Article

International Physical Activity Questionnaire (IPAQ): 12-country reliability and validity

Department of Psychology, San Diego State University, San Diego, California, United States
Medicine &amp Science in Sports &amp Exercise (Impact Factor: 3.98). 09/2003; 35(8):1381-95. DOI: 10.1249/01.MSS.0000078924.61453.FB
Source: PubMed

ABSTRACT

Physical inactivity is a global concern, but diverse physical activity measures in use prevent international comparisons. The International Physical Activity Questionnaire (IPAQ) was developed as an instrument for cross-national monitoring of physical activity and inactivity.
Between 1997 and 1998, an International Consensus Group developed four long and four short forms of the IPAQ instruments (administered by telephone interview or self-administration, with two alternate reference periods, either the "last 7 d" or a "usual week" of recalled physical activity). During 2000, 14 centers from 12 countries collected reliability and/or validity data on at least two of the eight IPAQ instruments. Test-retest repeatability was assessed within the same week. Concurrent (inter-method) validity was assessed at the same administration, and criterion IPAQ validity was assessed against the CSA (now MTI) accelerometer. Spearman's correlation coefficients are reported, based on the total reported physical activity.
Overall, the IPAQ questionnaires produced repeatable data (Spearman's rho clustered around 0.8), with comparable data from short and long forms. Criterion validity had a median rho of about 0.30, which was comparable to most other self-report validation studies. The "usual week" and "last 7 d" reference periods performed similarly, and the reliability of telephone administration was similar to the self-administered mode.
The IPAQ instruments have acceptable measurement properties, at least as good as other established self-reports. Considering the diverse samples in this study, IPAQ has reasonable measurement properties for monitoring population levels of physical activity among 18- to 65-yr-old adults in diverse settings. The short IPAQ form "last 7 d recall" is recommended for national monitoring and the long form for research requiring more detailed assessment.

    • "Secondary outcome measures are the associated eatingrelated psychopathology measured using the EDE subscales (restraint, eating concerns, shape and weight concerns)[29,30]and the Dutch Eating Behavior Questionnaire (DEBQ)[31,32], psychiatric comorbidity assessed using the Structured Clinical Interview for DSM-IV diagnoses (SCID-I)[33], severity of depression measured using the Beck Depression Inventory II (BDI-II)[34,35], and selfesteem measured using the Rosenberg Self-Esteem Scale (RSE)[36,37]. Quality of life will be measured using the Impact of Weight on Quality of Life Scale-Lite (IWQOL- Lite)[38,39], physical activity will be measured using the International Physical Activity Questionnaire (IPAQ)[40], and BMI will be calculated from measured weight and height (kg/m 2 ). For all self-report instruments used in the study, sufficient psychometric properties of the German versions have been demonstrated. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Binge-eating disorder (BED) is a prevalent health condition associated with obesity. Few people with BED receive appropriate treatment. Personal barriers include shame, fear of stigma, geographic distance to mental health services, and long wait lists. The aims of this study were to examine the efficacy of an Internet-based cognitive-behavioral intervention for adults with threshold BED (DSM-IV) and to examine the stability of treatment effects over 12 months. Participants were randomly assigned to a 16-week Internet-based cognitive-behavioral intervention (n = 69) or a waiting list condition (n = 70). Binge eating frequency and eating disorder psychopathology were measured with the Eating Disorder Examination-Questionnaire and the Eating Disorder Examination administered over the telephone. Additionally, body weight and body mass index, depression, and anxiety were assessed before and immediately after treatment. Three-, six-, and twelve-month follow-up data were recorded in the treatment group. Immediately after the treatment the number of binge-eating episodes showed significant improvement (d = 1.02, between group) in the treatment group relative to the waiting list condition. The treatment group had also significantly reduced symptoms of all eating psychopathology outcomes relative to the waiting list condition (0.82 ≤ d ≤ 1.11). In the treatment group, significant improvement was still observed for all measures one the year after the intervention to relative to pretreatment levels. The Internet-based intervention proved to be efficacious significantly reducing the number of binge-eating episodes and eating disorder pathology long-term. Low-threshold e-health interventions should be further evaluated to improve treatment access for patients suffering from BED.
    No preview · Article · Jan 2016
  • Source
    • "(b) Measured sedentary behavior with either a SRQ (e.g. IPAQ, (Craig et al., 2003)) or objective measure (e.g. accelerometer). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: Sedentary behavior (SB) is an independent risk factor for cardiovascular disease and mortality. We conducted a meta-analysis to investigate SB levels and predictors in people with psychosis. Method: Major electronic databases were searched from inception till 09/2015 for articles measuring SB with a self-report questionnaire (SRQ) or objective measure (e.g. accelerometer) in people with psychosis, including schizophrenia spectrum and bipolar disorders. A random effects meta-analysis and meta regression analysis were conducted. Results: Thirteen studies were eligible including 2033 people with psychosis (mean age 41.3years (range 25.1-60), 63.2% male (range 35-89%), body mass index 28.7 (range 25.9-32.1). The trim and fill analysis demonstrated people with psychosis spent 660.8min (95% CI 523.2-798.4, participants=2033) or 11.0h (95% CI 8.72-13.3) per day being sedentary. Objective measures of SB recorded significantly higher levels (p<0.001) of SB (12.6h per day, 95% CI 8.97-16.2, studies=7, participants=254) compared to self-report SB (6.85h per day, 95% CI 4.75-8.96, studies=6, participants=1779). People with psychosis engaged in significantly more SB than controls (g=1.13, 95% CI 0.496-1.77, P<0.001, n psychosis=216, n controls=159) equating to a mean difference of 2.80 (95% CI 1.47-4.1) hours per day. Multivariate meta-regression confirmed that objective measurement of SB predicted higher levels of sedentariness. Conclusions: People with psychosis engage in very high levels of sedentary behavior in their waking day and current SRQ may underestimate SB. Given that SB is an independent predictor of cardiovascular disease, future interventions specifically targeting the prevention of SB are warranted.
    Full-text · Article · Jan 2016 · Schizophrenia Research
    • "Measures of walking for transportation and for leisure were assessed using the long version of the International Physical Activity Questionnaire (IPAQ; Craig et al., 2003), that has already validated for the Brazilian older adult population (Benedetti, Antunes, Rodriguez-Añez, Mazo, & Petroski, 2007; Benedetti, Mazo, & Barros, 2004). Walking for transportation and for leisure were categorized as no walking (0 min/week), 10 to 149 min/week, and 150+ min/week for each outcome (Chodzko-Zajko et al., 2009; Nelson et al., 2007; U.S. Department of Health and Human Services, 2008). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To investigate the associations between perceived environment features and walking in older adults. Method: A cross-sectional population-based study was performed in Florianopolis, Brazil, including 1,705 older adults (60+ years). Walking was measured by the International Physical Activity Questionnaire (IPAQ), and perceived environment was assessed through the Neighborhood Environment Walkability Scale. We conducted a multinomial logistic regression to examine the association between perceived environment and walking. Results: The presence of sidewalks was related to both walking for transportation and for leisure. Existence of crosswalks in the neighborhood, safety during the day, presence of street lighting, recreational facilities, and having dog were significant predictors of walking for transportation. Safety during the day and social support were significantly associated with walking for leisure. Discussion: The perceived environment may affect walking for specific purposes among older adults. Investments in the environment may increase physical activity levels of older adults in Brazil.
    No preview · Article · Jan 2016 · Journal of Aging and Health
Show more

Questions & Answers about this publication

  • Alessandro Porrovecchio added an answer in Physical Activity Assessment:
    Are there any validated physical activity questionnaires that allow classification such as sedentary, mildly active, very active?

    We have used the CHAMPS questionnaire which looks at many aspects of daily life that involve physical activity, but talked to one of the developers who said it was not meant to break up into categories or classifications.  We are looking for something validated where we can separate sedentary or very mildly active folks with individuals who do a lot of physical activity.

    Alessandro Porrovecchio

    Hi Christine,

    I don’t know very well this topic, but I know that the researchers that study sedentarity in my lab use the IPAQ (International Physical Activity Questionnaire) or the GPAQ (Global Physical Activity Questionnaire). Just take a look, it seems to me that they are widely used.

    Ciao!

    Sandro

    http://www.humankinetics.com/acucustom/sitename/Documents/DocumentItem/17553.pdf

    https://www.researchgate.net/profile/Ulf_Ekelund/publication/10627652_International_physical_activity_questionnaire_12-country_reliability_and_validity/links/0deec52b7f5af48f1a000000.pdf

    • Source
      [Show abstract] [Hide abstract]
      ABSTRACT: Physical inactivity is a global concern, but diverse physical activity measures in use prevent international comparisons. The International Physical Activity Questionnaire (IPAQ) was developed as an instrument for cross-national monitoring of physical activity and inactivity. Between 1997 and 1998, an International Consensus Group developed four long and four short forms of the IPAQ instruments (administered by telephone interview or self-administration, with two alternate reference periods, either the "last 7 d" or a "usual week" of recalled physical activity). During 2000, 14 centers from 12 countries collected reliability and/or validity data on at least two of the eight IPAQ instruments. Test-retest repeatability was assessed within the same week. Concurrent (inter-method) validity was assessed at the same administration, and criterion IPAQ validity was assessed against the CSA (now MTI) accelerometer. Spearman's correlation coefficients are reported, based on the total reported physical activity. Overall, the IPAQ questionnaires produced repeatable data (Spearman's rho clustered around 0.8), with comparable data from short and long forms. Criterion validity had a median rho of about 0.30, which was comparable to most other self-report validation studies. The "usual week" and "last 7 d" reference periods performed similarly, and the reliability of telephone administration was similar to the self-administered mode. The IPAQ instruments have acceptable measurement properties, at least as good as other established self-reports. Considering the diverse samples in this study, IPAQ has reasonable measurement properties for monitoring population levels of physical activity among 18- to 65-yr-old adults in diverse settings. The short IPAQ form "last 7 d recall" is recommended for national monitoring and the long form for research requiring more detailed assessment.
      Full-text · Article · Sep 2003 · Medicine &amp Science in Sports &amp Exercise
  • Robert James McClelland added an answer in Physical Activity:
    Does anyone have a IPAQ analysis?

    International Physical Activity Questionnaire

    Robert James McClelland

    Farid - here is a 2003 article concerned with IPAQ (on researchgate) with an analysis and the questionnaire at the end of article after references.

    https://www.researchgate.net/profile/Ulf_Ekelund/publication/10627652_International_physical_activity_questionnaire_12-country_reliability_and_validity/links/0deec52b7f5af48f1a000000.pdf

    • Source
      [Show abstract] [Hide abstract]
      ABSTRACT: Physical inactivity is a global concern, but diverse physical activity measures in use prevent international comparisons. The International Physical Activity Questionnaire (IPAQ) was developed as an instrument for cross-national monitoring of physical activity and inactivity. Between 1997 and 1998, an International Consensus Group developed four long and four short forms of the IPAQ instruments (administered by telephone interview or self-administration, with two alternate reference periods, either the "last 7 d" or a "usual week" of recalled physical activity). During 2000, 14 centers from 12 countries collected reliability and/or validity data on at least two of the eight IPAQ instruments. Test-retest repeatability was assessed within the same week. Concurrent (inter-method) validity was assessed at the same administration, and criterion IPAQ validity was assessed against the CSA (now MTI) accelerometer. Spearman's correlation coefficients are reported, based on the total reported physical activity. Overall, the IPAQ questionnaires produced repeatable data (Spearman's rho clustered around 0.8), with comparable data from short and long forms. Criterion validity had a median rho of about 0.30, which was comparable to most other self-report validation studies. The "usual week" and "last 7 d" reference periods performed similarly, and the reliability of telephone administration was similar to the self-administered mode. The IPAQ instruments have acceptable measurement properties, at least as good as other established self-reports. Considering the diverse samples in this study, IPAQ has reasonable measurement properties for monitoring population levels of physical activity among 18- to 65-yr-old adults in diverse settings. The short IPAQ form "last 7 d recall" is recommended for national monitoring and the long form for research requiring more detailed assessment.
      Full-text · Article · Sep 2003 · Medicine &amp Science in Sports &amp Exercise