Simultaneous validation of ten physical activity questionnaires in older men: A doubly labeled water study
ABSTRACT The purpose of this study was to simultaneously validate 10 physical activity (PA) questionnaires in a homogenous population of healthy elderly men against the reference method: doubly labeled water (DLW).
Community-based sample from Lyon, France.
Nineteen healthy old men (age 73.4 +/- 4.1 years), recruited from various associations for elderly people in Lyon, agreed to participate in the study.
The questionnaire-derived measures (scores) were compared with two validation measures: DLW and maximal oxygen uptake (VO2max). With the DLW method three parameters were calculated: (1) total energy expenditure (TEE), (2) physical activity level (PAL), i.e., the ratio of TEE to resting metabolic rate, (3) energy expenditure of PA.
Relative validity. Correlation between the questionnaires and TEE ranged from 0.11 for the Yale Physical Activity Survey (YPAS) total index to 0.63 for the Stanford usual activity questionnaire. This questionnaire also gave the best correlation coefficients with PAL (0.75), and with VO2max (0.62). Significant results with TEE measured by the DLW method were also obtained for college alumni sports score, Seven Day Recall moderate activity, and Questionnaire d'Activité Physique Saint-Etienne sports activity (r = 0.54, r = 0.52, and r = 0.54, respectively). Absolute validity. No difference was found between PA measured by the Seven Day Recall or by the YPAS and DLW, on a group basis. The limits of agreement were wide for all the questionnaires.
Only a few questionnaires demonstrated a reasonable degree of reliability and could be used to rank healthy older men according to PA. Correlation coefficients were best when the Stanford Usual Activity Questionnaire was compared with all the validation measures. The two questionnaires reporting recent PA, the Seven Day Recall, and YPAS accurately assessed energy expenditure for the group. The individual variability was high for all the questionnaires, suggesting that their use as a proxy measure of individual energy expenditure may be limited.
- SourceAvailable from: Ewa Borowiak
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- "h ' s alpha ) obtained in our sample for different interviews ( 0Á71 for MNA , 0Á91 for MMSE , 0Á83 for GDS , 0Á78 for ADL , and 0Á90 for IADL ) is comparable with previous reports ( Borowiak & Kostka 2006 , Kostka & Jachimowicz 2010 ) . The physical activity questionnaire was chosen because of its high validity demonstrated in older individuals ( Bonnefoy et al . 2001 ) ."
ABSTRACT: AIM: To compare home care nursing services use by community-dwelling older people from urban and rural environments in Poland. BACKGROUND: In the current literature, there is a lack of data based on multidimensional geriatric assessment concerning the provision of care delivered by nurses for older people from urban and rural environments. DESIGN: Cross-sectional random survey. METHOD: Between 2006-2010, a random sample of 935 older people (over 65 years of age) from an urban environment and 812 from a neighbouring rural environment were interviewed in a cross-sectional survey. FINDINGS: The rural dwellers (82·8%) nominated their family members as care providers more often than the city inhabitants (51·2%). Home nursing care was provided to 4·1% of people in the city and 6·5% in the county. Poststroke condition, poor nutritional status, and low physical activity level, as well as low scores for activities of daily living, instrumental activities of daily living, and Mini-Mental State Examination values, were all determinants of nursing care, both in urban and rural areas. In the urban environment, additional predictors of nursing care use were age, presence of ischaemic heart disease, diabetes and respiratory disorders, number of medications taken, and a high depression score. CONCLUSIONS: Poor functional status is the most important determinant of nursing care use in both environments. In the urban environment, a considerable proportion of community-dwelling elders live alone. In the rural environment, older people usually have someone available for potential care services. The main problem seems to be seeking nursing care only in advanced deterioration of functional status.Journal of Advanced Nursing 08/2012; DOI:10.1111/j.1365-2648.2012.06113.x · 1.69 Impact Factor
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- "In this regard, it has been argued that the correlation between this kind of questionnaires and objective performance measures is weak (Di Pietro et al., 1993) and that it is necessary to prove their efficacy with physical function and performance-based measures commonly used in geriatric assessment (Bonnefoy et al., 2001). Nevertheless, Harada et al. (2001), contrasted the YPAS original version's validity with different performance-based tests, such as the 6MWT, since this is one the most widely used assessment tools to evaluate physical fitness in elderly people (Kervio et al., 2003), and found an acceptable correlation (r = 0.58, p < 0.01). "
ABSTRACT: The aim of this study is to research the degree of correlation between the Spanish version of the questionnaire YPAS and the 6-minute walking test (6MWT) in women over 60. In addition, the authors analyzed the relationship between the variables age and body mass index (BMI) and the walked distance. The study was carried out with 44 elderly women (68.1 ± 5.4 years) who filled in the questionnaire and immediately afterwards performed the 6MWT. Total time and energy expenditure (EE) values obtained in the questionnaire are significantly correlated with the 6MWT (p=0.02; p=0.01, respectively), while BMI and age showed an inverse association (r=-0.433; r=-0.318, respectively) with the walked distance. The Spanish version of YPAS is beginning to be considered as a valid and useful tool for habitual physical activity (PA) measurement and can be used among elderly Spanish speaking women.Archives of gerontology and geriatrics 07/2011; 55(1):31-4. DOI:10.1016/j.archger.2011.06.016 · 1.53 Impact Factor
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- "p = .03) (Bonnefoy et al., 2001). To better assess weight bearing activity of the men, a variable called " exercise " was calculated from the activity dimension scores using the summed scores for vigorous activity and walking exercise and the sum of activity, walking, moving, standing, and stairs. "
ABSTRACT: To examine the effect of bone mineral density (BMD) screening via dual-energy x-ray absorptiometry (DXA) results on osteoporosis preventing behaviors (OPB), knowledge of osteoporosis, and health beliefs of men aged 50 years or older (N = 196) was evaluated. An experimental, 2-group longitudinal design was used. The independent variable was DXA, dependent variables were osteoporosis preventing behaviors, and mediating variables were general knowledge of osteoporosis and Health Belief variables. Half of the men had low bone density. Men diagnosed to be osteoporotic increased their calcium intake. Health belief variables predicted calcium intake and/or exercise. In addition, 9 men in the experimental group were taking medications to prevent/restore bone loss at Time 3. Healthcare providers play a significant role in assessing bone loss and preventing and treating osteoporosis in men. The cost of a DXA screen is far less than financial and social costs due to osteoporotic fractures.Orthopaedic nursing / National Association of Orthopaedic Nurses 07/2011; 30(4):266-72. DOI:10.1097/NOR.0b013e3182247a84 · 0.60 Impact Factor