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Updated: Feb 5, 2026

Assessment of Physical Activity Intensity with Accelerometers and Oxygen Consumption
Published on: June 20, 2025
Physical Activity Level Assessed by Accelerometer and PAQ-C in Tunisian Children
Houda Ben Jemaa1,2, Amani Mankaï1, Faten Mahjoub3
1Department of Nutrition, Higher School of Sciences and Technology of Health, University of Tunis El Manar, Tunis, Tunisia.
Background:
Physical activity (PA) is an important agent in the prevention of chronic diseases such as obesity.
Objectives:
To provide preliminary data on PA among school children and to correlate the PA with weight status.
Material And Methods:
A total of 40 children aged between 8 and 11 years and attending Tunisian schools were recruited. The body composition was determined by using the deuterium oxide dilution technique. PA was determined by the PAQ-C (PA Questionnaire for Older Children). An objective monitoring of PA and sedentary time was achieved by using ActiGraph GT3X + accelerometers.
Results:
PAQ-C data demonstrate that 20% of the sample had light PA levels and 80% had moderate PA levels. Times spent in sedentary (62.37%) and light (30.80%) activities were higher than that spent in moderate and vigorous (6.83%) activities. Furthermore, almost half of the sample spent more than 60 min per day in moderate-to-vigorous intensity PA (MVPA). The average MVPA was significantly higher in normal weight than overweight and obese groups (67.68 ± 20.98 vs. 49.07 ± 19.09, p = 0.007). The proportion of overweight children who spent more than 60 min per day in MVPA was significantly higher than that of normal-weight (60.9 vs. 29.4%; p = 0.049).
Conclusion:
This study indicates that half of school children comply with the health-based guidelines for PA and sedentary behavior. Our findings also suggest that obesity was associated with decrease in PA in Tunisian children.
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