VALIDITY OF THE PHYSICAL ACTIVITY BEHAVIOR QUESTIONNAIRE (QCAF) AMONG HEALTHY AND UNHEALTHY INDIVIDUALS
Main Article Content
Abstract
Aim: The aim of this study was to test the convergent and divergent validity of the Physical Activity Behavior Questionnaire (QCAF, acronym in Portuguese for Questionário do Comportamento de Atividade Física), an instrument developed based on the Theory of Planned Behavior.
Methods: An exploratory study was conducted in an outpatient clinic among 236 individuals referred for cardiopulmonary exercise testing with oxygen uptake. Coronary heart disease, hypertensive and healthy individuals were enrolled. PA was measured by the QCAF and the Baecke Habitual PA Questionnaire (Baecke-HPA). Cardiorespiratory fitness was estimated by the Veterans Specific Activity Questionnaire (VSAQ), the peak (VO2peak) and the maximum oxygen uptake (VO2max).
Results: The convergent validity was verified by the confirmed relation between the QCAF and the measures of physical activity – Baecke-HPA (radj=0.32; p<0.0001) and cardiorespiratory fitness – VO2peak (radj=0.15; p=0.02), VO2max (radj=0.13; p=0.05) and VSAQ (radj=0.13; p=0.05). The divergent validity was confirmed by the absence of significant correlations between the QCAF and the Occupational Physical Activity domain of the Baecke-HPA (r=0.04; p=0.49), as expected.
Conclusion: The QCAF presented acceptable levels of convergent and divergent validity, demonstrating to be a useful tool in order to measure walking among a diverse adult population.
Article Details
How to Cite
SÃO-JOÃO, Thaís Moreira et al.
VALIDITY OF THE PHYSICAL ACTIVITY BEHAVIOR QUESTIONNAIRE (QCAF) AMONG HEALTHY AND UNHEALTHY INDIVIDUALS.
Medical Research Archives, [S.l.], v. 4, n. 7, nov. 2016.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/672>. Date accessed: 04 dec. 2024.
Keywords
Validation studies; Motor activity; Questionnaires; Coronary Disease; Hypertension; Psychometry.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
References
Ajzen, I. (1988) Attitude, personality and behaviour. Milton Keynes: Open University Press.
Balady, G.J., Arena, R., Sietsema, K., Myers, J., Coke, L., Fletcher, G.F., Forman, D., Franklin, B., Guazzi, M., Gulati, M., Keteyian, S.J., Lavie, C.J., Macko, R., Mancini, D., Milani, R.V.; American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Peripheral Vascular Disease; Interdisciplinary Council on Quality of Care and Outcomes Research. (2010). Clinician's Guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation, 122(2):191-225.
Bassett Jr, D.R., Howley, E.T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Medicine and Science in Sports and Exercise, 32(1):70–84.
Brazilian Cardiology Society. (2010). VI Brazilian Guidelines on Hypertension. Arquivos Brasileiros de Cardiologia, 95(1, Suppl. 1), I-III. https://dx.doi.org/10.1590/S0066-782X2010001700001
Christian HE, Bull FC, Middleton NJ, Knuiman MW, Divitini ML, Hooper P, Amarasinghe A, Giles-Corti B. How important is the land use mix measure in understanding walking behaviour? Results from the RESIDE study. Int J Behav Nutr Phys Act. 2011 Jun 2;8:55. doi: 10.1186/1479-5868-8-55.
Cohen J. (1992). A power primer. Psychological Bulletin, 112(1):155-159.
Cornélio, M.E., Gallani, M.C., Godin, G., Rodrigues, R.C., Mendez, R.D., Nadruz Junior, W. (2009). Development and reliability of an instrument to measure psychosocial determinants of salt consumption among hypertensive patients. Revista Latino-Americana de Enfermagem, 7(5):701-707.
Domingues, G.B.L., Gallani, M.C.B.J., Gobatto, C.A., Miura, C.T.P., Rodrigues, R.C.M., Myers, J. (2011). Cultural adaptation of an instrument to assess physical fitness in cardiac patients. Journal of Public Health, 45:276-285.
Farinatti, P.T.V. (2003). Presentation of a Portuguese version of the Compendium of Physical Activities: a contribution to researchers and professionals in exercise physiology. Brazilian Journal of Exercise Physiology, 2(2): 177-208.
Florindo, A.A., Latorre, M.R.D.O. (2003). Validation and reliability of the Baecke questionnaire for the evaluation of habitual physical activity in adult men. Brazilian Journal of Sports Medicine, 9:129-135.
Florindo, A.A., Latorre, M.R.D.O., Jaime, P.C., Tanaka, T., Zerbini, C.A.F. (2004). Methodology to evaluation the habitual physical activity in men aged 50 years or more. Journal of Public Health, 38:307-314.
Godin, G., Bélanger-Gravel, A., Amireault ,S., Vohl, M.C., Pérusse, L. (2011). The effect of mere-measurement of cognitions on physical activity behavior: a randomized controlled trial among overweight and obese individuals. International Journal of Behavioral Nutrition and Physical Activity, 11;8:2.
Ham, S.A., Kruger, J., Tudor-Locke, C. (2009). Participation by US adults in sports, exercise, and recreational physical activities. Journal of Physical Activity and Health, 6(1):6–14.
Helmerhorst, H.J.F., Brage, S.,Warren, J., Besson, H. & Ekelund, U. (2012). A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. International Journal of Behavioral Nutrition and Physical Activity, 9:103.
Lee, I.M., Rexrode, K.M., Cook, N.R., Manson, J.E., Buring, J.E. (2001). Physical Activity and Coronary Heart Disease in Women: Is “No Pain, No Gain” Passé?. Journal of the American Medical Association, 285(11):1447-54.
Meadows, K., Bentzen, N. & Touw-Otten, F. (1996). Cross-cultural issues: an outline of the important principles in establishing cross-cultural validity in health outcome assessment. In: Hutchinson, A., Bentzen, N. & König-Zahn, C. Cross Cultural Health Outcome Assessment; a user's guide [pp.34-40]. The Netherlands: ERGHO European Research Group on Health Outcomes.
Mendez, R.D.R., Rodrigues, R.C.M., Cornélio, M.E., Gallani, M.C.B.J., Godin, G. (2010). Development of an instrument to measure psychosocial determinants of physical activity behavior among coronary heart disease patients. Revista da Escola de Enfermagem da USP, 44(3):583-94.
Meneghelo, R.S., Araújo, C.G.S., Stein, R., Mastrocolla, L.E., Albuquerque, P.F., & Serra, S.M. (2010). III Diretrizes da Sociedade Brasileira de Cardiologia sobre teste ergométrico. Arquivos Brasileiros de Cardiologia, 95(5, Suppl. 1), 1-26. https://dx.doi.org/10.1590/S0066-782X2010000800001
Murtagh, E., Murphy, M., & Boone-Heinonen, J. (2010). Walking: the first steps in cardiovascular disease prevention. Current Opinion in Cardiology, 25(5), 490-496.
Myers, J., Buchanan, N., Smith, D., Neute,l J., Bowes, E., Walsh, D., Froelicher, V.F. (1992). Individualized ramp treadmill. Observations on a new protocol. Chest, 101:236S-41S.
Myers, J., Do, D., Herbert, W., Ribisl, P., Froelicher, V.F. (1994). A nomogram to predict exercise capacity from a specific activity questionnaire and clinical data. American Journal of Cardiology, 73(8):591-6.
Nogueira, L.A.C., Baitelli, C., Alvarenga, R.M.P., Thuler, LC..S. (2012). Tradução e adaptação transcultural da Multiple Sclerosis Walking Scale – 12 (MSWS-12) para a língua portuguesa do Brasil. Public Health Reports, 28(5):998-1004.
Ono, R., Hirata, S., Yamada, M., Nishiyama, T., Kurosaka, M., Tamura, Y. (2007). Reliability and validity of the Baecke physical activity questionnaire in adult women with hip disorders. BMC Musculoskeletal Disorders, 8,61.
Pereira, M.A., Folsom, A.R., McGovern, P.G., Carpenter, M., Arnett, D.K., Liao, D., Szklo, M. & Hutchinson, R.G. (1999). Physical activity and incident hypertension in black and white adults: the atherosclerosis risk in communities study. Preventive Medicine, 1999, 28:304-312.
Rodrigues, R.C.M., Gallani, M.C.B.J., Cornélio, M.E., Alexandre, N.M.C., São-João, T.M. (2013). The 'Moving Heart Program': an intervention to improve physical activity among patients with coronary heart disease. Revista Latino-Americana de Enfermagem, 21(Spec):180-189.
Spana, T.M., Rodrigues, R.C., Gallani, M.C., Mendez, R.D. (2010). Physical activity behavior among coronary outpatients according to socio-demographic and clinical profile. Brazilian Journal of Nursing, 63(5):741-748.
West, M.A., Parry, M., Asher, R., Key, A., Walker, P., Loughney, L., Pintus, S., Duffy, N., Jack, S., Torella, F. (2015). The Effect of beta-blockade on objectively measured physical fitness in patients with abdominal aortic aneurysms--A blinded interventional study. British Journal of Anaesthesia, 114(6):878-885.
Ajzen, I. (1988) Attitude, personality and behaviour. Milton Keynes: Open University Press.
Balady, G.J., Arena, R., Sietsema, K., Myers, J., Coke, L., Fletcher, G.F., Forman, D., Franklin, B., Guazzi, M., Gulati, M., Keteyian, S.J., Lavie, C.J., Macko, R., Mancini, D., Milani, R.V.; American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee of the Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Peripheral Vascular Disease; Interdisciplinary Council on Quality of Care and Outcomes Research. (2010). Clinician's Guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation, 122(2):191-225.
Bassett Jr, D.R., Howley, E.T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Medicine and Science in Sports and Exercise, 32(1):70–84.
Brazilian Cardiology Society. (2010). VI Brazilian Guidelines on Hypertension. Arquivos Brasileiros de Cardiologia, 95(1, Suppl. 1), I-III. https://dx.doi.org/10.1590/S0066-782X2010001700001
Christian HE, Bull FC, Middleton NJ, Knuiman MW, Divitini ML, Hooper P, Amarasinghe A, Giles-Corti B. How important is the land use mix measure in understanding walking behaviour? Results from the RESIDE study. Int J Behav Nutr Phys Act. 2011 Jun 2;8:55. doi: 10.1186/1479-5868-8-55.
Cohen J. (1992). A power primer. Psychological Bulletin, 112(1):155-159.
Cornélio, M.E., Gallani, M.C., Godin, G., Rodrigues, R.C., Mendez, R.D., Nadruz Junior, W. (2009). Development and reliability of an instrument to measure psychosocial determinants of salt consumption among hypertensive patients. Revista Latino-Americana de Enfermagem, 7(5):701-707.
Domingues, G.B.L., Gallani, M.C.B.J., Gobatto, C.A., Miura, C.T.P., Rodrigues, R.C.M., Myers, J. (2011). Cultural adaptation of an instrument to assess physical fitness in cardiac patients. Journal of Public Health, 45:276-285.
Farinatti, P.T.V. (2003). Presentation of a Portuguese version of the Compendium of Physical Activities: a contribution to researchers and professionals in exercise physiology. Brazilian Journal of Exercise Physiology, 2(2): 177-208.
Florindo, A.A., Latorre, M.R.D.O. (2003). Validation and reliability of the Baecke questionnaire for the evaluation of habitual physical activity in adult men. Brazilian Journal of Sports Medicine, 9:129-135.
Florindo, A.A., Latorre, M.R.D.O., Jaime, P.C., Tanaka, T., Zerbini, C.A.F. (2004). Methodology to evaluation the habitual physical activity in men aged 50 years or more. Journal of Public Health, 38:307-314.
Godin, G., Bélanger-Gravel, A., Amireault ,S., Vohl, M.C., Pérusse, L. (2011). The effect of mere-measurement of cognitions on physical activity behavior: a randomized controlled trial among overweight and obese individuals. International Journal of Behavioral Nutrition and Physical Activity, 11;8:2.
Ham, S.A., Kruger, J., Tudor-Locke, C. (2009). Participation by US adults in sports, exercise, and recreational physical activities. Journal of Physical Activity and Health, 6(1):6–14.
Helmerhorst, H.J.F., Brage, S.,Warren, J., Besson, H. & Ekelund, U. (2012). A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. International Journal of Behavioral Nutrition and Physical Activity, 9:103.
Lee, I.M., Rexrode, K.M., Cook, N.R., Manson, J.E., Buring, J.E. (2001). Physical Activity and Coronary Heart Disease in Women: Is “No Pain, No Gain” Passé?. Journal of the American Medical Association, 285(11):1447-54.
Meadows, K., Bentzen, N. & Touw-Otten, F. (1996). Cross-cultural issues: an outline of the important principles in establishing cross-cultural validity in health outcome assessment. In: Hutchinson, A., Bentzen, N. & König-Zahn, C. Cross Cultural Health Outcome Assessment; a user's guide [pp.34-40]. The Netherlands: ERGHO European Research Group on Health Outcomes.
Mendez, R.D.R., Rodrigues, R.C.M., Cornélio, M.E., Gallani, M.C.B.J., Godin, G. (2010). Development of an instrument to measure psychosocial determinants of physical activity behavior among coronary heart disease patients. Revista da Escola de Enfermagem da USP, 44(3):583-94.
Meneghelo, R.S., Araújo, C.G.S., Stein, R., Mastrocolla, L.E., Albuquerque, P.F., & Serra, S.M. (2010). III Diretrizes da Sociedade Brasileira de Cardiologia sobre teste ergométrico. Arquivos Brasileiros de Cardiologia, 95(5, Suppl. 1), 1-26. https://dx.doi.org/10.1590/S0066-782X2010000800001
Murtagh, E., Murphy, M., & Boone-Heinonen, J. (2010). Walking: the first steps in cardiovascular disease prevention. Current Opinion in Cardiology, 25(5), 490-496.
Myers, J., Buchanan, N., Smith, D., Neute,l J., Bowes, E., Walsh, D., Froelicher, V.F. (1992). Individualized ramp treadmill. Observations on a new protocol. Chest, 101:236S-41S.
Myers, J., Do, D., Herbert, W., Ribisl, P., Froelicher, V.F. (1994). A nomogram to predict exercise capacity from a specific activity questionnaire and clinical data. American Journal of Cardiology, 73(8):591-6.
Nogueira, L.A.C., Baitelli, C., Alvarenga, R.M.P., Thuler, LC..S. (2012). Tradução e adaptação transcultural da Multiple Sclerosis Walking Scale – 12 (MSWS-12) para a língua portuguesa do Brasil. Public Health Reports, 28(5):998-1004.
Ono, R., Hirata, S., Yamada, M., Nishiyama, T., Kurosaka, M., Tamura, Y. (2007). Reliability and validity of the Baecke physical activity questionnaire in adult women with hip disorders. BMC Musculoskeletal Disorders, 8,61.
Pereira, M.A., Folsom, A.R., McGovern, P.G., Carpenter, M., Arnett, D.K., Liao, D., Szklo, M. & Hutchinson, R.G. (1999). Physical activity and incident hypertension in black and white adults: the atherosclerosis risk in communities study. Preventive Medicine, 1999, 28:304-312.
Rodrigues, R.C.M., Gallani, M.C.B.J., Cornélio, M.E., Alexandre, N.M.C., São-João, T.M. (2013). The 'Moving Heart Program': an intervention to improve physical activity among patients with coronary heart disease. Revista Latino-Americana de Enfermagem, 21(Spec):180-189.
Spana, T.M., Rodrigues, R.C., Gallani, M.C., Mendez, R.D. (2010). Physical activity behavior among coronary outpatients according to socio-demographic and clinical profile. Brazilian Journal of Nursing, 63(5):741-748.
West, M.A., Parry, M., Asher, R., Key, A., Walker, P., Loughney, L., Pintus, S., Duffy, N., Jack, S., Torella, F. (2015). The Effect of beta-blockade on objectively measured physical fitness in patients with abdominal aortic aneurysms--A blinded interventional study. British Journal of Anaesthesia, 114(6):878-885.