Abstract
BackgroundTo ensure accurate measurement of the health benefits of habitual physical activity in large sample epidemiological studies, physical activity questionnaires (PAQs) are the most feasible methods. Therefore, the purpose of this study was the validation and cultural adaptation to the Hungarian population of the International Physical Activity Questionnaire (IPAQ-HL).MethodsA cross-sectional study among Hungarian healthy adults (age 21.375 ± 1.940 years, n = 120) was performed comparing measures of last 7 days IPAQ-HL self- administered questionnaire and obtained accelerometer (Actigraph GT3X) data for concurrent validity, reassessed by a random subsample (n = 33) to measure reliability.ResultsOur results indicate acceptable criterion validity for total physical activity, moderate to vigorous physical activity (R = 0.387, p < 0.001; R = 0.331 p < 0.001 respectively) and moderate physical activity (R = 0.193, p = 0.034). The ICC scores revealed moderate to good correlations (ICC = 0.744–0.942, p < 0.001). Moderate Kaiser–Meyer–Olkin measure (0.531, p < 0.001) and good reproducibility for vigorous, moderate to vigorous and moderate activities was found for IPAQ-HL in the studied population. Nevertheless, like analogous self-reports in other languages, it overestimates the time spent on physical activity.ConclusionsIPAQ-HL proved to be a reasonably valid measure for population prevalence epidemiological studies and is suggested for use to develop public health policy recommendations or to optimize public health interventions. However, the results on vigorous activity should be interpreted with caution, the questionnaire showed moderate validity for this particular intensity.
Highlights
To ensure accurate measurement of the health benefits of habitual physical activity in large sample epidemiological studies, physical activity questionnaires (PAQs) are the most feasible methods
We aimed to develop a Hungarian version of the International Physical Activity Questionnaire (IPAQ) long form (IPAQ-HL) - equivalent to the original English version, culturally adapt it to the target population and assess its validity and reproducibility on a sample of healthy young adults in Hungary
In the physical activity measurement, we found significant differences between genders according to the ActiGraph vigorous (p = 0.048) and sitting time (p = 0.018) and in IPAQ-HL data according to moderate to vigorous physical activity (MVPA) MET min / week (p = 0.048), TOTAL MET min / week (p = 0.044), leisure time MET min / week (p = 0.017) and vigorous MET min / week (p = 0.017)
Summary
To ensure accurate measurement of the health benefits of habitual physical activity in large sample epidemiological studies, physical activity questionnaires (PAQs) are the most feasible methods. The purpose of this study was the validation and cultural adaptation to the Hungarian population of the International Physical Activity Questionnaire (IPAQ-HL). Physical activity questionnaires (PAQs) are the most feasible methods [10] to ensure accurate measurement of habitual physical activity in large sample epidemiological studies on the relationship between physical activity and health, on the fulfilment of recommendations or even on seeking an appropriate pattern of physical activity for maintaining health benefits. To obtain internationally comparable data on health–related physical activity that people engage in as part of their everyday lives, the International Physical Activity Questionnaire (IPAQ) is one of the recommended and - for the general population - the most widely used PAQs [11, 12]. No validated Hungarian version of this questionnaire exists to this date
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