Silsbury Zoë, Goldsmith Robert, Rushton Alison
Physiotherapy Department, University Hospital of Wales, Cardiff, UK School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.
Physiotherapy Department, University Hospital of Wales, Cardiff, UK School of Physiotherapy, Cardiff University, Cardiff, UK.
BMJ Open. 2015 Sep 15;5(9):e008430. doi: 10.1136/bmjopen-2015-008430.
This systematic review evaluated the measurement properties of current self-report physical activity questionnaires (SRPAQs) completed within healthy adult populations.
Two reviewers independently searched seven electronic databases and hand searched for articles investigating measurement properties of a SRPAQ evaluating physical activity over the previous 6 months. Articles published from 1 May 2001 to 4 December 2014 were systematically screened and eligible studies were not limited to English language sources. Articles investigating specific race, gender or socioeconomic populations were excluded.
10 studies investigating 10 SRPAQs were included. The methodological quality of the included studies was evaluated using COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and ranged from 'poor' to 'good'. The Recent Physical Activity Questionnaire, International Physical Activity Questionnaires and Physical Activity Assessment Tool demonstrated good/excellent test-retest reliability (intra-class coefficient (ICC)=0.76, p<0.0001; r=0.627-0.91; r=0.618, p<0.001, respectively), but variable criterion validity (r=0.67, p<0.0001; r=-0.02-0.43; r=0.392, p<0.01, respectively). The single-item measure showed significant criterion validity against an accelerometer (for moderate to vigorous physical activity (MVPA) k=0.23, 95% CI 0.05 to 0.41; and physical activity ≥10 min bouts 0.39 (95% CI 0.14 to 0.64). Construct validity of the six-point scale and Human Activity Profile varied significantly with age, marital status and presence of comorbidities (p<0.05, <0.01, <0.000 and p<0.05, <0.05, <0.000, respectively). The 1 week Godlin-Shephard recall demonstrated 'moderate' validity with the gold standard measure of accelerometry (r=0.43).
Inconclusive evidence exists. Further investigation of criterion validity of the short-form International Physical Activity Questionnaire is required, as it demonstrated excellent test-retest reliability.
CRD42012002484.
本系统评价评估了健康成年人群中目前使用的自评身体活动问卷（SRPAQ）的测量属性。
两名评审员独立检索了七个电子数据库，并手工检索了调查评估过去6个月身体活动的SRPAQ测量属性的文章。对2001年5月1日至2014年12月4日发表的文章进行系统筛选，纳入的研究不限于英文来源。排除调查特定种族、性别或社会经济人群的文章。
纳入了10项研究，涉及10种SRPAQ。使用基于共识的健康测量工具选择标准（COSMIN）对纳入研究的方法学质量进行评估，范围从“差”到“好”。近期身体活动问卷、国际身体活动问卷和身体活动评估工具显示出良好/优秀的重测信度（组内相关系数（ICC）=0.76，p<0.0001；r=0.627 - 0.91；r=0.618，p<0.001），但效标效度各不相同（r=0.67，p<0.0001；r=-0.02 - 0.43；r=0.392，p<0.01）。单项测量与加速度计相比显示出显著的效标效度（对于中度至剧烈身体活动（MVPA），k=0.23，95%CI为0.05至0.41；对于持续时间≥10分钟的身体活动，k=0.39（95%CI为0.14至0.64）。六点量表和人类活动概况的结构效度随年龄、婚姻状况和合并症的存在而有显著差异（分别为p<0.05、<0.01、<0.000和p<0.05、<0.05、<0.000）。1周的戈德林 - 谢泼德回忆法与加速度计的金标准测量显示出“中等”效度（r=0.43）。
证据尚无定论。由于简短版国际身体活动问卷显示出优秀的重测信度，因此需要进一步调查其效标效度。
PROSPERO编号：CRD42012002484。
