Reliability and validity of the international physical activity questionnaire compared to calibrated accelerometer cut-off points in the quantification of sedentary behaviour and physical activity in older adults

PLoS One. 2018 Apr 19;13(4):e0195712. doi: 10.1371/journal.pone.0195712. eCollection 2018.

Abstract

Background: The aim was to determine the reliability and validity of IPAQ measured sedentary behaviour (SB) and moderate-vigorous physical activity (MVPA) in older persons whilst examining any sex differences in reliability and validity results.

Method: 89 participants (73.7 ± 6.3 years, 54% female) completed the IPAQ. Participants were fitted with a thigh mounted triaxial accelerometer (GeneActiv Original) for seven consecutive days and subsequently completed a second IPAQ.

Results: IPAQ showed weak reliability qualities for Total SB (h·week-1) and 10 minute MVPA (accumulated in bouts ≥ 10 continuous minutes, h·week-1). IPAQ had poor concurrent validity qualities for Total SB, 10 minute MVPA, but not Sporadic MVPA (accumulated in bouts < 10 continuous minutes, h·week-1). IPAQ only categorised participant physical behaviour classification correctly 2% of the time. Sex differences were only present for the correlation slope of IPAQ 10 minute MVPA reliability measures.

Conclusion: Our data suggests that the IPAQ is not suitable for assessing older adults habitual physical behaviour.

Publication types

  • Comparative Study

MeSH terms

  • Accelerometry* / statistics & numerical data
  • Aged
  • Aged, 80 and over
  • Exercise*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Sedentary Behavior*
  • Sex Factors
  • Surveys and Questionnaires*

Grants and funding

The authors received no specific funding for this work.