Global Physical Activity Questionnaire (GPAQ): Nine Country Reliability and Validity Study

2009 ◽  
Vol 6 (6) ◽  
pp. 790-804 ◽  
Author(s):  
Fiona C. Bull ◽  
Tahlia S. Maslin ◽  
Timothy Armstrong

Purpose:Instruments to assess physical activity are needed for (inter)national surveillance systems and comparison.Methods:Male and female adults were recruited from diverse sociocultural, educational and economic backgrounds in 9 countries (total n = 2657). GPAQ and the International Physical Activity Questionnaire (IPAQ) were administered on at least 2 occasions. Eight countries assessed criterion validity using an objective measure (pedometer or accelerometer) over 7 days.Results:Reliability coefficients were of moderate to substantial strength (Kappa 0.67 to 0.73; Spearman's rho 0.67 to 0.81). Results on concurrent validity between IPAQ and GPAQ also showed a moderate to strong positive relationship (range 0.45 to 0.65). Results on criterion validity were in the poor-fair (range 0.06 to 0.35). There were some observed differences between sex, education, BMI and urban/rural and between countries.Conclusions:Overall GPAQ provides reproducible data and showed a moderate-strong positive correlation with IPAQ, a previously validated and accepted measure of physical activity. Validation of GPAQ produced poor results although the magnitude was similar to the range reported in other studies. Overall, these results indicate that GPAQ is a suitable and acceptable instrument for monitoring physical activity in population health surveillance systems, although further replication of this work in other countries is warranted.

2019 ◽  
Author(s):  
Simon Rosenbaum ◽  
Rachel Morell ◽  
Amal Abdel-Baki ◽  
Mohammad Ahmadpanah ◽  
Thekkethayyil Viswananthan Anilkumar ◽  
...  

Abstract Background: Physical inactivity is a key contributor to the global burden of disease and disproportionately impacts the wellbeing of people experiencing mental illness. Increases in physical activity are associated with improvements in symptoms of mental illness and reduction in cardiometabolic risk. Reliable and valid clinical tools that assess physical activity would improve evaluation of intervention studies that aim to increase physical activity and reduce sedentary behaviour in people living with mental illness. Methods: The five-item Simple Physical Activity Questionnaire (SIMPAQ) was developed by a multidisciplinary, international working group as a clinical tool to assess physical activity and sedentary behaviour in people living with mental illness. Investigators from 43 centres in 23 countries collected reliability and validity data on the SIMPAQ from patients with DSM or ICD mental illness diagnoses. Test-retest repeatability was assessed one-week apart. Results: Criterion SIMPAQ validity was assessed against accelerometer-derived measures of physical activity. Data were obtained from 1,010 participants. The SIMPAQ had good test-retest reliability (Spearman rho approximately 0.70). Criterion validity for moderate-vigorous physical activity was comparable to studies conducted in general population samples. Criterion validity of the sedentary behaviour item was poor. An alternative method to calculate sedentary behaviour had greater criterion validity. This alternative method is recommended for use in future studies employing the SIMPAQ. Conclusions: The SIMPAQ is a brief measure of physical activity and sedentary behaviour that can be reliably and validly administered by health professionals.


2019 ◽  
Author(s):  
Simon Rosenbaum ◽  
Rachel Morell ◽  
Amal Abdel-Baki ◽  
Mohammad Ahmadpanah ◽  
Thekkethayyil Viswananthan Anilkumar ◽  
...  

Abstract Background: Physical inactivity is a key contributor to the global burden of disease and disproportionately impacts the wellbeing of people experiencing mental illness. Increases in physical activity are associated with improvements in symptoms of mental illness and reduction in cardiometabolic risk. Reliable and valid clinical tools that assess physical activity would improve evaluation of intervention studies that aim to increase physical activity and reduce sedentary behaviour in people living with mental illness. Methods: The five-item Simple Physical Activity Questionnaire (SIMPAQ) was developed by a multidisciplinary, international working group as a clinical tool to assess physical activity and sedentary behaviour in people living with mental illness. Investigators from 43 centres in 23 countries collected reliability and validity data on the SIMPAQ from patients with DSM or ICD mental illness diagnoses. Test-retest repeatability was assessed one-week apart. Results: Criterion SIMPAQ validity was assessed against accelerometer-derived measures of physical activity. Data were obtained from 1,010 participants. The SIMPAQ had good test-retest reliability (Spearman rho approximately 0.70). Criterion validity for moderate-vigorous physical activity was comparable to studies conducted in general population samples. Criterion validity of the sedentary behaviour item was poor. An alternative method to calculate sedentary behaviour had greater criterion validity. This alternative method is recommended for use in future studies employing the SIMPAQ. Conclusions: The SIMPAQ is a brief measure of physical activity and sedentary behaviour that can be reliably and validly administered by health professionals.


2019 ◽  
Vol 27 (3) ◽  
pp. 44-55 ◽  
Author(s):  
Junga Lee ◽  
Choae Lee ◽  
Jihee Min ◽  
Dong-Woo Kang ◽  
Ji-Young Kim ◽  
...  

The goal of this study was to develop a Korean version of the Global Physical Activity Questionnaire (K-GPAQ) and to examine its reliability and validity. The English version of the GPAQ was translated to the Korean language (K-GPAQ) via forward–backward translation. Reliability of the K-GPAQ was evaluated using a one-week interval test–retest method with 115 individuals. Criterion-related validity of the K-GPAQ was examined with 199 participants using accelerometers. Cohen’s kappa and Spearman’s correlation coefficients were used to measure test–retest reliability and validity, respectively. A Bland–Altman analysis was used to assess agreement between physical activity (PA) levels measured via K-GPAQ and the accelerometer. Coefficients for the reliability of the K-GPAQ showed moderate agreement for recreational PA and slight agreement for work-related PA (Cohen’s kappa: 0.60–0.67 for recreational PA and 0.30–0.38 for work-related PA and Spearman’s rho: 0.27–0.47 for work-related PA and 0.53–0.70 for recreational PA). Criterion validity of the total amount of PA, as measured by the K-GPAQ and the accelerometer, showed a weak but significant correlation ( r = 0.34, p < 0.01). The K-GPAQ is a reliable and valid questionnaire to measure PA although K-GPAQ overestimated PA levels.


2019 ◽  
Vol 49 (1) ◽  
pp. 153-161 ◽  
Author(s):  
Shahid Mahmood ◽  
Nga H Nguyen ◽  
Julie K Bassett ◽  
Robert J MacInnis ◽  
Amalia Karahalios ◽  
...  

Abstract Background Self-reported physical activity is inaccurate, yet few investigators attempt to adjust for measurement error when estimating risks for health outcomes. We estimated what the association between self-reported physical activity and colorectal cancer risk would be if physical activity had been assessed using accelerometry instead. Methods We conducted a validation study in which 235 Australian adults completed a telephone-administered International Physical Activity Questionnaire (IPAQ), and wore an accelerometer (Actigraph GT3X+) for 7 days. Using accelerometer-assessed physical activity as the criterion measure, we calculated validity coefficients and attenuation factors using a structural equation model adjusted for age, sex, education and body mass index. We then used a regression calibration approach to apply the attenuation factors to data from the Melbourne Collaborative Cohort Study (MCCS) to compute bias-adjusted hazard ratios (HR) and 95% confidence intervals (CI). Results Average daily minutes of physical activity from the short form of the International Physical Activity Questionnaire (IPAQ-short) were substantially higher than accelerometer-measured duration (55 versus 32 min). The validity coefficient (0.32; 95% CI: 0.20, 0.43) and attenuation factor (0.20; 95% CI: 0.12, 0.28) were low. The HRs for colorectal cancer risk for high (75th percentile; 411 min/week) versus low (25th percentile; 62 min/week) levels of self-reported physical activity were 0.95 (95% CI: 0.87, 1.05) before and 0.78 (95% CI: 0.47, 1.28) after bias adjustment. Conclusions Over-estimation of physical activity by the IPAQ-short substantially attenuates the association between physical activity and colorectal cancer risk, suggesting that the protective effect of physical activity has been previously underestimated.


2014 ◽  
Vol 11 (3) ◽  
pp. 654-664 ◽  
Author(s):  
Andreas Wolff Hansen ◽  
Inger Dahl-Petersen ◽  
Jørn Wulff Helge ◽  
Søren Brage ◽  
Morten Grønbæk ◽  
...  

Background:The International Physical Activity Questionnaire (IPAQ) is commonly used in surveys, but reliability and validity has not been established in the Danish population.Methods:Among participants in the Danish Health Examination survey 2007–2008, 142 healthy participants (45% men) wore a unit that combined accelerometry and heart rate monitoring (Acc+HR) for 7 consecutive days and then completed the IPAQ. Background data were obtained from the survey. Physical activity energy expenditure (PAEE) and time in moderate, vigorous, and sedentary intensity levels were derived from the IPAQ and compared with estimates from Acc+HR using Spearman’s correlation coefficients and Bland-Altman plots. Repeatability of the IPAQ was also assessed.Results:PAEE from the 2 methods was significantly positively correlated (0.29 and 0.49; P = 0.02 and P < 0.001; for women and men, respectively). Men significantly overestimated PAEE by IPAQ (56.2 vs 45.3 kJ/kg/day, IPAQ: Acc+HR, P < .01), while the difference was nonsignificant for women (40.8 vs 44.4 kJ/kg/day). Bland-Altman plots showed that the IPAQ overestimated PAEE, moderate, and vigorous activity without systematic error. Reliability of the IPAQ was moderate to high for all domains and intensities (total PAEE intraclass correlation coefficient = 0.58).Conclusions:This Danish Internet-based version of the long IPAQ had modest validity and reliability when assessing PAEE at population level.


2015 ◽  
Vol 12 (1) ◽  
pp. 116-123 ◽  
Author(s):  
Kathleen Simpson ◽  
Beth Parker ◽  
Jeffrey Capizzi ◽  
Paul Thompson ◽  
Priscilla Clarkson ◽  
...  

Background:Little information exists regarding the psychometric properties of question 8 (Q8) of the Paffenbarger Physical Activity Questionnaire (PPAQ) to assess exercise. Thus, we conducted 2 studies to assess the validity and test–retest reliability of Q8 among adults.Methods:Study 1 participants (n = 419) were 44.1 ± 16.1 years of age. Validity was determined by comparing self-reported hr·d−1 in sedentary, light, moderate, and vigorous intensity physical activity (PA) and MET-hr·wk−1 on Q8 at baseline to accelerometer and health/fitness measurements using Spearman rank-order correlations. Study 2 participants (n = 217) were 44.7 ± 16.3 years of age and completed Q8 at baseline, 3 months, and 6 months. Test–retest reliability was determined using repeated measures analysis of covariance, intraclass correlations (ICCs), and standard error of the measurement (SEM).Results:Q8 displayed good criterion validity compared with accelerometer measurements (r = .102 to .200, P < .05) and predictive validity compared with health/fitness measurements (r = –.272 to .203, P < .05). No differences were observed in self-reported hr·d−1 in any of the PA categories at baseline, 3 months, and 6 months (ICC: 0.49 to 0.68; SEM: 1.0 to 2.0; P > .05), indicating good reliability.Conclusion:Q8 demonstrates adequate criterion validity, acceptable predictive validity, and satisfactory test–retest reliability and can be used in conjunction with other components of the PPAQ to provide a complete representation of exercise.


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