Ayvat Fatma, Doğan Mert, Ayvat Ender
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Samanpazarı/Altındag, 06100, Ankara, Turkey.
Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation, Akdeniz University, Antalya, Turkey.
BMC Public Health. 2025 Aug 27;25(1):2960. doi: 10.1186/s12889-025-24388-3.
Physical inactivity is a major global public health issue and ranks as the fourth leading modifiable risk factor for mortality from noncommunicable diseases and a major cause of disability. One of the questionnaires used to assess levels of physical activity in older adults is the Physical Activity Scale for the Elderly (PASE). The aim of this study was to determine the cut-off value of the PASE for physical inactivity in older adults.
This was a cross-sectional study. The study was conducted at Hacettepe University. In the course of the study, 420 older adults were included on the basis of the established inclusion criteria. Of these, 394 voluntarily agreed to participate. Older adults' physical activity levels were assessed via the International Physical Activity Questionnaire-Short Form (IPAQ-Short Form) and the PASE. Participants categorized as low/inactive according to the IPAQ scale were classified as physically inactive. Conversely, those categorized as moderate or high activity were classified as physically active. This classification scheme was subsequently utilized to determine the physical inactivity threshold of the PASE.
The physical inactivity cut-off point for the PASE score in older adults was a score of 67. For identifying physical inactivity, a PASE score of ≤ 67 has a sensitivity of 0.76 and a specificity of 0.61. Among the 394 older adults who participated in the study, 163 were in the inactive group, and 231 were in the active group. The prevalence of physical inactivity was 41.37% in this study.
In the present study, the PASE was found to have moderate sensitivity and specificity in discriminating physical inactivity. It is not a sufficient stand-alone measure for physical inactivity, so it is recommended that the PASE be included as part of a comprehensive physical inactivity assessment in older adults.
身体活动不足是一个主要的全球公共卫生问题，是导致非传染性疾病死亡的第四大主要可改变风险因素，也是残疾的主要原因之一。用于评估老年人身体活动水平的问卷之一是老年人身体活动量表（PASE）。本研究的目的是确定老年人身体活动不足的PASE临界值。
这是一项横断面研究。研究在哈杰泰佩大学进行。在研究过程中，根据既定的纳入标准纳入了420名老年人。其中，394人自愿同意参与。通过国际身体活动问卷简表（IPAQ简表）和PASE评估老年人的身体活动水平。根据IPAQ量表被归类为低活动/不活动的参与者被归类为身体活动不足。相反，那些被归类为中等或高活动的参与者被归类为身体活动活跃。随后利用这种分类方案来确定PASE的身体活动不足阈值。
老年人PASE评分的身体活动不足临界点为67分。对于识别身体活动不足，PASE评分≤67分的敏感性为0.76，特异性为0.61。在参与研究的394名老年人中，163人属于不活动组，231人属于活动组。本研究中身体活动不足的患病率为41.37%。
在本研究中，发现PASE在区分身体活动不足方面具有中等敏感性和特异性。它不是身体活动不足的充分独立测量方法，因此建议将PASE纳入老年人身体活动不足综合评估的一部分。
