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. 2021 Oct 20;8:741542. doi: 10.3389/fcvm.2021.741542

Table 2.

Lifestyle habits and sedentary behavior questionnaire.

1. Cognitive orientation
(a) What year is this?
(b) What season is this?
(c) What month is this?
(d) What is today's date?
(e) What day of the week is this?
(f) What country are we in?
(g) What province are we in?
(h) What city/town are we in?
(i) What is the name of this building?
(j) What room are we in?
2. Smoking habits
(a) I smoke everyday. How many cigarettes/day: Started at age:
(b) I don't smoke every day. How many cigarettes/week: Started at age:
(c) I don't smoke but I've smoked every day in the past. How many cigarettes/day: Started at age: Stopped at age:
(d) I never smoked.
3. Sedentary behavior Time spent on a typical weekday
None -15min 15–30 min 30–60 min 1–2 h 2–3 h 3–4 h 4–5 h 5–6 h >6 h
1. Sitting at work
During your leisure time
2. Sitting watching television
3. Sitting on the computer
4. Sitting during meals
5. Sitting listening music or reading a book
6. Sitting with friends or family
7. Sitting and driving a car, bus or train
8. Sitting during leisure time
9. Taking a nap
4. Nutritional habits 1 2 3
1. How many meals do you eat per day? 3 meals/day A fourth 1-2 meals/day
2. Do you eat between meals? No, I have a snack when I need it I eat in the evening I often nibble between meals
3. Do you eat prepared foods? <1/week 1–2/week ≥3/week
4. How many portions of vegetables do you eat? ≥4/day 2–3/day ≤ 1/day
5. How many portions of fruits do you eat? ≥3/day 2/day ≤ 1/day
6. How often do you eat deli or fatty meats? <1/week 1–2/week ≥3/week
7. How often do you eat baked products (muffins, brioche, croissant, etc.)? ≤ 1/week 2–3/week ≥4/week
8. How often do you eat sweets? ≤ 3/week 4–5/week everyday
9. Do you drink sweet drinks, including 0% calories? 250mL or less/day 250mL/day 250mL or more/day
1 2 3
10. What is your average alcohol consumption? <1/day 2/day >2/day