Evidence map›Paper›PMID 42769819›Full record

ArticleERJ open research2026

Validation of the General Practice Physical Activity Questionnaire after severe COVID-19.

Lin Wang, Kimon Ntotsis, James Manifield, Katerina Tziannou, Tatiana Plekhanova, Alex Rowlands, Charlotte L Edwardson, Molly Baldwin, Nicolette C Bishop, Charlotte Bolton and 42 more

Abstract read
In one paragraph

Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

52 authors.

Lin WangDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Kimon NtotsisNIHR Leicester Biomedical Research Centre, Leicester, UK.
James ManifieldNIHR Leicester Biomedical Research Centre, Leicester, UK.
Katerina TziannouDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Tatiana PlekhanovaDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Alex RowlandsDiabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
Charlotte L EdwardsonNIHR Leicester Biomedical Research Centre, Leicester, UK.
Molly BaldwinDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Nicolette C BishopSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Charlotte BoltonSchool of Medicine, University of Nottingham and NIHR Nottingham Biomedical Research Centre (Respiratory Medicine), Nottingham, UK.ORCID https://orcid.org/0000-0002-9578-2249
James D ChalmersUniversity of Dundee, Dundee, UK.
Enya DaynesCentre for Exercise and Rehabilitation Science, University of Leicester, Leicester, UK.
Annemarie DochertyCentre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK.
Claudia EfstathiouNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0001-6125-8126
Omer ElneimaNIHR Leicester Biomedical Research Centre, Leicester, UK.
Lucy GardinerDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
William GreenhalfUniversity of Liverpool, Liverpool, UK.
Neil GreeningNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID https://orcid.org/0000-0003-0453-7529
Beatriz Guillen-GuioDivision of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-3703-1738
Victoria HarrisInstitute for Lung Health, University of Leicester, Leicester, UK.
Ewen HarrisonCentre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK.
Ling-Pei HoMRC Human Immunology Unit, University of Oxford, Oxford, UK.
Alexander HorsleyNIHR Manchester Biomedical Research Centre; Division of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, University of Manchester; Manchester University NHS Foundation Trust, Manchester, UK.ORCID https://orcid.org/0000-0003-1828-0058
Linzy Houchen-WolloffCentre for Exercise and Rehabilitation Science, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0003-4940-8835
Joseph JacobCentre for Medical Image Computing, University College London, London, UK.ORCID https://orcid.org/0000-0002-8054-2293
Olivia LeavyNIHR Leicester Biomedical Research Centre, Leicester, UK.
Nazir LoneUsher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-2707-2779
Daniel Lozano-RojasDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Michael MarksLondon School of Hygiene and Tropical Medicine, Faculty of Infectious and Tropical Diseases, Clinical Research Department, London, UK.ORCID https://orcid.org/0000-0002-7585-4743
Hamish McAuleyInstitute for Lung Health, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0001-8997-0764
Melitta McNarryCollege of Engineering, A-STEM, Swansea University, Swansea, UK.
Claire NolanHealth Sciences, Brunel University London, London, UK.ORCID https://orcid.org/0000-0001-9067-599X
Jennifer K QuintNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-0149-4869
Betty RamanRadcliffe Department of Medicine, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-1239-9608
Matthew RichardsonNIHR Leicester Biomedical Research Centre, Leicester, UK.
Jack SargeantNIHR Leicester Biomedical Research Centre, Leicester, UK.
Ruth M SaundersNIHR Leicester Biomedical Research Centre, Leicester, UK.
Marco SerenoNIHR Leicester Biomedical Research Centre, Leicester, UK.
Aarti ShikotraNIHR Leicester Biomedical Research Centre, Leicester, UK.
Amisha SingapuriNIHR Leicester Biomedical Research Centre, Leicester, UK.
David J StenselNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID https://orcid.org/0000-0001-9119-8590
Maxime TaquetDepartment of Psychiatry, University of Oxford, Oxford, UK.
Mathew ThorpeCentre for Medical Informatics, The Usher Institute, University of Edinburgh, Edinburgh, UK.
Ioannis VogiatzisSport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UK.
William ManNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-3782-659X
Louise V WainDivision of Public Health and Epidemiology, School of Medical Sciences, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0003-4951-1867
Iain StewartNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-1340-2688
Sally SinghNIHR Leicester Biomedical Research Centre, Leicester, UK.ORCID https://orcid.org/0000-0002-9834-0366
Christopher E BrightlingDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Claire LawsonDepartment of Cardiovascular Sciences, University of Leicester and Leicester Biomedical Research Centre (Cardiovascular), Leicester, UK.
Tom YatesNIHR Leicester Biomedical Research Centre, Leicester, UK.
Rachael A EvansDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-1667-868X

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: Physical inactivity is a risk factor for severe COVID-19 and often worsens after hospitalisation. Clinicians need quick, accurate assessments to target interventions. We aimed to assess the validity of the General Practice Physical Activity Questionnaire (GPPAQ) in adults recovering 1 year after COVID-19 hospitalisation Methods: Post-hospitalisation for COVID-19, adults attended a 1-year-visit and completed the GPPAQ Physical Activity Index (PAI-4 active), 14-day wrist-worn accelerometry (moderate-vigorous physical activity (MVPA) active) and other health outcomes. Validity was examined Results: 752 participants had GPPAQ and accelerometry (265 female, mean±sd age 60.9±11.6 years), MVPA 18.75 min·day Conclusions: GPPAQ demonstrates internal consistency, with construct and convergent validity in adults 1 year after COVID-19 hospitalisation. GPPAQ effectively identifies inactive individuals to support clinical care; however, its sensitivity suggests under-estimation of activity relative to accelerometry. Future pathways should combine GPPAQ with device-based assessment to optimise evaluation of physical activity to guide pulmonary rehabilitation and targeted interventions.

Identifiers

PMID42769819
PMCPMC13591303

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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.