Match!

Validity of the Global Physical Activity Questionnaire (GPAQ) in assessing levels and change in moderate-vigorous physical activity and sedentary behaviour

Published on Dec 1, 2014in BMC Public Health2.567
· DOI :10.1186/1471-2458-14-1255
Claire Cleland8
Estimated H-index: 8
(Glas.: University of Glasgow),
Ruth F. Hunter17
Estimated H-index: 17
('QUB': Queen's University Belfast)
+ 3 AuthorsMark A Tully24
Estimated H-index: 24
('QUB': Queen's University Belfast)
Sources
Abstract
Background: Feasible, cost-effective instruments are required for the surveillance of moderate-to-vigorous physical activity (MVPA) and sedentary behaviour (SB) and to assess the effects of interventions. However, the evidence base for the validity and reliability of the World Health Organisation-endorsed Global Physical Activity Questionnaire (GPAQ) is limited. We aimed to assess the validity of the GPAQ, compared to accelerometer data in measuring and assessing change in MVPA and SB. Methods: Participants (n = 101) were selected randomly from an on-going research study, stratified by level of physical activity (low, moderate or highly active, based on the GPAQ) and sex. Participants wore an accelerometer (Actigraph GT3X) for seven days and completed a GPAQ on Day 7. This protocol was repeated for a random sub-sample at a second time point, 3–6 months later. Analysis involved Wilcoxon-signed rank tests for differences in measures, Bland-Altman analysis for the agreement between measures for median MVPA and SB mins/day, and Spearman’s rho coefficient for criterion validity and extent of change. Results: 95 participants completed baseline measurements (44 females, 51 males; mean age 44 years, (SD 14); measurements of change were calculated for 41 (21 females, 20 males; mean age 46 years, (SD 14). There was moderate agreement between GPAQ and accelerometer for MVPA mins/day (r = 0.48) and poor agreement for SB (r = 0.19). The absolute mean difference (self-report minus accelerometer) for MVPA was �0.8 mins/day and 348.7 mins/day for SB; and negative bias was found to exist, with those people who were more physically active over-reporting their level of MVPA: those who were more sedentary were less likely to under-report their level of SB. Results for agreement in change over time showed moderate correlation (r = 0.52, p = 0.12) for MVPA and poor correlation for SB (r =�0.024, p = 0.916). Conclusions: Levels of agreement with objective measurements indicate the GPAQ is a valid measure of MVPA and change in MVPA but is a less valid measure of current levels and change in SB. Thus, GPAQ appears to be an appropriate measure for assessing the effectiveness of interventions to promote MVPA.
Figures & Tables
  • References (48)
  • Citations (125)
📖 Papers frequently viewed together
580 Citations
453 Citations
7,895 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References48
Newest
#1KL Soo (Universiti Sains Malaysia)H-Index: 1
#2W.M. Wan Manan (Universiti Sains Malaysia)H-Index: 4
Last. W.N. Wan Suriati (Universiti Sains Malaysia)H-Index: 2
view all 3 authors...
This study aimed to assess the reliability and concurrent validity of the Bahasa Melayu version of the Global Physical Activity Questionnaire (GPAQ-M) by comparing it with the short form of the International Physical Activity Questionnaire (IPAQ-S) and objectively measuring physical activity using a Yamax DigiWalker (Yamax, Tokyo, Japan) pedometer. A total of 100 adults aged between 20 and 58 years from Kelantan in Malaysia voluntarily participated in this study. The Wilcoxon signed-rank analysi...
16 CitationsSource
#1Bjørge H. Hansen (Norwegian School of Sport Sciences)H-Index: 14
#2Ingvild Børtnes (Norwegian School of Sport Sciences)H-Index: 1
Last. Sigmund A. Anderssen (Norwegian School of Sport Sciences)H-Index: 52
view all 6 authors...
AbstractThe ActiGraph activity monitors have developed and newer versions of the ActiGraph accelerometers (GT1M, GT3X and GT3X +) are now available, including changes in hardware and software compared to the old version (AM7164). This is problematic as most of the validation and calibration work includes the AM7164. The aims of the study were to validate the ActiGraph GT1M during level and graded walking and to assess the potential underestimation of physical activity during cycling. Data were o...
28 CitationsSource
#1Mark A Tully ('QUB': Queen's University Belfast)H-Index: 24
#2Ruth F. Hunter ('QUB': Queen's University Belfast)H-Index: 17
Last. Frank Kee ('QUB': Queen's University Belfast)H-Index: 57
view all 10 authors...
There is a dearth of evidence regarding the impact of urban regeneration projects on public health, particularly the nature and degree to which urban regeneration impacts upon health-related behaviour change. Natural experiment methodology enables comprehensive large-scale evaluations of such interventions. The Connswater Community Greenway in Belfast is a major urban regeneration project involving the development of a 9 km linear park, including the provision of new cycle paths and walkways. In...
18 CitationsSource
#1Stephen D. Herrmann (KU: University of Kansas)H-Index: 18
#2Kristin J. Heumann (Colorado Mesa University)H-Index: 3
Last. Barbara E. Ainsworth (ASU: Arizona State University)H-Index: 83
view all 4 authors...
There is limited published validity and reliability evidence to support using the Global Physical Activity Questionnaire. Two studies were conducted to evaluate validity and reliability evidence for the Global Physical Activity Questionnaire. In Study 1: 69 adults completed the Global Physical Activity Questionnaire (three months apart; n = 54), International Physical Activity Questionnaire, fitness and anthropometric measures. All participants wore a pedometer and 53 participants wore an accele...
57 CitationsSource
#1Louise L. Hardy (USYD: University of Sydney)H-Index: 37
#2Andrew P. Hills (Griffith University)H-Index: 49
Last. Helen Cosis-Brown (Deakin University)H-Index: 15
view all 8 authors...
Abstract Objective To provide a user's guide for selecting an appropriate method to assess sedentary behaviours among children and adolescents. Design While recommendations regarding specific instruments are not provided, the guide offers information about key attributes and considerations for objective (accelerometry; inclinometers; direct observation; screen monitoring devices) and subjective (self-report; parent report; and time use diaries/logs) approaches to assess sedentary behaviour Attri...
43 CitationsSource
#1Earl S. Ford (CDC: Centers for Disease Control and Prevention)H-Index: 117
#2Carl J. Caspersen (CDC: Centers for Disease Control and Prevention)H-Index: 25
BACKGROUND:Current estimates from objective accelerometer data suggest that American adults are sedentary for ∼7.7 h/day. Historically, sedentary behaviour was conceptualized as one end of the physical activity spectrum but is increasingly being viewed as a behaviour distinct from physical activity. METHODS:Prospective studies examining the associations between screen time (watching television, watching videos and using a computer) and sitting time and fatal and non-fatal cardiovascular disease ...
251 CitationsSource
#1Andrew J. Atkin (University of Cambridge)H-Index: 27
#2Trish GorelyH-Index: 39
Last. Stuart J. H. BiddleH-Index: 85
view all 9 authors...
Background Research examining sedentary behaviour as a potentially independent risk factor for chronic disease morbidity and mortality has expanded rapidly in recent years. Methods We present a narrative overview of the sedentary behaviour measurement literature. Subjective and objective methods of measuring sedentary behaviour suitable for use in population-based research with children and adults are examined. The validity and reliability of each method is considered, gaps in the literature spe...
261 CitationsSource
#1Alejandro Santos-Lozano (University of Zaragoza)H-Index: 18
#2Gema Torres-Luque (University of Jaén)H-Index: 11
Last. Nuria Garatachea (University of Zaragoza)H-Index: 26
view all 6 authors...
The main purpose of this study was to assess the inter-monitor reliability of the tri-axial GT3X Actigraph accelerometer over a range of physical activities (PA). This device collects motion data on each of the vertical ( Y ), horizontal right-left ( X ), and horizontal front-back ( Z ) axes and also calculates the vector summed value √X 2 +Y 2 +Z 2 known as ‘vector magnitude’ (VM). 8 GT3X accelerometers were worn at the same time by the same participant. Accelerometers were placed back-to-front...
38 CitationsSource
#1Tracy HoosH-Index: 2
#2Nancy EspinozaH-Index: 2
Last. Elva M. ArredondoH-Index: 27
view all 4 authors...
Background:Valid and reliable self-report measures of physical activity (PA) are needed to evaluate the impact of interventions aimed at increasing the levels of PA. However, few valid measures for assessing PA in Latino populations exist. Objective:The purpose of this study is to determine whether the GPAQ is a valid measure of PA among Latinas and to examine its sensitivity to intervention change. Intervention attendance was also examined. Methods:Baseline and postintervention data were collec...
66 CitationsSource
#1I-Min Lee (Brigham and Women's Hospital)H-Index: 98
#2Eric J. Shiroma (Harvard University)H-Index: 21
Last. Peter T. Katzmarzyk (Pennington Biomedical Research Center)H-Index: 88
view all 6 authors...
Summary Background Strong evidence shows that physical inactivity increases the risk of many adverse health conditions, including major non-communicable diseases such as coronary heart disease, type 2 diabetes, and breast and colon cancers, and shortens life expectancy. Because much of the world's population is inactive, this link presents a major public health issue. We aimed to quantify the effect of physical inactivity on these major non-communicable diseases by estimating how much disease co...
3,092 CitationsSource
Cited By125
Newest
#1Hugo Gravel (UdeM: Université de Montréal)H-Index: 4
#2Parya Behzadi (UdeM: Université de Montréal)H-Index: 1
Last. Daniel Gagnon (UdeM: Université de Montréal)H-Index: 27
view all 9 authors...
Abstract Background Finnish sauna bathing habits are associated with a decreased risk of cardiovascular mortality. The physiological adaptations mediating this association remain to be fully elucidated. This study tested the hypothesis that Finnish sauna bathing acutely improves peripheral flow-mediated dilation (FMD) in middle-aged and older adults with stable coronary artery disease (CAD). Methods Twenty-two adults (20 males/2 females, 67 ± 10 years) with stable CAD underwent 2 periods of 10 m...
Source
#1Paul O'Halloran (La Trobe University)H-Index: 12
#2Michael Kingsley (La Trobe University)H-Index: 23
Last. Adrian Bauman (USYD: University of Sydney)H-Index: 105
view all 7 authors...
Objective: The objective of this study was to evaluate the responsiveness of the single item measure (SIM) to detect change in PA when compared to hip-worn accelerometry. A secondary aim was to provide further data on validity of the measure at a single time point. Methods: Validity of the SIM to determine the number of days of ≥30 minutes of accelerometer-derived moderate-to-vigorous physical activity (MVPA) was assessed in 120 participants (78% female, 19% male, 3% other; age: 46 ± 11 years). ...
Source
#1Parya Behzadi (UdeM: Université de Montréal)H-Index: 1
#2Hugo Gravel (UdeM: Université de Montréal)H-Index: 4
Last. Daniel Gagnon (UdeM: Université de Montréal)H-Index: 27
view all 6 authors...
ABSTRACT Objectives Finnish sauna bathing is associated with a reduced risk of adverse health outcomes. The acute physiological responses elicited by Finnish sauna bathing that could explain this association remain understudied. This study characterized the acute effect of Finnish sauna bathing on circulating markers of inflammation in healthy middle-aged and older adults. Design With the use of a crossover study design, 20 healthy middle-aged and older adults (9 men/11 women, 66 ± 6 years old) ...
Source
#1Esmée A. Bakker (LJMU: Liverpool John Moores University)H-Index: 6
#2Yvonne A. W. Hartman (Radboud University Nijmegen)H-Index: 5
Last. Dick H. J. Thijssen (LJMU: Liverpool John Moores University)H-Index: 46
view all 9 authors...
BACKGROUND Subjective measures of sedentary behaviour (SB) (i.e. questionnaires and diaries/logs) are widely implemented, and can be useful for capturing type and context of SBs. However, little is known about comparative validity and reliability. The aim of this systematic review and meta-analysis was to: 1) identify subjective methods to assess overall, domain- and behaviour-specific SB, and 2) examine the validity and reliability of these methods. METHODS The databases MEDLINE, EMBASE and SPO...
Source
#1Mabeline Velez (UMass: University of Massachusetts Amherst)
#2Lisa Chasan-Taber (UMass: University of Massachusetts Amherst)H-Index: 41
Last. Nicole A. VanKim (UMass: University of Massachusetts Amherst)H-Index: 10
view all 4 authors...
Aims. The purpose of the study was to assess the effect of leisure and occupational physical activity on the risk of diagnosed and undiagnosed prediabetes among females and males. Methods. A sample of 17,871 non-pregnant adults was drawn from the 2007-2014 National Health and Nutrition Examination Survey. Multinomial logistic regression tested associations between moderate-to-vigorous physical activity (MVPA) and risk of diagnosed prediabetes and undiagnosed prediabetes, compared to no prediabet...
Source
#1Caitlin Fitzgerald (RMIT: RMIT University)
#2Daniel Thomson (RMIT: RMIT University)H-Index: 2
Last. Amitabh Gupta (RMIT: RMIT University)
view all 5 authors...
Head turning while walking may challenge stability by altering visual and vestibular information. Whether there are age-related changes that affect gait stability while head turning during walking remains unknown. The aim of the current study was to compare gait stability between younger and older adults immediately following a head turn while walking. Ten younger [mean (SD)] [23.4 (3.3) years] and ten older [68.8 (6.0) years] healthy adults walked on a treadmill at their preferred gait velocity...
Source
#1Sonia Chaabane (Cornell University)H-Index: 1
#2Karima Chaabna (Cornell University)H-Index: 7
Last. Sohaila Cheema (Cornell University)H-Index: 9
view all 5 authors...
To support the global strategy to reduce risk factors for obesity, we synthesized the evidence on physical activity (PA) and sedentary behaviour in the Middle East and North Africa (MENA) region. Our systematic overview included seven systematic reviews reporting 229 primary studies. The meta-analysis included 125 prevalence measures from 20 MENA countries. After 2000, 50.8% of adults (ranging from 13.2% in Sudan to 94.9% in Jordan) and 25.6% of youth (ranging from 8.3% in Egypt to 51.0% in Leba...
Source
#1Claudia von Zimmermann (FAU: University of Erlangen-Nuremberg)
#2Merle Winkelmann (FAU: University of Erlangen-Nuremberg)H-Index: 1
Last. Bernd Lenz (FAU: University of Erlangen-Nuremberg)H-Index: 21
view all 6 authors...
Backround: Physical activity and healthy body composition are said to reduce the risk of major depressive disorder. Nonetheless, deeper insight is needed into exactly which forms of physical activity (and their relation to body composition) are effective in preventing and improving depressive symptoms. Methods: We compared different physical activities of the Global Physical Activity Questionnaire and body composition measures between patients with a current major depressive episode (MDE; n=130)...
Source
#1Daniel Thomson (USYD: University of Sydney)H-Index: 1
#2Matthew B. Liston (USYD: University of Sydney)H-Index: 7
Last. Amitabh Gupta (USYD: University of Sydney)H-Index: 4
view all 3 authors...
An increased risk of falling is associated with changes in gait while dual-tasking. The degree to which gait stability is altered during walking is influenced by an individual's cognitive and postural capacity, and the difficulty of the presented tasks. However, it is unknown how greater walking task difficulty affects gait stability in younger and older adults when dual-tasking. The purpose of the current study was to determine the effect of walking task difficulty on gait stability in younger ...
Source
#1Huiling Huang (SYSU: Sun Yat-sen University)H-Index: 6
#2Yalin CaoH-Index: 2
Last. Yanqiu Liu (SYSU: Sun Yat-sen University)H-Index: 4
view all 15 authors...
: Morphological change in retinal vessel diameters has been reported to be associated with negative cardiovascular outcomes, but its association with left ventricular diastolic dysfunction (LVDD) is not clear. This study aimed to examine the association between echocardiographic markers of LVDD and retinal vascular diameters, in untreated masked hypertension (MH). In this observational study, 105 MH patients without other cardiovascular risks were included (mean age 48.4 ± 5.7, female 72.4%). Al...
Source