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更年期女性的身体活动:自我报告与计步器的比较

Physical activity in climacteric women: comparison between self-reporting and pedometer.

作者信息

Colpani Verônica, Spritzer Poli Mara, Lodi Ana Paula, Dorigo Guilherme Gustavo, Miranda Isabela Albuquerque Severo de, Hahn Laiza Beck, Palludo Luana Pedroso, Pietroski Rafaela Lazzari, Oppermann Karen

机构信息

Unidade de Endocrinologia Ginecológica, Serviço de Endocrinologia, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS, Brasil.

Faculdade de Medicina, Universidade de Passo Fundo, Passo Fundo, RS, Brasil.

出版信息

Rev Saude Publica. 2014 Apr;48(2):258-65. doi: 10.1590/s0034-8910.2014048004765.

Abstract

OBJECTIVE

To compare two methods of assessing physical activity in pre-, peri- and postmenopausal women.

METHODS

Cross-sectional study nested in a cohort of pre-, peri- and postmenopausal women in a city in Southern Brazil. The participants completed a questionnaire that included sociodemographic and clinical data. Physical activity was assessed using a digital pedometer and the International Physical Activity Questionnaire, short version. The participants were classified into strata of physical activity according to the instrument used. For statistical analysis, the Spearman correlation test, Kappa index, concordance coefficient and Bland-Altman plots were used.

RESULTS

The concordance (k = 0110; p = 0.007) and the correlation (rho = 0.136, p = 0.02) between the International Physical Activity Questionnaire, short version, and pedometer were weak. In Bland-Altman plots, it was observed that differences deviate from zero value whether the physical activity is minimal or more intense. Comparing the two methods, the frequency of inactive women is higher when assessed by pedometer than by the International Physical Activity Questionnaire--short version, and the opposite occurs in active women.

CONCLUSIONS

Agreement between the methods was weak. Although easy to use, Physical Activity Questionnaire--short version overestimates physical activity compared with assessment by pedometer.

摘要

目的

比较评估绝经前、围绝经期和绝经后女性身体活动的两种方法。

方法

在巴西南部一个城市的绝经前、围绝经期和绝经后女性队列中进行横断面研究。参与者完成了一份包含社会人口统计学和临床数据的问卷。使用数字计步器和国际身体活动问卷简版评估身体活动。根据所使用的工具将参与者分为身体活动分层。进行统计分析时,使用了Spearman相关检验、Kappa指数、一致性系数和Bland-Altman图。

结果

国际身体活动问卷简版与计步器之间的一致性(k = 0.110;p = 0.007)和相关性(rho = 0.136,p = 0.02)较弱。在Bland-Altman图中,观察到无论身体活动是极少还是较为剧烈,差异均偏离零值。比较两种方法时,通过计步器评估的不活动女性频率高于通过国际身体活动问卷简版评估的频率,而活跃女性的情况则相反。

结论

两种方法之间的一致性较弱。虽然国际身体活动问卷简版易于使用,但与计步器评估相比,它高估了身体活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8033/4206143/cdb507b264a2/rsp-48-02-0258-g01.jpg

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