中国闲暇时间体力活动问卷的建立与验证
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摘要
目的建立中国闲暇时间体力活动问卷(China Leisure Time Physical Activity Questionnaire,CLTPAQ),并验证其在我国老年人群中的信效度。方法基于已在美国和西班牙人群中验证的明尼苏达州闲暇时间体力活动问卷简短版,结合中国的生活方式及文化背景建立问卷,并将其在113位65岁以上老年病人中进行验证,采用内部相关系数对问卷进行信度评价,通过分析体力活动能量消耗与身体成分、心肺功能健康指标之间的Pearson相关系数评价问卷的效度。结果两次CLTPAQ评估间的内部相关系数为0. 66～0. 90,信度较高;总能量消耗与肌肉含量(r=0. 20)、最大摄氧量(r=0. 30)呈显著正相关,与体脂百分比(r=-0. 20)呈负相关,具有较高效度。结论 CLTPAQ信效度较高,是评估我国老年人群闲暇时间体力活动可靠且有效的工具。
Objective To establish and examine the reliability and validity of the China Leisure Time Physical Activity Questionnaire( CLTPAQ) in the elderly Chinese. Methods Based on the short version of the Minnesota Leisure Time Physical Activity Questionnaire( MLTPAQ),which was validated in American and Spanish populations,a questionnaire was established based on the Chinese lifestyle and cultural background. It was validated in 113 elderly patients aged over 65 years old. The internal correlation coefficient was used to evaluate the reliability of the questionnaire. Pearson correlation coefficient between physical activity energy expenditure and body composition,cardiopulmonary health indicators was analyzed to evaluate the validity of the questionnaire. Results The internal correlation coefficients between the two CLTPAQ assessments were 0. 66-0. 90,with high reliability. The muscle content( r = 0. 20),the maximum oxygen uptake( r = 0. 30) showed a significant positive correlation,while body fat percentage( r =-0. 20) showed a negatively correlation with total energy expenditure,which showed high validity. Conclusions CLTPAQ has high reliability and validity,and it is a reliable and valid tool to measure the leisure time physical activity of the elderly in China.
Objective To establish and examine the reliability and validity of the China Leisure Time Physical Activity Questionnaire( CLTPAQ) in the elderly Chinese. Methods Based on the short version of the Minnesota Leisure Time Physical Activity Questionnaire( MLTPAQ),which was validated in American and Spanish populations,a questionnaire was established based on the Chinese lifestyle and cultural background. It was validated in 113 elderly patients aged over 65 years old. The internal correlation coefficient was used to evaluate the reliability of the questionnaire. Pearson correlation coefficient between physical activity energy expenditure and body composition,cardiopulmonary health indicators was analyzed to evaluate the validity of the questionnaire. Results The internal correlation coefficients between the two CLTPAQ assessments were 0. 66-0. 90,with high reliability. The muscle content( r = 0. 20),the maximum oxygen uptake( r = 0. 30) showed a significant positive correlation,while body fat percentage( r =-0. 20) showed a negatively correlation with total energy expenditure,which showed high validity. Conclusions CLTPAQ has high reliability and validity,and it is a reliable and valid tool to measure the leisure time physical activity of the elderly in China.
引文
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[31] Resnicow K,McCarty F,Blissett D. Validity of a modified CHAMPS physical activity questionnaire among African-Americans[J]. Med Sci Sports Exerc, 2003, 35(9):1537-1545.
[32] Singh PN,Fraser GE,Knutsen SF,et al. Validity of a physical activity questionnaire among African-American Seventh-day Adventists[J]. Med Sci Sports Exerc,2001,33(3):468-475.
[2] Hu FB,Sigal RJ,Rich-Edwards JW,et al. Walking compared with vigorous physical activity and risk of type 2 diabetes in women:a prospective study[J]. JAMA,1999,282(15):1433-1439.
[3] Manson JE,Nathan DM,Krolewski AS,et al. A prospective study of exercise and incidence of diabetes among US male physicians[J]. JAMA,1992,268(1):63-67.
[4] Shephard RJ,Futcher R. Physical activity and cancer:how may protection be maximized?[J]. Crit Rev Oncoq,1997,8(2/3):219-272.
[5] Karmisholt K,Gyntelberg F,Gotzche P. Physical activity for primary prevention of disease. Systematic reviews of randomised clinical trials[J]. Dan Medl Bull,2005,52(2),86-89.
[6] Lee IM,Shiroma EJ,Lobelo F,et al. Effect of physical inactivity on major non-communicable diseases worldwide:an analysis of burden of disease and life expectancy[J].Lancet,2012,380(9838):219-229.
[7] Liffiton J,Horton S,Baker J,et al. Successful aging:how does physical activity influence engagement with life?[J].Eur Rev Aging Phys Act,2012,9(2):103-108.
[8] Molina L,Sarmiento M,Peafie J,et al. Validation of the Regicor Short Physical Activity Questionnaire for the adult population[J]. PLoS One,2017,12(1):e0168148.
[9] Hu B,Lin LF,Zhuang MQ,et al. Reliability and relative validity of three physical activity questionnaires in Taizhou population of China:the Taizhou Longitudinal Study[J].Public Health,2015,129(9):1211-1217.
[10] Kurtze N,Rangul V,Hustveldt B. Reliability and validity of the international physical activity questionnaire in the NordTrondelag Health Study(HUNT)population of men[J].BMC Med Res Methodol,2008,8:63.
[11] Oyeyemi AL,Bello UM,Philemon ST,et al. Examining the reliability and validity of a modified version of the International Physical Activity Questionnaire,long form(IPAQLF)in Nigeria:a cross-sectional study[J]. BMJ Open,2014,4(12):e005820.
[12] Vaughan K, Miller WC. Validity and reliability of the Chinese translation of the Physical Activity Scale for the elderly(PASE)[J]. Disabil Rehabil,2013,35(3):191-197.
[13] Wanner M,Hartmann C,Pestoni G,et al. Validation of the Global Physical Activity Questionnaire for selfadministration in a European context[J]. BMJ Open Sport Exerc Med,2017,3(1):e000206.
[14]王小波.国际体力活动长问卷在中国老年人群中应用的信度和效度[J].中国老年学杂志,2015,35(20):5912-5914.
[15]王美凤,裴丽,张清.三种体力活动量表在2型糖尿病患者中应用的信效度检验[J].中国康复医学杂志,2016,31(9):945-949.
[16]陶燕霞,王岚,郑洪,等.中文版老年人体力活动量表在老年慢性阻塞性肺疾病患者中的信效度研究[J].中国全科医学,2017,20(15):1860-1864,1872.
[17] Conway JM,Irwin ML,Ainsworth BE. Estimating energy expenditure from the Minnesota Leisure Time Physical Activity and Tecumseh Occupational Activity questionnaires-a doubly labeled water validation[J]. J Clin Epidemiol,2002,55(4):392-399.
[18] Elosua R,Garcia M,Aguilar A,et al. Validation of the Minnesota Leisure Time Physical Activity Questionnaire in Spanish women[J]. Med Sci Sports Exerc,2000,32(8):1431-1437.
[19] Elosua R,Marrugat J,Molina L,et al. Validation of the Minnesota Leisure Time Physical Activity Questionnaire in Spanish men[J]. Am J Epidemiol, 1994, 139(12):1197-1209.
[20] Richardson MT,Leon AS,Jacobs DR Jr,et al. Comprehensive evaluation of the Minnesota Leisure Time Physical Activity Questionnaire[J]. J Clin Epidemiol,1994,47(3):271-281.
[21] Ainsworth BE, Haskell WL, Herrmann SD. 2011Compendium of Physical Activities:a second update of codes and MET values[J]. Med Sci Sports Exerc,2011,43(8):1575-1581.
[22] Ainsworth BE,Haskell WL,Whitt MC. Compendium of physical activities:an update of activity codes and MET intensities[J]. Med Sci Sports Exerc,2000,32(9 Suppl):S498-504.
[23] Lacher DA,Hughes JP,Carroll MD. Estimate of biological variation of laboratory analytes based on the third national health and nutrition examination survey[J]. Clin Chem,2005,51(2):450-452.
[24] Fried LP,Tangen CM,Walston J. Frailty in older adults:evidence for a phenotype[J]. J Gerontol A Biol Sci Med Sci,2001,56(3):M146-566.
[25] Siscovick DS, Fried LP, Mittelmark M, et al.Cardiovascular Health Study Research Group. Exercise and subclinical cardiovascular disease in the elderly:The Cardiovascular Health Study[J]. Am J Epidemiol,1997,145(11):977-986.
[26] Taylor HL, Jacobs DR Jr, Schucker B, et al. A questionnaire for the assessment of leisure time physical activities[J]. J Chronic Dis,1978,31(12):741-755.
[27] Fogelholm M,Malmberg J,Suni J. International Physical Activity Questionnaire:Validity against fitness[J]. Med Sci Sports Exerc,2006,38(4):753-760.
[28] Papathanasiou G, Georgoudis G, Georgakopoulos D.Criterion-related validity of the short International Physical Activity Questionnaire against exercise capacity in young adults[J]. Eur J Cardiovasc Prev Rehabil,2010,17(4):380-386.
[29] Theodorakopoulos C,Jones J,Bannerman E,et al. Effectiveness of nutritional and exercise interventions to improve body composition and muscle strength or function in sarcopenic obese older adults:A systematic review[J]. Nutr Res,2017,43:3-15.
[30] Friedenreich CM,Courneya KS,Neilson HK. Reliability and validity of the Past Year Total Physical Activity Questionnaire[J]. Am J Epidemiol, 2006, 163(10):959-970.
[31] Resnicow K,McCarty F,Blissett D. Validity of a modified CHAMPS physical activity questionnaire among African-Americans[J]. Med Sci Sports Exerc, 2003, 35(9):1537-1545.
[32] Singh PN,Fraser GE,Knutsen SF,et al. Validity of a physical activity questionnaire among African-American Seventh-day Adventists[J]. Med Sci Sports Exerc,2001,33(3):468-475.