Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Department of Physical Therapy, King Abdullah Hospital, Bisha, Saudi Arabia.
Clin Interv Aging. 2018 Mar 19;13:419-427. doi: 10.2147/CIA.S157007. eCollection 2018.
Older adults are the fastest growing population group worldwide. Regular physical activity (PA) is reported to reduce the risk of health conditions and improve personal well-being. Few validated instruments can be used to measure the PA levels among older adults in Saudi Arabia. The Physical Activity Scale for the Elderly (PASE) is used worldwide for evaluating the PA levels of the elderly in epidemiological studies. However, this scale has not been translated into Arabic. This study aimed to cross-culturally adapt the PASE into Arabic language and evaluate its reliability and validity among community-dwelling older adults in Saudi Arabia.
This study was a cross-sectional one following Beaton guidelines to translate and perform cultural adaptation, as well as test the reliability and validity of the PASE Arabic version (PASE-A). Elderly (N=74) people from both genders, who lived in a community dwelling in Riyadh city, were selected from several primary health care centers. The study used Cronbach's alpha coefficient to assess the internal consistency reliability, while intraclass correlation coefficient (ICC) was used for test-retest reliability and the Spearman's rank correlation coefficient () was used to evaluate the correlation among PASE-A and grip strength, Timed Up and Go test, body mass index, and fat percentage.
Out of 74 older adults, 59 (79.7%) completed the PASE-A questionnaire twice. The internal consistency of the PASE-A components was good (Cronbach's alpha 0.70-0.75), and the reliability of the components was excellent (ICC 0.90-0.98). A higher PASE-A score was associated with higher grip strength (=0.28, =0.05) and with shorter Timed Up and Go test times (=-0.45, =0.01).
The PASE-A version was easy, understandable, and relevant for Saudi older adults' culture. This scale was a reliable and valid tool for evaluating and assessing the PA level among community-dwelling older adults in Saudi Arabia.
老年人是全球增长最快的人群。有报道称，经常进行身体活动（PA）可降低健康状况恶化的风险，提高个人幸福感。目前，在沙特阿拉伯，很少有经过验证的工具可以用来衡量老年人的身体活动水平。身体活动量表（PASE）被广泛用于评估老年人的身体活动水平，以进行流行病学研究。然而，该量表尚未被翻译成阿拉伯语。本研究旨在将 PASE 跨文化改编成阿拉伯语，并评估其在沙特阿拉伯社区居住的老年人中的信度和效度。
这是一项横断面研究，遵循 Beaton 指南进行翻译和文化适应性调整，以及测试 PASE 阿拉伯语版本（PASE-A）的信度和效度。从利雅得市的几个初级保健中心中选择了来自不同性别的 74 名社区居住的老年人。该研究使用 Cronbach's alpha 系数评估内部一致性信度，而使用组内相关系数（ICC）评估测试-重测信度，使用 Spearman 秩相关系数（）评估 PASE-A 与握力、计时起立行走测试、体重指数和体脂百分比之间的相关性。
在 74 名老年人中，有 59 名（79.7%）两次完成了 PASE-A 问卷。PASE-A 各成分的内部一致性良好（Cronbach's alpha 0.70-0.75），各成分的可靠性极好（ICC 0.90-0.98）。PASE-A 评分较高与握力较高（=0.28，=0.05）和计时起立行走测试时间较短（=-0.45，=0.01）相关。
PASE-A 版本易于理解，且与沙特老年人的文化相关。该量表是评估和评估沙特阿拉伯社区居住的老年人身体活动水平的可靠有效工具。
