Validation of two short questionnaires assessing physical activity in colorectal cancer patients.

Validation of two short questionnaires assessing physical activity in colorectal cancer patients.
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DOI:
10.1186/s13102-018-0096-2
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发表时间:
2018
期刊:
BMC sports science, medicine & rehabilitation
影响因子:
--
通讯作者:
Blomhoff R
Blomhoff R
中科院分区:
其他
文献类型:
--
作者:
Henriksen HB;Berntsen S;Paur I;Zucknick M;Skjetne AJ;Bøhn SK;Henriksen C;Smeland S;Carlsen MH;Blomhoff R

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为了研究在临床试验中坚持体力活动和久坐时间对健康结果的影响,需要可行的工具,如问卷调查,可以给出这些措施的代表性估计。本研究的主要目的是验证两个这样的问卷和他们的能力,以估计遵守身体活动的建议,定义为中度到剧烈的身体活动或中度的身体活动,至少150分钟/周的结直肠癌患者。其次,还评估了HUNT-PAQ中自我报告的久坐时间。来自“挪威饮食指南和结直肠癌生存研究”(CRC-NORDIET研究)的参与者完成了两份简短的问卷调查; NORDIET-FFQ(n = 78)和HUNT-PAQ(n = 77)。连续7天使用身体活动监测仪SenseWear Armband Mini作为参考方法。NORDIET-FFQ提供了比HUNT-PAQ更好的中度至剧烈体力活动和中度体力活动时间估计。NORDIET-FFQ无法对中度至剧烈体力活动和中度体力活动的个体时间进行排序(分别为斯皮尔曼rho = 0.08,p = 0.509和斯皮尔曼rho = 0.01,p = 0.402)。HUNT-PAQ报告的所有强度均偏低,但仅女性中中度体力活动和久坐时间的个体时间排名是可接受的(分别为斯皮尔曼rho = 0.37,p = 0.027和斯皮尔曼rho = 0.36,p = 0.035)。HUNT-PAQ正确分类了71%的不符合建议的患者(敏感性),NORDIET-FFQ正确分类了63%的符合建议的患者(特异性)。大约67%和33%的人分别报告符合NORDIET-FFQ和HUNT-PAQ的中度至剧烈体力活动的建议,而55%的人实际上符合SenseWear臂章Mini的中度至剧烈体力活动。NORDIET-FFQ比HUNT-PAQ提供了更好的特异性和更好的PA估计。与NORDIET-FFQ相比,HUNT-PAQ提供了更好的灵敏度,并提供了更好的PA和久坐时间排名。重要的是要意识到本研究中记录的局限性。该研究已在美国国立卫生研究院临床试验注册(标识符:NCT 01570010)。2012年4月4日注册。本文的在线版本(10.1186/s13102-018-0096-2)包含补充材料,可供授权用户使用。
In order to investigate the impact of adherence to recommendations of physical activity and sedentary time on health outcomes in clinical trials, there is a need for feasible tools such as questionnaires that can give representative estimates of these measures. The primary aim of the present study was to validate two such questionnaires and their ability to estimate adherence to the recommendations of physical activity defined as moderate-to- vigorous physical activity or moderate physical activity of at least 150 min/week in colorectal cancer patients. Secondarily, self-reported sedentary time from the HUNT-PAQ was also evaluated. Participants from 'The Norwegian dietary guidelines and colorectal cancer survival-study’ (CRC-NORDIET study) completed two short questionnaires; the NORDIET-FFQ (n = 78) and the HUNT-PAQ (n = 77). The physical activity monitor SenseWear Armband Mini was used as the reference method during seven consecutive days. The NORDIET-FFQ provided better estimates of time in moderate-to- vigorous physical activity and moderate physical activity than the HUNT-PAQ. The NORDIET-FFQ was unable to rank individual time in moderate-to- vigorous physical activity and moderate physical activity (Spearman’s rho = 0.08, p = 0.509 and Spearman’s rho rho = 0.01, p = 0.402, respectively). All intensities were under-reported by the HUNT-PAQ, but ranking of individual time in moderate physical activity and sedentary time were acceptable among women only (Spearman’s rho = 0.37, p = 0.027 and Spearman’s rho = 0.36, p = 0.035, respectively). The HUNT-PAQ correctly classified 71% of those not meeting the recommendations (sensitivity), and the NORDIET-FFQ correctly classified 63% of those who met the recommendations (specificity). About 67% and 33% reported to meet the recommendation of moderate-to- vigorous physical activity with the NORDIET-FFQ and HUNT-PAQ, respectively, whereas 55% actually met the moderate-to- vigorous physical activity according to the SenseWear Armband Mini. The NORDIET-FFQ provided better specificity and better estimates of PA than the HUNT-PAQ. The HUNT-PAQ provided better sensitivity, and provided better ranking of PA and sedentary time among women than NORDIET-FFQ. It is important to be aware of the limitations documented in the present study. The study is registered on the National Institutes of Health Clinical Trials (Identifier: NCT01570010). Registered 4 April 2012. The online version of this article (10.1186/s13102-018-0096-2) contains supplementary material, which is available to authorized users.
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