Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People

Maria Machado; Ciro Tavares; Vera Moniz-Pereira; Helô André; Fátima Ramalho; António Veloso; Filomena Carnide

doi:doi:10.11648/j.sjph.20160401.20

| Peer-Reviewed

Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People

Maria Machado, Ciro Tavares, Vera Moniz-Pereira, Helô André, Fátima Ramalho, António Veloso, Filomena Carnide

Published in Science Journal of Public Health (Volume 4, Issue 1)

Received: 25 January 2016 Accepted: 8 February 2016 Published: 29 February 2016

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

This study aimed to translate, adapt and validate the Yale Physical Activity Survey (YPAS) to Portuguese culture in order to assess the level of physical activity in a country with one of the world’s highest percentage of senior citizens. Permission was obtained from the original authors and translated according to WHO guidelines. Validation included 471 older adults (70.3% women; 74.9±6.5 years), covering Criterion Validity, through Spearman’s rho, with a cross-reference standard, by accelerometry with 96 subjects; and Reliability comprising Internal Consistency through Cronbach’s alpha with 471 subjects, and Temporal Stability through Intraclass Correlation Coefficient involving 30 subjects. YPAS-PT appeared suitable and relevant with low-to-moderate levels for all psychometric parameters. Significant correlations were found for all variables, including accelerometer data ranging from 0.201 to 0.452 (p<0.001). Internal consistency (α≥0.835) and temporal stability (ICC>0.75) demonstrated high reliability. The YPAS-PT is a valid instrument to assess Physical Activity patterns of Portuguese older adults, allowing record low-intensity activities typical of sedentary behavior, which is often excluded from other Physical Activity assessment tools. The study has concluded that the Portuguese version of YPAS (i.e., YPAS-PT) is a valid instrument to assess PA patterns of Portuguese older adults for research and social interventions.

Published in	Science Journal of Public Health (Volume 4, Issue 1)
DOI	10.11648/j.sjph.20160401.20
Page(s)	72-80
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

YPAS, Older Adults, Physical Activity, Questionnaires, Validation, Survey

References

[1]	World Health Organization. Global Recommendations on Physical Activity for Health. Geneva: WHO Press. 2010. ISBN 978 92 4 159 997 9.
[2]	Shephard RJ. Limits to the measurement of habitual physical activity by questionnaires. Br J Sports Med 2003; 37(3): 197-206.
[3]	Instituto Nacional de Estatística. Projecções de População Residente em Portugal 2008-2060. INE, IP. Lisboa. 2009. ISBN 978-989-25-0037-9.
[4]	Baptista F, Silva AM, Santos DA, Mota J, Santos R, Vale S, et al. Livro Verde da Atividade Física. IDP, I. P. Lisboa, 2011. ISBN: 978-989-8330-02-4.
[5]	Chodzko-Zajko WJ, Proctor DN, Fiatarone Singh MA, Minson CT, Nigg CR, et al. Exercise and Physical Activity for Older Adults (Position Stand). Med Sci Sports Exerc 2009; 41(7): 1510-30. DOI: 10.1249/MSS.0b013e3181a0c95c.
[6]	Kowalski K, Rhodes R, Naylor PJ, Tuokko H, Macdonald S. Direct and Indirect Measurement of Physical Activity in Older Adults: A Systematic Review of the Literature. Int J Behav Nutr Phys Act 2012; 9: 148-169.
[7]	Strath SJ, Kaminsky LA, Ainsworth BE, Ekelund U, Freedson PS, Gary RA, et al. Guide to the Assessment of Physical Activity: Clinical and Research Applications: A Scientific Statement From the American Heart Association. Circulation. 2013; 128: 2259-2279; DOI: 10.1161/01.cir.0000435708.67487.da.
[8]	De Abajo S, Larriba R, Marquez S. Validity and Reliability of the Yale Physical Activity Survey in Spanish Elderly. J Sports Med Phys Fitness 2001; 41(4): 479-485.
[9]	Craig C, 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. DOI:10.1249/01.MSS.0000078924.61453.FB.
[10]	Baptista F, Santos DA, Silva AM, Mota J, Santos R, Vale S, et al. Prevalence of the Portuguese Population attaining sufficient physical activity. Med Sci Sports Exerc 2012; 44(3): 466-473. 2012. DOI: 10.1249/MSS.0b013e318230e441.
[11]	Tomioka K, Iwamoto J, Saeki K, Okamoto N. Reliability and validity of the International Physical Activity Questionnaire (IPAQ) in elderly adults: the Fujiwarakyo Study. J Epidemiol 2011; 21(6): 459-465. doi:10.2188/jea.JE20110003.
[12]	Heesch KC, Van Uffelen JG, Hill RL, Brown WJ. What do IPAQ questions mean to older adults? lessons from cognitive interviews. Int J Behav Nutr Phys Act 2010, 7: 35 http://www.ijbnpa.org/content/7/1/35.
[13]	DiPietro L, Caspersen CJ, Ostfeld AM, Nadel ER. A Survey for Assessing Physical Activity Among Older Adults. Med Sci Sports Exerc 1993; 25(5): 628-642.
[14]	Young D, Jee S, Appel L. A Comparison of the Yale Physical Activity Survey With Other Physical Activity Measures. Med Sci Sports Exerc 2001; 33 (6): 955-961. doi: 0195-9131/01/3360.
[15]	Bonnefoy, M, Normand S, Pachiaudi C, Lacour R, Laville M, Kostka T. Simultaneous Validation of Ten Physical Activity Questionnaires in Older Men: A Doubly Labeled Water Study. J Am Geriatr Soc 2001; 49(1): 28-35.
[16]	Prince S, Adamo K, Hamel M, Hardt J, Gorber S, Tremblay M. A Comparison of Direct Versus Self-Report Measures for Assessing Physical Activity in Adults: a Systematic Review. Int J Behav Nutr Phys Act 2008; 5: 56-80. doi: 10.1186/1479-5868-5-56.
[17]	Starling RD, Matthews DE, Ades PA, Poehlman ET. Assessment of Physical Activity in Older Individuals: a Doubly Labeled Water Study. J Appl Physiol 1999; 86(6): 2090-2096.
[18]	Schuler PB, Richardson MT, Ochoa P, Wang MQ. Accuracy and Repeatability of the Yale Physical Activity Survey in Assessing Physical Activity of Older Adults. Percept Mot Skills 2001; 93(1): 163-177.
[19]	Pennathur A, Magham R, Contreras LR, Dowling, W. Daily Living Activities in Older Adults: Part II-Effect of Age on Physical Activity Patterns in Older Mexican American Adults. Int J Ind Ergon 2003; 32(6): 405–418. doi: 10.1016/S0169-8141(03)00099-4.
[20]	Kruskall LJ, Campbell, WW, Evans WJ. The Yale Physical Activity Survey for Older Adults: Predictions in the Energy Expenditure Due to Physical Activity. J Am Diet Assoc 2004; 104: 1251-1257. doi: org/10.1016/j.jada.2004.05.207.
[21]	Donnaire-Gonzalez D, Gimeno-Santos E, Serra I, Roca J, Balcells E, Rodríguez E, et al. Validation of the Yale Physical Activity Survey in Chronic Obstructive Pulmonary Disease Patients. Arch Bronconeumol 2011; 47: 552-560.
[22]	Martín V, Ayán C, Molina AJ, Alvarez MJ, Varela S, Cancela JM. Correlation Between the Yale Physical Activity Survey (YPAS) and Submaximal Performance-Based Test: a Study in a Population of Elderly Spanish Women. Arch Gerontol Geriatr 2012; 55(1): 31-34. doi: 10.1016/j.archger.2011.06.016.
[23]	Katz JN, Perez MT, Niu NN, Dong Y, Brownlee S, Elma SA, et al. Development and Validation of a Spanish Translation of the Yale Activity Questionnaire. BMC Musculoskelet Disord 2014; 15: 120. doi: 10.1186/1471-2474-15-120.
[24]	Pennathur A, Magham R, Contreras Lr, Dowling W. Test-Retest Reliability of Yale Physical Activity Survey Among Older Mexican American Adults: a Pilot Investigation. Exp Aging Res 2004; 30(3): 291-303. doi: 10.1080/03610730490447912.
[25]	Semanik P, Lee J, Manheim L, Dipietro L, Dunlop D, Chang RW. Relationship Between Accelerometer-Based Measures of Physical Activity and the Yale Physical Activity Survey in Adults with Arthritis. Arthritis Care Res 2011; 63 (12): 1766-1772. doi:10.1002/acr.20644.
[26]	Kolbe-Alexander TL, Lambert EV, Harkins JB, Ekelund U. Comparison of Two Methods of Measuring Physical Activity in South African Older Adults. J Aging Phys Act 2006; 14: 98-114.
[27]	Freedson Ps, Melanson E, Sirad J. Calibration of the Computer Science and Applications. Inc. Accelerometer. Med Sci Sports Exerc 1998; 30(5): 777-81. doi: 10.1097/00005768-199805000-00021.
[28]	Pruitt LA, Glynn NW, King AC, Guralnik JA, Aiken EK, Miller G, et al. Use of Accelerometry to Measure Physical Activity in Older Adults at Risk for Mobility Disability. J Aging Phys Act 2008; 16(4): 416-434. doi: 10.1249/00005768-199305000-0001
[29]	Copeland JL, Esliger DW. Accelerometer Assessment of Physical Activity In Active, Healthy Older Adults. J Aging Phys Act 2009; 17(1): 17-30.
[30]	Szklo M, Nieto J. Epidemiology: Beyond the Basics. 2^nd ed. Jones and Bartlett Publishers, Inc., 2007. ISBN- 13: 978-0-7637-2927-1.
[31]	Bassett Jr DR, Ainsworth BE, Swartz AM, Strath SJ, O’Brien WL, King GA. Validity of Four Motion Sensors in Measuring Moderate Intensity Physical Activity. Med Sci Sports Exerc 2000; 32(9): S471-480.
[32]	Harada ND, Chiu V, King AC, Stewart AL. An Evaluation of Three Self-Report Physical Activity Instruments for Older Adults. Med Sci Sports Exerc 2001; 33: 962-970.

Cite This Article

Plain Text BibTeX RIS

APA Style

Maria Machado, Ciro Tavares, Vera Moniz-Pereira, Helô André, Fátima Ramalho, et al. (2016). Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People. Science Journal of Public Health, 4(1), 72-80. https://doi.org/10.11648/j.sjph.20160401.20

Copy | Download

ACS Style

Maria Machado; Ciro Tavares; Vera Moniz-Pereira; Helô André; Fátima Ramalho, et al. Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People. Sci. J. Public Health 2016, 4(1), 72-80. doi: 10.11648/j.sjph.20160401.20

Copy | Download

AMA Style

Maria Machado, Ciro Tavares, Vera Moniz-Pereira, Helô André, Fátima Ramalho, et al. Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People. Sci J Public Health. 2016;4(1):72-80. doi: 10.11648/j.sjph.20160401.20

Copy | Download

@article{10.11648/j.sjph.20160401.20,
  author = {Maria Machado and Ciro Tavares and Vera Moniz-Pereira and Helô André and Fátima Ramalho and António Veloso and Filomena Carnide},
  title = {Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People},
  journal = {Science Journal of Public Health},
  volume = {4},
  number = {1},
  pages = {72-80},
  doi = {10.11648/j.sjph.20160401.20},
  url = {https://doi.org/10.11648/j.sjph.20160401.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160401.20},
  abstract = {This study aimed to translate, adapt and validate the Yale Physical Activity Survey (YPAS) to Portuguese culture in order to assess the level of physical activity in a country with one of the world’s highest percentage of senior citizens. Permission was obtained from the original authors and translated according to WHO guidelines. Validation included 471 older adults (70.3% women; 74.9±6.5 years), covering Criterion Validity, through Spearman’s rho, with a cross-reference standard, by accelerometry with 96 subjects; and Reliability comprising Internal Consistency through Cronbach’s alpha with 471 subjects, and Temporal Stability through Intraclass Correlation Coefficient involving 30 subjects. YPAS-PT appeared suitable and relevant with low-to-moderate levels for all psychometric parameters. Significant correlations were found for all variables, including accelerometer data ranging from 0.201 to 0.452 (p0.75) demonstrated high reliability. The YPAS-PT is a valid instrument to assess Physical Activity patterns of Portuguese older adults, allowing record low-intensity activities typical of sedentary behavior, which is often excluded from other Physical Activity assessment tools. The study has concluded that the Portuguese version of YPAS (i.e., YPAS-PT) is a valid instrument to assess PA patterns of Portuguese older adults for research and social interventions.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People
AU  - Maria Machado
AU  - Ciro Tavares
AU  - Vera Moniz-Pereira
AU  - Helô André
AU  - Fátima Ramalho
AU  - António Veloso
AU  - Filomena Carnide
Y1  - 2016/02/29
PY  - 2016
N1  - https://doi.org/10.11648/j.sjph.20160401.20
DO  - 10.11648/j.sjph.20160401.20
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 72
EP  - 80
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20160401.20
AB  - This study aimed to translate, adapt and validate the Yale Physical Activity Survey (YPAS) to Portuguese culture in order to assess the level of physical activity in a country with one of the world’s highest percentage of senior citizens. Permission was obtained from the original authors and translated according to WHO guidelines. Validation included 471 older adults (70.3% women; 74.9±6.5 years), covering Criterion Validity, through Spearman’s rho, with a cross-reference standard, by accelerometry with 96 subjects; and Reliability comprising Internal Consistency through Cronbach’s alpha with 471 subjects, and Temporal Stability through Intraclass Correlation Coefficient involving 30 subjects. YPAS-PT appeared suitable and relevant with low-to-moderate levels for all psychometric parameters. Significant correlations were found for all variables, including accelerometer data ranging from 0.201 to 0.452 (p0.75) demonstrated high reliability. The YPAS-PT is a valid instrument to assess Physical Activity patterns of Portuguese older adults, allowing record low-intensity activities typical of sedentary behavior, which is often excluded from other Physical Activity assessment tools. The study has concluded that the Portuguese version of YPAS (i.e., YPAS-PT) is a valid instrument to assess PA patterns of Portuguese older adults for research and social interventions.
VL  - 4
IS  - 1
ER  -

Copy | Download

Author Information

Maria Machado

Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Ciro Tavares

Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Vera Moniz-Pereira

Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Helô André
Fátima Ramalho

Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
António Veloso

Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal
Filomena Carnide

Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz Quebrada, Portugal

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Maria Machado, Ciro Tavares, Vera Moniz-Pereira, Helô André, Fátima Ramalho, et al. (2016). Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People. Science Journal of Public Health, 4(1), 72-80. https://doi.org/10.11648/j.sjph.20160401.20

Copy | Download

ACS Style

Maria Machado; Ciro Tavares; Vera Moniz-Pereira; Helô André; Fátima Ramalho, et al. Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People. Sci. J. Public Health 2016, 4(1), 72-80. doi: 10.11648/j.sjph.20160401.20

Copy | Download

AMA Style

Maria Machado, Ciro Tavares, Vera Moniz-Pereira, Helô André, Fátima Ramalho, et al. Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People. Sci J Public Health. 2016;4(1):72-80. doi: 10.11648/j.sjph.20160401.20

Copy | Download

@article{10.11648/j.sjph.20160401.20,
  author = {Maria Machado and Ciro Tavares and Vera Moniz-Pereira and Helô André and Fátima Ramalho and António Veloso and Filomena Carnide},
  title = {Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People},
  journal = {Science Journal of Public Health},
  volume = {4},
  number = {1},
  pages = {72-80},
  doi = {10.11648/j.sjph.20160401.20},
  url = {https://doi.org/10.11648/j.sjph.20160401.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20160401.20},
  abstract = {This study aimed to translate, adapt and validate the Yale Physical Activity Survey (YPAS) to Portuguese culture in order to assess the level of physical activity in a country with one of the world’s highest percentage of senior citizens. Permission was obtained from the original authors and translated according to WHO guidelines. Validation included 471 older adults (70.3% women; 74.9±6.5 years), covering Criterion Validity, through Spearman’s rho, with a cross-reference standard, by accelerometry with 96 subjects; and Reliability comprising Internal Consistency through Cronbach’s alpha with 471 subjects, and Temporal Stability through Intraclass Correlation Coefficient involving 30 subjects. YPAS-PT appeared suitable and relevant with low-to-moderate levels for all psychometric parameters. Significant correlations were found for all variables, including accelerometer data ranging from 0.201 to 0.452 (p0.75) demonstrated high reliability. The YPAS-PT is a valid instrument to assess Physical Activity patterns of Portuguese older adults, allowing record low-intensity activities typical of sedentary behavior, which is often excluded from other Physical Activity assessment tools. The study has concluded that the Portuguese version of YPAS (i.e., YPAS-PT) is a valid instrument to assess PA patterns of Portuguese older adults for research and social interventions.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Validation of YPAS-PT – The Yale Physical Activity Survey for Portuguese Older People
AU  - Maria Machado
AU  - Ciro Tavares
AU  - Vera Moniz-Pereira
AU  - Helô André
AU  - Fátima Ramalho
AU  - António Veloso
AU  - Filomena Carnide
Y1  - 2016/02/29
PY  - 2016
N1  - https://doi.org/10.11648/j.sjph.20160401.20
DO  - 10.11648/j.sjph.20160401.20
T2  - Science Journal of Public Health
JF  - Science Journal of Public Health
JO  - Science Journal of Public Health
SP  - 72
EP  - 80
PB  - Science Publishing Group
SN  - 2328-7950
UR  - https://doi.org/10.11648/j.sjph.20160401.20
AB  - This study aimed to translate, adapt and validate the Yale Physical Activity Survey (YPAS) to Portuguese culture in order to assess the level of physical activity in a country with one of the world’s highest percentage of senior citizens. Permission was obtained from the original authors and translated according to WHO guidelines. Validation included 471 older adults (70.3% women; 74.9±6.5 years), covering Criterion Validity, through Spearman’s rho, with a cross-reference standard, by accelerometry with 96 subjects; and Reliability comprising Internal Consistency through Cronbach’s alpha with 471 subjects, and Temporal Stability through Intraclass Correlation Coefficient involving 30 subjects. YPAS-PT appeared suitable and relevant with low-to-moderate levels for all psychometric parameters. Significant correlations were found for all variables, including accelerometer data ranging from 0.201 to 0.452 (p0.75) demonstrated high reliability. The YPAS-PT is a valid instrument to assess Physical Activity patterns of Portuguese older adults, allowing record low-intensity activities typical of sedentary behavior, which is often excluded from other Physical Activity assessment tools. The study has concluded that the Portuguese version of YPAS (i.e., YPAS-PT) is a valid instrument to assess PA patterns of Portuguese older adults for research and social interventions.
VL  - 4
IS  - 1
ER  -

Copy | Download