Abstract P268: Assessing Physical Inactivity Using Accelerometers in Comparison to International Physical Activity Questionnaire

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Rodrigo P Silva ◽  
Rodolfo L Arantes ◽  
Agatha C Matheus ◽  
Alan C Barbosa ◽  
Evandro F Sperandio ◽  
...  

Introduction: Among the instruments to assess the level of physical activity in daily life (LPADL), questionnaires are cost advantageous and accelerometers are more accurate. Recent studies have shown poor agreement between these methods. Hypothesis: We tested the hypothesis that the combination of the questionnaire and the accelerometer is the best strategy to assess the prevalence of physical inactivity in adults. Objective: To evaluate and compare the prevalence of physical inactivity in adults, identified by the International Physical Activity Questionnaire (IPAQ), by triaxial accelerometry and by the combination of both. Methods: Two hundred and fifty-one participants older than 18 years were enrolled. After obtaining clinical, demographic and anthropometric data, participants underwent the following assessments: spirometry, cardiopulmonary exercise testing, body composition (bioimpedance), isokinetic muscle function, balance (force platform), and six-minute walk test. Participants who obtained the total score < 600 MET-min/wk were considered physically inactive using IPAQ. Those that performed < 150 min/wk of moderate to vigorous physical activity were considered physically inactive in the accelerometer-based method. In the combined method we considered physically inactive those who presented the IPAQ and/or the accelerometer-based criteria. Additionally, for participants who reported practicing aquatic, martial arts or cycling, only the IPAQ total score was considered. We compared the prevalence of physical inactivity and agreement between the methods. Three multivariate logistic regression models for each one of the methods were developed and predictors were mutualy compared. Results: The prevalence of physical inactivity was significantly different between the methods (IPAQ = 10%; accelerometry = 20%, and combined method = 25%). The agreement between IPAQ and accelerometry was poor (kappa = 0.152, p = 0.01). The main predictors using the IPAQ were age, fat mass, family history of cardiovascular disease, dyslipidemia, and obesity. The determinants using accelerometry were age, sex, lean body mass (LBM), family history of cardiovascular disease and smoking. The combined method selected age, sex, LBM, family history of cardiovascular disease, dyslipidemia, obesity, smoking, peak V’O2 and balance. With the exception of dyslipidemia and family history of cardiovascular disease, the combined method showed better odds ratio values. Conclusion: The combination of the IPAQ and accelerometry to determine physical inactivity was more valid when compared to the aforementioned instruments separately. The prevalence of physical inactivity and its predictors were more consistent in the combined approach in the present study. Our results suggest that the most popular methods for assessing LPADL in epidemiological studies are complementary.

2008 ◽  
Vol 5 (s1) ◽  
pp. S30-S44 ◽  
Author(s):  
Dori E. Rosenberg ◽  
Fiona C. Bull ◽  
Alison L. Marshall ◽  
James F. Sallis ◽  
Adrian E. Bauman

Purpose:This study explored definitions of sedentary behavior and examined the relationship between sitting time and physical inactivity using the sitting items from the International Physical Activity Questionnaire (IPAQ).Methods:Participants (N = 289, 44.6% male, mean age = 35.93) from 3 countries completed self-administered long- and short-IPAQ sitting items. Participants wore accelero-meters; were classified as inactive (no leisure-time activity), insufficiently active, or meeting recommendations; and were classified into tertiles of sitting behavior.Results:Reliability of sitting time was acceptable for men and women. Correlations between total sitting and accelerometer counts/min <100 were significant for both long (r = .33) and short (r = .34) forms. There was no agreement between tertiles of sitting and the inactivity category (kappa = .02, P = .68).Conclusion:Sedentary behavior should be explicitly measured in population surveillance and research instead of being defined by lack of physical activity.


2007 ◽  
Vol 10 (1) ◽  
pp. 59-64 ◽  
Author(s):  
Hazzaa M Al-Hazzaa

AbstractObjectivesTo describe the physical activity profile of Saudi adults living in Riyadh, using the International Physical Activity Questionnaire (IPAQ) short-version telephone format.MethodsPhysical activity was assessed using the official Arabic short form of IPAQ, intended for use in telephone interview. The instrument asks for times spent in walking, moderate- and vigorous-intensity physical activity of at least 10 min duration. The sample consisted of 1616 Saudis, between 15 and 78 years of age, living in Riyadh. Participants were drawn from a list of names in the telephone book using a simple random method. Telephone interviews were administered during the spring of 2003 by trained male interviewers.ResultsThe final sample size was 1064 Saudi males and females (response rate of 66%), with males comprising about 66% of the respondents. Over 43% of Saudis did not participate in any type of moderate-intensity physical activity lasting for at least 10 min. More than 72% of the sample did not engage in any type of vigorous-intensity physical activity lasting for at least 10 min. The proportion of Saudis who walked for 150 min or more per week was 33.3%. Females were engaged more in moderate physical activity than males, whereas males participated more in vigorous activity compared with females. Activity levels did not show significant relationships with education level or job hours per week. Based on the three activity categories established by IPAQ, 40.6% of Saudis were inactive, 34.3% were minimally active and 25.1% were physically active. Physical inactivity increased with advancing age.ConclusionThe data suggest that the prevalence of physical inactivity among Saudis adults is relatively high. Efforts are needed to encourage Saudis to be more physically active, with the goal of increasing the proportion of Saudis engaging in health-enhancing physical activity.


2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Pongrác Ács ◽  
Réka Veress ◽  
Paulo Rocha ◽  
Tamás Dóczi ◽  
Bence László Raposa ◽  
...  

Abstract Background Physical inactivity is a global phenomenon in European welfare countries. Proper monitoring is essential to measure the physical activity level of the population. Methods In the Hungarian cohort of the European Physical Activity and Sport Monitoring System (EUPASMOS) project, our participants (N = 598) completed sociodemographic questions and the International Physical Activity Questionnaire – short form (IPAQ-SF) survey. The validity and reliability of the subjective measurement tool were examined, IPAQ-SF outcomes were contrasted against triaxial RM42 accelerometer wore for 7 consecutive days. Results The IPAQ-SF showed moderate internal consistency (Cronbach Alpha = 0.647). The concurrent validity of the IPAQ-SF to triaxial accelerometer indicated a significant weak-to-moderate correlation (R = 0.111–0.338, p = 0.042; p < 0.001). The test-retest reliability showed a significant correlation between two measurements (R = 0.788–0.981, p < 0.001). Conclusion The Hungarian version of the IPAQ-SF had excellent test-retest reliability, but low-to-fair concurrent validity for moderate and vigorous physical activity, walking and sitting time, as compared to the objective criterion measure among Hungarian adults.


Author(s):  
Cintia Sulino Gomes ◽  
Mariana Thays Carvalho ◽  
Vitoria Helena Maciel Coelho ◽  
Isabel Aparecida Porcatti de Walsh ◽  
Lislei Jorge Patrizzi Martins ◽  
...  

Os efeitos do sedentarismo nos sistemas musculoesquelético eneuromuscularpodem influenciar negativamente o desempenho dosidosos em atividades com dupla-tarefa, o que aumenta o risco dequedas, declínio funcional e morte. O objetivo foi investigar as relaçõesentre sedentarismo e mobilidade com e sem dupla tarefa em idososusuários da atenção básica em saúde. Trata-se de estudo transversal,com 139 idosos que frequentam três unidades matriciais de saúdealeatoriamente selecionadas, em Uberaba, Minas Gerais. O sedentarismofoi avaliado pelo International Physical Activity Questionnaire(IPAQ), sendo classificados como sedentários os idosos inativos ouinsuficientemente ativos. O estado cognitivo foi avaliado pela ProvaCognitiva de Leganés. A mobilidade com e sem dupla tarefa, bemcomo, a força muscular foram avaliadas por testes de desempenhofísico. As características sociodemográficas e o número de medicamentosforam avaliados por autorrelato. Os modelos multivariadosforam testados por regressão linear múltipla em blocos, com intervalode confiança de 95%. A maioria era mulheres (81,3%); idade média66,96 (8,24) anos; 17,3% eram sedentários. Pior desempenho namobilidade com dupla tarefa motora (p=0,040) e com dupla tarefacognitiva (p=0,040) foi observado entre os idosos sedentários. Osedentarismo foi preditor de baixa mobilidade com dupla-tarefa motorae cognitiva controlado por variáveis sociodemográficas, entretanto,tais efeitos não se mantiveram após inclusão de variáveis de saúde.Não foram observadas relações entre sedentarismo e mobilidadesem dupla tarefa. Conclui-se que o sedentarismo influencia a mobilidadecom dupla tarefa motora e cognitiva em idosos, porém outrascondições de saúde podem interferir nessas relações.


2018 ◽  
Author(s):  
Χρήστος Παπαβαγγέλης

Εισαγωγή: Η εμμηνόπαυση θέτει τις γυναίκες σε υψηλό κίνδυνο εμφάνισης χρόνιων νοσημάτων, όπως παχυσαρκία και καρδιαγγειακά νοσήματα. Παρόλα αυτά, εξαιρετικά λίγες μελέτες έχουν διεξαχθεί σε πληθυσμό μετεμμηνοπαυσιακών γυναικών με σκοπό την εκτίμηση της επίδρασης της διατροφής σε δομικούς και λειτουργικούς δείκτες αγγειακής λειτουργίας. Σκοπός: Κύριο σκοπό της παρούσας διατριβής αποτέλεσε η αξιολόγηση των διατροφικών συνηθειών μιας ομάδας υγιών μετεμμηνοπαυσιακών γυναικών. Παράλληλα, η διερεύνηση της υπάρχουσας σχέσης μεταξύ του Μεσογειακού τρόπου ζωής και της έκβασης δομικών και λειτουργικών αρτηριακών δεικτών σε υπο-ομάδα γυναικών αποτέλεσε επιπρόσθετο στόχο. Μεθοδολογία: Δείγμα της μελέτης αποτέλεσαν 638 γυναίκες που προσήλθαν στο εξωτερικό ιατρείο Κλιμακτηρίου και Εμμηνόπαυσης του Αρεταίειου Νοσοκομείου Αθηνών. Κριτήρια ένταξης ήταν η ύπαρξη εμμηνόπαυσης, δηλαδή απουσία έμμηνου ρύσεως για τουλάχιστον 12 συνεχόμενους μήνες και επίπεδα FSH >25 mIU/mL και οιστραδιόλης <50 pg/mL. Καταγράφηκαν τα δημογραφικά χαρακτηριστικά και το ιατρικό και γυναικολογικό ιστορικό των γυναικών. Επίσης, πραγματοποιήθηκε αξιολόγηση της σωματικής δραστηριότητας μέσω του International Physical Activity Questionnaire και διατροφική αξιολόγηση μέσω έγκυρου ερωτηματολογίου συχνότητας κατανάλωσης τροφίμων και υπολογίστηκε η προσκόλληση στη μεσογειακή δίαιτα μέσω του δείκτη MedDietScore. Τέλος, μετρήθηκαν ανθρωπομετρικά χαρακτηριστικά, πραγματοποιήθηκε κλινική εξέταση και αξιολογήθηκαν βιοχημικοί και ορμονικοί δείκτες. Αποτελέσματα: Η μέση ηλικία του δείγματος ήταν 57,7 ±7,6 έτη, ενώ ο ΔΜΣ ήταν 27,9 ± 5,0 kg/m2. Η μέση προσκόλληση στη μεσογειακή δίαιτα των συμμετεχουσών, σύμφωνα με το MedDietScore ήταν 36,1 ±4,7. Από την εφαρμογή πολλαπλής λογιστικής παλινδρόμησης παρατηρήθηκε ότι η Μεσογειακή δίαιτα σχετίστηκε αρνητικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών του δείγματος, μετά από προσαρμογή για συγχυτικούς παράγοντες. Ειδικότερα, οι γυναίκες υψηλής και μέτριας προσκόλλησης στη Μεσογειακή δίαιτα είχαν σημαντικά χαμηλότερους δείκτες παχυσαρκίας, υψηλότερο επίπεδο φυσικής δραστηριότητας και υψηλότερο μορφωτικό επίπεδο, σε σύγκριση με τις γυναίκες χαμηλής προσκόλλησης στο συγκεκριμένο διαιτητικό πρότυπο. Παράλληλα, μετά την εφαρμογή της Principal Component Analysis σε υπο-ομάδα 481 γυναικών του δείγματος δημιουργήθηκαν 8 διατροφικά πρότυπα, εκ των οποίων ένα διατροφικό πρότυπο πλούσιο σε διαιτητικές ίνες και σύνθετους υδατάνθρακες σχετίστηκε αρνητικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών, ενώ ένα ανθυγιεινό διατροφικό πρότυπο σχετίστηκε θετικά με το ΔΜΣ και την περιφέρεια μέσης των γυναικών, μετά την προσαρμογή για συγχυτικούς παράγοντες. Αναφορικά με την αγγειακή λειτουργία, παρατηρήθηκε σημαντική αρνητική συσχέτιση μεταξύ της ταχύτητας σφυγμικού κύματος αρτηρίας και της κατανάλωσης ροφημάτων καφέ/τσαγιού (r=-0.233, p<0.001). Ακόμη, παρατηρήθηκε θετική συσχέτιση μεταξύ του πάχους κοινής καρωτίδας και της κατανάλωσης επεξεργασμένων δημητριακών (r=0.116, p=0.04). Έπειτα από πολλαπλή γραμμική παλλινδρόμηση, η κατανάλωση ξηρών καρπών και ροφημάτων καφέ/τσαγιού σχετίστηκαν σημαντικά αρνητικά με το πάχος κοινής καρωτίδας (b-coefficient=-0.018, p=0.05) και την ταχύτητα σφυγμικού κύματος (b-coefficient= -0.327, p=0.002), αντίστοιχα. Ενώ, η κατανάλωση πατάτας σχετίστηκε σημαντικά θετικά με το πάχος κοινής καρωτίδας (b-coefficient=0.106, p<0.001). Συμπεράσματα: Η ύπαρξη διαφορετικών διατροφικών προτύπων σχετίστηκε, θετικά ή αρνητικά, με το σωματικό βάρος και την περιφέρεια μέσης στις μετεμμηνοπαυσιακές γυναίκες. Ειδικότερα, παρατηρήθηκε προστατευτική δράση της Μεσογειακής δίαιτας στους δείκτες παχυσαρκίας και η ύπαρξη σημαντικής συσχέτισης μεταξύ ορισμένων διατροφικών συνηθειών και δεικτών αγγειακής λειτουργίας


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