Systematic review of the measurement properties of self-report physical activity questionnaires in healthy adult populations.

Systematic review of the measurement properties of self-report physical activity questionnaires in healthy adult populations.
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DOI:
10.1136/bmjopen-2015-008430
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发表时间:
2015-09-15
期刊:
影响因子:
2.9
通讯作者:
Rushton A
Rushton A
中科院分区:
医学3区
文献类型:
--
作者:
Silsbury Z;Goldsmith R;Rushton A

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本系统综述评价了健康成人人群中完成的当前自我报告体力活动问卷(SRPAQ)的测量特性。两名评审员独立检索了7个电子数据库,并手动检索了研究SRPAQ测量特性的文章,该SRPAQ评价了过去6个月的体力活动。 对2001年5月1日至2014年12月4日发表的文章进行了系统筛选,符合条件的研究不限于英语来源。研究特定种族、性别或社会经济人群的文章被排除。纳入了10项研究10个SRPAQ的研究。纳入研究的方法学质量采用基于常识的健康测量仪器选择标准(COSMIN)进行评估,范围从“差”到“好”。近期体力活动问卷、国际体力活动量表和体力活动评估工具的重测信度良好/优秀(组内系数(ICC)=0.76,p<0.0001; r=0.627-0.91; r=0.618,p<0.001),但可变标准效度(r=0.67,p<0.0001; r=-0.02-0.43; r=0.392,p<0.01)。单项测量显示了与加速度计相比的显著标准有效性(中度至剧烈体力活动(MVPA)k=0.23,95% CI 0.05至0.41;体力活动≥10分钟发作0.39(95% CI 0.14至0.64))。 六点量表和人体活动概况的结构效度随年龄、婚姻状况和合并症的存在而显著变化(分别为p<0.05、<0.01、<0.000和p<0.05、<0.05、<0.000)。1周Godlin-Shephard回忆证明了金标准加速度计测量的“中度”有效性(r=0.43)。 存在不确定的证据。短式国际体力活动问卷的标准效度需要进一步调查,因为它表现出良好的重测信度。CRD 42012002484。
This systematic review evaluated the measurement properties of current self-report physical activity questionnaires (SRPAQs) completed within healthy adult populations. Two reviewers independently searched seven electronic databases and hand searched for articles investigating measurement properties of a SRPAQ evaluating physical activity over the previous 6 months. Articles published from 1 May 2001 to 4 December 2014 were systematically screened and eligible studies were not limited to English language sources. Articles investigating specific race, gender or socioeconomic populations were excluded. 10 studies investigating 10 SRPAQs were included. The methodological quality of the included studies was evaluated using COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and ranged from ‘poor’ to ‘good’. The Recent Physical Activity Questionnaire, International Physical Activity Questionnaires and Physical Activity Assessment Tool demonstrated good/excellent test–retest reliability (intra-class coefficient (ICC)=0.76, p<0.0001; r=0.627–0.91; r=0.618, p<0.001, respectively), but variable criterion validity (r=0.67, p<0.0001; r=−0.02–0.43; r=0.392, p<0.01, respectively). The single-item measure showed significant criterion validity against an accelerometer (for moderate to vigorous physical activity (MVPA) k=0.23, 95% CI 0.05 to 0.41; and physical activity ≥10 min bouts 0.39 (95% CI 0.14 to 0.64). Construct validity of the six-point scale and Human Activity Profile varied significantly with age, marital status and presence of comorbidities (p<0.05, <0.01, <0.000 and p<0.05, <0.05, <0.000, respectively). The 1 week Godlin-Shephard recall demonstrated ‘moderate’ validity with the gold standard measure of accelerometry (r=0.43). Inconclusive evidence exists. Further investigation of criterion validity of the short-form International Physical Activity Questionnaire is required, as it demonstrated excellent test–retest reliability. CRD42012002484.