Physical Activity Assessment in an Italian Adult Population using the International Physical Activity Questionnaire

Authors

  • Angela Polito
  • Federica Intorre
  • Donatella Ciarapica
  • Lorenzo Barnaba
  • Anna Tagliabue

DOI:

https://doi.org/10.17140/OROJ-4-127

Keywords:

Physical activity assessment; IPAQ; Subjective methods; Community-based research

Abstract

Introduction: The international physical activity questionnaire (IPAQ) was developed as an instrument for cross-national monitoring of physical activity (PA) and inactivity. The aim of this
study was to determine the PA level in a sample of Italian population.
Methods: In total 957 adults (56% women) aged 19-65 years were randomly recruited. PA was
assessed using the long form of the IPAQ (IPAQ-L). Lifestyle, body weight and height were
obtained by questionnaire.
Results: The total PA was 1610 MET-min/week: subjects were physically more active in the
domestic and garden domain, contrary to transportation and leisure domain. Classifying the
activities on the basis of the intensity, significant differences between sexes were detected for
moderate and vigorous activities; moreover subjects aged 18-30 years had the lowest levels of
PA, while subjects aged >50 had the highest levels. The 86% of the examined population spent
at least 30 minutes of moderate PA on 5 days of the week, adhering to the international recommendations.
Conclusions: Differences in PA between sexes and among age groups were observed. Strategies for increasing PA should be addressed especially to the young adults.

References

World Health Organization. Global Recommendations on Physical Activity for Health. Geneva, Switzerland: WHO; 2010.

Gregg EW, Gerzoff RB, Caspersen CJ, et al. Relationship of walking to mortality among US adults with diabetes. Arch Intern Med. 2003; 163: 1440-1447. doi: 10.1001/archinte.163.12.1440

Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: The evidence. CMAJ. 2006; 174(6): 801-809. doi: 10.1503/cmaj.051351

Powell KE, Paluch AE, Blair SN. Physical activity for health: What kind? How much? How intense? On top of what? Ann Rev Public Health. 2011; 32: 349-365. doi: 10.1146/annurev-publ-health-031210-101151

Blair SN. Physical inactivity: The biggest public health prob-lem of the 21st century. Br J Sports Med. 2009; 43: 1-2. Web site. http://bjsm.bmj.com/content/43/1/1.full. Accessed Septem-ber 8, 2016

World Health Organization. Global Health Risks: Mortality and Burden of Disease Attributable to Selected Major Risks. Ge-neva, Switzerland: WHO; 2009.

World Health Organization. Physical Activity. Geneva, Swit-zerland: WHO; 2014.

Lim SS, Vos T, Flaxman AD, et al. A comparative risk as-sessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: A sys-tematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380(9859): 2224-2260. doi: 10.1016/S0140- 6736(12)61766-8

Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: Surveillance prog-ress, pitfalls, and prospects. The Lancet. 2012; 380: 247-257. doi: 10.1016/S0140-6736(12)60646-1

Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and valid-ity. Med Sci Sports Exerc. 2003; 35(8): 1381-1395. Web site. http://www.gac-usp.com.br/resources/International%20physi-cal%20activity%20questionnaire-%2012-country%20reliabil-ity%20and%20validity%20-%20CRAIG%20-%202003.pdf. Accessed September 8, 2016

Loyen A, Van Hecke L, Verloigne M, et al. Variation in population levels of physical activity in European adults accord-ing to cross-European studies: A systematic literature review within DEDIPAC. Int J Behav Nutr Phys Act. 2016; 13: 72. doi: 10.1186/s12966-016-0398-2

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity 323 Questionnaire Short Form (IPAQ-SF): A systematic review. Int J Behav Nutr Phys Act. 2011; 21 (8): 115. doi: 10.1186/1479-5868-8-115

Pereira MA, FitzerGerald SJ, Gregg EW, et al. A collection of physical activity questionnaires for health-related research. Med Sci Sports Exerc. 1997; 29(6 Suppl): S1-S205.

International Physical Activity Questionnaire (IPAQ). IPAQ Research Committee. 2005. Web site. http://www.ipaq.ki.se. Ac-cessed September 8, 2016

Deng HB, Macfarlane DJ, Thomas GN, et al. Reliability and validity of the IPAQ-Chinese: The Guangzhou Biobank Cohort study. Med Sci Sports Exerc. 2008; 40: 303-307. doi: 10.1249/ mss.0b013e31815b0db5

Lohman TG, Roche AF, Martorell R. Anthropometric Stan-dardization Reference Manual. USA: Human Kinetics Books; 1988: 14.

Health Organization. Physical Status: The Use and Inter-pretation of Anthropometry. Geneva, Switzerland: WHO; 1995.

Ainsworth BE, Haskell WL, Herrmann SD, et al. 2011 Com-pendium of physical activities: A second update of codes and MET values. Med Sci Sports Exerc. 2011; 43(8): 1575-1581. doi: 10.1249/MSS.0b013e31821ece12

Ainsworth BE, Haskell WL, Leon AS, et al. Compendium of physical activities: Classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993; 25(1): 71-80. doi: 10.1249/00005768-199301000-00011

Ainsworth BE, Haskell WL, Whitt MC, et al. Compendium of physical activities: An update of activity codes and MET in-tensities. Med Sci Sports Exerc. 2000; 32(9 Suppl): S498-S504. Web site. http://ocw.um.es/cc.-de-la-salud/alimentacion-y-nutri-cion-actuales/otros-recursos-1/or-f-003.pdf. Accessed Septem-ber 8, 2016

Rutten A, Ziemainz H, Schena F, et al. Using different physi-cal activity measurements in eight European countries. Results of the European Physical Activity Surveillance System (EU-PASS) time 343 series survey. Public Health Nutr. 2003; 6: 371- 376. doi: 10.1079/PHN2002450

Hallal P, Gomes C, Kingdon J, et al. Comparison of short and full-length international physical activity questionnaires. J Phys Act Health. 2004; 13: 227-234. doi: 10.1123/jpah.1.3.227

Eurobarometer S. Sport and physical activity. Special Euro-barometer 412/Wave EB80.2. 2014. Web site. http://ec.europa. eu/public_opinion/archives/ebs/ebs_334_en.pdf. Accessed Sep-tember 8, 2016

Italian National Statistics Institute. Multipurpose survey on households: Aspects of daily life. 2013. Web site. www.istat.it/ it/archivio/128694. Accessed September 8, 2016

Istituto Superiore della Sanità Passi - Progressi delle Aziende Sanitarie per la Salute in Italia [In: Italian]. Report nazionale Passi 2011: attività fisica. 2012. Web site. http://www.epicentro. iss.it/passi/dati/attivita.asp. Accessed September 8, 2016

Hallal PC, Victora CG. Reliability and validity of the In-ternational Physical Activity Questionnaire (IPAQ). Med Sci Sports Exerc. 2004; 36: 556. Web site. http://cat.inist.fr/?aMo dele=afficheN&cpsidt=15573084. Accessed September 8, 2016

Mannocci A, Di Thiene D, Del Cimmuto A, et al. Interna-tional Physical Activity Questionnaire: Validation and assess-ment in an Italian sample. Ital J Public Health. 2010; 7(4): 369- 376. Web site. http://ijphjournal.it/article/view/5694. Accessed September 8, 2016

Steene-Johannessen J, Anderssen SA, van der Ploeg HP, et al. Are self-report measures able to define individuals as physi-cally active or inactive? Med Sci Sports Exerc. 2016; 48(2): 235- 244. doi: 10.1249/MSS.0000000000000760

Khaw KT, Jakes R, Bingham S, et al. Work and leisure time physical activity assessed using a simple, pragmatic, validated questionnaire and incident cardiovascular disease and all-cause mortality in men and women: The European Prospective Inves-tigation into Cancer in Norfolk prospective population study. Int J Epidemiol. 2006; 35:1034-1043. doi: 10.1093/ije/dyl079

Hu G, Eriksson J, Barengo NC, et al. Occupational, com-muting, and leisure-time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type 2 diabetes. Circulation. 2004; 110: 666-673. doi: 10.1161/01. CIR.0000138102.23783.94

Hu G, Jousilahti P, Antikainen R, Tuomilehto J. Occupa-tional, commuting, and leisure-time physical activity in relation to cardiovascular mortality among finnish subjects with hyper-tension. Am J Hypertens. 2007; 20: 1242-1250. doi: 10.1016/j. amjhyper.2007.07.015

Gutierrez-Fisac JL, Guallar-Castillon P, Diez-Ganan L, et al. Work-related physical activity is not associated with body mass index and obesity. Obes Res. 2002; 10: 270-276. doi: 10.1038/ oby.2002.37

Fung TT, Hu FB, Yu J, et al. Leisure time physical activity, television watching, and plasma biomarkers of obesity and car-diovascular disease risk. Am J Epidemiol. 2000; 152: 1171-1178. doi: 10.1093/aje/152.12.1171

Ruzic L, Heimer S, Misigoj-Durakovic M, Matkovic BR. Increased occupational physical activity does not improve physical fitness. Occup Environ Med. 2003; 60: 983-985. doi: 10.1136/oem.60.12.983

Tuero C, De Paz JA, Marquez S. Relationship of measures of leisure time physical activity to physical fitness indicators in Spanish adults. J Sports Med Phys Fitness. 2001; 41: 62-67. Web site. http://search.proquest.com/openview/25dc82eebeaa9 0a3cb5f3e4d59dc124f/1?pq-origsite=gscholar. Accessed Sep-tember 8, 2016

Sjostrom M, Oja P, Hagstromer M, et al. Health-enhancing physical activity across European Union countries: The Euroba-rometer study. J Publ Health. 2006; 14: 291-300. doi: 10.1007/ s10389-006-0031-y

Droomers M, Schrijvers CT, Mackenbach JP. Educational level and decreases in leisure time physical activity: Predictors from the longitudinal GLOBE study. J Epidemiol Community Health. 2001; 55: 562-568. doi: 10.1136/jech.55.8.562

Dąbrowska J, Dąbrowska-Galas M, Naworska B, et al. The role of physical activity in preventing obesity in midlife women. Prz Menopauzalny. 2015; 14(1): 13-19. doi: 10.5114/ pm.2015.49252

Ciarapica D, Mauro B, Zaccaria M, et al. Validity of self-re-ported body weight and height among women including patients with eating disorders. Eat Weight Disord. 2010; 15: e74-e80. doi: 10.1007/BF03325282

Warren JM, Ekelund U, Besson H, et al. Assessment of physical activity - a review of methodologies with reference to epidemiological research: A report of the exercise physiology section of the European Association of Cardiovascular Preven-tion and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010; 17(2): 127-139. doi: 10.1097/HJR.0b013e32832ed875

Rzewnicki R, Vanden Auweele Y, De Bourdeaudhuij I. Ad-dressing over-reporting on the International Physical Activ-ity Questionnaire (IPAQ) telephone survey with a population sample. Public Health Nutr. 2003; 6(3): 299-305. doi: 10.1079/ PHN2002427

Sallis JF, Saelens BE. Assessment of physical activity by self report: Status, limitations, and future directions. Res Q Exerc Sport. 2000; 71: S1-S14. doi: 10.1080/02701367.2000.11082780

Klesges RC, Eck LH, Mellon MW, et al. The accuracy of self-reports of physical activity. Med Sci Sports Exerc. 1990; 22: 690-697. doi: 10.1249/00005768-199010000-00022

Downloads

Published

2017-09-16

How to Cite

Angela Polito, Federica Intorre, Donatella Ciarapica, Lorenzo Barnaba, & Anna Tagliabue. (2017). Physical Activity Assessment in an Italian Adult Population using the International Physical Activity Questionnaire. Obesity Research, 1–10. https://doi.org/10.17140/OROJ-4-127

Issue

Section

Articles