Orsini Nicola, Bellocco Rino, Bottai Matteo, Pagano Marcello, Wolk Alicja
Division of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden.
Eur J Epidemiol. 2007;22(6):363-8. doi: 10.1007/s10654-006-9102-1. Epub 2007 Feb 28.
Few studies have evaluated the reliability of a self-administered current and historical physical activity questionnaire (PAQ) among middle-aged and elderly women. We evaluated the reliability of a self-administered PAQ designed to assess total (24 h) current and historical physical activity at age 15, 30, and 50 years, which was completed by a subgroup of 303 women aged 56-75 years from the Swedish Mammography Cohort (SMC). Total physical activity covered occupational and household activity as well as walking/bicycling, exercise, and inactivity (sitting watching TV/reading). Reliabilities (1-year test-retest) of continuous activity measures in metabolic equivalents were evaluated using an intraclass correlation coefficient (ICC); classification consistency was evaluated using sensitivity and specificity statistics. The ICC for total current physical activity was 0.69; for specific types of activities the ICC ranged from 0.49 to 0.59; for historical physical activity, the reliabilities for total activity ranged from 0.75 for age 50 to 0.81 for age 30 years, being substantial for occupational activities (ICC = 0.73-0.75), and fair to moderate for inactivity (ICC = 0.31-0.60). These data indicate that the PAQ used in the SMC is a satisfactory and reproducible measure of current and historical physical activity, for total as well as for different types of activities.
很少有研究评估自我管理的当前和既往身体活动问卷(PAQ)在中老年女性中的可靠性。我们评估了一份自我管理的PAQ的可靠性,该问卷旨在评估15岁、30岁和50岁时的全天(24小时)当前和既往身体活动,由瑞典乳腺X线摄影队列(SMC)中303名年龄在56 - 75岁的女性亚组完成。总身体活动涵盖职业和家庭活动以及步行/骑自行车、锻炼和不活动(坐着看电视/阅读)。使用组内相关系数(ICC)评估代谢当量中连续活动测量的可靠性(1年重测);使用敏感性和特异性统计评估分类一致性。当前总身体活动的ICC为0.69;特定类型活动的ICC范围为0.49至0.59;对于既往身体活动,总活动的可靠性从50岁时的0.75到30岁时的0.81不等,职业活动的可靠性较高(ICC = 0.73 - 0.75),不活动的可靠性为中等(ICC = 0.31 - 0.60)。这些数据表明,SMC中使用的PAQ是一种用于测量当前和既往总身体活动以及不同类型活动的令人满意且可重复的方法。