Actividad física basada en dispositivos versus autorreporte en estudiantes universitarios uruguayos
Palabras clave:
ACTIVIDAD FÍSICA, EVALUACIÓN, CONFIABILIDAD Y VALIDEZ, ADULTO
Resumen
Introducción: la medición precisa de la actividad física (AF) es clave para analizar su asociación con resultados de salud. Sin embargo, en Uruguay no existen estudios que comparen diferentes métodos para determinar la AF en adultos. El objetivo de este estudio fue analizar la confiabilidad del Cuestionario Internacional de Actividad Física (IPAQ) en estudiantes universitarios uruguayos y evaluar su validez concurrente en comparación con la AF basada en dispositivos.
Método: 54 estudiantes universitarios de educación física completaron el IPAQ (versión larga) en dos ocasiones con 7 días de diferencia y utilizaron acelerómetros GeneActiv durante ese período. La confiabilidad se evaluó a través del Coeficiente de Correlación Intraclase (ICC) y se utilizó el análisis de Bland–Altman para determinar la validez concurrente.
Resultados: todos los dominios de AF mostraron niveles moderados de ICC. El transporte (ICC = 0,64), el tiempo libre (ICC = 0,58), y la AF total (ICC = 0,53) fueron los dominios con niveles moderados más altos. El total de minutos de AF evaluados a través del IPAQ en las dos ocasiones reportó un promedio de 773 minutos de diferencia (IC 95% 362,88-1.184,01). La diferencia de minutos de AF entre la evaluación con el IPAQ y con los acelerómetros es de 752 minutos (IC 95% 418,05-1.087.16).
Conclusiones: el IPAQ sobreestima la AF respecto al acelerómetro en estudiantes universitarios uruguayos, sin embargo fue más confiable al considerar dominios de transporte y tiempo libre para los participantes que reportaron realizar un promedio menor a 400 minutos de AF semanal.
Citas
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25) Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15(2):155-63.
26) Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res 1999; 8(2):135-60.
27) Mantilla Toloza SC, Gómez-Conesa A. El Cuestionario Internacional de Actividad Física. Un instrumento adecuado en el seguimiento de la actividad física poblacional. Rev Iberoam Fisioter Kinesiol 2007; 10(1):48-52.
28) Maddison R, Ni Mhurchu C, Jiang Y, Vander Hoorn S, Rodgers A, Lawes CM, et al. International Physical Activity Questionnaire (IPAQ) and New Zealand Physical Activity Questionnaire (NZPAQ): a doubly labelled water validation. Int J Behav Nutr Phys Act 2007; 4:62.
29) Hagströmer M, Oja P, Sjöström M. The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr 2006; 9(6):755-62.
30) Lacaille LJ, Dauner KN, Krambeer RJ, Pedersen J. Psychosocial and environmental determinants of eating behaviors, physical activity, and weight change among college students: a qualitative analysis. J Am Coll Health 2011; 59(6):531-8.
31) Ács P, Betlehem J, Oláh A, Bergier J, Melczer C, Prémusz V, et al. Measurement of public health benefits of physical activity: validity and reliability study of the international physical activity questionnaire in Hungary. BMC Public Health 2020; 20(Suppl 1):1198.
32) Ferrari GLM, Kovalskys I, Fisberg M, Gómez G, Rigotti A, Sanabria LYC, et al. Comparison of self-report versus accelerometer - measured physical activity and sedentary behaviors and their association with body composition in Latin American countries. PLoS One 2020; 15(4):e0232420.
33) Sebastião E, Gobbi S, Chodzko-Zajko W, Schwingel A, Papini CB, Nakamura PM, et al. The International Physical Activity Questionnaire-long form overestimates self-reported physical activity of Brazilian adults. Public Health 2012; 126(11):967-75.
34) Martins RC, Blumenberg C, da Silva ICM. Reliability and concurrent validity of the Global Physical Activity Questionnaire in adults from a Brazilian rural area. Rev Bras Ativ Fís Saúde 2018; 23:1-6.
35) Terrier P, Aminian K, Schutz Y. Can accelerometry accurately predict the energy cost of uphill/downhill walking? Ergonomics 2001; 44(1):48-62.
2) Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020; 54 (24):62.
3) Global recommendations on physical activity for health. Geneva: World Health Organization, 2010.
4) Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U, et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 2012; 380(9838):247-57.
5) Vanhees L, Lefevre J, Philippaerts R, Martens M, Huygens W, Troosters T, et al. How to assess physical activity? How to assess physical fitness? Eur J Cardiovasc Prev Rehabil 2005; 12(2):102-14.
6) Bakker EA, Eijsvogels TM, de Vegt F, Busser GS, Hopman MT, Verbeek A. Patiënten in beweging: gevalideerde methoden om lichamelijke activiteit the kwantificeren. Ned Tijdschr Geneeskd 2015; 159:A8709.
7) Jansson E, Hagströmer M, Anderssen SA. Fysisk aktivitet – nya vägar och val i rekommendationerna för vuxna. Lakartidningen 2015; 112(47):2094.
8) Nicaise V, Crespo NC, Marshall S. Agreement between the IPAQ and accelerometer for detecting intervention-related changes in physical activity in a sample of Latina women. J Phys Act Health 2014; 11(4):846-52.
9) Helmerhorst HJF, Brage S, Warren J, Besson H, Ekelund U. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act 2012; 9:103.
10) van Poppel MN, Chinapaw MJ, Mokkink LB, van Mechelen W, Terwee CB. Physical activity questionnaires for adults. Sports Med 2010; 40(7):565-600.
11) Butte NF, Ekelund U, Westerterp KR. Assessing physical activity using wearable monitors: measures of physical activity. Med Sci Sports Exerc 2012; 44(1 Suppl 1):S5-12.
12) Troiano RP. A timely meeting: objective measurement of physical activity. Med Sci Sports Exerc 2005; 37(Suppl 11):S487-9.
13) Skender S, Ose J, Chang-Claude J, Paskow M, Brühmann B, Siegel EM, et al. Accelerometry and physical activity questionnaires - a systematic review. BMC Public Health 2016; 16:515.
14) Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act 2011; 8:1-11.
15) Craig CL, 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.
16) Dahl-Petersen IK, Hansen AW, Bjerregaard P, Jorgensen ME, Brage S. Validity of the International Physical Activity Questionnaire in the Arctic. Med Sci Sports Exerc 2013; 45(4):728-36.
17) Boon RM, Hamlin MJ, Steel GD, Ross JJ. Validation of the New Zealand Physical Activity Questionnaire (NZPAQ-LF) and the International Physical Activity Questionnaire (IPAQ-LF) with accelerometry. Br J Sports Med 2010; 44(10):741-6.
18) Guthold R, Ono T, Strong KL, Chatterji S, Morabia A. Worldwide variability in physical inactivity a 51-country survey. Am J Prev Med 2008; 34(6):486-94.
19) Hallal PC, Gomez LF, Parra DC, Lobelo F, Mosquera J, Florindo AA, et al. Lessons learned after 10 years of IPAQ use in Brazil and Colombia. J Phys Act Health 2010; 7(Suppl 2):S259-64.
20) Poggio R, Serón P, Calandrelli M, Ponzo J, Mores N, Matta MG, et al. Prevalence, patterns, and correlates of physical activity among the adult population in latin america: cross-sectional results from the CESCAS I study. Glob Heart 2016; 11(1):81-88.e1.
21) Rodríguez-Muñoz S, Corella C, Abarca-Sos A, Zaragoza J. Validation of three short physical activity questionnaires with accelerometers among university students in Spain. J Sports Med Phys Fitness 2017; 57(12):1660-8.
22) García-Puello F, Herazo-Beltrán Y, Vidarte-Claros JA, García-Jiménez R, Crissien-Quiroz E. [Physical activity level assessment in university students by direct method]. Rev Salud Pública (Bogotá) 2018; 20(5):606-11.
23) Práxedes A, Sevil J, Moreno A, del Villar F, García-González L. Niveles de actividad física en estudiantes universitarios: diferencias en función del género, la edad y los estados de cambio. Rev Iberoam Psicol Ejerc Deporte 2016; 11(1):123-32.
24) Migueles JH, Rowlands AV, Huber F, Sabia S, van Hees VT. GGIR: a research community–driven open source R package for generating physical activity and sleep outcomes from multi-day raw accelerometer data. J Meas Phys Behav 2019; 2(3):188-96.
25) Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15(2):155-63.
26) Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res 1999; 8(2):135-60.
27) Mantilla Toloza SC, Gómez-Conesa A. El Cuestionario Internacional de Actividad Física. Un instrumento adecuado en el seguimiento de la actividad física poblacional. Rev Iberoam Fisioter Kinesiol 2007; 10(1):48-52.
28) Maddison R, Ni Mhurchu C, Jiang Y, Vander Hoorn S, Rodgers A, Lawes CM, et al. International Physical Activity Questionnaire (IPAQ) and New Zealand Physical Activity Questionnaire (NZPAQ): a doubly labelled water validation. Int J Behav Nutr Phys Act 2007; 4:62.
29) Hagströmer M, Oja P, Sjöström M. The International Physical Activity Questionnaire (IPAQ): a study of concurrent and construct validity. Public Health Nutr 2006; 9(6):755-62.
30) Lacaille LJ, Dauner KN, Krambeer RJ, Pedersen J. Psychosocial and environmental determinants of eating behaviors, physical activity, and weight change among college students: a qualitative analysis. J Am Coll Health 2011; 59(6):531-8.
31) Ács P, Betlehem J, Oláh A, Bergier J, Melczer C, Prémusz V, et al. Measurement of public health benefits of physical activity: validity and reliability study of the international physical activity questionnaire in Hungary. BMC Public Health 2020; 20(Suppl 1):1198.
32) Ferrari GLM, Kovalskys I, Fisberg M, Gómez G, Rigotti A, Sanabria LYC, et al. Comparison of self-report versus accelerometer - measured physical activity and sedentary behaviors and their association with body composition in Latin American countries. PLoS One 2020; 15(4):e0232420.
33) Sebastião E, Gobbi S, Chodzko-Zajko W, Schwingel A, Papini CB, Nakamura PM, et al. The International Physical Activity Questionnaire-long form overestimates self-reported physical activity of Brazilian adults. Public Health 2012; 126(11):967-75.
34) Martins RC, Blumenberg C, da Silva ICM. Reliability and concurrent validity of the Global Physical Activity Questionnaire in adults from a Brazilian rural area. Rev Bras Ativ Fís Saúde 2018; 23:1-6.
35) Terrier P, Aminian K, Schutz Y. Can accelerometry accurately predict the energy cost of uphill/downhill walking? Ergonomics 2001; 44(1):48-62.
Publicado
2022-06-08
Cómo citar
1.
Pintos-Toledo E, Bizzozero-Peroni B, Fernández-Giménez S, Corvos CA, Brazo-Sayavera J. Actividad física basada en dispositivos versus autorreporte en estudiantes universitarios uruguayos. Rev. Méd. Urug. [Internet]. 8 de junio de 2022 [citado 23 de abril de 2024];38(2):e38205. Disponible en: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/883
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