Evidence map›Paper›PMID 30577770›Full record

ArticleBMC medical research methodology2018

Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom.

Claire Cleland, Sara Ferguson, Geraint Ellis, Ruth F Hunter

3 registry-linked trialsAbstract readMulticenter Study
In one paragraph

Article in BMC medical research methodology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 203 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
203citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04625452 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Feasibility and Efficacy of Lifestyle Risk Factors Through Brief Behaviour Change Counseling in NCD's Participants Using 5A's and a Guiding Style (BBCC+ 5A's +GS) in Mangochi, Southern Malawi

TypeinterventionalSponsorKamuzu University of Health SciencesRan2020 to 2021Enrolled50ConditionsHypertension, Diabetes, Life StyleArmsBBCC+5A's+GS
NCT06642233 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Relationships Among Cervical Functional Test in Patients With Unspecific Neck Pain: a Descriptive and Correlation Study

TypeobservationalSponsorWroclaw University of Health and Sport SciencesRan2024 to 2027Enrolled100ConditionsManual Therapy, Cervical Spine, Neck PainArmsSocio-demographic survey, Visual Analogue Scale, The World Health Organization Quality-of-Life Scale-BREF questionnaire, The International Physical Activity Questionnaire, The Neck Disability Index questionnaire
NCT07657507 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Study of Symptoms in People With and Without Joint Hypermobility

Typeobservational_patient_registrySponsorClarkson UniversityRan2026 to 2036Enrolled100ConditionsHypermobile Ehlers-Danlos Syndrome, Postural Orthostatic Tachycardia Syndrome (POTS)
3 · Its place in the literature

Who cites it

203 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  4. Changes in Physical Activity Patterns Due to the Covid-19 Pandemic: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
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  15. Secondary prevention of stroke. A telehealth-delivered physical activity and diet pilot randomized trial (ENAbLE-pilot).International journal of stroke : official journal of the International Stroke Society · 2024
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143 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Claire ClelandUKCRC Centre of Excellence for Public Health (NI)/Centre for Public Health, Queen's University Belfast, Institute for Clinical Sciences B, Royal Victoria Hospital, Grosvenor Road, Belfast, UK. c.cleland@qub.ac.uk.ORCID 0000-0002-2738-8274
Sara FergusonSchool of Natural and Built Environment, Queen's University Belfast, David Keir Building, Belfast, UK.
Geraint EllisSchool of Natural and Built Environment, Queen's University Belfast, David Keir Building, Belfast, UK.
Ruth F HunterUKCRC Centre of Excellence for Public Health (NI)/Centre for Public Health, Queen's University Belfast, Institute for Clinical Sciences B, Royal Victoria Hospital, Grosvenor Road, Belfast, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn order to accurately measure and monitor levels of moderate-to-vigorous physical activity (MVPA) and sedentary behaviour (SB) in older adults, cost efficient and valid instruments are required. To date, the International Physical Activity Questionnaire (IPAQ) has not been validated with older adults (aged 60 years plus) in the United Kingdom. The current study aimed to test the validity of the IPAQ in a group of older adults for both MVPA and SB.

methodsParticipants wore an Actigraph GT3X+ for seven consecutive days and following the monitor wear participants were asked to complete the IPAQ. Statistical analysis included: Kolmogorov-Smirnov tests; descriptive analyses; Spearman's rho coefficients; and Bland-Altman analyses.

resultsA sample of 253 older adults were recruited (mean age 71.8 years (SD 6.6) and 57% male). In total, 226 had valid accelerometer and IPAQ data for MVPA and 228 had valid data for SB. Results showed the IPAQ had moderate/acceptable levels of validity (r = .430-.557) for MVPA. For SB, there was substantial levels of validity on weekdays (r = .702) and fair levels of validity (r = .257) on weekend days. Bland-Altman analysis showed inherent measurement error with the majority of participants tending to under-report both MVPA and SB. Results showed the majority of older adult's under-report their level of MVPA and SB when completing the IPAQ and the linear relationship above the mean shows an error from under to over reporting as the mean increases.

conclusionsFindings from the current study suggest that the IPAQ is better implemented in larger surveillance studies comparing groups within or between countries rather than on an individual basis. Findings also suggest that the IPAQ validity scores could be strengthened by providing additional detail of types of activities older adults might do on a daily basis, improving recall; and it may also be necessary to provide an example of a daily break down of typical activities performed. This may enable older adults to more fully comprehend the amount of time they may spend active, sitting and/or lying during waking hours.

Indexed as

Sedentary BehaviorActigraphyAgedAged, 80 and overExerciseFemaleHumansInternationalityMaleMiddle AgedMonitoring, PhysiologicReproducibility of ResultsSurveys and QuestionnairesTime FactorsUnited KingdomAccelerometryInternational physical activity questionnaireIPAQModerate-to-vigorous physical activityMVPAObjective measurementPhysical activitySedentary behaviourSelf-reportValidity

Identifiers

PMID30577770
PMCPMC6303992

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.