different methods.
  
  
  CONCLUSIONS
  Clarification of how compliance to guidelines should be operationalised would assist in comparisons between studies, and in consistency in determining correlates of compliance.
authors: Nutritional Physiology Research Centre, University of South Australia, Adelaide, Australia. timothy.olds@unisa.edu.au
authors: Tim
authors: T
authors: Olds
authors: Kate
authors: K
authors: Ridley
authors: Melissa
authors: M
authors: Wake
authors: Kylie
authors: K
authors: Hesketh
authors: Elizabeth
authors: E
authors: Waters
authors: George
authors: G
authors: Patton
authors: Joanne
authors: J
authors: Williams