Abstract

This study aimed to evaluate the validity and precision of the International Physical Activity Questionnaire (IPAQ) for climacteric women using computational intelligence techniques. The instrument was applied to 873 women aged between 40 and 65 years. Considering the proposal to regroup the set of data related to the level of physical activity of climacteric women using the IPAQ, we used 2 algorithms: Kohonen and k-means, and, to evaluate the validity of these clusters, 3 indexes were used: Silhouette, PBM and Dunn. The questionnaire was tested for validity (factor analysis) and precision (Cronbach's alpha). The Random Forests technique was used to assess the importance of the variables that make up the IPAQ. To classify these variables, we used 3 algorithms: Suport Vector Machine, Artificial Neural Network and Decision Tree. The results of the tests to evaluate the clusters suggested that what is recommended for IPAQ, when applied to climacteric women, is to categorize the results into two groups. The factor analysis resulted in three factors, with factor 1 being composed of variables 3 to 6; factor 2 for variables 7 and 8; and factor 3 for variables 1 and 2. Regarding the reliability estimate, the results of the standardized Cronbach's alpha test showed values between 0.63 to 0.85, being considered acceptable for the construction of the construct. In the test of importance of the variables that make up the instrument, the results showed that variables 1 and 8 presented a lesser degree of importance and by the analysis of Accuracy, Recall, Precision and area under the ROC curve, there was no variation when the results were analyzed with all IPAQ variables but variables 1 and 8. Through this analysis, we concluded that the IPAQ, short version, has adequate measurement properties for the investigated population.

Highlights

  • Climacteric is a natural phase that women experience during the aging process, and includes the transition between the ovarian reproductive phase and senescence, occurring spontaneously or secondarily to other conditions [1, 2]

  • The Support Vector Machines (SVM) [36] classification models were used; Artificial Neural Networks (ANN) [37] and Decision Trees (DT) [38] to classify the variables that make up the International Physical Activity Questionnaire (IPAQ)

  • To classify the variables that make up the IPAQ, the Support Vector Machine (SVM), Artificial Neural Network (ANN) and Decision Tree (DT) were used

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Summary

Introduction

Climacteric is a natural phase that women experience during the aging process, and includes the transition between the ovarian reproductive phase and senescence, occurring spontaneously or secondarily to other conditions [1, 2]. This period is marked by a decline in the production of sex hormones, such as estrogen, which can cause physical symptoms, such as: hot flashes and night sweats, urogenital atrophy, sexual dysfunction, mood changes, bone loss and metabolic changes that predispose to cardiovascular diseases and diabetes [1]. The management options for these experiences range from clinical assessment to lifestyle interventions, such as regular physical activity, considered a non-pharmacological intervention, which can minimize the deleterious symptoms resulting from climacteric [4]

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