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Validity of two physical activity questionnaires (IPAQ and PAQA) for Vietnamese adolescents in rural and urban areas

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Abstract
Background: Although physical activity is recognised to be an important determinant of health and nutritional status, few instruments have been developed to assess physical activity in developing countries. The aim of this study was to compare the validity of the short form of the International Physical Activity Questionnaire (IPAQ) and a locally adapted version of the Physical Activity Questionnaire for Adolescents (PAQA) for use in school going adolescents in rural and urban areas in Vietnam. Methods: Sixteen year old adolescents from rural areas (n = 137) and urban areas (n = 90) completed the questionnaires in 2006. Test- retest reliability was assessed by comparing registrations after 2 weeks. Criterion validity was assessed by comparison with 7 days continuous accelerometer logging. Validity of the two methods was assessed using Spearman correlation coefficient, intra class correlation coefficients (ICC) and Kappa statistics. Results: Reliability of both questionnaires was poor for both the IPAQ (ICC = 0.37) and the PAQA (ICC = 0.40). Criterion validity of both questionnaires was acceptable and similar for the IPAQ (rho = 0.21) and the PAQA (rho = 0.27) but a significantly lower validity was observed in rural areas. Both forms poorly estimated time spent on light, moderate and vigorous physical activity. Agreement of both questionnaires to classify individuals was also low but the IPAQ performed better than the PAQA. Conclusion: Both questionnaires have a similar and overall poor validity to be used as a population instrument in Vietnam. Low reliability and classification properties in rural areas call for further research for specific use in such settings.
Keywords
FIELD-EVALUATION, CSA ACTIVITY MONITOR, DOUBLY LABELED WATER, CHI-MINH-CITY, COMPUTER-SCIENCE, NUTRITION TRANSITION, HEALTH TRANSITION, PRESCHOOL-CHILDREN, OVERWEIGHT, VALIDATION

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Chicago
Lachat, Carl, Roosmarijn Verstraeten, Le Nguyen Bao Khanh, Maria Hagstromer, Nguyen Cong Khan, Do Anh Van Nguyen, Nguyen Quang Dung, and Patrick Kolsteren. 2008. “Validity of Two Physical Activity Questionnaires (IPAQ and PAQA) for Vietnamese Adolescents in Rural and Urban Areas.” International Journal of Behavioral Nutrition and Physical Activity 5.
APA
Lachat, C., Verstraeten, R., Khanh, L. N. B., Hagstromer, M., Khan, N. C., Van Nguyen, D. A., Dung, N. Q., et al. (2008). Validity of two physical activity questionnaires (IPAQ and PAQA) for Vietnamese adolescents in rural and urban areas. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 5.
Vancouver
1.
Lachat C, Verstraeten R, Khanh LNB, Hagstromer M, Khan NC, Van Nguyen DA, et al. Validity of two physical activity questionnaires (IPAQ and PAQA) for Vietnamese adolescents in rural and urban areas. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. 2008;5.
MLA
Lachat, Carl, Roosmarijn Verstraeten, Le Nguyen Bao Khanh, et al. “Validity of Two Physical Activity Questionnaires (IPAQ and PAQA) for Vietnamese Adolescents in Rural and Urban Areas.” INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY 5 (2008): n. pag. Print.
@article{685292,
  abstract     = {Background: Although physical activity is recognised to be an important determinant of health and nutritional status, few instruments have been developed to assess physical activity in developing countries. The aim of this study was to compare the validity of the short form of the International Physical Activity Questionnaire (IPAQ) and a locally adapted version of the Physical Activity Questionnaire for Adolescents (PAQA) for use in school going adolescents in rural and urban areas in Vietnam.
Methods: Sixteen year old adolescents from rural areas (n = 137) and urban areas (n = 90) completed the questionnaires in 2006. Test- retest reliability was assessed by comparing registrations after 2 weeks. Criterion validity was assessed by comparison with 7 days continuous accelerometer logging. Validity of the two methods was assessed using Spearman correlation coefficient, intra class correlation coefficients (ICC) and Kappa statistics.
Results: Reliability of both questionnaires was poor for both the IPAQ (ICC = 0.37) and the PAQA (ICC = 0.40). Criterion validity of both questionnaires was acceptable and similar for the IPAQ (rho = 0.21) and the PAQA (rho = 0.27) but a significantly lower validity was observed in rural areas. Both forms poorly estimated time spent on light, moderate and vigorous physical activity. Agreement of both questionnaires to classify individuals was also low but the IPAQ performed better than the PAQA.
Conclusion: Both questionnaires have a similar and overall poor validity to be used as a population instrument in Vietnam. Low reliability and classification properties in rural areas call for further research for specific use in such settings.},
  articleno    = {37},
  author       = {Lachat, Carl and Verstraeten, Roosmarijn and Khanh, Le Nguyen Bao and Hagstromer, Maria and Khan, Nguyen Cong and Van Nguyen, Do Anh and Dung, Nguyen Quang and Kolsteren, Patrick},
  issn         = {1479-5868},
  journal      = {INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY},
  language     = {eng},
  pages        = {8},
  title        = {Validity of two physical activity questionnaires (IPAQ and PAQA) for Vietnamese adolescents in rural and urban areas},
  url          = {http://dx.doi.org/10.1186/1479-5868-5-37},
  volume       = {5},
  year         = {2008},
}

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