Honda Hiroto, Hashimoto Naoko, Zenibayashi Masako, Takeda Akihiko, Takeuchi Takehito, Yamamoto Akane, Hirota Yushi
Faculty of Rehabilitation, Shijonawate Gakuen University, 5-11-10, Hojo, Daito, Osaka 574-0011 Japan.
Department of Diabetes and Endocrinology, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264 Kamiya-Cho, Himeji, Hyogo 670-8560 Japan.
Diabetol Int. 2024 Oct 4;16(1):30-38. doi: 10.1007/s13340-024-00759-w. eCollection 2025 Jan.
To examine the validity of the International Physical Activity Questionnaire short form (IPAQ-SF) against an objective method for assessing physical activity (PA) in Japanese adults with type 1 diabetes (T1D).
This cross-sectional study included 126 adults with T1D (aged 20-74 years). The participants wore a triaxial accelerometer for 7 consecutive days and completed the IPAQ-SF (a recall survey for the last 7 days) on the day following the 7-day accelerometer period. This ensured alignment between the periods assessed by both the methods.
A total of 112 participants were analyzed. The IPAQ-SF group had lower daily time in sedentary behavior (SB), total moderate-intensity PA (MPA) (including walking), vigorous-intensity PA (VPA), total PA (including walking), and daily metabolic equivalent (MET)-min in total PA than those in the accelerometer group. Significant correlations were observed between the methods for all variables: daily time in SB, total MPA, VPA, total PA, and daily MET-min in total PA ( = 0.203-0.527). In addition, walking time reported in the IPAQ-SF correlated with the step counts recorded by the accelerometer ( = 0.444). However, among these parameters, only daily time in VPA was able to provide acceptable levels of validity (≥ 0.50) and predict values recorded by the accelerometer.
These results indicate that the IPAQ-SF scores have a weak correlation with each type of accelerometer-measured PA, while the IPAQ-SF may underestimate each type of PA compared to an accelerometer in Japanese adults with T1D.
The online version contains supplementary material available at 10.1007/s13340-024-00759-w.
针对一种评估日本1型糖尿病（T1D）成年患者身体活动（PA）的客观方法，检验国际身体活动问卷简表（IPAQ - SF）的有效性。
这项横断面研究纳入了126名T1D成年患者（年龄20 - 74岁）。参与者连续7天佩戴三轴加速度计，并在7天加速度计监测期后的次日完成IPAQ - SF（过去7天的回顾性调查）。这确保了两种方法评估的时间段一致。
共分析了112名参与者。与加速度计组相比，IPAQ - SF组在久坐行为（SB）的每日时长、总中等强度PA（MPA，包括步行）、剧烈强度PA（VPA）、总PA（包括步行）以及总PA中的每日代谢当量（MET） - 分钟数方面均较低。在所有变量的方法之间观察到显著相关性：SB的每日时长、总MPA、VPA、总PA以及总PA中的每日MET - 分钟数（r = 0.203 - 0.527）。此外，IPAQ - SF中报告的步行时间与加速度计记录的步数相关（r = 0.444）。然而，在这些参数中，只有每日VPA时长能够提供可接受的有效性水平（≥0.50）并预测加速度计记录的值。
这些结果表明，在日本T1D成年患者中，IPAQ - SF得分与加速度计测量的每种PA类型之间的相关性较弱，而与加速度计相比，IPAQ - SF可能低估了每种PA类型。
在线版本包含可在10.1007/s13340 - 024 - 00759 - w获取的补充材料。
