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23.05.2024 | Original Article

Validity of the General Practice Physical Activity Questionnaire (GPPAQ) in adults 60–90 years

verfasst von: Archontissa Maria Kanavaki, Maria Michalopoulou, Afroditi Stathi, Evgenia Kouli, Vassilios Gourgoulis, Athanasios Gkrekidis, Ilias Smilios, Helen T. Douda, Georgios Ch. Sirakoulis, Nikolaos Aggelousis

Erschienen in: Journal of Public Health

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Abstract

Aim

The present study aimed to assess the sensitivity, specificity and construct validity of the General Practice Physical Activity Questionnaire (GPPAQ) and two modified versions, GPPAQ-WALK and GPPAQ-WALK-Old in retired, community-dwelling older adults, 60–90 years.

Methods

Participants completed assessments from the Senior Fitness Test (lower limb strength, dynamic balance, aerobic endurance) and used a waist-worn accelerometer for a week, following which they responded to the GPPAQ. Active/non-active GPPAQ classification was compared against accelerometry regarding meeting/not meeting the guidelines of ≥ 150 min/week of moderate-to-vigorous physical activity (MVPA). Sensitivity and specificity were calculated. T tests compared BMI and fitness scores between active and non-active participants.

Results

A total of 180 retired adults residing in Greece, mean age 72.82 ± 6.30, participated in the study, 114 of whom had valid accelerometer data corresponding to the GPPAQ recall week. The GPPAQ active classification showed 4.4% sensitivity and 97.4% specificity but did not differentiate active and non-active participants regarding BMI and physical fitness. The GPPAQ-WALK showed 27.8% sensitivity and 80.8% specificity, with active participants performing better in dynamic balance and lower limb strength than non-active. The GPPAQ-WALK-Old showed 69.4% sensitivity and 44.9% specificity. Active participants had lower BMI, better lower limb strength and dynamic balance than non-active.

Conclusion

With an interest in increasing awareness of the importance of PA and improving public health outcomes through PA promotion in insufficiently active older adults, we advocate that the GPPAQ-WALK can be a useful tool in healthcare and other community settings. Further modifications to fully assess adherence to PA guidelines for older adults are proposed.

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Aguilar-Farías N, Brown WJ, Peeters GM (2014) ActiGraph GT3X+ cut-points for identifying sedentary behaviour in older adults in free-living environments. J Sci Med Sport 17(3):293–299. https://doi.org/10.1016/j.jsams.2013.07.002CrossRefPubMed

Ahmad S, Harris T, Limb E, Kerry S, Victor C, Ekelund U, Iliffe S, Whincup P, Beighton C, Ussher M, Cook DG (2015) Evaluation of reliability and validity of the General Practice Physical Activity Questionnaire (GPPAQ) in 60–74 year old primary care patients. BMC Fam Pract 16(1):113. https://doi.org/10.1186/s12875-015-0324-8CrossRefPubMedPubMedCentral

Ball TJ, Joy EA, Goh TL, Hannon JC, Gren LH, Shaw JM (2015) Validity of two brief primary care physical activity questionnaires with accelerometry in clinic staff. Prim Health Care Res Dev 16(1):100–108. https://doi.org/10.1017/s1463423613000479CrossRefPubMed

Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig L, Lijmer JG, Moher D, Rennie D, de Vet HCW, Kressel HY, Rifai N, Golub RM, Altman DG, Hooft L, Korevaar DA, Cohen JF (2015) STARD 2015: an updated list of essential items for reporting diagnostic accuracy studies. BMJ: British Med J 351:h5527. https://doi.org/10.1136/bmj.h5527CrossRef

Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput J-P, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF (2020) World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 54(24):1451. https://doi.org/10.1136/bjsports-2020-102955CrossRefPubMed

CDC (2016) Physical inactivity among adults 50 years and older. Centers for disease control and prevention. https://www.cdc.gov/physicalactivity/inactivity-among-adults-50plus/mmwr-data-highlights.pdf

Colley RC, Butler G, Garriguet D, Prince SA, Roberts KC (2018) Comparison of self-reported and accelerometer-measured physical activity in Canadian adults. Health Rep 29(12):3–15PubMed

Danquah IH, Petersen CB, Skov SS, Tolstrup JS (2018) Validation of the NPAQ-short – a brief questionnaire to monitor physical activity and compliance with the WHO recommendations. BMC Public Health 18(1):601. https://doi.org/10.1186/s12889-018-5538-yCrossRefPubMedPubMedCentral

Dhand NK, Khatkar M (2023, July 6) Statulator. An online statistical calculator. Sample size calculator for estimating a single proportion. https://www.statulator.com/SampleSize/ss1P.html

Distefano G, Goodpaster BH (2018) Effects of exercise and aging on skeletal muscle. Cold Spring Harb Perspect Med 8(3). https://doi.org/10.1101/cshperspect.a029785

Dohrn IM, Gardiner PA, Winkler E, Welmer AK (2020) Device-measured sedentary behavior and physical activity in older adults differ by demographic and health-related factors. Eur Rev Aging Phys Act 17:8. https://doi.org/10.1186/s11556-020-00241-xCrossRefPubMedPubMedCentral

Doma K, Speyer R, Parsons LA, Cordier R (2019) Comparison of psychometric properties between recall methods of interview-based physical activity questionnaires: a systematic review. BMC Med Res Methodol 19(1):43. https://doi.org/10.1186/s12874-019-0684-1CrossRefPubMedPubMedCentral

Dyrstad SM, Hansen BH, Holme IM, Anderssen SA (2014) Comparison of self-reported versus accelerometer-measured physical activity. Med Sci Sports Exerc 46(1):99–106. https://doi.org/10.1249/MSS.0b013e3182a0595fCrossRefPubMed

Fitzgerald L, Ozemek C, Jarrett H, Kaminsky LA (2015) Accelerometer validation of questionnaires used in clinical settings to assess MVPA. Med Sci Sports Exerc 47(7):1538–1542. https://doi.org/10.1249/mss.0000000000000565CrossRefPubMed

Forsén L, Loland NW, Vuillemin A, Chinapaw MJM, van Poppel MNM, Mokkink LB, van Mechelen W, Terwee CB (2010) Self-administered physical activity questionnaires for the elderly. Sports Med 40(7):601–623. https://doi.org/10.2165/11531350-000000000-00000CrossRefPubMed

Golightly YM, Allen KD, Ambrose KR, Stiller JL, Evenson KR, Voisin C, Hootman JM, Callahan LF (2017) Physical activity as a vital sign: a systematic review. Prev Chronic Dis 14:E123. https://doi.org/10.5888/pcd14.170030CrossRefPubMedPubMedCentral

Grimm EK, Swartz AM, Hart T, Miller NE, Strath SJ (2012) Comparison of the IPAQ-short form and accelerometry predictions of physical activity in older adults. J Aging Phys Act 20(1):64–79. https://doi.org/10.1123/japa.20.1.64CrossRefPubMed

Hart TL, Ainsworth BE, Tudor-Locke C (2011) Objective and subjective measures of sedentary behavior and physical activity. Med Sci Sports Exerc 43(3):449–456. https://doi.org/10.1249/MSS.0b013e3181ef5a93CrossRefPubMed

Heesch KC, van Uffelen JGZ, Hill RL, Brown WJ (2010) What do IPAQ questions mean to older adults? Lessons from cognitive interviews. Int J Behav Nutr Phys Act 7(1):35. https://doi.org/10.1186/1479-5868-7-35CrossRefPubMedPubMedCentral

Helmerhorst HHJF, Brage S, Warren J, Besson H, Ekelund U (2012) A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act 9(1):103. https://doi.org/10.1186/1479-5868-9-103CrossRefPubMedPubMedCentral

Heron N, Tully MA, McKinley MC, Cupples ME (2014) Physical activity assessment in practice: a mixed methods study of GPPAQ use in primary care. BMC Fam Pract 15(1):11. https://doi.org/10.1186/1471-2296-15-11CrossRefPubMedPubMedCentral

Kanavaki AM, Rushton A, Klocke R, Abhishek A, Duda JL (2022) Assessing MVPA in hip and knee osteoarthritis using accelerometers: implications of different patterns and cut-points for health and well-being. J Sports Sci 40(2):156–163. https://doi.org/10.1080/02640414.2021.1981689CrossRefPubMed

Kelly P, Fitzsimons C, Baker G (2016) Should we reframe how we think about physical activity and sedentary behaviour measurement? Validity and reliability reconsidered. Int J Behav Nutr Phys Act 13:32. https://doi.org/10.1186/s12966-016-0351-4CrossRefPubMedPubMedCentral

Luo J, Lee RYW (2022) Opposing patterns in self-reported and measured physical activity levels in middle-aged adults. Eur J Ageing 19(3):567–573. https://doi.org/10.1007/s10433-021-00657-zCrossRefPubMed

Manini TM (2010) Energy expenditure and aging. Ageing Res Rev 9(1):1–11. https://doi.org/10.1016/j.arr.2009.08.002CrossRefPubMed

NHS (2009) The General practice physical activity questionnaire: a screening tool to assess adult physical activity levels, within primary care. Department of Health, UK. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/192453/GPPAQ_-_guidance.pdf

NICE (2014) Osteoarthritis: care and management. NICE guideline CG177. The National Institute for Health and Care Excellence. https://www.nice.org.uk/guidance/cg177

Rikli RE, Jones CJ (1999) Functional fitness normative scores for community-residing older adults, ages 60–94. J Aging Phys Act 7(2):162–181. https://doi.org/10.1123/japa.7.2.162CrossRef

Rikli RE, Jones CJ (2013) Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. Gerontologist 53(2):255–267. https://doi.org/10.1093/geront/gns071CrossRefPubMed

Santos-Lozano A, Santín-Medeiros F, Cardon G, Torres-Luque G, Bailón R, Bergmeir C, Ruiz JR, Lucia A, Garatachea N (2013) Actigraph GT3X: validation and determination of physical activity intensity cut points. Int J Sports Med 34(11):975–982. https://doi.org/10.1055/s-0033-1337945CrossRefPubMed

Sattler MC, Jaunig J, Tösch C, Watson ED, Mokkink LB, Dietz P, van Poppel MNM (2020) Current evidence of measurement properties of physical activity questionnaires for older adults: an updated systematic review. Sports Med 50(7):1271–1315. https://doi.org/10.1007/s40279-020-01268-xCrossRefPubMedPubMedCentral

Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb SE (2019) Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev 1(1):Cd012424. https://doi.org/10.1002/14651858.CD012424.pub2

Skender S, Ose J, Chang-Claude J, Paskow M, Brühmann B, Siegel EM, Steindorf K, Ulrich CM (2016) Accelerometry and physical activity questionnaires - a systematic review. BMC Public Health 16(1):515. https://doi.org/10.1186/s12889-016-3172-0CrossRefPubMedPubMedCentral

Smith TO, McKenna MC, Salter C, Hardeman W, Richardson K, Hillsdon M, Hughes CA, Steel N, Jones AP (2017) A systematic review of the physical activity assessment tools used in primary care. Fam Pract 34(4):384–391. https://doi.org/10.1093/fampra/cmx011CrossRefPubMed

Terwee CB, Mokkink LB, van Poppel MNM, Chinapaw MJM, van Mechelen W, de Vet HCW (2010) Qualitative attributes and measurement properties of physical activity questionnaires. Sports Med 40(7):525–537. https://doi.org/10.2165/11531370-000000000-00000CrossRefPubMed

US Department of Health and Human Services (2018) Physical activity guidelines for Americans, 2nd edn. USDHHS, Washinghton, DC

Vähä-Ypyä H, Sievänen H, Husu P, Tokola K, Mänttäri A, Heinonen OJ, Heiskanen J, Kaikkonen KM, Savonen K, Kokko S, Vasankari T (2022) How adherence to the updated physical activity guidelines should be assessed with accelerometer? Eur J Public Health 32(Suppl 1):i50–i55. https://doi.org/10.1093/eurpub/ckac078CrossRefPubMedPubMedCentral

Wareham NJ, Jakes RW, Rennie KL, Schuit J, Mitchell J, Hennings S, Day NE (2003) Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Public Health Nutr 6(4):407–413. https://doi.org/10.1079/PHN2002439CrossRefPubMed

WHO (2018) Global action plan on physical activity 2018–2030: more active people for a healthier world. World Health Organization. https://apps.who.int/iris/handle/10665/272722

Titel: Validity of the General Practice Physical Activity Questionnaire (GPPAQ) in adults 60–90 years
verfasst von: Archontissa Maria Kanavaki
Maria Michalopoulou
Afroditi Stathi
Evgenia Kouli
Vassilios Gourgoulis
Athanasios Gkrekidis
Ilias Smilios
Helen T. Douda
Georgios Ch. Sirakoulis
Nikolaos Aggelousis
Publikationsdatum: 23.05.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Journal of Public Health
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-024-02288-x

Springer Medizin

Abstract

Aim

Methods

Results

Conclusion

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