Reliability and validity of the Turkish version of the Lasa Physical Activity Questionnaire (LAPAQ)

Öz

LASA Physical Activity Questionnaire (LAPAQ) is frequently used for the elderly population in the literatüre, and its validity-reliability studies have been carried out.There are also comparative studies with other physical activity questionnaires. This study’s aim is to investigate the reliability and validity of the Turkish version of the LAPAQ (LAPAQ-T) for elderly individuals. One hundred and seven elderly were included in the study. LAPAQ-T and Physical Activity Scale for the Elderly (PASE) were administered to the individuals participating in the study on the first day. LAPAQ-T was re-applied by the same physiotherapist 1 week after the first evaluation to measure test-retest reliability. The test-retest took place with the participation of 27 people. The intra-class correlation coefficient (ICC) was used to evaluate test-retest reliability. The ICC value for test-retest reliability was found to be 0.977, which suggests excellent test-retest reliability. A high correlation was found between the LAPAQ-T total score and the PASE total score (r=0.703, p<0.001). The results of our study show that the LAPAQ-T is a reproducible, reliable and valid questionnaire that evaluates the level of physical activity for elderly individuals. Therefore the questionnaire will be useful for clinicians in evaluating physical activity.

Anahtar Kelimeler

• Older adults
• physical activity
• reliability
• validity

Lasa Fiziksel Aktivite Anketi’nin (LAFAA) Türkçe Versiyonunun Güvenirliği ve Geçerliği

Öz

LASA FAA’nın literatürde yaşlı popülasyonda sıklıkla kullanılmakta ve geçerlik-güvenirlik çalışmaları yapılmış olup, diğer fiziksel aktivite anketleri ile karşılaştırmalı çalışmaları da bulunmaktadır. Bu çalışmanın amacı, LASA Fiziksel Aktivite Anketi'nin (LAFAA-T) Türkçe Versiyonunun yaşlı yetişkinlerde güvenirliğini ve geçerliğini araştırmaktır. Çalışmaya yüz yedi yaşlı yetişkin dahil edildi. Çalışmaya katılan bireylere ilk gün LAFAA-T ve Yaşlılar için Fiziksel Aktivite Ölçeği (PASE) uygulandı. Test-tekrar test güvenilirliğini ölçmek için ilk değerlendirmeden 1 hafta sonra LAFAA-T aynı fizyoterapist tarafından tekrar uygulandı. Test-tekrar test 27 kişinin katılımı ile gerçekleşmiştir. Test-tekrar test güvenilirliğini değerlendirmek için sınıf içi korelasyon katsayısını (ICC) kullanmıştır. Test-tekrar test güvenilirliği için ICC değeri 0,977 olarak bulundu, bu durum mükemmel test-tekrar test güvenilirliğini göstermektedir. LAFAA-T toplam puanı ile PASE toplam puanı arasında yüksek ilişki bulundu (r = 0.703, p <0.001). Çalışmamızın sonuçları, LAFAA-T'nin yaşlı yetişkinlerde fiziksel aktivite düzeyini değerlendiren tekrarlanabilir, güvenilir ve geçerli bir anket olduğunu göstermektedir. LAFAA-T'nin fiziksel aktiviteyi değerlendirmede klinisyenler için faydalı bir anket olacağını düşünüyoruz.

Anahtar Kelimeler

• Yaşlı erişkinler
• fiziksel aktivite
• güvenirlik
• geçerlik

Kaynakça

1. 1. Netz Y, Wu M-J, Becker BJ, et al. Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies. Psychol Aging. 2005;20(2):272.
2. 2. Penedo FJ, Dahn JR. Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry. 2005;18(2):189-93.
3. 3. Reiner M, Niermann C, Jekauc D, et al. Long-term health benefits of physical activity–a systematic review of longitudinal studies. BMC public health. 2013;13(1):813.
4. 4. Schutz Y, Weinsier RL, Hunter GR. Assessment of free‐living physical activity in humans: an overview of currently available and proposed new measures. Obes Res. 2001;9(6):368-79.
5. 5. Hamer M, Chida YJ. Physical activity and risk of neurodegenerative disease: a systematic review of prospective evidence. Psychol Med. 2009;39(1):3-11.
6. 6. Dipietro L, Caspersen CJ, Ostfeld AM, et al. A survey for assessing physical activity among older adults. Med Sci Sports Exerc. 1993;25(5):628–42
7. 7. Ayvat E, Kilinc M, Kirdi N. The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turk J Med Sci. 2017;47(3):908-15.
8. 8. Washburn RA. Assessment of physical activity in older adults. Res Q Exercise Sport. 2000;71(sup2):79-87.

9. 9. Stel VS, Smit JH, Pluijm SM, et al. Comparison of the LASA Physical Activity Questionnaire with a 7-day diary and pedometer. J Clin Epidemiol. 2004;57(3):252-58.
10. 10. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84.
11. 11. Stewart AL, Mills KM, King AC, et al. CHAMPS physical activity questionnaire for older adults: outcomes for interventions. Med Sci Sports Exerc. 2001;33(7):1126-41.
12. 12. Washburn RA, Smith KW, Jette AM, et al. The Physical Activity Scale for the Elderly (PASE): development and evaluation. J Clin Epidemiol. 1993;46(2):153-62.
13. 13. Güngen C, Ertan T, Eker E, et al. Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turk Psikiyatri Derg. 2002;13(4):273-81.
14. 14. Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
15. 15. Hayran M. Sağlık araştırmaları için temel istatistik: Omega Araştırma; 2011.
16. 16. Helmerhorst HHJ, Brage S, Warren J, et al. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act. 2012;9(1):103.
17. 17. Herbolsheimer F, Riepe MW, Peter R. Cognitive function and the agreement between self-reported and accelerometer-accessed physical activity. BMC Geriatr.2018;18(1):56.
18. 18. Heij W, Teerenstra S, Sweerts L, et al. Implementation of a Cost-Effective Physical Therapy Approach (Coach2Move) to Improve Physical Activity in Community-Dwelling Older Adults With Mobility Problems: Protocol for a Cluster-Randomized, Stepped Wedge Trial. Phys Ther. 2020;100(4):653-61.
19. 19. Siebeling L, Wiebers S, Beem L, et al. Validity and reproducibility of a physical activity questionnaire for older adults: questionnaire versus accelerometer for assessing physical activity in older adults. Clin Epidemiol. 2012;4:171.
20. 20. Puhan M, Siebeling L, Beem L, et al. Validity And Reproducibility Of The LASA Physical Activity Questionnaire (LAPAQ). A38 Understanding The Psychosocial And Behavioral Factors Affecting Outcomes In Lung Disease: ATS; 2011. p. A1453-A.
21. 21. Koolhaas CM, van Rooij FJ, Cepeda M, et al. Physical activity derived from questionnaires and wrist-worn accelerometers: comparability and the role of demographic, lifestyle, and health factors among a population-based sample of older adults. Clin epidemiol. 2018;10:1.