Al Ozairi Ebaa, AlSaraf Husain, Al-Ozairi Abdullah, Hamdan Yasmine, Al Esmaeel Batool Camille, Alsaeed Dalal, Abdalla Mohamed, Gray Stuart R
Clinical Research Unit, Dasman Diabetes Institute, Kuwait City, Kuwait.
Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait.
Diabetes Metab Syndr Obes. 2024 Sep 17;17:3491-3498. doi: 10.2147/DMSO.S474202. eCollection 2024.
The aim of this cross-sectional study was to compare the Arabic version of International Physical Activity Questionnaire (IPAQ) measured moderate-to-vigorous physical activity (MVPA) with accelerometer-measured MVPA in people with diabetes.
From 2020 to 2022 physical activity was measured people ≥18 years with type 1 or type 2 diabetes in Kuwait. Self-reported MVPA was measured over 7 days with the Arabic version of the IPAQ. During the same 7-day period wrist worn accelerometers were used to objectively measure MVPA. IPAQ MVPA was calculated both including and excluding walking physical activity. MVPA measures were compared by limits of agreement approach, Pearson correlations and concordance correlations.
We recruited 240 participants with type 1 diabetes and 343 participants with type 2 diabetes for the study. In people with type 1 diabetes, there were no concordance correlations between IPAQ MVPA, both including (rho = -0.011 (-0.038, 0.017), p = 0.444) and excluding (rho = -0.001 (-0.067, 0.065), p = 0.978) walking physical activity. MVPA measured by IPAQ was 43.3(-85.6, 172.2) min/day higher than accelerometer-measured MVPA, when including walking, and 8.88(-60.4, 78.2) min/day higher, when excluding walking. In people with type 2 diabetes, there were significant positive concordance correlations between IPAQ MVPA, both including (rho = 0.038 (0.02, 0.06), p < 0.001) and excluding (rho = 0.34 (0.27, 0.41), p < 0.001) walking physical activity. MVPA measured by IPAQ was 62.3 (95% CI -61.5 to 186.0) min/day higher than accelerometer-measured MVPA, when including walking, and 4.0 (95% CI -34.1 to 42.0) min/day higher, when excluding walking.
In people with type 1 or type 2 diabetes, caution should be exercised when using the Arabic version of the IPAQ to measure MVPA.
本横断面研究旨在比较国际体力活动问卷（IPAQ）阿拉伯语版所测量的糖尿病患者中度至剧烈体力活动（MVPA）与加速度计测量的MVPA。
2020年至2022年期间，对科威特年龄≥18岁的1型或2型糖尿病患者的体力活动进行了测量。使用IPAQ阿拉伯语版在7天内测量自我报告的MVPA。在同一7天期间，使用腕部佩戴的加速度计客观测量MVPA。计算IPAQ MVPA时分别纳入和排除步行体力活动。通过一致性界限法、Pearson相关性和一致性相关性对MVPA测量值进行比较。
我们招募了240名1型糖尿病患者和343名2型糖尿病患者参与研究。在1型糖尿病患者中，纳入（rho = -0.011（-0.038，0.017），p = 0.444）和排除（rho = -0.001（-0.067，0.065），p = 0.978）步行体力活动的IPAQ MVPA之间均无一致性相关性。当纳入步行时，IPAQ测量的MVPA比加速度计测量的MVPA每天高43.3（-85.6，172.2）分钟；当排除步行时，高8.88（-60.4，78.2）分钟。在2型糖尿病患者中，纳入（rho = 0.038（0.02，0.06），p < 0.001）和排除（rho = 0.34（0.27，0.41），p < 0.001）步行体力活动的IPAQ MVPA之间均有显著的正一致性相关性。当纳入步行时，IPAQ测量的MVPA比加速度计测量的MVPA每天高62.3（95%CI -61.5至186.0）分钟；当排除步行时，高4.0（95%CI -34.1至42.0）分钟。
在1型或2型糖尿病患者中，使用IPAQ阿拉伯语版测量MVPA时应谨慎。
