Reliability and Validity of the Global Physical Activity Questionnaire in Vietnam

Au, Thuy Bich; Blizzard, Leigh; Schmidt, Michael D.; Pham, Luc Hung; Magnussen, Costan G.; Dwyer, Terence

doi:10.1123/jpah.7.3.410

Cited by 34 publications

(19 citation statements)

References 21 publications

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“…Our results are comparable to other studies where low-to-moderate validity (rho: 0.20–0.48) was demonstrated against objective measures [ 6 , 27 – 33 ]. Additionally, in the 12 countries study validation of the short International Physical Activity Questionnaire (IPAQ), the pooled validity correlations against accelerometers was found to be 0.30 (95% CI 0.23–0.36) [ 34 ].…”

Section: Discussionsupporting

confidence: 89%

Validity of the global physical activity questionnaire (GPAQ) in Bangladesh

et al. 2017

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BackgroundFeasible and cost-effective as well as population specific instruments for monitoring physical activity (PA) levels are needed for the management and prevention of non-communicable diseases. The WHO-endorsed Global Physical Activity Questionnaire (GPAQ) has been widely used in developing countries, but the evidence base for its validity, particularly for rural populations, is still limited. The aim of the study was to validate GPAQ among rural and urban residents in Bangladesh.MethodsA total of 162 healthy participants of both genders aged 18–60 years were recruited from Satia village (n = 97) and Dhaka City (n = 65). Participants were invited to take part in the study and were asked to wear an accelerometer (GT3X) for 7 days, after which they were invited to answer the GPAQ in a face to face interview.ResultsValid accelerometer data (i.e., ≥10 h of wear times over ≥3 days) were received from 155 participants (rural = 94, urban = 61). The mean age was 35 (SD = ±9) years, 55% were females and 19% of the participants had no schooling, which was higher in the rural area (21% vs 17%). The mean ± SD steps/day was 9998 ± 3936 (8658 ± 2788 and 12,063 ± 4534 for rural and urban respectively, p = 0.0001) and the mean ± SD daily moderate-to-vigorous physical activity (MVPA) was 58 ± 30 min (51 ± 26 for rural and 69 ± 34 for the urban, p = 0.001) for accelerometer. In case of GPAQ, rural residents reported significantly higher moderate work related PA (MET-minutes/week: 600 vs. 360 p = 0.02). Spearman correlation coefficients between GPAQ total MVPA MET-min/day and accelerometer MVPA min/day, counts per minute (CPM) or steps counts/day were acceptable for urban residents (rho: 0.46, 0.55 and 0.63, respectively; p < 0.01) but poor for rural residents. The overall correlation between the GPAQ and accelerometer for sitting was low (rho: 0.23; p < 0.001). GPAQ-Accelerometer correlation for MVPA was higher for females (rho: 0.42), ≤35 age group (rho: 0.31) and those with higher education attainment (rho: 0.48). The Bland-Altman plots illustrated bias towards over estimation of GPAQ MVPA with increased activity levels for urban and rural residents.ConclusionGPAQ is an acceptable measure for physical activity surveillance in Bangladesh particularly for urban residents, women and people with high education. Given waist worn accelerometers do not capture the typical PA in rural context, further study using a physical activity diary and a combination of multiple sensors (e.g., wrist, ankle and waist worn accelerometers) to capture all movement is warranted among rural population with purposive sampling of all education levels.

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Section: Discussionsupporting

confidence: 89%

Validity of the global physical activity questionnaire (GPAQ) in Bangladesh

et al. 2017

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“…Articles were collated based on the types of referent measures used (Additional file 1 : Table S2). The MPD between self-reported energy expenditure and energy expenditure from PA log/diaries for 12 studies ranged from -67.6% to 23.8% (Additional file 1 : figure S2a) [ 80 , 108 , 110 , 111 , 128 , 145 , 152 , 157 , 159 , 160 , 169 , 175 ]. These findings suggest that self-report underestimates energy expenditure compared to activity logs/diaries.…”

Section: Resultsmentioning

confidence: 99%

A systematic literature review of reviews on techniques for physical activity measurement in adults: a DEDIPAC study

Dowd

Szeklicki

Minetto

et al. 2018

Int J Behav Nutr Phys Act

289

224

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The links between increased participation in Physical Activity (PA) and improvements in health are well established. As this body of evidence has grown, so too has the search for measures of PA with high levels of methodological effectiveness (i.e. validity, reliability and responsiveness to change). The aim of this “review of reviews” was to provide a comprehensive overview of the methodological effectiveness of currently employed measures of PA, to aid researchers in their selection of an appropriate tool. A total of 63 review articles were included in this review, and the original articles cited by these reviews were included in order to extract detailed information on methodological effectiveness.Self-report measures of PA have been most frequently examined for methodological effectiveness, with highly variable findings identified across a broad range of behaviours. The evidence-base for the methodological effectiveness of objective monitors, particularly accelerometers/activity monitors, is increasing, with lower levels of variability observed for validity and reliability when compared to subjective measures. Unfortunately, responsiveness to change across all measures and behaviours remains under-researched, with limited information available.Other criteria beyond methodological effectiveness often influence tool selection, including cost and feasibility. However, researchers must be aware of the methodological effectiveness of any measure selected for use when examining PA. Although no “perfect” tool for the examination of PA in adults exists, it is suggested that researchers aim to incorporate appropriate objective measures, specific to the behaviours of interests, when examining PA in free-living environments.Electronic supplementary materialThe online version of this article (10.1186/s12966-017-0636-2) contains supplementary material, which is available to authorized users.

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“…It is now recommended by the WHO for national surveillance of PA. 1 Since its development, the GPAQ has been translated into and tested in many languages and is used in many countries. 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 In France, the GPAQ has been used to describe and analyse PA and sedentary time of the general population. 17 However, it has not been validated in the French language.…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the French version of the global physical activity questionnaire

Rivière

Widad

Speyer

et al. 2018

Journal of Sport and Health Science

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BackgroundThe Global Physical Activity Questionnaire (GPAQ) has been used to measure physical activity (PA) and sedentary time in France, but no study has assessed its psychometric properties. This study aimed to compare the reliability as well as criterion and concurrent validity of the French version of the GPAQ with the French International Physical Activity Questionnaire long form (IPAQ-LF) and use of an accelerometer in a general adult population.MethodsWe included 92 participants (students or staff) from the Medicine Campus at the University of Lorraine, Nancy (north-eastern France). The French GPAQ was completed twice, 7 days apart, to study test–retest reliability. The IPAQ-LF was used to assess concurrent validity of the GPAQ, and participants wore an accelerometer (ActiGraph GT3X+) for 7 days to study criterion validity. Reliability as well as concurrent and criterion validity of the GPAQ were tested by the intraclass correlation coefficient (ICC), Spearman correlation coefficient for quantitative variables, and Kappa and Phi coefficients for qualitative variables. Both concurrent and criterion validity of GPAQ were assessed by Bland-Altman plots.ResultsThe GPAQ showed poor to good reliability (ICC = 0.37–0.94; Kappa = 0.50–0.62) and concurrent validity (Spearman r = 0.41–0.86), but only poor criterion validity (Spearman r = −0.22–0.42). Limits of agreement for the GPAQ and accelerometer were wide, with differences between 286.5 min/week and 601.3 min/week.ConclusionThe French version of the GPAQ provides limited but acceptable reliability and validity for the measurement of PA and sedentary time. It may be used for assessing PA and sedentary time in a French adult population.

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Reliability and Validity of the Global Physical Activity Questionnaire in Vietnam

Cited by 34 publications

References 21 publications

Validity of the global physical activity questionnaire (GPAQ) in Bangladesh

Validity of the global physical activity questionnaire (GPAQ) in Bangladesh

A systematic literature review of reviews on techniques for physical activity measurement in adults: a DEDIPAC study

Reliability and validity of the French version of the global physical activity questionnaire

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