• Adherence to exercise in later life: How can exercise on prescription programmes be made more effective?

      Thurston, Miranda; Green, Ken; University College Chester (Oxford University Press, 2004-09-01)
      A broad consensus has emerged in relation to the desirability of promoting exercise among a variety of ‘at risk’ groups via ‘exercise on prescription’ (EoP) schemes, as an alternative to orthodox, biomedical approaches to the management of health problems. Underpinning the rationale for such schemes is the notion that they can act as vehicles for encouraging long-term adherence to exercise. Whilst there is a common sense appeal to using EoP schemes to promote exercise, research to date suggests that evidence of their impact is limited. This paper attempts to make sense of these findings in the light of recent debates about adult lifestyles and exercise. More specifically, it brings work in the sociology of leisure to bear on the topic, on the premise that any study of adults' propensity towards sustainable physical activity needs to be viewed as an aspect of their lives ‘in the round’. Such an analysis points up the value of synthesizing perspectives from across the disciplinary divide in order to shed light on particular ‘problems’, which obviate the necessity for further empirical work. The paper concludes by identifying a number of implications for public health policy and practice with respect to the matter of encouraging lifelong participation in sport and exercise in general, and via EoP schemes in particular. One such implication is the development of a model for understanding participation that shifts the emphasis away from a focus on motivation and behaviour change per se towards satisfaction and enjoyment through the development of skills and relationships. Reconceptualizing the matter of participation in this way is likely to lead not only to a more realistic appreciation of what can be expected from EoP schemes, but also a more adequate understanding of adherence to exercise in later life.
    • Age-related degeneration of the lumbar paravertebral muscles: Systematic review and three-level meta-regression

      Dallaway, Alexander; Kite, Chris; Griffin, Corbyn; Duncan, Michael; Tallis, J; Renshaw, D; Hattersley, John; Coventry University, University Hospitals Coventry and Warwickshire, Aston University, University of Chester
      Background Morphological changes of the lumbar spine muscles are not well characterised with ageing. To further the understanding of age-related degeneration of the lumbar spine musculature, normative morphological changes that occur within the paravertebral muscles must first be established. Methods A systematic review and meta-regressions were conducted adhering to PRISMA guidelines. Searches for published and unpublished data were completed in June 2019. Results Searches returned 4781 articles. 34 articles were included in the quantitative analysis. Three-level meta-analyses showed age-related atrophy (r = −0.26; 95% CI: −0.33, −0.17) and fat infiltration (r = 0.39; 95% CI: 0.28, 0.50) in the lumbar paravertebral muscles. Degenerative changes were muscle-specific and men (r = −0.32; 95% CI: −0.61, 0.01) exhibited significantly greater muscle atrophy than women (r = −0.24; 95% CI: −0.47, 0.03). Imaging modality, specifically ultrasound, also influenced age-related muscle atrophy. Measurements taken across all lumbar levels revealed the greatest fat infiltration with ageing (r = 0.58, 95% CI: 0.35, 0.74). Moderators explained a large proportion of between-study variance in true effects for muscle atrophy (72.6%) and fat infiltration (79.8%) models. Conclusions Lumbar paravertebral muscles undergo age-related degeneration in healthy adults with muscle, lumbar level and sex-specific responses. Future studies should use high-resolution imaging modalities to quantify muscle atrophy and fat infiltration.
    • Analysis of physical demands during youth soccer match-play: Considerations of sampling method and epoch length

      Doncaster, Greg; Page, Richard; White, Paul; Svenson, Robert; Twist, Craig; Edge HIll University; Stoke City FC; University of Chester (Taylor and Francis, 2019-11-27)
      The purpose of this study was to examine the physical match profiles of professional soccer players using 3 and 5 min fixed and rolling averages as well as fixed 1 min averages, with considerations to training prescription. Twenty-nine, professional U23 soccer outfield players competed across 17 competitive matches during the 2017/18 season, equating to a total of 130 separate physical match profiles. Match activities were recorded using global positioning system (GPS) devices with integrated micro-electrical mechanical systems (MEMS), recording total distance (TD), high-speed running (HSR) and metabolic power (MP). For each individual match profile and variable, 1, 3 and 5 min peak, post-peak, and average values were calculated using fixed-time epochs (FIXED) and rolling averages (ROLL). Linear mixed models were employed to examine the differences in the dependent variables as a function of the method of measurement. Results revealed significantly higher peak values, for relative TD, relative HSR and relative MP when employing the ROLL sampling method, in comparison to the FIXED method, for both 3 min and 5 min epoch lengths. Analysis of epoch length revealed significantly higher peak values, across all positions, for relative TD, relative HSR and MP for 1 min epochs, in comparison to 3 min and 5 min epochs. The data offers a novel insight into the appropriate identification of physical demands during youth soccer match-play. Researchers and practitioners should consider the sampling method and epoch length when assessing the physical demands of competitive match-play, as well as when designing and prescribing sport-specific conditioning drills.
    • An analysis of the three-dimensional kinetics and kinematics of maximal effort punches among amateur boxers.

      Stanley, Edward, R; Thomson, Edward; Smith, Grace; Lamb, Kevin L.; University of Chester (Routledge, 2018-09-27)
      The purpose of this study was to quantify the 3D kinetics and kinematics of six punch types among amateur boxers. Fifteen males (age: 24.9 ± 4.2 years; stature: 1.78 ± 0.1 m; body mass: 75.3 ± 13.4 kg; boxing experience: 6.3 ± 2.8 years) performed maximal effort punches against a suspended punch bag during which upper body kinematics were assessed via a 3D motion capture system, and ground reaction forces (GRF) of the lead and rear legs via two force plates. For all variables except elbowjoint angular velocity, analysis revealed significant (P < 0.05) differences between straight, hook and uppercut punches. The lead hook exhibited the greatest peak fist velocity (11.95 ± 1.84 m/s), the jab the shortest delivery time (405 ± 0.15 ms), the rear uppercut the greatest shoulder-joint angular velocity (1069.8 ± 104.5°/s), and the lead uppercut the greatest elbow angular velocity (651.0 ± 357.5°/s). Peak resultant GRF differed significantly (P < 0.05) between rear and lead legs for the jab punch only. Whilst these findings provide novel descriptive data for coaches and boxers, future research should examine if physical and physiological capabilities relate to the key biomechanical qualities associated with maximal punching performance.
    • Anthropometric and physical performance characteristics of top-elite, elite and non-elite youth female team handball players

      Moss, Samantha L.; McWhannell, Nicola; Michalsik, Lars B.; Twist, Craig (2015-02-16)
      In order to maximise the potential for success, developing nations need to produce superior systems to identify and develop talent, which requires comprehensive and up-to-date values on elite players. This study examined the anthropometric and physical characteristics of youth female team handball players (16.07 ± 1.30 y) in non-elite (n= 47), elite (n= 37) and top-elite players (n= 29). Anthropometric profiling included sum of eight skinfolds, body mass, stature, girths, breadths and somatotype. Performance tests included 20 m sprint, counter movement jump, throwing velocity, repeated shuttle sprint and jump ability test, and Yo-Yo Intermittent Recovery Test Level 1. Youth top-elite players had greater body mass, lean mass, stature, limb girths and breadths than elite and non-elite players, while only stature and flexed arm were higher in elite compared to non-elite players (all P < 0.05). Sum of skinfolds and waist-to-hip ratio were similar between groups (P > 0.05). Top-elite performed better in most performance tests compared to both elite and non-elite players (P < 0.05), although maximal and repeated10 m sprints were similar between standard (P > 0.05). Elite outperformed non-elite players in throwing velocity only. Findings reveal that non-elite players compare unfavourably to top-elite international European players in many anthropometric and performance characteristics, and differ in few characteristics compared to elite European club team players. This study is useful for emerging team handball nations in improving talent identification processes.
    • The assessment of total energy expenditure during a 14-day ‘in-season’ period of professional rugby league players using the Doubly Labelled Water method

      Morehen, James C.; Bradley, Warren J.; Clarke, Jon; Twist, Craig; Hambly, Catherine; Speakman, John R.; Morton, James P.; Close, Graeme L.; Liverpool John Moores University; Widnes Vikings Rugby League; University of Chester; University of Aberdeen (Human Kinetics, 2016-10-31)
      Rugby League is a high-intensity collision sport competed over 80-minutes. Training loads are monitored to maximise recovery and assist in the design of nutritional strategies although no data are available on the Total Energy Expenditure (TEE) of players. We therefore assessed Resting Metabolic Rate (RMR) and TEE in six Super-League players over two consecutive weeks in-season including one-game per week. Fasted RMR was assessed followed by a baseline urine sample before oral administration of a bolus dose of hydrogen (deuterium 2H) and oxygen (18O) stable isotopes in the form of water (2H218O). Every 24 hours thereafter, players provided urine for analysis of TEE via DLW method. Individual training-load was quantified using session rating of perceived exertion (sRPE) and data were analysed using magnitude-based inferences. There were unclear differences in RMR between forwards and backs (7.7 ± 0.5 cf. 8.0 ± 0.3 MJ, respectively). Indirect calorimetry produced RMR values most likely lower than predictive equations (7.9 ± 0.4 cf. 9.2 ± 0.4 MJ, respectively). A most likely increase in TEE from week-1 to -2 was observed (17.9 ± 2.1 cf. 24.2 ± 3.4 MJ) explained by a most likely increase in weekly sRPE (432 ± 19 cf. 555 ± 22 AU), respectively. The difference in TEE between forwards and backs was unclear (21.6 ± 4.2 cf. 20.5 ± 4.9 MJ, respectively). We report greater TEE than previously reported in rugby that could be explained by the ability of DLW to account for all match and training-related activities that contributes to TEE.
    • Associations between selected training stress measures and fitness changes in male soccer players

      Rabbani, Alireza; Kargarfard, Mehdi; Castagna, Carlo; Clemente, Filipe M.; Twist, Craig; University of Chester (Human Kinetics, 2019-01-24)
      Purpose: The purpose of this study was to investigate the relationship of accumulated Global Positioning System (GPS)-accelerometer-based and heart rate (HR)-based training metrics to changes in high-intensity intermittent running capacity during an in-season phase in professional soccer players. Method: Eleven male professional players (mean ± SD, age: 27.2 ± 4.5 years) performed the 30-15 Intermittent Fitness Test (30-15IFT) before and after a five-week in-season training phase, and the final velocity (VIFT) was considered as players’ high-intensity intermittent running capacity. During all sessions, Edwards’ training impulse (Edwards’ TRIMP), Banister’s TRIMP, Z5 TRIMP, training duration, total distance covered, New Body Load (NBL), high-intensity running performance (distance covered above 14.4 km•h-1), and very high-intensity running performance (distance covered above 19.8 km•h-1) were recorded. Results: The players’ VIFT showed a most likely moderate improvement (+4.3%, 90% confidence limits [3.1; 5.5%], effect size ES, 0.70 [0.51; 0.89]). Accumulated NBL, Banister’s TRIMP and Edwards’ TRIMP showed large associations (r = 0.51 to 0.54) with changes in VIFT. Very large relationship was also observed between accumulated Z5 TRIMP (r= 0.72) with changes in VIFT. Large-to-nearly perfect within-individual relationships were observed between NBL and some of the other training metrics (i.e., Edwards’ TRIMP, Banister’s TRIMP, training duration, and total distance) in 10 out of 11 players. Conclusions: HR-based training metrics can be used to monitor high-intensity intermittent running capacity changes in professional soccer players. The dose-response relationship is also largely detected using accelerometer-based metrics (i.e., NBL) to track changes in high-intensity intermittent running capacity of professional soccer players.
    • Baseball: Myths and modernization

      Bloyce, Daniel; University College Chester (Routledge, 2004-04-01)
      This book chapter discusses the processes behind the development of baseball and in particular, the myth that baseball was invented by Abner Doubleday in 1839.
    • Beetroot supplementation improves the physiological responses to incline walking

      Waldron, Mark; Waldron, Luke; Lawlor, Craig; Gray, Adrian; Highton, Jamie M.; St Mary's University; University of New England; Medical Education Centre Royal Cornwall Hospitals NHS Trust; University of Chester (Springer, 2018-03-15)
      Purpose: We investigated the effects of an acute 24-h nitrate-rich beetroot juice supplement (BR) on the energy cost, exercise efficiency and blood pressure responses to intermittent walking at different gradients. Methods: In a double-blind, cross-over design, eight participants were provided with a total of 350 ml of nitrate-rich (~20.5 mmol nitrate) BR or placebo (PLA) across 24-h before completing intermittent walking at 3 km/h on treadmill at gradients of 1%, 5%, 10%, 15% and 20%. Results: Resting mean arterial pressure (MAP) was ~4.1% lower after BR (93 vs. 89 mmHg; P = 0.001), as well as during exercise (102 vs. 99 mmHg; P = 0.011) and recovery (97 vs. 94 mmHg; P = 0.001). Exercising (1227 vs. 1129 ml/min P < 0.001) and end-stage (1404 vs. 1249 ml/min; P = 0.002) oxygen uptake (𝑉O2) was lower in BR compared to PLA, which was accompanied by an average reduction in phase II 𝑉 ̇O2 amplitude (1067 vs. 940 ml/min; P = 0.025). Similarly, recovery 𝑉O2 (509 vs. 458 ml/min; P = 0.001) was lower in BR. Whole-blood potassium concentration increased from pre-post exercise in PLA (4.1 ± 0.3 vs. 4.5 ± 0.3 mmol/L; P = 0.013) but not BR (4.1 ± 0.31 vs. 4.3 ± 0.2 mmol/L; P = 0.188). Conclusions: Energy cost of exercise, recovery of 𝑉O2, MAP and blood markers were ameliorated after BR. Previously reported mechanisms explain these findings, which are more noticeable during less efficient walking at steep gradients (15-20%). These findings have practical implications for hill-walkers.
    • The body matters: Psychophysical impact of retiring from elite sport

      Stephan, Yannick; Torregrosa, Miguel; Sanchez, Xavier; University Paris XI ; Autonomous University of Barcelona ; Edge Hill College (Elsevier, 2007-01)
      This article involved 69 French retired elite athletes and aimed to assess the relationship between the perception of bodily changes after retirement from elite sport and physical self and global self-esteem, in retired elite athletes.
    • Carbohydrate and caffeine improves high intensity running of elite rugby league interchange players during simulated match play

      Clarke, Jon; Highton, Jamie M.; Close, Graeme L.; Twist, Craig; University of Chester; Warrington Wolves RLFC; Liverpool John Moores University (Lippincott, Williams & Wilkins, 2016-11-19)
      Carbohydrate and caffeine improves high intensity running of elite rugby league interchange players during simulated match play
    • Carbohydrate-protein ingestion during self-regulated simulated multiple-sprint sport activity

      Highton, Jamie M.; Nicholas, Ceri; Twist, Craig; Lamb, Kevin L.; University of Chester (2011-09)
    • Changes in anthropometry and performance, and their inter-relationships, across three seasons in elite youth rugby league players

      Waldron, Mark; Worsfold, Paul R.; Twist, Craig; Lamb, Kevin L.; University of New England, Australia ; University of Chester ; University of Chester ; University of Chester (Lippincott, Williams & Wilkins, 2014-11-30)
      This study investigated changes in anthropometry and performance, and their inter-relationships, across three consecutive seasons (under-15 to under-17 age group) in elite youth rugby league players. Each player took part in annual anthropometrical and performance assessments, comprising measurements of stature; body mass; limb lengths and circumference; skinfolds, predicted muscle cross-sectional area (CSA); 20 m speed, counter-movement jump height, vertical power and aerobic power. Lean body mass % changed (P < 0.05) between the under-15 (70.9 ± 5.9 %), under-16 (72.0 ± 5.8 %) and the under-17 age groups (74.1 ± 5.7 %). Likewise, predicted quadriceps muscle cross-sectional area (CSA) also changed (P < 0.05) between each age group (under-15 = 120.9 ± 37.8 cm2; under-16 = 133.2 ± 36.0 cm2; under-17 = 154.8 ± 28.3 cm2). Concomitant changes between the under-15 and under-16 group were found for 20 m speed (3.5 ± 0.1 cf. 3.4 ± 0.2 s; P = 0.008) and predicted jumping power (3611.3 ± 327.3 W cf. 4081.5 ± 453.9 W; P = 0.003). Both lean body mass and quadriceps muscle CSA consistently, related to both 20 m sprint time and jumping power, with r-values ranging between -0.39 to –0.63 (20 m sprint time) and 0.55 to 0.75 (jumping power). Our findings demonstrate the importance of gains in lean body mass across later-adolescence that support the ability to generate horizontal speed and predicted vertical power. This information should inform the expectations and subsequent training programs of elite rugby league practitioners.
    • Changes in locomotive rates during senior elite rugby league matches

      Sykes, Dave; Twist, Craig; Nicholas, Ceri; Lamb, Kevin L.; University of Chester (Taylor & Francis, 2011-08-05)
      The aim of this study was to quantify the changes in locomotive rates across the duration of senior elite rugby league matches.
    • Changing patterns of drug use in British sport from the 1960s

      Waddington, Ivan; University College Chester (Taylor & Francis, 2005)
      The objective of this paper is systematically to examine evidence relating to the prevalence and the changing patterns of drug use in British sport in the period from the 1960s to the present. There are four major sources of information about the prevalence of drug use among athletes: investigative journalism, including the writings and testimonials of athletes and others involved in sport; formal investigations, which may have legal or quasi-legal powers; surveys; and results from drug testing. The methodological problems associated with these sources of data are discussed. It is concluded that the data suggest that since the 1960s there has been a substantial increase in the use of performance-enhancing drugs by British athletes. More particularly the data suggest that, in athletics, the use of drugs has spread from the heavy throwing events to many other track and field events, and that it has spread from athletics and weightlifting - the sports in which drugs were most frequently used in the 1960s - to many other sports. The use of performance-enhancing drugs has also spread down from the elite to much lower levels, while the use of drugs is now widespread among non-competitive recreational athletes in other sport-related contexts such as gymnasiums.
    • Coach behaviour analysis within elite youth soccer

      Worsfold, Paul R.; University of Chester (Routledge, 2013-07-23)
      Soccer clubs recruit talented youth players into their development programmes with the aim of nurturing their ability, and ultimately to develop them into professional soccer players (Carling et al. 2012). Past talent identification and development research has identified that youth players, who are then selected to play at higher standards of competition, possess greater endurance capacity (Gil et al. 2007; Reilly et al. 2000), faster sprinting performance (Le Gall et al. 2010), have faster dribbling performance (Huijgen et al. 2009) and are generally more physically advanced in comparison to players of lower ability (Gravina et al. 2008). In contrast to traditional measures, few studies have considered player development in relation to coach-player interaction. There is general agreement that coaching is a process that primarily focuses on aiding athletes in achieving their peak performance (Woodman, 1993). Therefore, the way in which a coach facilitates learning through their words and actions, which is the core principal of the coach’s instructional behavior, can strongly impact upon an athletes’ performance and progression, as well as their emotional well-being (Miller, 1992). Promoting a mastery climate, with equal opportunities and support for athletes fosters group cohesion and reduces performance anxiety through the reduction of social pressures (Smith et al. 2007). Despite the need for equality to promote team cohesion throughout the team, differentiation between feedback provided to effective and non-effective team sport players has previously been identified. In many team sports, it has been suggested that coaches observe and interact more with effective players (based upon match time), provide more feedback (instructional, positive, and negative), and give more positive evaluations within training sessions when compared to non-effective players (Markland & Martinek, 1988; Wang et al. 2001; Rosado & Mesquita, 2009). To date no research has conducted a longitudinal assessment focusing on talent development and player progression through coach behaviour analysis within elite youth soccer. Therefore, the aim of the study was to objectively analyse coaching behaviour within three playing squads at an elite level soccer club during two competitive seasons.
    • Coaches’ philosophies on the transfer of strength training to elite sports performance

      Burnie, Louise; Barratt, Paul; Davids, Keith; Stone, Joseph; Worsfold, Paul R.; Wheat, Jon; Sheffield Hallam University; English Institute of Sport; University of Chester (Sage, 2017-12-07)
      The objective of the study was to explore coaches’ philosophies regarding strength training (repetitive muscle actions against high loads) and the transfer of strength training to sports performance. Thirteen world class coaches and athletes from track cycling, BMX, sprint kayaking, rowing and athletics sprinting were interviewed using an open-ended, semi-structured approach. Participants were asked about their coaching philosophies, design of athlete training programmes, strength training and its transfer to sports performance. A thematic analysis was conducted. Data trustworthiness was enhanced by methods of member checking and analyst triangulation. Coaches believed that task-specific strength is essential for sports performance. They reported that non-specific strength training (“traditional” gym-based strength exercises that are not specific to a sport movement) is important for increasing athletes’ muscle size and strength. This is typically used in conjunction with resisted sport movement training (for example, increased resistance running, pedalling or rowing), believed to achieve an effective transfer of enhanced muscle strength to sports performance. Coaches described the transfer process as complex, with factors associated with fatigue and coordination having particular significance. The importance that coaches place on coordination is supported by a theoretical model that demonstrates increases in muscle strength from strength training may need to be accompanied with a change in inter-muscular coordination to improve sport performance. The idea that each athlete needs to adapt intermuscular coordination in response to a change in his/her unique set of “organism constraints” (e.g. muscle strength) is well described by the theory of ecological dynamics and Newell’s model of constraints.
    • A community-based, bionic leg rehabilitation program for patients with chronic stroke: clinical trial protocol

      Wright, Amy; Stone, Keeron; Lambrick, Danielle; Fryer, Simon; Stoner, Lee; Tasker, Edward; Jobson, Simon; Smith, Grace; Batten, John; Batey, Jo; et al. (Elsevier, 2017-10-30)
      Stroke is a major global health problem whereby many survivors have unmet needs concerning mobility during recovery. As such, the use of robotic assisted devices (i.e., a bionic leg) within a community-setting may be an important adjunct to normal physiotherapy in chronic stroke survivors. This study will be a dual-centre, randomized, parallel group clinical trial to investigate the impact of a community based, training program using a bionic leg on biomechanical, cardiovascular and functional outcomes in stroke survivors. Following a baseline assessment which will assess gait, postural sway, vascular health (blood pressure, arterial stiffness) and functional outcomes (6-minute walk), participants will be randomized to a 10-week program group, incorporating either: i) physiotherapy plus community-based bionic leg training program, ii) physiotherapy only, or iii) usual care control. The training program will involve participants engaging in a minimum of 1 hour per day of bionic leg activities at home. Follow up assessment, identical to baseline, will occur after 10-weeks, 3 and 12 months post intervention. Given the practical implications of the study, the clinical significance of using the bionic leg will be assessed for each outcome variable. The potential improvements in gait, balance, vascular health and functional status may have a meaningful impact on patients’ quality of life. The integration of robotic devices within home-based rehabilitation programs may prove to be a cost effective, practical and beneficial resource for stroke survivors.
    • A comparison of load-velocity and load-power relationships between well-trained young and middle-aged males during three popular resistance exercises.

      Fernandes, John; Lamb, Kevin L.; Twist, Craig (Lippincott, Williams & Wilkins, 2018-05-05)
      This study examined the load-velocity and load-power relationships among 20 young (age 21.0 ± 1.6 y) and 20 middle-aged (age 42.6 ± 6.7 y) resistance trained males. Participants performed three repetitions of bench press, squat and bent-over-row across a range of loads corresponding to 20 to 80% of one repetition maximum (1RM). Analysis revealed effects (P < 0.05) of group and load x group on barbell velocity for all three exercises, and interaction effects on power for squat and bent-over-row (P < 0.05). For bench press and bent-over-row, the young group produced higher barbell velocities, with the magnitude of the differences decreasing as load increased (ES; effect size 0.0 to 1.7 and 1.0 to 2.0, respectively). Squat velocity was higher in the young group than the middle-aged group (ES 1.0 to 1.7) across all loads, as was power for each exercise (ES 1.0 to 2.3). For all three exercises, both velocity and 1RM were correlated with optimal power in the middle-aged group (r = .613 to .825, P < 0.05), but only 1RM was correlated with optimal power (r = .708 to .867, P < 0.05) in the young group. These findings indicate that despite their resistance training, middle-aged males were unable to achieve velocities at low external loads and power outputs as high as the young males across a range of external resistances. Moreover, the strong correlations between 1RM and velocity with optimal power suggest that middle-aged males would benefit from training methods which maximise these adaptations.
    • A comparison of self-reported and device measured sedentary behaviour in adults: a systematic review and meta-analysis.

      Prince, Stephanie; Cardilli, Luca; Reed, Jennifer; Saunders, Travis; Kite, Chris; Douillette, Kevin; Fournier, Karine; Buckley, John; University of Ottawa Heart Institute, Public Health Agency of Canada, Birmingham Community Healthcare NHS Foundation Trust, University of Chester, University of Ottawa, University of Prince Edward Island, Aston University
      Background Sedentary behaviour (SB) is a risk factor for chronic disease and premature mortality. While many individual studies have examined the reliability and validity of various self-report measures for assessing SB, it is not clear, in general, how self-reported SB (e.g., questionnaires, logs, ecological momentary assessments (EMAs)) compares to device measures (e.g., accelerometers, inclinometers). Objective The primary objective of this systematic review was to compare self-report versus device measures of SB in adults. Methods Six bibliographic databases were searched to identify all studies which included a comparable self-report and device measure of SB in adults. Risk of bias within and across studies was assessed. Results were synthesized using meta-analyses. Results The review included 185 unique studies. A total of 123 studies comprising 173 comparisons and data from 55,199 participants were used to examine general criterion validity. The average mean difference was -105.19 minutes/day (95% CI: -127.21, -83.17); self-report underestimated sedentary time by ~1.74 hours/day compared to device measures. Self-reported time spent sedentary at work was ~40 minutes higher than when assessed by devices. Single item measures performed more poorly than multi-item questionnaires, EMAs and logs/diaries. On average, when compared to inclinometers, multi-item questionnaires, EMAs and logs/diaries were not significantly different, but had substantial amount of variability (up to 6 hours/day within individual studies) with approximately half over-reporting and half under-reporting. A total of 54 studies provided an assessment of reliability of a self-report measure, on average the reliability was good (ICC = 0.66). Conclusions Evidence from this review suggests that single-item self-report measures generally underestimate sedentary time when compared to device measures. For accuracy, multi-item questionnaires, EMAs and logs/diaries with a shorter recall period should be encouraged above single item questions and longer recall periods if sedentary time is a primary outcome of study. Users should also be aware of the high degree of variability between and within tools. Studies should exert caution when comparing associations between different self-report and device measures with health outcomes.