Volume 4, Issue 1, January 2016, Page: 72-80
Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People
Maria Machado, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Ciro Tavares, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Vera Moniz-Pereira, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Helô André, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Fátima Ramalho, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
António Veloso, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Filomena Carnide, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Received: Jan. 25, 2016;       Accepted: Feb. 8, 2016;       Published: Feb. 29, 2016
DOI: 10.11648/j.sjph.20160401.20      View  4394      Downloads  151
Abstract
This study aimed to translate, adapt and validate the Yale Physical Activity Survey (YPAS) to Portuguese culture in order to assess the level of physical activity in a country with one of the world’s highest percentage of senior citizens. Permission was obtained from the original authors and translated according to WHO guidelines. Validation included 471 older adults (70.3% women; 74.9±6.5 years), covering Criterion Validity, through Spearman’s rho, with a cross-reference standard, by accelerometry with 96 subjects; and Reliability comprising Internal Consistency through Cronbach’s alpha with 471 subjects, and Temporal Stability through Intraclass Correlation Coefficient involving 30 subjects. YPAS-PT appeared suitable and relevant with low-to-moderate levels for all psychometric parameters. Significant correlations were found for all variables, including accelerometer data ranging from 0.201 to 0.452 (p<0.001). Internal consistency (α≥0.835) and temporal stability (ICC>0.75) demonstrated high reliability. The YPAS-PT is a valid instrument to assess Physical Activity patterns of Portuguese older adults, allowing record low-intensity activities typical of sedentary behavior, which is often excluded from other Physical Activity assessment tools. The study has concluded that the Portuguese version of YPAS (i.e., YPAS-PT) is a valid instrument to assess PA patterns of Portuguese older adults for research and social interventions.
Keywords
YPAS, Older Adults, Physical Activity, Questionnaires, Validation, Survey
To cite this article
Maria Machado, Ciro Tavares, Vera Moniz-Pereira, Helô André, Fátima Ramalho, António Veloso, Filomena Carnide, Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People, Science Journal of Public Health. Vol. 4, No. 1, 2016, pp. 72-80. doi: 10.11648/j.sjph.20160401.20
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
World Health Organization. Global Recommendations on Physical Activity for Health. Geneva: WHO Press. 2010. ISBN 978 92 4 159 997 9.
[2]
Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med 2003; 37(3): 197-206.
[3]
Instituto Nacional de Estatística. Projecções de População Residente em Portugal 2008-2060. INE, IP. Lisboa. 2009. ISBN 978-989-25-0037-9.
[4]
Baptista F, Silva AM, Santos DA, Mota J, Santos R, Vale S, et al. Livro Verde da Atividade Física. IDP, I. P. Lisboa, 2011. ISBN: 978-989-8330-02-4.
[5]
Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, et al. Exercise and Physical Activity for Older Adults (Position Stand). Med Sci Sports Exerc 2009; 41(7): 1510-30. DOI: 10.1249/MSS.0b013e3181a0c95c.
[6]
Kowalski K, Rhodes R, Naylor PJ, Tuokko H, Macdonald S. Direct and Indirect Measurement of Physical Activity in Older Adults: A Systematic Review of the Literature. Int J Behav Nutr Phys Act 2012; 9: 148-169.
[7]
Strath SJ, Kaminsky LA, Ainsworth BE, Ekelund U, Freedson PS, Gary RA, et al. Guide to the Assessment of Physical Activity: Clinical and Research Applications: A Scientific Statement From the American Heart Association. Circulation. 2013; 128: 2259-2279; DOI: 10.1161/01.cir.0000435708.67487.da.
[8]
De Abajo S, Larriba R, Marquez S. Validity and Reliability of the Yale Physical Activity Survey in Spanish Elderly. J Sports Med Phys Fitness 2001; 41(4): 479-485.
[9]
Craig C, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8): 1381-95. DOI:10.1249/01.MSS.0000078924.61453.FB.
[10]
Baptista F, Santos DA, Silva AM, Mota J, Santos R, Vale S, et al. Prevalence of the Portuguese Population attaining sufficient physical activity. Med Sci Sports Exerc 2012; 44(3): 466-473. 2012. DOI: 10.1249/MSS.0b013e318230e441.
[11]
Tomioka K, Iwamoto J, Saeki K, Okamoto N. Reliability and validity of the International Physical Activity Questionnaire (IPAQ) in elderly adults: the Fujiwarakyo Study. J Epidemiol 2011; 21(6): 459-465. doi:10.2188/jea.JE20110003.
[12]
Heesch KC, Van Uffelen JG, Hill RL, Brown WJ. What do IPAQ questions mean to older adults? lessons from cognitive interviews. Int J Behav Nutr Phys Act 2010, 7: 35 http://www.ijbnpa.org/content/7/1/35.
[13]
DiPietro L, Caspersen CJ, Ostfeld AM, Nadel ER. A Survey for Assessing Physical Activity Among Older Adults. Med Sci Sports Exerc 1993; 25(5): 628-642.
[14]
Young D, Jee S, Appel L. A Comparison of the Yale Physical Activity Survey With Other Physical Activity Measures. Med Sci Sports Exerc 2001; 33 (6): 955-961. doi: 0195-9131/01/3360.
[15]
Bonnefoy, M, Normand S, Pachiaudi C, Lacour R, Laville M, Kostka T. Simultaneous Validation of Ten Physical Activity Questionnaires in Older Men: A Doubly Labeled Water Study. J Am Geriatr Soc 2001; 49(1): 28-35.
[16]
Prince S, Adamo K, Hamel M, Hardt J, Gorber S, Tremblay M. A Comparison of Direct Versus Self-Report Measures for Assessing Physical Activity in Adults: a Systematic Review. Int J Behav Nutr Phys Act 2008; 5: 56-80. doi: 10.1186/1479-5868-5-56.
[17]
Starling RD, Matthews DE, Ades PA, Poehlman ET. Assessment of Physical Activity in Older Individuals: a Doubly Labeled Water Study. J Appl Physiol 1999; 86(6): 2090-2096.
[18]
Schuler PB, Richardson MT, Ochoa P, Wang MQ. Accuracy and Repeatability of the Yale Physical Activity Survey in Assessing Physical Activity of Older Adults. Percept Mot Skills 2001; 93(1): 163-177.
[19]
Pennathur A, Magham R, Contreras LR, Dowling, W. Daily Living Activities in Older Adults: Part II-Effect of Age on Physical Activity Patterns in Older Mexican American Adults. Int J Ind Ergon 2003; 32(6): 405–418. doi: 10.1016/S0169-8141(03)00099-4.
[20]
Kruskall LJ, Campbell, WW, Evans WJ. The Yale Physical Activity Survey for Older Adults: Predictions in the Energy Expenditure Due to Physical Activity. J Am Diet Assoc 2004; 104: 1251-1257. doi: org/10.1016/j.jada.2004.05.207.
[21]
Donnaire-Gonzalez D, Gimeno-Santos E, Serra I, Roca J, Balcells E, Rodríguez E, et al. Validation of the Yale Physical Activity Survey in Chronic Obstructive Pulmonary Disease Patients. Arch Bronconeumol 2011; 47: 552-560.
[22]
Martín V, Ayán C, Molina AJ, Alvarez MJ, Varela S, Cancela JM. Correlation Between the Yale Physical Activity Survey (YPAS) and Submaximal Performance-Based Test: a Study in a Population of Elderly Spanish Women. Arch Gerontol Geriatr 2012; 55(1): 31-34. doi: 10.1016/j.archger.2011.06.016.
[23]
Katz JN, Perez MT, Niu NN, Dong Y, Brownlee S, Elma SA, et al. Development and Validation of a Spanish Translation of the Yale Activity Questionnaire. BMC Musculoskelet Disord 2014; 15: 120. doi: 10.1186/1471-2474-15-120.
[24]
Pennathur A, Magham R, Contreras Lr, Dowling W. Test-Retest Reliability of Yale Physical Activity Survey Among Older Mexican American Adults: a Pilot Investigation. Exp Aging Res 2004; 30(3): 291-303. doi: 10.1080/03610730490447912.
[25]
Semanik P, Lee J, Manheim L, Dipietro L, Dunlop D, Chang RW. Relationship Between Accelerometer-Based Measures of Physical Activity and the Yale Physical Activity Survey in Adults with Arthritis. Arthritis Care Res 2011; 63 (12): 1766-1772. doi:10.1002/acr.20644.
[26]
Kolbe-Alexander TL, Lambert EV, Harkins JB, Ekelund U. Comparison of Two Methods of Measuring Physical Activity in South African Older Adults. J Aging Phys Act 2006; 14: 98-114.
[27]
Freedson Ps, Melanson E, Sirad J. Calibration of the Computer Science and Applications. Inc. Accelerometer. Med Sci Sports Exerc 1998; 30(5): 777-81. doi: 10.1097/00005768-199805000-00021.
[28]
Pruitt LA, Glynn NW, King AC, Guralnik JA, Aiken EK, Miller G, et al. Use of Accelerometry to Measure Physical Activity in Older Adults at Risk for Mobility Disability. J Aging Phys Act 2008; 16(4): 416-434. doi: 10.1249/00005768-199305000-0001
[29]
Copeland JL, Esliger DW. Accelerometer Assessment of Physical Activity In Active, Healthy Older Adults. J Aging Phys Act 2009; 17(1): 17-30.
[30]
Szklo M, Nieto J. Epidemiology: Beyond the Basics. 2nd ed. Jones and Bartlett Publishers, Inc., 2007. ISBN- 13: 978-0-7637-2927-1.
[31]
Bassett Jr DR, Ainsworth BE, Swartz AM, Strath SJ, O’Brien WL, King GA. Validity of Four Motion Sensors in Measuring Moderate Intensity Physical Activity. Med Sci Sports Exerc 2000; 32(9): S471-480.
[32]
Harada ND, Chiu V, King AC, Stewart AL. An Evaluation of Three Self-Report Physical Activity Instruments for Older Adults. Med Sci Sports Exerc 2001; 33: 962-970.
Browse journals by subject