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Assessment of physical activity in older Belgian adults: validity and reliability of an adapted interview version of the long International Physical Activity Questionnaire (IPAQ-L)

Veerle Van Holle, Ilse De Bourdeaudhuij UGent, Benedicte Deforche UGent, Jelle Van Cauwenberg UGent and Delfien Van Dyck UGent (2015) BMC PUBLIC HEALTH. 15.
abstract
Background: Adequate monitoring of older adults’ physical activity (PA) is essential to develop effective health promotion programs. The present study examined criterion validity and test-retest reliability of the long International Physical Activity Questionnaire (IPAQ-L), adapted for Belgian, community-dwelling older adults (65y and older). Methods: Participants (n = 434) completed the last seven days version of IPAQ-L, modified for the Belgian population of community-dwelling older adults. This elderly-adapted version of IPAQ-L combined vigorous and moderate activities, and questions on gait speed and recreational cycling were added. Furthermore, participants wore an ActiGraph GT3X(+) accelerometer for at least five days. Criterion validity was determined by comparing self-reported weekly minutes of moderate-to-vigorous physical activity (MVPA) and weekly minutes of total PA with accelerometer data, defined by two different cut points (Freedson vs. Copeland). To examine test-retest reliability, a subsample of 29 participants completed IPAQ-L for a second time within a ten day interval. Results: IPAQ-L showed moderate criterion validity for measuring weekly minutes of MVPA and total PA (Spearman’s ρ range 0.33–0.40). However, plots on agreement between self-reported and accelerometer PA showed a systematic over-reporting of IPAQ-L for MVPA. In contrast, plots indicated that IPAQ-L under-estimated levels of total PA, however, this under-estimation of total PA was substantially lower than the observed over-reporting of MVPA. Test-retest reliability was moderate-to-good for work-related PA, domestic PA, MVPA and total PA (ICC range 0.52–0.81), but poorer for transportation and recreational PA (ICC 0.44 and 0.43, respectively). Conclusions: Criterion validity results suggest that IPAQ-L is more valid to measure older adults’ weeklyminutes of total PA than weekly MVPA minutes. Moreover, results might imply that content validity of IPAQ-L can be improved if specific light-intensity PA items are incorporated into IPAQ-L. Test-retest reliability of IPAQ-L was moderate to good, except for weekly minutes of transportation and recreational PA, probably due to week-to-week variability of these behaviors.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
ELDERLY PASE, INACTIVITY, ACCELEROMETER, WALKING, PUBLIC-HEALTH, CHINESE VERSION, HEALTH-BENEFITS, ACTIVITY SCALE, AGREEMENT, MOBILITY
journal title
BMC PUBLIC HEALTH
BMC Public Health
volume
15
article number
433
pages
14 pages
Web of Science type
Article
Web of Science id
000354177400001
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
2.209 (2015)
JCR rank
58/172 (2015)
JCR quartile
2 (2015)
ISSN
1471-2458
DOI
10.1186/s12889-015-1785-3
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
5957035
handle
http://hdl.handle.net/1854/LU-5957035
date created
2015-05-18 15:31:19
date last changed
2016-12-21 15:42:05
@article{5957035,
  abstract     = {Background: Adequate monitoring of older adults{\textquoteright} physical activity (PA) is essential to develop effective health promotion programs. The present study examined criterion validity and test-retest reliability of the long International Physical Activity Questionnaire (IPAQ-L), adapted for Belgian, community-dwelling older adults (65y and older).
Methods: Participants (n = 434) completed the last seven days version of IPAQ-L, modified for the Belgian population of community-dwelling older adults. This elderly-adapted version of IPAQ-L combined vigorous and moderate activities, and questions on gait speed and recreational cycling were added. Furthermore, participants wore an ActiGraph GT3X(+) accelerometer for at least five days. Criterion validity was determined by comparing self-reported weekly minutes of moderate-to-vigorous physical activity (MVPA) and weekly minutes of total PA with accelerometer data, defined by two different cut points (Freedson vs. Copeland). To examine test-retest reliability, a subsample of 29 participants completed IPAQ-L for a second time within a ten day interval.
Results: IPAQ-L showed moderate criterion validity for measuring weekly minutes of MVPA and total PA (Spearman{\textquoteright}s \ensuremath{\rho} range 0.33--0.40). However, plots on agreement between self-reported and accelerometer PA showed a systematic over-reporting of IPAQ-L for MVPA. In contrast, plots indicated that IPAQ-L under-estimated levels of total PA, however, this under-estimation of total PA was substantially lower than the observed over-reporting of MVPA. Test-retest reliability was moderate-to-good for work-related PA, domestic PA, MVPA and total PA (ICC range 0.52--0.81), but poorer for transportation and recreational PA (ICC 0.44 and 0.43, respectively).
Conclusions: Criterion validity results suggest that IPAQ-L is more valid to measure older adults{\textquoteright} weeklyminutes of total PA than weekly MVPA minutes. Moreover, results might imply that content validity of IPAQ-L can be improved if specific light-intensity PA items are incorporated into IPAQ-L. Test-retest reliability of IPAQ-L was moderate to good, except for weekly minutes of transportation and recreational PA, probably due to week-to-week variability of these behaviors.},
  articleno    = {433},
  author       = {Van Holle, Veerle and De Bourdeaudhuij, Ilse and Deforche, Benedicte and Van Cauwenberg, Jelle and Van Dyck, Delfien},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keyword      = {ELDERLY PASE,INACTIVITY,ACCELEROMETER,WALKING,PUBLIC-HEALTH,CHINESE VERSION,HEALTH-BENEFITS,ACTIVITY SCALE,AGREEMENT,MOBILITY},
  language     = {eng},
  pages        = {14},
  title        = {Assessment of physical activity in older Belgian adults: validity and reliability of an adapted interview version of the long International Physical Activity Questionnaire (IPAQ-L)},
  url          = {http://dx.doi.org/10.1186/s12889-015-1785-3},
  volume       = {15},
  year         = {2015},
}

Chicago
Van Holle, Veerle, Ilse De Bourdeaudhuij, Benedicte Deforche, Jelle Van Cauwenberg, and Delfien Van Dyck. 2015. “Assessment of Physical Activity in Older Belgian Adults: Validity and Reliability of an Adapted Interview Version of the Long International Physical Activity Questionnaire (IPAQ-L).” Bmc Public Health 15.
APA
Van Holle, V., De Bourdeaudhuij, I., Deforche, B., Van Cauwenberg, J., & Van Dyck, D. (2015). Assessment of physical activity in older Belgian adults: validity and reliability of an adapted interview version of the long International Physical Activity Questionnaire (IPAQ-L). BMC PUBLIC HEALTH, 15.
Vancouver
1.
Van Holle V, De Bourdeaudhuij I, Deforche B, Van Cauwenberg J, Van Dyck D. Assessment of physical activity in older Belgian adults: validity and reliability of an adapted interview version of the long International Physical Activity Questionnaire (IPAQ-L). BMC PUBLIC HEALTH. 2015;15.
MLA
Van Holle, Veerle, Ilse De Bourdeaudhuij, Benedicte Deforche, et al. “Assessment of Physical Activity in Older Belgian Adults: Validity and Reliability of an Adapted Interview Version of the Long International Physical Activity Questionnaire (IPAQ-L).” BMC PUBLIC HEALTH 15 (2015): n. pag. Print.