澳大利亚心脏康复人群中“积极澳大利亚调查”的有效性
Validity of the Active Australia Survey in an Australian cardiac rehabilitation population.
作者信息
Freene Nicole, Hartono Susan, McManus Margaret, Mair Tarryn, Tan Ren, Davey Rachel
机构信息
Physiotherapy, Faculty of Health, University of Canberra, Australia; Health Research Institute, University of Canberra, Australia.
Health Research Institute, University of Canberra, Australia.
出版信息
J Sci Med Sport. 2024 Aug;27(8):545-550. doi: 10.1016/j.jsams.2024.04.016. Epub 2024 May 5.
OBJECTIVES
To examine the long-term validity of the Active Australia Survey in a cardiac rehabilitation population using accelerometry as the reference measure.
DESIGN
Cohort validation study.
METHODS
Cardiac rehabilitation participants with coronary heart disease were recruited to a prospective cohort study. Over 7-days, 61 participants wore an ActiGraph ActiSleep accelerometer (1-second epoch, 10-minute bout) and completed the self-administered Active Australia Survey at baseline, 6-weeks, 6 and 12-months. Total daily moderate-to-vigorous physical activity from both methods was compared using Bland-Altman plots and Spearman rank-order correlations.
RESULTS
Participants tended to over-report moderate-to-vigorous physical activity, with more active participants more likely to over-report moderate-to-vigorous physical activity. There was a good level of agreement between the accelerometer 1-second epochs and Active Australia Survey at all time points (mean bias (ratio) 1.04, 1.16, 1.14, and 1.06, respectively), with weak-moderate correlations (ρ = 0.3-0.48). Conversely, there was a poor level of agreement between the accelerometer 10-minute bouts and Active Australia Survey at all time points (mean bias (ratio) 6.78, 9.09, 6.35, and 5.68, respectively), with weak-moderate correlations (ρ = 0.3-0.52). Agreement between the two measures did not improve over time for both 1-second and 10-minute bout accelerometry data.
CONCLUSIONS
The Active Australia Survey may be an acceptable self-report measure of moderate-to-vigorous physical activity in cardiac rehabilitation attendees when capturing any time spent in moderate-to-vigorous physical activity. The Active Australia Survey may be useful to routinely monitor physical activity levels over-time in Australian cardiac rehabilitation programs at both individual and group levels.
TRIAL REGISTRATION
Trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12615000995572, http://www.ANZCTR.org.au/ACTRN12615000995572.aspx.
目的
以加速度计测量作为参考标准，检验“积极澳大利亚调查”在心脏康复人群中的长期有效性。
设计
队列验证研究。
方法
招募患有冠心病的心脏康复参与者进行前瞻性队列研究。在7天时间里，61名参与者佩戴ActiGraph ActiSleep加速度计（1秒时段，10分钟时间段），并在基线、6周、6个月和12个月时完成自我管理的“积极澳大利亚调查”。使用Bland-Altman图和Spearman等级相关性比较两种方法得出的每日中度至剧烈身体活动总量。
结果
参与者倾向于高估中度至剧烈身体活动，活动量较大的参与者更有可能高估中度至剧烈身体活动。在所有时间点，加速度计1秒时段与“积极澳大利亚调查”之间的一致性水平良好（平均偏差（比值）分别为1.04、1.16、1.14和1.06），相关性为弱至中度（ρ = 0.3 - 0.48）。相反，在所有时间点，加速度计10分钟时间段与“积极澳大利亚调查”之间的一致性水平较差（平均偏差（比值）分别为6.78、9.09、6.35和5.68），相关性为弱至中度（ρ = 0.3 - 0.52）。对于1秒和10分钟时间段的加速度计数据，两种测量方法之间的一致性并未随时间改善。
结论
当记录中度至剧烈身体活动所花费的任何时间时，“积极澳大利亚调查”可能是心脏康复参与者中用于自我报告中度至剧烈身体活动的可接受测量方法。“积极澳大利亚调查”可能有助于在澳大利亚心脏康复项目中定期在个体和群体层面监测身体活动水平随时间的变化。
试验注册
试验注册：澳大利亚新西兰临床试验注册中心（ANZCTR）：ACTRN12615000995572，http://www.ANZCTR.org.au/ACTRN12615000995572.aspx。
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