Reliability Of Physical Activity Questionnaire Research Articles

Measuring validity and reliability of the Italian version of Physical Activity Questionnaire for Older Children in overweight and obese children

The measure of daily physical activity (PA) is one of the most important topics in the field of health promotion. In addition, self-efficacy and enjoyment are significant factors that can foster adherence to physical activity during a person’s lifetime. The present study aims to assess the validity and reliability of Physical Activity Questionnaire for Older Children-Italian version (PAQ-C-It) in a sample of normal weight, overweight, and obese children. Three studies were conducted to assess the (1) general characteristics of PAQ-C-It, (2) model fit and construct validity between PA, self-efficacy, and enjoyment, and (3) reliability and construct validity of PAQ-C-It in normal weight, overweight, and obese children. The sample involved a total of 914, 500, and 600 children (male = 466, female = 448) attending first grade of secondary school (age = 11–13 years), in the first, second and third study, respectively. Children were asked to respond to three scales: Physical Activity Questionnaire for Older Children (PAQ-C-It), the Perceived Physical Ability Scale (PPAS), and Physical Activity Enjoyment Scale (PACES). Then, explorative and confirmatory factor analyses were conducted to assess the validity and reliability of the PAQ-C-It by relating results with those of the other scales. The analysis showed acceptable value and internal consistency of items for the subscales (α > 0.7), as well as the average variance extracted (>0.5) in both normal weight, overweight, and obese children. The results of the present study show that PAQ-C-It can be applied in the field of physical activity to measure adherence to physical activity and healthy behaviors. Moreover, self-efficacy and enjoyment are significant factors that can best promote adherence to PA. The present study can extend our knowledge about PAQ-C-It and open up new research avenues for driving interventions aimed at reducing sedentary behavior and improving PA in overweight and obese children.

Comparing the reliability of physical activity questionnaires in community-dwelling adults with stroke

ABSTRACT Background Physical activity (PA) is important for people with stroke, but the reliability of PA questionnaires used in this population has been relatively unexplored. Objective To compare the internal consistency, test-retest, and absolute reliability of 3 commonly used PA questionnaires in adults with stroke. Methods Participants reported their PA levels twice, 2–3 days apart, using the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD), International Physical Activity Questionnaire (IPAQ), and Global Physical Activity Questionnaire (GPAQ). Intraclass correlation coefficients (ICC2,1) were calculated for test-retest reliability, Cronbach’s alpha (α) for internal consistency, and standard error of measurement (SEM) and minimal detectable change (MDC95) for absolute reliability. Results Twenty-eight people (64.4 years, 50% female, 5.2 years post-stroke) participated. Internal consistency was acceptable for total scores on the IPAQ ( α = 0.79) and GPAQ ( α = 0.74), but only domain-level scores for the GPAQ ( α = 0.71–0.88). In the full sample, test-retest reliability was good for the PASIPD (ICC2,1 = 0.83) but poor for the IPAQ and GPAQ (ICC2,1 <0.50). After excluding participants self-reporting true changes in PA, all questionnaires had good test-retest reliability (ICC2,1 = 0.77–0.88). SEM and MDC95 were lowest for the PASIPD (188.8 and 523.3 MET-minutes/week, respectively). Conclusions In adults with stroke, the IPAQ and GPAQ had adequate total-questionnaire internal consistency, and the GPAQ had acceptable domain-level internal consistency. When true change in PA did not occur, test-retest reliability was good for all questionnaires. We suggest clinicians and rehabilitation scientists can use any of the three questionnaires, but may consider the GPAQ due to acceptable internal consistency and test-retest reliability.

Cut-point values for classifying active children and validity and reliability of physical activity questionnaire for children in Morocco.

The Physical Activity Questionnaire for Children (PAQ-C) is widely used to assess physical activity in populations; however, there is a lack of information about the psychometric properties (validity and reliability) and about the PAQ-C score meaning in populations from low-middle income countries. The aim of this study is to evaluate the reliability and validity of PAQ-C and to determine the cut-point values of PAQ-C using accelerometry as a reference in a group of Moroccan children. In a sample of 171 children and adolescents aged 8 to 14 years, physical activity was assessed with the GT3X + accelerometer and the PAQ-C. PAQ-C was administered for a second time (retest) after 1week for a subsample (n = 73). Reliability was analyzed by intraclass correlation coefficient (ICC). The PAQ-C was compared against count per minute CPM and moderate to vigorous intensity PA (MVPA) obtained by accelerometry. Receiver operating curve analyses were performed to assess the performance of PAQ-C in identifying MVPA as measured by accelerometry (reference method). Test-retest reliability was poor with an ICC = (0.48 [0.27; 0.63] for the whole sample, while for the ≥11 year group, the intra-class correlation coefficient was moderate (0.71 [0.42; 0.86]. PAQ-C scores were significantly related to accelerometry-derived metrics of physical activity, CPM (R = 0.29, P < 0.001) and MVPA (R = 0.26, P < 0.001). For the age group ≥11 years, the associations between PAQ-C Scores and CPM and MVPA were stronger, respectively, R = 0.37 (P <0.001), R =0.38 (P < 0.0001). We identified that a PAQ-C Score cut-point of 2.33 (95%CI [0.43-0.68]) discriminated adequately between those who met physical activity guidelines and those that did not in the overall sample. The PAQ-C is valid and useful to assess population level physical activity in those ≥11 years in Morocco and so might be helpful in population surveillance of physical activity in Moroccan adolescents.

Test-retest reliability of physical activity questionnaires in Parkinson\u2019s disease

BackgroundPeople with Parkinson’s disease are less physically active than controls. It is important to promote physical activity, which can be assessed using different methods. Subjective measures include physical activity questionnaires, which are easy and cheap to administer in clinical practice. Knowledge of the psychometric properties of physical activity questionnaires for people with Parkinson’s disease is limited. The aim of this study was to evaluate the test-retest reliability of physical activity questionnaires in individuals with Parkinson’s disease without cognitive impairment.MethodsForty-nine individuals with Parkinson’s disease without cognitive impairment participated in a test-retest reliability study. At two outpatient visits 8 days apart, the participants completed comprehensive questionnaires and single-item questions: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Physical Activity Scale for the Elderly (PASE), Saltin-Grimby Physical Activity Level Scale (SGPALS) and Health on Equal Terms (HOET). Test-retest reliability was evaluated using the intraclass correlation coefficient (ICC), standard error of measurement (SEM), limits of agreement, weighted kappa or the Svensson method.ResultsSeveral of the physical activity questionnaires had relatively low test-retest reliability, including the comprehensive questionnaires (IPAQ-SF and PASE). Total physical activity according to IPAQ-SF had an ICC value of 0.46 (95% confidence interval [CI], 0.21–0.66) and SEM was 2891 MET-min/week. The PASE total score had an ICC value of 0.66 (95% CI, 0.46–0.79), whereas the SEM was 30 points. The single-item scales of SGPALS-past six months (SGPALS-6 m) and HOET question 1 (HOET-q1) with longer time frames (6 or 12 months, respectively) showed better results. Weighted kappa values were 0.64 (95% CI, 0.45–0.83) for SGPALS-6 m and 0.60 (95% CI, 0.39–0.80) for HOET-q1, whereas the single-item questions with a shorter recall period had kappa values < 0.40.ConclusionsSingle-item questions with a longer time frame (6 or 12 months) for physical activity were shown to be more reliable than multi-item questionnaires such as the IPAQ-SF and PASE in individuals with Parkinson’s disease without cognitive impairments. There is a need to develop a core outcome set to measure physical activity in people with Parkinson’s disease, and there might be a need to develop new physical activity questionnaires.

Validity and Reliability of the Modified Physical Activity Questionnaire for Adolescents (PAQ-A) among Malaysian Youth

This study aims to measure the level of validity and reliability of Physical Activity Questionnaire for Adolescents (PAQ-A) in Bahasa Malaysia in measuring Malaysian youths' level of fitness. The absence of Bahasa Malaysia questionnaire in measuring the level of Malaysian youths' fitness further strengthens the study carried out. Descriptive statistics are applied to describe respondents' demographic distribution such as sex, race, height, weight and BMI. A total of 60 respondents were involved in this study, 29 of them are males (48.3%) and 31 others are females (51.7%). Reliability of PAQ-A is determined by doing test retest after 12 days. Convergent validity and criterion validity were measured by comparing PAQ-A and IPAQ as well as PAQ-A and pedometer overall pace. Pearson Correlation (r), Alpha Cronbach (α), and ICC were used to assess the degree of reliability while Spearman Correlation (rho) was used in deciding level of validity of PAQ-A. Overall correlation between first and second PAQ-A administration is r=0.719, p<0.05. Coefficient α PAQ-A was 0.836, with the value of ICC=0.718 and 95% range CI =0.569-0.822. Correlation value between PAQ-A and pedometer overall pace is low (rho=0.167, p=0.202). Meanwhile, the correlation between PAQ-A and IPAQ was high (rho=0.516, p<0.05). In conclusion, PAQ-A questionnaire has high degree of reliability and convergent validity and is acceptable in measuring Malaysian youths' fitness level but is low in measuring criterion validity level.

Validity and reliability of physical activity questionnaires in children and adolescents: a Meta-analysis

Objective: This review is to systematically summarize the studies examining physical activity questionnaires in children and adolescents and assess the overall validity and reliability, providing evidence on epidemiology research of physical activity in youth. Methods: A meta-analysis was performed using Stata 14.0 software. PubMed/Medline and EMBASE databases using the following terms:'Physical Activity'AND (' Questionnaire'OR'Self-report'OR'Recall') AND'Valid*'AND (' Reliab*'OR'Reproducib*'OR'Sensitiv*'OR'Responsiv*') AND (' Child*' OR'Adolescen*'OR'Youth') were searched from January 2008 to December 2018. Articles meeting the inclusion criteria were screened and adopting 'COnsensusbased Standards for the selection of health status Measurement Instruments' to evaluate the quality of the included studies. Results: This review yielded 17 articles on 20 different physical activity questionnaires, the total number of 2 778 participants for validity study and 2 137 participants for reliability study. The combined values of correlation coefficients in validity study were 0.27 (95%CI: 0.23-0.31) for moderate-to-vigorous intensity physical activity, 0.24 (95%CI: 0.18-0.30) for moderate intensity physical activity, 0.33 (95%CI: 0.24-0.42) for vigorous intensity physical activity. The combined values of intraclass correlation coefficients in reliability study were 0.75 (95%CI: 0.68-0.83) for moderate-to-vigorous intensity physical activity, 0.56 (95%CI: 0.46-0.65) for moderate intensity physical activity, 0.68 (95%CI: 0.61-0.75) for vigorous intensity physical activity. Conclusion: Until now, no questionnaires were identified for good validity and reliability to assess the physical activity level in young population.

A systematic review of evaluation studies on physical activity questionnaires for children and adolescents

Objective: To systematically review the structure and content of physical activity questionnaires for children and adolescents and assess the overall validity and reliability of the existing international questionnaires in the last 10 years. Methods: Search terms, including"Physical Activity" AND "Questionnaire" OR "Self-report" OR "Recall" AND "Child*" OR "Adolescen*" OR "Youth" AND 'Valid*' OR "Reliab*" OR "Reproducib*" OR "Sensitiv*" OR "Responsiv*", were searched for evaluation studies on physical activity questionnaires for children and adolescents in PubMed/Medline and EMBASE database from January 2008 to December 2018. The quality of eligible literature was assessed by using the consensus-based standards for the selection of health status measurement instruments (COSMIN). Results: A total of 37 articles containing 36 physical activity questionnaires in 7 989 participants were included. There were 68 studies on the assessment of the validity and reliability of assorted physical activity questionnaires, 45 studies for validity and 23 for reliability. The median Spearman correlation coefficients in validity studies were 0.28 for moderate-to-vigorous intensity physical activity, 0.15 for moderate-intensity physical activity, 0.27 for vigorous-intensity physical activity and 0.31 for physical activity energy expenditure. The median reliability correlation coefficients were 0.32 for sedentary behaviors, 0.53 for light-intensity physical activity, 0.80 for moderate-to-vigorous intensity physical activity, 0.54 for moderate-intensity physical activity and 0.69 for vigorous-intensity physical activity. Conclusion: The reliability of physical activity questionnaires measured moderate-to-vigorous intensity physical activity for children and adolescents is acceptable, but the validity is low.

A relationship between physical activity and healthy quality of life in students

The purpose of this research is to relationship between physical activity and healthy quality of life in students. Statistical population of this research involves all physically active male students in Iran from which 1352 students participated in the study as sample by using cluster sampling and sample random method. Collection data tools of this research were questionnaire according to its nature: Sharkey Physical Activity Questionnaire and Life Quality Questionnaire (WHOQOL-BREF, 2204) were used after consultation to professors, guidance and advice of authorities. As all respondents were students BREF type was selected, including four aspects of life quality plus two general questions about life and health quality evaluation. Reliability of Physical Activity Questionnaires was r = 0.91. Inferential statistics (Correlation coefficients) was also used. Results showed that there was a low significant relationship between participation in sport activities and physical health in active students (r= 0.38, p= 0.000). There was a low significant relationship between participation in sport activities and mental- psychological condition in active students (r= 0.27, p= 0.003). In case of social communication, there was a low significant and positive relationship between participation in sport activities in active students (r= 0.32, p= 0.000). There was a low significant relationship between participation in sport activities and environmental domain in active students (r= 0.05, p= 0.62). There was a low significant relationship between participation in sport activities and life quality in active students (r= 0.24, p= 0.008). In conclusion, performing sport activities during leisure time has physical benefits, and also effective influences on overcoming mental problems. As well as invulnerability to many diseases and disorders, those who train regularly enjoy disciplined life, more performance and social relationships by acquiring freshness and further enjoy of life.

Validity and reliability of physical activity questionnaire for Japanese students

Self-administered questionnaires about physical activity are useful for collecting data to develop public health policies. There is currently no validated physical activity questionnaire, however, for Japanese children and adolescents. The purpose of the present study was to evaluate the validity and reliability of self-administered, physical activity questionnaires for Japanese students. Fifth- and eighth-grade students were asked to complete two questionnaires that estimated the intensity and time of moderate-to-vigorous physical activities in which they participated, and the frequency and duration spent performing sports activities. Students also wore triaxial accelerometers to compare their actual activity levels to their estimates, to investigate the validity and reliability of the questionnaires. The intensity and time spent performing moderate-to-vigorous physical activity that were estimated from the questionnaire were higher than those measured by accelerometry (9-161% of accelerometry). Questionnaire data were highly correlated with accelerometer data for eighth graders (Spearman correlation, 0.642-0.754), but the correlations were lower for fifth graders (≤ 0.331). Furthermore, there was higher repeatability in the data collected from eighth graders (intraclass correlation, 0.625-0.645) than from fifth graders (0.136-0.194). Questionnaires may be useful in epidemiological studies for ranking physical activity levels of adolescents, such as a confounding factor for other lifestyle surveys, but these surveys are less accurate for younger children.

Test-Retest Reliability of the Women's Health Initiative Physical Activity Questionnaire

PURPOSE: Since few physical activity (PA) questionnaires were designed to measure the lifestyles and activities of women, we sought to examine the test-retest reliability of a physical activity questionnaire (PAQ) designed for women and to explore differences in reliability by race/ethnicity. METHODS: Participants (n=1092) were post-menopausal women aged 50–79 years, randomly selected from the baseline sample of participants in the Women's Health Initiative (WHI) Observational Study. Women were selected from all 40 WHI clinic centers, stratified by age and race/ethnicity (66% white, 13% African American, 14% Hispanic). The WHI PAQ collects usual frequency, duration and pace of recreational walking, frequency and duration of recreational activities or exercises (mild, moderate and vigorous), household, and yard activities. Summary variables were calculated by multiplying the frequency by duration and the metabolic equivalent (MET) level for that activity to obtain MET-hours per week. Approximately half of the women (n=569) repeated questions on recreational PA, the other half (n=523) repeated questions related to household and yard activities (mean 3 months apart). Test-retest reliability was assessed with weighted kappa and intraclass correlation coefficients (ICC). RESULTS: Overall, questions on recreational walking, moderate recreational PA, and vigorous recreational PA had higher test-retest reliability (weighted kappa range 0.50-0.60), than questions on mild recreational PA (weighted kappa range 0.35-0.50). The ICC for moderate to vigorous recreational PA was 0.71 (95% CI 0.67, 0.75) and total recreational PA was 0.75 (95%CI 0.71, 0.78). Substantial reliability was observed for the summary measures of yard activities (ICC 0.71; 95%CI 0.66, 0.75) and household activities (ICC 0.60; 95%CI 0.55, 0.66). No meaningful differences were observed by race/ethnicity for these measures. CONCLUSIONS: The WHI PAQ demonstrated moderate to substantial test-retest reliability in a diverse sample of post-menopausal women. An important next step to understanding the psychometric properties of this PAQ will be to assess validity.