Abstract
Objective The aim of the study was to translate and culturally adapt the Physical Activity Scale for the Elderly into Italian (PASE-I) and to evaluate its psychometric properties in the Italian older adults healthy population. Methods For translation and cultural adaptation, the “Translation and Cultural Adaptation of Patient-Reported Outcomes Measures” guidelines have been followed. Participants included healthy individuals between 55 and 75 years old. The reliability and validity were assessed following the “Consensus-Based Standards for the Selection of Health Status Measurement Instruments” checklist. To evaluate internal consistency and test-retest reliability, Cronbach's α and Intraclass Correlation Coefficient (ICC) were, respectively, calculated. The Berg Balance Score (BBS) and the PASE-I were administered together, and Pearson's correlation coefficient was calculated for validity. Results All the PASE-I items were identical or similar to the original version. The scale was administered twice within a week to 94 Italian healthy older people. The mean PASE-I score in this study was 159±77.88. Cronbach's α was 0.815 (p < 0.01) and ICC was 0.977 (p < 0.01). The correlation with the BBS was 0.817 (p < 0.01). Conclusions The PASE-I showed positive results for reliability and validity. This scale will be of great use to clinicians and researchers in evaluating and managing physical activities in the Italian older adults population.
Highlights
Over the last 30 years, several studies have shown that physical activity can prevent age-related diseases, such as cardiovascular disease [1,2,3], diabetes mellitus [3,4,5,6,7], certain types of cancer [8], osteoporosis [9,10,11], respiratory disease [12, 13], and dementia [14, 15]
It has been established that physical activity can improve body mass index (BMI) [16] and mental health [17] and conserve energy balance, reduce the risk of falling [18], and help a person to extend their life expectancy and maintain their independence [19]
This study was conducted by a research group composed of medical doctors and rehabilitation professionals from the “Sapienza” University of Rome and from “Rehabilitation and Outcome Measure Assessment” (ROMA) association
Summary
Over the last 30 years, several studies have shown that physical activity can prevent age-related diseases, such as cardiovascular disease [1,2,3], diabetes mellitus [3,4,5,6,7], certain types of cancer [8], osteoporosis [9,10,11], respiratory disease [12, 13], and dementia [14, 15]. In 2015, people aged 65 and older accounted for 22% of the population, and this figure is estimated to increase to 33% by 2065 [20]. In Italy, the number of people between the ages of 65 and 74 years who claimed to take part in physical activities reached 11% in 2015, which was 60% higher than in 2005. From the age of 65, almost half of the population declares themselves to be sedentary (45%), and the most sedentary people are 75 years old or older (70%). There has been a strong increase in the older adults population’s participation in sports over the last 10 years, which has almost doubled from 6% to 11% in that time [22]
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