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KIHD 12-Month Leisure-time Physical Activity History

In: Pereira MA, FitzGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc 1997 Jun;29(6 Suppl):S1-205.

Which of the following activities have you performed during the last 12 months? Please estimate the most usual intensity category of each activity by choosing one of the following classes:

Class Activity Breathlessness Sweating
0 recreational, outdoor activities no no
1 conditioning exercise yes no
2 brisk conditioning exercise yes some
3 competitive, strenuous exercise yes a lot

  How Many Times per Month? Duration
hr, min
Intensity class (0-3)
J F M A M J J A S O N D
Walking on work trips                            
Conditioning walking                            
Bicycling                            
Bicycling on work trips                            

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03 Aug 2009
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