Comparison between the International Physical Activity Questionnaire and the American College of Sports Medicine/American Heart Association criteria to classify the physical activity profile in adults

Moraes, Suzana Alves de; Suzuki, Cláudio Shigueki; Freitas, Isabel Cristina Martins de

doi:10.1590/S0104-11692013000400002

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 21 (4) • Jul-Aug 2013 • https://doi.org/10.1590/S0104-11692013000400002 copy

Comparison between the International Physical Activity Questionnaire and the American College of Sports Medicine/American Heart Association criteria to classify the physical activity profile in adults¹ 1 Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), process # 505622/2004-1.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

the study aims to evaluate the reproducibility between the International Physical Activity Questionnaire and the American College of Sports Medicine/American Heart Association criteria to classify the physical activity profile in an adult population living in Ribeirão Preto, SP, Brazil.

METHODS:

population-based cross-sectional study, including 930 adults of both genders. The reliability was evaluated by Kappa statistics, estimated according to socio-demographic strata.

RESULTS:

the kappa estimates showed good agreement between the two criteria in all strata. However, higher prevalence of "actives" was found by using the American College of Sports Medicine/American Heart Association.

CONCLUSIONS:

although the estimates have indicated good agreement, the findings suggest caution in choosing the criteria to classify physical activity profile mainly when "walking" is the main modality of physical activity.

Motor Activity; Reproducibility of Results; Cross-Sectional Studies

Variables		Male				Female
		Sufficient		Insufficient		Sufficient		Insufficient
		N_w*	%* [CI_95%]	N_w*	%* [CI_95%]	N_w*	%* [CI_95%]	N_w*	%* [CI_95%]
Age ranges
	30-39 years	99.9	40.6 [30.6-51.3]	146.4	59.4 [48.6-69.3]	151.4	37.4 [29.4-46.1]	253.2	62.6 [53.8-70.5]
	40-49 years	45.7	28.9 [19.3-40.7]	112.4	71.1 [59.2-80.6]	141.5	27.9 [21.5-35.3]	365.4	72.1 [64.6-78.5]
	50-59 years	51.9	42.2 [29.3-56.1]	71.1	57.8 [43.8-70.6]	124.3	37.8 [28.7-47.8]	204.3	62.2 [52.1-71.2]
	≥ 60 years	46.8	37.9 [24.8-52.8]	76.7	62.1 [47.1-75.1]	75.8	25.6 [17.7-35.2]	220.9	74.4 [64.7-82.2]
Total		244.4	37.5 [30.9-44.6]	406.7	62.5 [55.4-69.0]	493.1	32.1 [27.4-37.0]	1044	67.9 [62.9-72.5]

Variables		Male				Female
		Sufficient		Insufficient		Sufficient		Insufficient
		N_w*	%* [CI_95%]	N_w*	%* [CI_95%]	N_w*	%* [CI_95%]	N_w*	%* [CI_95%]
Age ranges
	30-39 years	100.1	40.7 [30.9-51.2]	146.2	59.4 [48.8-69.1]	160.6	39.7 [31.8-48.2]	244.1	60.3 [51.9-68.2]
	40-49 years	50.3	31.8 [22.0-43.6]	107.8	68.2 [56.4-78.0]	154.2	30.4 [24.1-37.6]	352.7	69.6 [62.4-75.9]
	50-59 years	52.0	42.2 [29.4-56.2]	71.2	57.8 [43.8-70.6]	126.7	38.6 [29.5-48.5]	201.8	61.4 [51.5-70.5]
	≥ 60 years	54.3	43.9 [30.4-58.4]	69.3	56.1 [41.6-69.6]	90.4	30.5 [22.8-39.5]	206.3	69.5 [60.5-77.3]
Total		256.7	39.4 [33.0-46.2]	394.4	60.6 [53.8-67.0]	532	34.6 [30.3-39.3]	1005	65.4 [60.8-69.8]

Variable		Male		Female
Variable		Kappa	CI 95%	Kappa	CI 95%
Age range (years)
	30-39	0.96	0.77-1.15	0.93	0.78-1.08
	40-49	0.93	0.70-1.17	0.93	0.80-1.06
	50-59	1.00	0.73-1.27	0.99	0.82-1.15
	≥60	0.87	0.60-1.15	0.88	0.70-1.06
Educational Level
	Illiterate, <1 year	1.00	0.41-1.59	0.72	0.34-1.09
	1-3 years	0.92	0.57-1.28	0.94	0.73-1.15
	4-7 years	0.96	0.77-1.19	0.97	0.83-1.10
	≥8	0.93	0.77-1.09	0.93	0.82-1.03
Income in Reais (thirds)
	No income	0.96	0.70-1.23	0.92	0.81-1.04
	<520.00	0.92	0.54-1.30	0.96	0.81-1.11
	520.00-1,100.00	0.94	0.73-1.13	0.91	0.71-1.10
	>1,100.00	0.96	0.76-1.15	0.94	0.74-1.14
Crude Kappa		0,95	0.83-1.06	0.93	0.85-1.01

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Suzana Alves de Moraes Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Departamento Materno-Infantil e Saúde Pública Av. Bandeirantes, 3900 Bairro: Monte Alegre CEP: 14040-902, Ribeirão Preto, SP, Brasil E-mail:samoraes@usp.br