Dissertations / Theses on the topic 'International Physical Activity Questionnaire for Adolescents'

The purpose of this study was to examine the relationship between keeping a daily leisure-time physical activity record and adolescent (a) feelings of competence toward leisure-time physical activity, (b) motivational profiles toward leisure-time physical activity, and (c) leisure-time physical activity behaviors. Participants were 124 junior high and high school physical education (PE) students. Students completed the Behavioural Regulation in Exercise Questionnaire–2, the Godin Leisure–Time Exercise Questionnaire, the Perceived Competence Scale, and were assigned to keep an online leisure-time physical activity record for three weeks as part of their regular PE class. A 2 (gender) x 4 (trials) repeated measures ANCOVA was used to examine the relationships between recording compliance and the variables of perceived competence, motivation, and physical activity. Results showed a significant interaction between recording compliance and leisure-time physical activity. As students kept the leisure-time physical activity record, boys' leisure-time physical activity levels significantly increased and girls' leisure-time physical activity levels significantly decreased. Also, a significant interaction between recording compliance and introjected regulation was found. The more students recorded the less motivated they were by guilt and obligation to exercise in their leisure time. Lastly a significant interaction was found between recording compliance and intrinsic regulation, showing that the more students recorded the more intrinsically motivated they were to exercise in their leisure time. Implications and suggestions are set forth for PE professionals.

The aim of this study was to obtain better knowledge about teenagers' physical capacity and physical activity. The study group consisted of 301 students in upper secondary school, 191 students in practical education (74 girls and 117 boys) and 110 students in theoretical education (57 girls and 53 boys). The adolescents were 16-19 years old and lived in southern Sweden. The study comprised three parts: a questionnaire, seven physical tests (one test to predict maximal oxygen uptake, three strength tests, two flexibility tests and one balance test) and information on each pupil's grades. Pupils in practical education for occupations like industrial- and building workers, mechanics, assistant nurses and hairdressers, all of which are occupations involving physical effort, had lower physical capacity than pupils in theoretical education among both girls and boys. A correlation was found between physical capacity and grades.

Aim: To examine the relationship between reported vigorous physical activity (VPA) and body mass index (BMI) in children (6–7 years) and adolescents (13–14 years). Methods: In the International Study of Asthma and Allergies in Childhood Phase Three, 75 895 children's parents and 199 502 adolescents answered questions relating to VPA, height and weight. The association between VPA and BMI was analysed using general linear models, adjusting for country gross national index. Results: Compared to children who undertook no VPA, those in the infrequent group (once or twice per week) and those in the frequent group (three or more times per week) had mean (95% CI) BMI values 0.07 kg/m 2 (0.03–0.11) and 0.09 kg/m 2 (0.03–0.15) greater, respectively (p = 0.001). Compared to adolescents reporting no VPA, those in the infrequent group had a BMI 0.19 kg/m 2 (0.15–0.23) greater while those in the frequent group had a BMI 0.01 kg/m 2 (−0.03–0.05) greater (p < 0.0001). Conclusion: Reported VPA is not associated with lower BMI among children and adolescents. Investigation of VPA and BMI may be best undertaken in conjunction with other variables in the energy expenditure equation. A focus on VPA alone may be an inefficient way to manage BMI.
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Tyrimo objektas – Vilkaviškio rajono VII – X klasių kaimo ir miesto moksleivių fizinio pajėgumas ir fizinio aktyvumas. Tyrimo tikslas – įvertinti Vilkaviškio rajono VII – X klasių kaimo ir miesto moksleivių fizinį pajėgumą bei fizinį aktyvumą. Teoriniai uždaviniai: 1. Nustatyti ir palyginti Vilkaviškio rajono VII – X klasių mokinių fizinį pajėgumą klasės, lyties ir gyvenamosios vietos (kaimo ir miesto) aspektu. 2. Nustatyti ir palyginti Vilkaviškio rajono VII – X klasių mokinių fizinį aktyvumą gyvenamosios vietos (kaimo ir miesto) aspektu. Išvados: 1. Tyrimo rezultatai parodė, kad miesto moksleivių judesių tempo ir greičio, greitumo ir vikrumo, kojų raumenų staigiosios jėgos, lankstumo rodikliai buvo geresni negu kaimo moksleivių, o kaimo moksleivių geriau išlavinta statinė rankų ir pečių lanko raumenų ištvermė. Pilvo preso raumenų jėgos ištvermė geriau išlavinta miesto berniukų ir kaimo mergaičių. Vertinant pagal Eurofito lenteles, geriausias išlavinimo lygis buvo judesių tempo ir greičio bei greitumo ir vikrumo fizinių ypatybių, prasčiausias – statinės rankų ir pečių lanko raumenų ištvermės. 2. Anketinė apklausa atskleidė, kad dauguma tiek kaimo, tiek miesto moksleivių per savaitę labai intensyviai ir vidutiniškai intensyviai fizinei veiklai mokykloje skiria 1-2 dienas o vidutinis laikas tomis dienomis skirtas tokio tipo veiklai buvo 30-60 min. Laisvalaikiu labai intensyvia ir vidutiniškai intensyvia veikla užsiima neženkliai didesnė dalis miesto mokyklų moksleivių, tam... [toliau žr. visą tekstą]
The object of the research is physical fitness and physical activity of VII – Xth grade schoolchildren from urban and rural areas in Vilkaviskis region. The aim of the research is to evaluate physical fitness and physical activity of VII – Xth grade schoolchildren from urban and rural areas in Vilkaviskis region. The aim is reached within the fulfilment of the following objectives: 1.To investigate and compare physical fitness of VII – Xth grade schoolchildren in Vilkaviskis region according to the grade, gender and living area (rural vs. urban). 2. To evaluate and compare physical activity of VII – Xth grade schoolchildren in Vilkaviskis region according to the area (rural vs. urban) they live in. Conclusions: 1. It was found that physical fitness tests measuring flexibility, spead, explosive power of leg muscles were better performed by VII – Xth grade schoolchildren living in urban area of Vilkaviskis region, while static strength of arms and shoulder muscles is greater of rural area schoolchildren. Stomack muscle strength endurance is better of urban boys and girls living in rural area of Vilkaviskis region. According to the Eurofit reference tables, the best results were shown when measuring spead and agility components of physical fitness, the worst – the strength endurance of arms and shoulder muscles. 2. Analysing physical activity questionnaire data it was found that most of VII – Xth grade schoolchildren, living both in urban and rural area, spend 1-2 days per week... [to full text]

ObjectifsL’objectif principal a été de déterminer la quantité d’activité physique chez des enfants de 8- 16 ans,scolarisés dans la ville de Bogota (Colombie) vivant à l’altitude de 2640 mètres. Cette activité, mesurée pendant les périodes scolaires et de vacances et agrégée sur une année, a été exprimée en dépensed’énergie rapportée à la journée (DEJmA, kJ.kg-1.jour-1). Cette activité DEJmA a été secondairementanalysée en fonction de l’âge, du genre, du niveau Socioéconomique (NSE), des donnéesanthropométriques individuelles incluant l’âge biologique (Tanner), la composition corporelle, lesomatotype et la condition physique (EUROFIT).MéthodesCette étude d’épidémiologie descriptive et analytique a comporté cinq phases successives : 1)Elaboration d’un questionnaire QAPACE et formation des chercheurs; 2) Test de compréhension duquestionnaire QAPACE; 3) Etude de faisabilité et reproductibilité de QAPACE; 4) Etude de validationsur un échantillon (36 sujets) des mesures de DEJ par rapport à la mesure de VO2max, selon deuxméthodes directe (cycle d’ergospirométrie) et indirecte (test de Léger); 5) Analyse générale d’unéchantillon représentatif de 1840 enfants selon un sondage en grappe randomisé à deux niveaux (écoles,classes). Le questionnaire étudiait 13 grandes catégories d’activités.Les analyses des données de reproductibilité et de validation ont reposé la méthode de Bland et Altmanet la mesure du CCI. La dépendance de la DEJ en fonction des données socio- économiques et desdonnées anthropométriques a été étudiée avec des méthodes de régression linéaire uni- et multivariée(SPSS 21).RésultatsLe questionnaire, adapté à la population d’enfants de langue hispaniauem a présenté une corrélationintra classe CCI=0.96 (CI 0.95-0.97). La validité avec la mesure de VO2max (direct et indirect) a été de0.76(0.66) (p<0.01). La DEJ moyenne sur les 1840 enfants étaient, chez les 904 garçons, 167.98±37.30kJ.kg-1.jour-1 (valeur absolue : 6.83 MJ/Jour, relative : 170.41±39.92) et, chez les 936 filles165.64±34.26 kJ/kg/jour (p<0.01) (6.59 MJ/jour, 165.64 ±34.26 kJ/kg/j). La DEJ pour la périodescolaire et de vacances fut 158.43±42.99 et 199.44±18.55 kJ/kg/jour (p<0.01) pour les garçons et lesfilles respectivement. La DEJ durant le temps libre fut de 59.86±44.16 chez les garçons et 53.81±37.11kJ/kg/jour (p<0.01) pour les filles.ConclusionsSur la base d’une bonne reproductibilité et validité du questionnaire QAPACE, la DEJ (kJ.kg-1.jour-1)rapporté au poids corporel total ou au poids maigre a donné des résultats inférieurs à ceux d’autresétudes, avec notamment 51% des garçons et 61% de filles inactifs, respectivement. Les garçons furentplus actifs que les filles dans le groupe post pubères (p<0.01). Le temps consacré à regarder la TV étaitde 4.2 heures/jour. Les sports les plus pratiqués étaient le football, le cyclisme, et la marche pour lesgarçons et la marche, le cyclisme et le patinage pour les filles
ObjectivesThe first statement was to determine the amount of physical activity expressed in expenditure weightedaverage day of a year (DEEmY) energy during the school year and holidays (kJ.kg-1.day-1) in terms ofequivalence caloric and metabolic cost of activities most commonly performed by young people. Thesecond statement was that of defining the relationship between the DEEmY vs age, gender,socioeconomic level (SEL), height, body weight, body surface (BS), the Body Mass Index (BMI),biological age (Tanner), body composition, somatotype and fitness (EUROFIT).MethodsThis descriptive study developed five different phases: the first phase: it was the training of researchers,the second phase: understanding and final questionnaire editing QAPACE, in the third phase: feasibilityand reproducibility of QAPACE in the fourth stage: it was the validation study by direct VO2max (36subjects) by ergospirometry and indirect through the test Leger and the fifth phase cycle was developedin 1840 with the general study subjects. The questionnaire was developed by 13 categories. Forreproducibility and validation of the test-Retest method and comparison of arithmetic by the method ofBland-Altman, Pearson correlation was applied. The data is stored in Visual Fox Pro 6.0 and analyzedusing SPSS 21 statistical program IBM. Means were compared using multivariate linear model applyingtipe II.The values used as fixed variables: gender (male and female), age (8-16 years) and three SEL (six strata:1-2, 3-4 and 5-6); as dependent variables were evaluated: height, weight, leisure time, expressed inhours/day and daily energy expenditure DEE (Kj.kg-1.day-1) during leisure time (DEE-LT) during thetime school (DEE-ST) during the holidays (DEE-VT), and DEE total mean year (DEEmTY).For a post-Hoc analysis was used the minimum significant difference (MSD) with fixed factors,interaction factors descriptive statistics, tests of homogeneity with a significance level of 0.05.ResultsThe questionnaire was correct understanding of the reproducibility intra-Class correlation was r = 0.96(CI 0.95-0.97), the validity of the direct and indirect VO2 was 0.76 (0.66) (p <0.01) and for generalstudy quantifying the average of the DEE of 1840 subjects was 167.98 ± 37.30; for boys (n = 904),absolute value: 6.83 MJ/day, relative: 170.41 ± 39.92 and for girls (n = 936): 6.59 MJ/day (p <0.001)165.64 ± 34.26 (kJ.kg-1.day-1) (p <0.01). The DEE to the school holiday period and was 158.43 ± 42.99and 199.44 ± 18.55 (kJ.kg-1.day-1) (p <0.01) for boys and girls respectively. The DEE during free timewas of 59.86 ± 44.16 for males and 53.81 ± 37.11 (kJ.kg-1.day-1) (p <0.01) for girlsConclusionsOn the basis of good reproducibility and validity of the questionnaire QAPACE applied to students inthe larger study, the DEE (kJ/kg/day) with total body weight or lean weight was less compared to ofother studies giving results for 51% of boys and 61% of inactive girls. Boys were more active than girlsin the post pubertal group (p <0.01). As for the time spent watching TV, it was 4.2 hours/day, and themost popular sports was soccer, cycling, and walking for boys and walking, cycling and skating for

Introdução: O médico tem um papel importante na promoção de estilos de vida saudáveis entre os seus doentes. Há evidências de que médicos com maiores níveis de atividade física (AF) têm atitudes mais positivas relativamente ao aconselhamento de exercício físico. Alguns estudos encontraram a mesma associação para estudantes de medicina. O objetivo deste trabalho é averiguar se os níveis de AF dos estudantes de medicina influenciam as atitudes relativamente ao aconselhamento de estilos de vida saudáveis, em particular da AF. Material e métodos: Foi desenhado um estudo observacional transversal, tendo sido aplicado um questionário aos alunos finalistas (N=83) do Mestrado Integrado em Medicina (MIM) da Universidade de Beira Interior (UBI) com uma taxa de resposta de 78% (N=65). O questionário avaliou os níveis de AF com recurso ao International Physical Activity Questionnaire (IPAQ), o contexto promotor de estilos de vida saudáveis durante a formação médica e as atitudes relativas ao aconselhamento em estilos de vida. Resultados: Mais de metade dos alunos da amostra foram considerados ativos (55%). Não se encontrou uma relação entre os níveis totais de AF e o aconselhamento em AF. No entanto, níveis mais elevados de AF vigorosa associaram-se a uma maior confiança no aconselhamento em AF (p=0,017). A perceção do contexto da formação médica em que se promovam estilos de vida saudáveis relacionou-se com uma maior confiança e frequência do aconselhamento em AF (p=0,001; p=0,029). Conclusões: Níveis mais elevados de AF vigorosa entre os alunos finalistas do MIM da UBI estão relacionados com atitudes mais positivas relativamente ao aconselhamento em exercício físico. A formação médica e o contexto da escola médica parecem ser determinantes no desenvolvimento de atitudes mais positivas relativamente à promoção de estilos de vida saudáveis, em particular a AF.
Introduction: Physicians have an important role in promoting healthy lifestyles among their patients. There is evidence that physicians with higher levels of physical activity (PA) have more positive attitudes regarding exercise counseling. Some studies have found the same association for medical students. The aim of this study is to test if the PA level of medical students influences their attitudes towards counseling healthy lifestyles, particularly physical activity. Methods: An observational cross-sectional study was designed and a questionnaire was applied to senior medical students (N = 83) at the University of Beira Interior (UBI) with a response rate of 78% (N = 65). The questionnaire evaluated the levels of PA using the International Physical Activity Questionnaire (IPAQ), the healthy lifestyles promotion framework during medical education and attitudes towards healthy lifestyles counseling. Results: More than half of UBI’s senior medical students were considered active (55%). There was no relationship between overall levels of PA and PA counseling. Higher vigorous PA levels were associated with a greater confidence in PA counseling (p = 0.017). The perception of a medical training that promotes healthy lifestyles was related to greater confidence and frequency of PA counseling (p=0,001; p=0,029). Conclusion: Higher vigorous PA levels of UBI’s senior medical students are related to more positive attitudes towards PA counseling. Medical education and the medical school framework seem to be determinant in the development of more positive attitudes towards promotion of healthy lifestyles, particularly PA.

Introducción. El objetivo del presente estudio es determinar si existe correlación entre los conocimientos sobre las consecuencias de la obesidad y el grado de actividad física de las personas. Métodos. Se realizó un estudio transversal analítico durante los años 2013 y 2014. Participaron 215 alumnos de pregrado seleccionados por conveniencia no relacionados a carreras del campo de la salud en una universidad de Lima, Perú. Se evaluó el grado de actividad física utilizando el International Physical Activity Questionnaire (IPAQ) y el nivel de conocimientos sobre consecuencias de la obesidad utilizando la escala Obesity Risk Knowledge-10 (ORK-10). También, se consignó las fuentes de información de donde obtuvieron el conocimiento para responder dicho cuestionario. Resultados. La mediana de edad fue 20 (rango intercuartílico=4) y 63% eran mujeres. De acuerdo al IPAQ, 53,9% realizaban actividad física alta, 35,4%, moderada y 10,7%, leve. Se encontró una correlación muy baja (rs=0,06) entre el puntaje del ORK-10 y la cantidad de equivalentes metabólicos/minuto consumidos por semana, pero no era significativa (p=0,38). Las personas informadas por medios de comunicación y por personal de salud obtuvieron mayores puntajes en el ORK- 10 que quienes se informaron por otras vías (p<0,05). Conclusiones. La correlación entre los conocimientos sobre consecuencias de la obesidad y el grado de actividad física es muy baja. Es necesario utilizar enfoques multidisciplinarios que incluyan todos los determinantes de la realización de actividad física para poder lograr cambios en la conducta de la población.

Background: Because it is a strong determinant of chronic disease and mortality risk, physical activity is a health behaviour that is measured in most large health surveys. Questionnaires are the most commonly used method for measuring physical activity in health surveys. In the early 1990’s, an international physical activity questionnaire (IPAQ) was created to allow researchers from across the globe to employ the same questionnaire within their country. Several studies have been conducted on the IPAQ to determine whether the responses obtained are comparable when the questionnaire is administered on multiple occasions (reliability) and to determine the ability of the questionnaire to obtain the same physical activity result when compared to other direct measures, considered as “gold standard” (validity). However, none of these studies have been conducted in Mexico. Objective: Examine: 1) the reliability of the IPAQ among Mexican adults by comparing minutes per week (min/wk) spent in moderate-to-vigorous physical activity (MVPA) from the IPAQ administered two times, 2) the validity of the IPAQ surveys by comparing IPAQ min/wk of MVPA to those obtained by the accelerometer. Methods: 267 Mexican adults who worked in a factory in Mexico City participated. IPAQ was applied in a face-to-face interview during a first clinic visit. Participants received an accelerometer (motion sensor that measures and record physical activity) and wore it consecutively for the next 9 days. In a second visit, participants returned the accelerometer and completed a second IPAQ. The research team cleaned and analyzed the accelerometer data using standardized techniques. Results from the two IPAQ and the accelerometer were compared using the appropriate statistical tests. Results: IPAQ1 and IPAQ2 measures of MVPA were significantly correlated to each other (r=0.55, p<0.01). The MVPA (min/week) measures from IPAQ1 and IPAQ2 were only modestly correlated with the accelerometer measures (r=0.26 and r=0.31, p<0.01). The percentage of the participants who were classified as inactive according to the World Health Organization physical activity guidelines was 18.0% in IPAQ1, 25.1% in IPAQ2, and 28.2% for the accelerometer. Conclusions: IPAQ was modestly correlated to each other and it was lowly correlated to values obtained by the accelerometer. Since IPAQ has been used to obtain physical activity prevalence worldwide, caution should be taken when this instrument is used. Future research should be focused on the importance of including direct measures to measure physical activity levels within epidemiological surveys.
Thesis (Master, Kinesiology & Health Studies) -- Queen's University, 2013-04-18 15:12:21.626

博士
國立臺灣大學
護理學研究所
92
Background: 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. An International Consensus Group developed two long and two short forms of the IPAQ instruments (administered by telephone interview or self-administration, with reference periods, the“last 7 days” of recalled physical activity). Methods: Under translation, back translation and 12 sections of focus group discussion; three versions of IPAQ-Taiwan and GPAQ-Taiwan version were developed. From August to November in 2003, investigators from a community were collected reliability and validity data (141 samples) by systemic and household sampling. Test-retest reliability was assessed within 3 to 21 days. Concurrent validity was assessed at the IPAQ, GPAQ, 7-D PAR, diary and TASPA, and criterion IPAQ validity was assessed against the RT3 accelerometer. Spearman’s correlation coefficients were reported, based on the total reported physical activity. Results: The CVI of IPAQ-Taiwan versions were very high (higher than 0.9). The agreement coefficients between original versions and Taiwan versions were good (intraclass correlation coefficients = 0.72~0.93). Overall, the repeatable data which IPAQ questionnaires produced (Spearman’s ρ clustered around 0.67~0.96) was better than most of other samples (0.25~0.88), comparable data from short and long forms. Concurrent validity which was 0.63~0.88 comparisons with either two IPAQ, was similar with the other national data. Criterion validity had a median of about 0.31 to 0.41, which was comparable to most of other IPAQ validation studies (0.02~0.52). The reliability of telephone administration was better than the self-administered mode. Conclusions: The IPAQ-Taiwan versions have acceptable measurement properties, at least they are as good as other established the other versions of IPAQ and measurement of physical activity of self-reported. The study proved that the criteria validity coefficients coming from the subjects of lower education level did not decrease; therefore, IPAQ can be used to measure their level of physical activity. Considering the community base samples in this study, IPAQ-Taiwan version has reasonable measurement properties for monitoring population levels of physical activity among 18 to 65 years old adults, the short IPAQ (Taiwan version) form is recommended for national monitoring and the long (Taiwan version) form is also recommended for research.

Background: People with chronic obstructive pulmonary disease (COPD) present low levels of physical activity (PA) in daily life and they are advised to undertake as much PA as their health allows. Since PA is crucial to improve COPD prognosis, its assessment and promotion is a priority. The International Physical Activity Questionnaire Short-Form (IPAQ-sf) is widely used for this propose, but there is limited evidence on its clinimetric properties in COPD. Aim: This study aimed to assess the test-retest reliability and validity of the IPAQ-sf in people with COPD. Methods: This prospective cross-sectional non-experimental study assessed the validity of IPAQ-sf in 55 participants using accelerometry (ActiGraph GT3X+) and the test-retest reliability/agreement using the IPAQ-sf results obtained in two different occasions. The period between the two assessments was 7 days, corresponding to the time that participants were using the accelerometer. Test-retest reliability/agreement was assessed with: intraclass correlation coefficient (ICC 95% CI), 95% limits of agreement (95% LoA), standard error of measurement (SEM) and minimal detectable change (MDC95) for continuous variables; and percentage of agreement for categories “physically inactive” vs “physically active” and “low PA”, “moderate PA” and “high PA”. The criterion validity of IPAQ-sf was assessed using Spearman’s correlations (ρ) between results obtained from IPAQ-sf (METSmin/week, time in vigorous and moderate PA and walking) and the accelerometer-based data (total METs-min/week, time in vigorous and moderate PA per week and step counts). For categorical variables was use percentage of agreement and Cohen’s kappa coefficient, as well as sensitivity and specificity.Results: Test-retest reliability of the IPAQ-sf METs-min/week was acceptable (ICC=0.738, 95% CI 0.629 ─ 0.873) but with wide 95% LoA (-5713 ─ 4793.3 METs-min/week). SEM and MDC95 were 1844.7 and 5113.3 METs-min/week, respectively. The agreement among IPAQ-sf categories of PA intensities was 67.3% with moderate weighted Cohen’s kappa of 0.523 (95% CI 0.352 ─ 0.693). The agreement in identifying “physically active” and “physically inactive” patients increase to 85.45% with substantial kappa of 0.660 (95% CI 0.444 ─ 0876). Significant, positive and moderate were found between IPAQ-sf METs-min/week and accelerometer-based data (0.515≤ρ≤0.596), except for time in vigorous PA which has no statistical significance (p>0.05). Agreement between the IPAQ-sf and accelerometer in identifying “physically inactive” and “physically active” patients was 67.3%, with fair Cohen’s kappa of 0.350 (95% CI 0.279 ─ 0.571). The IPAQ-sf presented a high sensitivity (0.89, 95% CI 0.887 ─ 0.891) but a low specificity (0.46, 95% CI 0.46 ─ 0.47). Conclusion: Overall, the present findings seem to suggest that the IPAQ-sf could not be the most appropriate measurement tool in patients with COPD to assess their PA levels.
Enquadramento: Pessoas com doença pulmonar obstrutiva crónica (DPOC) apresentam baixos níveis de atividade física em comparação com as pessoas saudáveis. Como tal, são aconselhados pelos profissionais de saúde para realizarem o máximo de atividade física (AF) que a sua condição de saúde permitir. Uma vez que a AF tem um papel benéfico no prognóstico da doença, a sua avaliação e promoção torna-se crucial. O Questionário Internacional de Atividade Física versão curta (IPAQ-sf) é muito usado para avaliar a AF, no entanto ainda existe evidência limitada acerca das suas propriedades clinimétricas na DPOC. Objetivo: O objetivo deste estudo consistiu na avaliação da fiabilidade teste-reteste e validade do IPAQ-sf em pessoas com DPOC. Métodos: Cinquenta e cinco participantes, com média de idades de 68.6±7.8 anos, 48 homens (87.3%), FEV1 52.3±22.5% do predito, preencheram o IPAQ-sf e usaram o acelerómetro à cintura durante 7 dias. Posteriormente voltaram a preencher o IPAQ-sf. A fiabilidade teste-reteste e a percentagem de acordo foram avaliadas para as variáveis contínuas através do coeficiente de correlação intra-classe (ICC, 95% CI), dos 95% limites de acordo (95% LoA), do erro standard de medida (SEM) e da mudança mínima detectável (MDC95). Para as variáveis categóricas “fisicamente ativo” vs. “fisicamente inativo” e “baixa AF”, “moderada AF” e “elevada AF” usou-se a percentagem de acordo. A validade foi avaliada através de correlações de Spearman (ρ) entre o IPAQ-sf (METsmin/semana, tempo em AF vigorosa, moderada e caminhada) e para as variáveis do acelerómetro (METs-min/semana, tempo em AF vigorosa e moderada e contagem de passos). Para as variáveis categóricas recorreuse à percentagem de acordo, ao kappa de Cohen, à sensibilidade e à especificidade (95% CI). Resultados: A fiabilidade teste-reteste apresentou resultados aceitáveis (ICC=0.738, 95% CI 0.629 ─ 0.873) mas com 95% LoA largos (-5713 ─ 4793.3 METs-min/semana). O SEM e a MDC95 foram 1844.7 e 5113.3 METs-min/semana, respetivamente. O acordo entre as duas aplicações do IPAQ-sf foi de 85.5% (kappa=0.660, 95% CI 0.444 ─ 0.876). Foram encontradas correlações positivas, moderadas e significativas entre os METs-min/semana através do IPAQ-sf e do acelerómetro (0.515≤ρ≤0.596), exceto para a AF vigorosa (p>0.05). O acordo entre os dois instrumentos foi de 67.3% (kappa=0.350, 95% CI 0.279 ─ 0.571), apresentando alta sensitividade (0.89, 95% CI 0.887 ─ 0.891) mas baixa especificidade (0.46, 95% CI 0.46 ─ 0.47). Conclusão: Os presentes resultados sugerem que o IPAQ-sf pode não ser a medida mais adequada para avaliar a AF em doentes com DPOC.
Mestrado em Fisioterapia

碩士
國立陽明大學
臨床暨社區護理研究所
98
Background: It is widely confirmed that physical activity can bring people health benefits. The measurement and promotion of physical activities, therefore, is an important global issue; scales are widely used measurement tools which present message content in writing. There are established grammars and rules for written languages; unclear descriptions or an excessive number of questions may confuse subjects or leave them impatient and in turn affect monitoring results. This study anticipates developing a physical activity showcard through the use of images, allowing an understanding of underlying semantics, enhancing answering fun as well as breaking through cultural and linguistic limitations and barriers between countries. Purpose: To anticipate developing the International Physical Activity Questionnaire Taiwan Showcard and assess its reliability and validity. Methods: This study’s scale uses visual communication elements when developing the International Physical Activity Questionnaire (IPAQ) Taiwan Showcard. Through field work, the responses to a physical activity showcard by the general public can be understood. The consensus of physically active images of people are confirmed by expert validity. After review by experts, the IPAQ Taiwan Showcard enters the test period. Face-to-face interviews are conducted to test one hundred subjects aged 18-65. The subjective IPAQ Taiwan Showcard and IPAQ Self-Administered Short Version are used in pretests to monitor the amount of physical activity in the previous seven days. The single-axis accelerometer, Actical, is used to monitor the level of physical activity for seven days. The Subjective IPAQ Taiwan Showcard and IPAQ Self-Administered Short Version are done in posttest when returning Actical. SPSS 17.0 is used to analyze its reliability and validity. Results: The index of content validity (CVI) of the IPAQ Taiwan Showcard is 0.95. The concurrent pretest and posttest validities of health-enhancing physical activity (HEPA) are 0.916-0.960 (p &lt;.001) and 0.916-0.998 (p &lt; .001); the retested reliability is 0.478-0.683 (p &lt; .001); the criterion-related validity of Actical is 0.290 - 0.364 (p &lt; .01 - p &lt; .001); and the consistency of the criterion-related validity of Actical is -0.005 - 0.265 (p >.05 - p &lt; .001). There is no significant difference from the IPAQ Self-Administered Short Version by Z test. The consistency of criterion-related validity of HEPA is observed by comparing the gender, age, education level, amount of physical activity, and reading preferences in the past seven days with the amount of physical activity over the past three months, and there is no significant difference between the IPAQ Taiwan Showcard and IPAQ Self-Administered Short Version by Z test. The value of paired t-test of the time of completing the IPAQ Showcard Short Version and the IPAQ Self-Administered Short Version is -8.29 (p &lt;.001) which indicates that the average time to complete the IPAQ Showcard Short Version is shorter than IPAQ Self-Administered Short Version. Conclusions: After the reliability and validity test with the IPAQ Taiwan Showcard developed by this study, there is no difference from the IPAQ Self-Administered Short Version. Yet, there is no physical activity type in guiding the completion of showcards which can accurately present actual physical activity conditions. It is recommended to be used in large sample surveys and extended to study various populations for validation and application to increase the applicability of the IPAQ Taiwan Showcard.

Contexte: L’arthrite juvénile idiopathique (AJI) est l’une des maladies chroniques auto-immune les plus répandues chez les enfants et est caractérisée par des enflures articulaires (maladie active), de la douleur, de la fatigue et des raideurs matinales pouvant restreindre leur niveau de participation aux activités quotidiennes (par exemple: les loisirs, l’activité physique, la mobilité et les soins personnels) à la maison comme à l’école. Participer aux activités de loisirs et à l’activité physique a des bienfaits au niveau de la santé et du développement de tous les enfants et démontrent aussi des effets positifs qui réduisent les symptômes des maladies chroniques telle l’AJI. Malgré ces bienfaits la participation aux loisirs chez les jeunes avec l’AJI demeure largement sous-étudiée. Objectifs: Cette étude vise à évaluer le niveau de participation aux loisirs et à l’activité physique chez les enfants et les adolescents atteints d’AJI, ainsi qu’à identifier les facteurs liés à la maladie, la personne et l’environnement. Méthodes : L’évaluation du niveau de participation et l’exploration des facteurs associés aux loisirs et à l’activité physique ont été complétés par l’entremise d’une revue systématique de la littérature, l’analyse de données d’un échantillon national représentatif d’enfants canadiens atteints d’arthrite âgés entre 5 et 14 ans (npondéré = 4350), ainsi que l’analyse standardisée du niveau de participation aux loisirs à l’aide du Children’s Assessment of Participation and Enjoyment (n=107) et la mesure objective de l’activité physique par accéléromètre (n=76) auprès d’un échantillon d’enfants (âgés entre 8 et 11 ans ) et d’adolescents (âgés entre 12 et 17 ans) suivis en clinique de rhumatologie à l’hôpital de Montréal pour enfants, Centre Universitaire de Santé McGill. Les résultats cliniques ont été comparés à des données normatives, ainsi qu’à un groupe contrôle sans AJI. Nous avons exploré les facteurs associés avec le niveau de participation aux loisirs et à l’activité physique en utilisant les modèles de régression linéaire multiple et l’analyse hiérarchique. Résultats : Les enfants et les adolescents atteints d’AJI participent à une multitude d’activités de loisirs; cependant ils sont moins souvent impliqués dans des activités physiques et de raffinement en comparaison aux autres types d’activités de loisirs. Ceux avec l’AJI étaient en général moins actifs que leurs pairs sans arthrite et la plupart n’atteignaient pas les recommandations nationales d’activité physique. Les garçons avec l’AJI participent plus souvent à des activités physiques et moins aux activités sociales, de raffinement et de développement de soi en comparaison avec les filles ayant l’AJI. En général, être un garçon, être plus âgé, avoir une meilleure motivation pour participer aux activités de motricité globale, avoir un statut socio-économique plus élevé et être d’origine culturelle canadienne sont associés à un niveau de participation plus élevé aux activités physiques. La préférence pour les activités de raffinement, un niveau d’éducation maternelle plus élevé et être une fille étaient associés à un niveau de participation plus élevé aux activités de raffinement. Conclusion: La participation aux loisirs et à l’activité physique en AJI est un concept complexe et semble surtout être expliqué par des facteurs personnels et environnementaux. L’identification des facteurs associés aux loisirs et à l’activité physique est très importante en AJI puisqu’elle peut permettre aux professionnels de la santé de développer des interventions significatives basées sur les activités préférées des enfants, améliorer l’observance au traitement et promouvoir des habitudes de vie saine.
Background: Juvenile idiopathic arthritis (JIA), one of the most common chronic childhood autoimmune diseases, is a heterogeneous inflammatory condition characterised by joint inflammation (i.e. active disease), chronic pain, fatigue and morning stiffness, which may interfere with age-appropriate daily activities (i.e. leisure and physical activity, mobility and self-care), both at home and at school. Involvement in leisure and physical activity is beneficial to the health and development of all children and adolescents, and has also shown to help mitigate the effects of disease among those with chronic conditions such as JIA. Despite the benefits of leisure participation this subject remains vastly understudied in JIA. Objective: The aim of this thesis was to assess participation in leisure and physical activity among children and adolescents with JIA, as well as identify associated disease-related, personal and environmental factors. Methods: The assessment of patterns and exploration of potential predictors of participation in leisure and physical activity in children and adolescents with JIA was completed through a systematic review of the literature, analysis of survey data from a nationally representative sample of Canadian children with arthritis (age range = 5 to 14 years, nweighted = 4350), as well as the standardized assessment of leisure with the Children’s Assessment of Participation and Enjoyment (n=107) and the objective measurement of physical activity with accelerometer (n=76) among a clinical sample of children (age range = 8 to 11 years) and adolescents (age range = 12 to 17 years) with JIA followed at the Rheumatology clinic at the Montreal Children’s Hospital, McGill University Health Center. Clinical data were also compared to normative data and children and adolescents without JIA. We explored factors associated with participation in leisure and physical activity using multiple linear regression models and hierarchical analysis. Results: Children and adolescents with JIA participated in an array of leisure activities; however involvement was least frequent in active physical and skill-based leisure activities compared to other types of activity. Those with JIA were generally less physically active than healthy peers without JIA, and most with JIA did not meet national recommendations for physical activity. Boys with JIA were more likely to engage in physical activities, and less likely to take part in social, skill-based and self-improvement activities than girls with JIA. In general, being a boy, older age, greater mastery motivation for gross motor skills, higher socio-economic status and being of Canadian cultural background were associated with increased participation in more physical activities. Preference for skill-based activities, higher maternal education and being a girl were associated with increased participation in skill-based activities. Conclusion: Participation in leisure and physical activity in JIA is a complex concept and is mostly explained by personal and environmental factors. The identification of factors associated with leisure participation and physical activity is of utmost importance in JIA as it may aid health care professionals to tailor meaningful intervention plans based on preferred activities, improve adherence to treatment and help promote healthier lifestyles.

To facilitate the development of effective public health programs and policies to increase physical activity (PA) and reduce sedentary behaviour (SB) in Thailand, there is a need for comprehensive epidemiological evidence and a sound assessment of prevalence, trends, and factors associated with these behaviours. This PhD research therefore aimed to: 1) identify gaps in the available literature on PA and SB in Thailand; 2) determine the prevalence of PA and SB among Thai adults using the validated Global Physical Activity Questionnaire (GPAQ); 3) summarise evidence on individual, social, environmental, and policy correlates of PA and SB in the Thai population; 4) develop criteria to classify the International Classification of Activities for Time-Use Statistics (ICATUS) activities into sleep, SB, light-intensity PA, and moderate-to-vigorous PA categories, based on expert assessment; and 5) establish trends in PA and SB and assess how correlates of these behaviours have changed among Thai adults over 15 years. To achieve the first aim, we conducted a systematic scoping review according to the Guidance for Conducting Systematic Scoping Reviews. To achieve the second aim, we conducted a secondary analysis of population-representative data from a Thai national survey. To achieve the third aim, we conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. To achieve the fourth aim, we conducted a Delphi study including 13 content experts. To achieve the fifth aim, trends and sociodemographic correlates of PA and SB in Thailand were examined using Thai national ICATUS-based surveys. Using time-use data from ICATUS allowed for treating PA and SB estimates as integrative parts of a time-use composition, to examine the new holistic 24-hour movement guidelines. Overall, Study 1 found that the interest in research on PA and SB in Thailand has grown in the past two decades. Major research gaps were found for measures and methodology used in previous studies and only limited evidence was found on SB. Findings from Study 2 show low prevalence of PA among Thai adults in 2015 and a declining trend in the prevalence of meeting the PA recommendation since 2004. A range of sociodemographic correlates of PA and SB in the Thai population were identified in Study 3. Study 5 found that more than half of Thai adults engaged in prolonged sitting over a 15-year period. These findings highlight the need of public health programs to promote PA and reduce SB in Thailand. Future interventions and policies to increase PA participation should focus particularly on girls, older women, young adults, urban residents, and those with low education. The interventions to improve self-efficacy for PA and lower perceived barriers for PA should be implemented among all agegroups. Future interventions to reduce SB are also needed among adults, particularly for males, older age groups, obese, and those with higher education. However, more studies are needed to provide a more complete picture of what factors are influencing PA and SB in the population; particularly among children, adolescents, older adults and at social, environmental and policy levels.

Diploma thesis "Vliv řízeného tréninku na habituální pohybovou aktivitu pacientů s diabetes mellitus 2. typu" in the theoretical part deals with Type 2 diabetes (DM2T), its complications and possibilities of its therapy. Emphasis is put on physical activity as the main non-pharmacological mean influencing insulin resistance. The basic health aspects of physical activity, general recommendations and specific sport activities for DM2T patients are mentioned. We also focus on potential risks related to physical exercises. Furthermore, we examine habitual physical activity, meaning energy expenditure in daily activities. The objective of the practical part of this thesis is to determine the level of habitual physical activity of DM2T patients and to show how it is influenced by stationary bicycle exercises. The impact of regular physical activity on the health indicators, physical fitness and anthropometric parameters, is examined. The sample of patients includes 20 individuals with DM2T, who have completed insulin therapy and currently are cured with peroral antidiabetics and regime measures. Pedometer and International Physical Activity Questionnaire (IPAQ) are used in order to monitor habitual physical activity. Powered by TCPDF (www.tcpdf.org)

Title: Measuring of physical activity of UK FTVS and Palestra students using IPAQ Aims: - find out the range of physical activity of students from schools mentioned above - compare the results with each other and also with other researches - confirm or disconfirm hypotheses - set down conclusions Methods: questionnaire Results: - students of both schools are highly physically active (in comparison with ordinary population) - UK FTVS students are more active in all kinds of physical activity performed at school or in leisure time than Palestra students - UK FTVS students spend the most time on vigorous PA at school, while Palestra students spend the most time on vigorous PA at free time - concerning only UK FTVS, women are more active than men Key words: vigorous physical activity, moderate physical activity, International Physical Activity Questionnaire IPAQ, MET values, leisure time, young adults

O presente trabalho de investigação engloba dois estudos com os seguintes objectivos: (1) adaptar e validar um questionário de nutrição para crianças e adolescentes, com idades compreendidas entre os 10 e os 15 anos; (2) determinar as diferenças e o risco entre sujeitos com obesidade abdominal, ao nível da actividade física, sedentarismo e hábitos alimentares. Metodologia: No primeiro estudo foram avaliados 138 sujeitos, 56 rapazes e 82 raparigas, de quatro escolas públicas da RAM. O processo de validação do instrumento foi idêntico ao utilizado por Wilson et al. (2008) – para testar a fiabilidade aplicou-se o mesmo instrumento em dois momentos distintos e para aferir a validade relativa confrontou-se o instrumento com um diário alimentar. No segundo estudo, a amostra é constituída por 1357 alunos, com idades compreendidas entre os 9 e os 17 anos, provenientes de quatro escolas da RAM, duas medianamente urbanas e duas urbanas. Os participantes foram avaliados nos seguintes parâmetros: pregas de adiposidade tricipital e geminal, para determinar a percentagem de massa gorda (Slaughter et al., 1988) e classificação segundo as categorias de Lohman (1987); perímetro da cintura, para classificar a Obesidade Abdominal (ObA) (Katzmarzyk et al., 2004); actividade física através do questionário de Crocker et al. (1997); consumo de alimentos através do questionário alimentar (Sabino, 2011). Principais resultados: (1) o questionário de nutrição é válido e fiável para caracterizar os hábitos alimentares, comportamentos, atitudes, conhecimentos e envolvimento alimentar na população escolar da RAM; (2) A taxa de prevalência de ObA é de 65,3% e as raparigas apresentam prevalências superiores. Verificou-se que 54,6%, dos sujeitos só pratica educação física e 37,1% passa os intervalos sentado e/ou de pé, constituindo-se como factor de risco para apresentar ObA (OR: 2,2; IC95%:1,3-2,6; OR:1,9; IC95%:1,4-2,6, respectivamente).
The present work investigation consists of two studies with the following objectives: (1)adapt and validate a nutrition questionnaire for adolescentes, with ages between 10 – 15; (2) to determinate differences and risk between people who have abdominal obesity, in the level of physical activity, sedentarism and eating habits Methodology: In the first study 138 subjects were mensured, 56 boys and 82 girls in four public schools from RAM. The process of instrument validation was identic to the one used by Wilson, et al. (2008) - to test the reliability the same instrument was used in two separate moments and to check the relative validity the instrument and the 7-day food diary were confronted. In the second study, the sample is comprised by 1357 students, aged between 9 and 17 years-old, from four public schools in the RAM, two averagely urban and two completely urban. The participants were evaluated in the following parameters: skinfolds calf and tricep to determinate body fat percentage (Slaughter, et al., 1988) and categorized into the Lohman (1987); waist circumference, to classify abdominal obesity, according to Katzmarzyk et. al (2004); physical activity through the questionnaire of Crocker et al. (1997); and eating food through nutrition questionnaire (Sabino, 2011). Results: (1) the nutrition questionnaire is valid and reliable to characterize the intake, behaviour, atitudes, knowledge and food enviorement, on the RAM’s school population. (2) The prevalence of abdominal obesity is 65.3% and girls have higher prevalence. It was found that only 54.6% of subjects practicing physical education and 37.1% is sitting intervals and / or standing, constituting themselves as a risk factor for abdominal obesity (OR: 2,2; IC95%:1,3-2,6; OR:1,9; IC95%:1,4-2,6, respectively).

Aim: The aim of this thesis "Examination of vegetative system in hereditary neuropathy" is to consider the level of physical fitness, physical actvity level and quality of autonomic function in patients with hereditary neuropathy Charcot Marie Tooth and an assessment of interactions of these parameters, especially with regard to possible influence by the presence of autonomic neuropathy and with regard to neurological symptoms. Background: Although vegetative neuropathy was mentioned in the first publication about CMT, it is not widely discussed topic as part of it. Methods: Seventeen probands underwent spiroergometry, heart rate variability test, six minute walk test, rating by the CMT Neuropathy Score and Overall neuropathy disability scale and completing the IPAQ questionnaire. Results: We found symptoms of autonomic neuropathy in group of patients with CMT, especially high-frequency part of heart rate variability spectrum has a particularly significant decrease. Patients with autonomic neuropathy have shown a low fitness and functional capacity, tendency to obesity and hypertension. The observed correlation of autonomic neuropathy and neurological impairment was very weak. Conclusions: We find a neuropathy of the autonomic nervous system in patiens with hereditary motor and sensitive neuropathy...