Abstract
Background: The Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) is the international standard for pre-participation risk stratification and screening. In order to provide a practical and valid screening tool to facilitate safe engagement in physical activity and fitness assessments for the Brazilian population, this study aimed to translate, culturally adapt, and verify the reproducibility of the evidence-based PAR-Q+ to the Brazilian Portuguese language.Method: Initially, the document was translated by two independent translators, before Brazilian experts in health and physical activity evaluated the translations and produced a common initial version. Next, two English native speakers, fluent in Brazilian Portuguese and accustomed to the local culture, back-translated the questionnaire. These back translations were assessed by the organization in charge of the PAR-Q+, then a final Brazilian version was approved. A total of 493 Brazilians between 5 and 93 yr (39.9 ± 25.4 yr), 59% female, with varying levels of health and physical activity, completed the questionnaire twice, in person or online, 1–2 weeks apart. Cronbach's alpha was used to calculate the internal consistency of all items of the questionnaire, and the Kappa statistic was used to assess the individual reproducibility of each item of the document. Additionally, the intraclass correlation coefficient and its 95% confidence interval (CI) were used to verify the general reproducibility (reliability) of the translated version.Results: The Brazilian version had an excellent internal consistency (0.993), with an almost perfect agreement in 93.8% of the questions, and a substantial agreement in the other 6.2%. The translated version also had a good to excellent total reproducibility (0.901, 95% CI: 0.887–0.914).Conclusion: The results show this translation is a valid and reliable screening tool, which may facilitate a larger number of Brazilians to start or increase physical activity participation in a safe manner.
Highlights
Physical inactivity is related to several health problems and is estimated to lead to the premature death of ∼9% of the global population [1]
The translated version of the questionnaire had a good to excellent general reproducibility (ICC = 0.901, 95% confidence interval (CI): 0.887–0.914)
The Physical Activity Readiness Questionnaire (PAR-Q)+ was initially developed in two languages, English and French, since it was created in Campinas and Vancouver (Canada), which is a bilingual country [58, 59]
Summary
Physical inactivity is related to several health problems and is estimated to lead to the premature death of ∼9% of the global population [1]. Routine physical activity participation protects against more than 25 chronic medical conditions, such as cardiovascular disease, diabetes, some types of cancer, depression, and osteoporosis, and significantly reduces the risk of early mortality [2, 3]. There are other factors associated with physical inactivity, such as biological and psychological aspects [3, 5] In this respect, the fear of injury, getting sick, and even dying are reported, among others, as some of the most common barriers to physical activity [6,7,8]. In order to provide a practical and valid screening tool to facilitate safe engagement in physical activity and fitness assessments for the Brazilian population, this study aimed to translate, culturally adapt, and verify the reproducibility of the evidence-based PAR-Q+ to the Brazilian Portuguese language
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