Publicação
Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data
| Resumo: | Introduction: The International Physical Activity Questionnaire short form (IPAQ-sf) is primarily designed for physical activity (PA) surveillance, presenting good psychometric properties in people with an age range of 15-69 years. However, studies conducted in older people have shown conflicting results, suggesting that it may not be adequate for this population. Therefore, the use of the IPAQ-sf for the assessment of PA in patients with chronic conditions such as chronic obstructive pulmonary disease (COPD), in which patients are frequently older, remains unclear. Objective: To preliminary evaluate the validity and test-retest reliability of the IPAQ-sf in patients with COPD. Methods: This exploratory cross-sectional study included 10 patients with COPD (71.6±7.3 years old, 7 male, FEV1 77.2±20.7%predicted). Participants completed the IPAQ-sf on two occasions separated by 1 week and wore an accelerometer (Actigraph GT3X+) for 7 consecutive days. The following statistical analyses were conducted: 1) Pearson’s correlation coefficient (r) to assess correlations between the results obtained from the IPAQ-sf (PA in METs-min/week; sitting time in min/day) and the accelerometer (PA: total moderate-to-vigorous physical activity [MVPA] per week and recommended MVPA per week – i.e., MVPA conducted in bouts of at least 10-min as internationally recommended1; sedentary time in min/day); 2) percentage of agreement (%agreement) and Cohen’s kappa to assess the agreement between categorical scores obtained from the two measures (i.e., ‘sufficiently’ and ‘insufficiently’ active patients); 3) Intraclass Correlation Coefficient (ICC2,1) and 95% limits of agreement (LoA) to assess test-retest reliability and agreement. Results: Significant correlations were found between IPAQ-sf METs-min/week and total MVPA (r=0.729, p=0.017), but not between METs-min/week and recommended MVPA (r=0.346, p=0.327) or between IPAQ-sf sitting time and accelerometer-based sedentary time (r=-0.383, p=0.308). Agreement between the IPAQ-sf and accelerometer-based data in identifying ‘sufficiently’ and ‘insufficiently’ active patients was low (total MVPA: kappa=-0.538, %agreement=20%; recommended MVPA: kappa=-0.087, %agreement=50%). Test-retest reliability of the IPAQ-sf was poor to moderate (PA: ICC2,1=0.439 [-0.267→0.838]; sedentary time: ICC2,1=0.511 [-0.178→0.864]) and the agreement was low (PA: LoA: -10361→4548 METs-min/week; sedentary time: LoA: -194→148 min/day). Conclusions: Findings suggest that the IPAQ-sf has limited validity and reliability in the assessment of PA in patients with COPD. Further research with a larger sample is needed to support these findings. 1American College of Sports Medicine (ACSM) (2011). Med Sci Sports Exerc, 43(7), 1334-59. |
|---|---|
| Autores principais: | Cruz, Joana |
| Outros Autores: | Jácome, Cristina; Marques, Alda |
| Assunto: | Accelerometer Chronic obstructive pulmonary disease Psychometric properties Physical activity Self-report measure |
| Ano: | 2018 |
| País: | Portugal |
| Tipo de documento: | documento de conferência |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Leiria e Oeste |
| Idioma: | inglês |
| Origem: | IC-online |
| _version_ | 1877756025908494336 |
|---|---|
| author | Cruz, Joana |
| author2 | Jácome, Cristina Marques, Alda |
| author2_role | author author |
| author_facet | Cruz, Joana Jácome, Cristina Marques, Alda |
| author_role | author |
| contributor_name_str_mv | Repositório IC-Online |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Cruz, Joana\",\"Person.identifier.cienciaID\":\"E213-7D20-5C3C\",\"Person.identifier.orcid\":\"0000-0002-4911-4469\",\"Person.identifier.researcherID\":\"K-7030-2013\",\"Person.identifier.scopusAuthorID\":\"36715922000\"},{\"Person.name\":\"Jácome, Cristina\"},{\"Person.name\":\"Marques, Alda\",\"Person.identifier.cienciaID\":\"DE15-EFBA-4856\",\"Person.identifier.orcid\":\"0000-0003-4980-6200\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório IC-Online |
| datacite.creators.creator.creatorName.fl_str_mv | Cruz, Joana Jácome, Cristina Marques, Alda |
| datacite.date.Accepted.fl_str_mv | 2018-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2019-10-07T12:25:48Z |
| datacite.date.embargoed.fl_str_mv | 2019-10-07T12:25:48Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Accelerometer Chronic obstructive pulmonary disease Psychometric properties Physical activity Self-report measure |
| datacite.titles.title.fl_str_mv | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| dc.contributor.none.fl_str_mv | Repositório IC-Online |
| dc.creator.none.fl_str_mv | Cruz, Joana Jácome, Cristina Marques, Alda |
| dc.date.Accepted.fl_str_mv | 2018-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2019-10-07T12:25:48Z |
| dc.date.embargoed.fl_str_mv | 2019-10-07T12:25:48Z |
| dc.format.none.fl_str_mv | application/pdf application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10400.8/4175 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | BMC |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Accelerometer Chronic obstructive pulmonary disease Psychometric properties Physical activity Self-report measure |
| dc.title.fl_str_mv | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_c94f |
| description | Introduction: The International Physical Activity Questionnaire short form (IPAQ-sf) is primarily designed for physical activity (PA) surveillance, presenting good psychometric properties in people with an age range of 15-69 years. However, studies conducted in older people have shown conflicting results, suggesting that it may not be adequate for this population. Therefore, the use of the IPAQ-sf for the assessment of PA in patients with chronic conditions such as chronic obstructive pulmonary disease (COPD), in which patients are frequently older, remains unclear. Objective: To preliminary evaluate the validity and test-retest reliability of the IPAQ-sf in patients with COPD. Methods: This exploratory cross-sectional study included 10 patients with COPD (71.6±7.3 years old, 7 male, FEV1 77.2±20.7%predicted). Participants completed the IPAQ-sf on two occasions separated by 1 week and wore an accelerometer (Actigraph GT3X+) for 7 consecutive days. The following statistical analyses were conducted: 1) Pearson’s correlation coefficient (r) to assess correlations between the results obtained from the IPAQ-sf (PA in METs-min/week; sitting time in min/day) and the accelerometer (PA: total moderate-to-vigorous physical activity [MVPA] per week and recommended MVPA per week – i.e., MVPA conducted in bouts of at least 10-min as internationally recommended1; sedentary time in min/day); 2) percentage of agreement (%agreement) and Cohen’s kappa to assess the agreement between categorical scores obtained from the two measures (i.e., ‘sufficiently’ and ‘insufficiently’ active patients); 3) Intraclass Correlation Coefficient (ICC2,1) and 95% limits of agreement (LoA) to assess test-retest reliability and agreement. Results: Significant correlations were found between IPAQ-sf METs-min/week and total MVPA (r=0.729, p=0.017), but not between METs-min/week and recommended MVPA (r=0.346, p=0.327) or between IPAQ-sf sitting time and accelerometer-based sedentary time (r=-0.383, p=0.308). Agreement between the IPAQ-sf and accelerometer-based data in identifying ‘sufficiently’ and ‘insufficiently’ active patients was low (total MVPA: kappa=-0.538, %agreement=20%; recommended MVPA: kappa=-0.087, %agreement=50%). Test-retest reliability of the IPAQ-sf was poor to moderate (PA: ICC2,1=0.439 [-0.267→0.838]; sedentary time: ICC2,1=0.511 [-0.178→0.864]) and the agreement was low (PA: LoA: -10361→4548 METs-min/week; sedentary time: LoA: -194→148 min/day). Conclusions: Findings suggest that the IPAQ-sf has limited validity and reliability in the assessment of PA in patients with COPD. Further research with a larger sample is needed to support these findings. 1American College of Sports Medicine (ACSM) (2011). Med Sci Sports Exerc, 43(7), 1334-59. |
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| institution | Universidade de Leiria e Oeste |
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| language | eng |
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| person_str_mv | Cruz, Joana Cruz, Joana https://www.ciencia-id.pt/E213-7D20-5C3C E213-7D20-5C3C http://orcid.org/0000-0002-4911-4469 0000-0002-4911-4469 Jácome, Cristina Marques, Alda Marques, Alda https://www.ciencia-id.pt/DE15-EFBA-4856 DE15-EFBA-4856 http://orcid.org/0000-0003-4980-6200 0000-0003-4980-6200 |
| publishDate | 2018 |
| publisher.none.fl_str_mv | BMC |
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| spelling | engBMCpt_PTIntroduction: The International Physical Activity Questionnaire short form (IPAQ-sf) is primarily designed for physical activity (PA) surveillance, presenting good psychometric properties in people with an age range of 15-69 years. However, studies conducted in older people have shown conflicting results, suggesting that it may not be adequate for this population. Therefore, the use of the IPAQ-sf for the assessment of PA in patients with chronic conditions such as chronic obstructive pulmonary disease (COPD), in which patients are frequently older, remains unclear. Objective: To preliminary evaluate the validity and test-retest reliability of the IPAQ-sf in patients with COPD. Methods: This exploratory cross-sectional study included 10 patients with COPD (71.6±7.3 years old, 7 male, FEV1 77.2±20.7%predicted). Participants completed the IPAQ-sf on two occasions separated by 1 week and wore an accelerometer (Actigraph GT3X+) for 7 consecutive days. The following statistical analyses were conducted: 1) Pearson’s correlation coefficient (r) to assess correlations between the results obtained from the IPAQ-sf (PA in METs-min/week; sitting time in min/day) and the accelerometer (PA: total moderate-to-vigorous physical activity [MVPA] per week and recommended MVPA per week – i.e., MVPA conducted in bouts of at least 10-min as internationally recommended1; sedentary time in min/day); 2) percentage of agreement (%agreement) and Cohen’s kappa to assess the agreement between categorical scores obtained from the two measures (i.e., ‘sufficiently’ and ‘insufficiently’ active patients); 3) Intraclass Correlation Coefficient (ICC2,1) and 95% limits of agreement (LoA) to assess test-retest reliability and agreement. Results: Significant correlations were found between IPAQ-sf METs-min/week and total MVPA (r=0.729, p=0.017), but not between METs-min/week and recommended MVPA (r=0.346, p=0.327) or between IPAQ-sf sitting time and accelerometer-based sedentary time (r=-0.383, p=0.308). Agreement between the IPAQ-sf and accelerometer-based data in identifying ‘sufficiently’ and ‘insufficiently’ active patients was low (total MVPA: kappa=-0.538, %agreement=20%; recommended MVPA: kappa=-0.087, %agreement=50%). Test-retest reliability of the IPAQ-sf was poor to moderate (PA: ICC2,1=0.439 [-0.267→0.838]; sedentary time: ICC2,1=0.511 [-0.178→0.864]) and the agreement was low (PA: LoA: -10361→4548 METs-min/week; sedentary time: LoA: -194→148 min/day). Conclusions: Findings suggest that the IPAQ-sf has limited validity and reliability in the assessment of PA in patients with COPD. Further research with a larger sample is needed to support these findings. 1American College of Sports Medicine (ACSM) (2011). Med Sci Sports Exerc, 43(7), 1334-59.application/pdfapplication/pdfpt_PTIs the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer dataPersonalCruz, JoanaDSpacehttp://dspace.org/items/33428074-748a-4751-b2f7-9f24247715fdDSpacehttp://dspace.org/items/33428074-748a-4751-b2f7-9f24247715fdCruzJoanaCiência IDhttps://www.ciencia-id.ptE213-7D20-5C3CORCIDhttp://orcid.org0000-0002-4911-4469Researcher IDhttps://www.researcherid.comK-7030-2013Scopus Author IDhttps://www.scopus.com36715922000Jácome, CristinaPersonalMarques, AldaDSpacehttp://dspace.org/items/2b4618ae-9c47-4033-94ea-24c9793d73e7DSpacehttp://dspace.org/items/2b4618ae-9c47-4033-94ea-24c9793d73e7MarquesAldaCiência IDhttps://www.ciencia-id.ptDE15-EFBA-4856ORCIDhttp://orcid.org0000-0003-4980-6200HostingInstitutionOrganizationalRepositório IC-Onlinee-mailmailto:repositorio@ulo.ptrepositorio@ulo.ptISSNIsPartOf1472-6963DOIIsPartOfhttps://doi.org/10.1186/s12913-018-3444-82019-10-07T12:25:48Z20182018-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.8/4175http://purl.org/coar/access_right/c_abf2open accessAccelerometerChronic obstructive pulmonary diseasePsychometric propertiesPhysical activitySelf-report measure151621 bytes850379 bytesother research producthttp://purl.org/coar/resource_type/c_c94fconference objecthttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://iconline.ulo.pt/bitstreams/e0b7c726-79cd-42e4-a361-25d73622cabd/downloadhttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://iconline.ulo.pt/bitstreams/3c723de6-6ca2-43b5-8827-bbbca3c60381/downloadBMC Health Services Research18P149Leiria, Portugal |
| spellingShingle | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data Cruz, Joana Accelerometer Chronic obstructive pulmonary disease Psychometric properties Physical activity Self-report measure |
| status | SINGLETON |
| subject.fl_str_mv | Accelerometer Chronic obstructive pulmonary disease Psychometric properties Physical activity Self-report measure |
| title | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| title_full | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| title_fullStr | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| title_full_unstemmed | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| title_short | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| title_sort | Is the international physical activity questionnaire (IPAQ-sf) valid to assess physical activity in patients with COPD? Comparison with accelerometer data |
| topic | Accelerometer Chronic obstructive pulmonary disease Psychometric properties Physical activity Self-report measure |
| topic_facet | Accelerometer Chronic obstructive pulmonary disease Psychometric properties Physical activity Self-report measure |
| url | http://hdl.handle.net/10400.8/4175 |
| visible | 1 |
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