Assessment of Reliability and Content Validity of Adapted Persian Version of Physical Activity Level Questionnaire in MASHAD Cohort Study, Mashhad, Northeastern Iran

Document Type : Original Article

Authors

1 Department of Clinical Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

3 Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Division of Medical Education, Brighton & Sussex Medical School, Falmer, Brighton, Sussex, UK

5 Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Physical activity is an important part of a healthy lifestyle by reducing the risk of chronic diseases. Noticing the importance of measuring physical activity in medical investigations, the purpose of this study was to evaluate the reliability and validity of the Physical Activity Level (PAL) questionnaire adapted from the Scottish Heart Health Study (SHHS)/monitoring trends and determinants in cardiovascular disease (MONICA) questionnaire to be used in Mashad Cohort Study.
Methods: This cross-sectional study was conducted among thirty-five healthy participants aged 35-65 years, living in Mashhad, Iran. Translation of the physical activity level (PAL) questionnaire was performed using forward-backward method. Test–retest reliability was evaluated by Intra Class Correlation (ICC) coefficient. Content validity, according to the
opinions of 15 experts, was investigated by using Content Validity Ratio (CVR) and content validity index (CVI).
Results: The ICC was reported to be 0.887 (95% CI: 0.779-0.956). The CVR was 0.47 for the first question, 1 for the next two, 0.87 for the fourth and fifth, and 0.33 and 0.2 for the sixth and seventh, respectively. The I-CVI (R) was equal to 1 for all the questions.
Conclusion: The adapted Persian version of PAL questionnaire was shown to be a reliable and content valid instrument to measure PAL in 35-65 years old healthy population.

Highlights

Najmeh Seifi (Google Scholar)

Habibollah Esmaily (Google Scholar)

Majid Ghayour-Mobarhan (Google Scholar)

Keywords

References

  1. Katzmarzyk PT, Jakicic JM. Physical Activity for Health-Every Minute Counts. JAMA. 2023;330:213-4. DOI: 10.1001/jama.2023.11014. PMID: 37462698.
  2. Sheikhani Shahin H, Mehrabani D, Nazhvani SD, et al. The effect of aquatic activity and alogenic bone marrow derived mesenchymal stem cells fortified with Platelet-Rich Plasma in treatment of Achilles tendon in rat. Res Sport Med Technol. 2022;12:25-41. DOI: 10.29252/jsmt.12.1.25.
  3. Dhuli K, Naureen Z, Medori MC, et al. Physical activity for health. J Prev Med Hyg. 2022;63:E150-E159. DOI: 10.15167/2421-4248/jpmh2022.63.2S3.2756. PMID: 36479484
  4. Sheikhani-Shahin H, Mehrabani D, Ashraf MJ, et al. The healing effect of bone marrow-derived stem cells and aquatic activity in Achilles tendon injury. J Hellenic Vet Med Soc. 2019;70:1373-1380. DOI:10.12681/jhvms.20342.
  5. Farhmand M, Almasi-Hashiani A, Mehrabani D. Survival rate and its predictors in colorectal cancer patients, southern Iran. Arak Univ J Med Sci. 2013;15:54-60. DOI: 10.5829/idosi.mejsr.2012.12.8.6562.
  6. Mehrabani D, Ahrari Z, Rezaianzadeh A, et al. Incidence Of Breast Cancer In Fars Province, Southern Iran: A Hospital-Based Study. World J Plast Surg. 2012;1:16-21. PMID: 25734039.
  7. Dehghanpisheh S, Daryanoosh F, Mehrabani D, et al. The effect of eight weeks aerobic exercise on visfatin level in non-athletic young women, southern Iran. Middle-East J Sci Res. 2014;21:314-319. DOI: 10.5829/idosi.mejsr.2014.21.02.8255.
  8. Mahindru A, Patil P, Agrawal V. Role of physical activity on mental health and well-being: A review. Cureus. 2023;15:e33475. DOI: 10.7759/cureus.33475. PMID: 36756008.
  9. Organization WH. The world health report 2002: reducing risks, promoting healthy life: World Health Organization; 2002.
  10. McClain JJ, Lee CD, Swan P, et al. Evaluation of physical activity measures used in middle-aged women. Med Sci Sports Exerc. 2009;41:1403-12. DOI: 10.1249/MSS.0b013e31819b2482. PMID: 19516161.
  11. Mahmoodi R, Daryanoosh F, Kasharafifard S, et al. Effect of exercise on serum adiponectin and lipoprotein levels in male rat. Pak J Biol Sci. 2014;17:297-300. DOI: 10.3923/pjbs.2014.297.300. PMID: 24783818.
  12. Martínez-González MA, López-Fontana C, Varo JJ, et al. Validation of the Spanish version of the physical activity questionnaire used in the Nurses' Health Study and the Health Professionals' Follow-up Study. Public Health Nutr. 2005;8:920-7. DOI: 10.1079/phn2005745. PMID: 16277809.
  13. Camões M, Severo M, Santos AC, et al. Testing an adaptation of the EPIC physical activity questionnaire in Portuguese adults: a validation study that assesses the seasonal bias of self-report. Ann Hum Biol. 2010;37:186-98. DOI: 10.3109/03014460903341836. PMID: 19961349.
  14. Masoumi SJ, Khademolhosseini F, Mehrabani D, et al. Correlation Of Quality Of Life With Gastroesophageal Reflux Disease Amongst Qashqai Nomads In Iran. Arch Iran Med. 2012;15:47-50. PMID: 23199245.
  15. Neilson HK, Robson PJ, Friedenreich CM, Csizmadi I. Estimating activity energy expenditure: how valid are physical activity questionnaires? Am J Clin Nutr. 2008;87:279-91. DOI: 10.1093/ajcn/87.2.279. PMID: 18258615.
  16. International Physical Activity Questionnaire 2009. Available from: http://www.ipaq.ki.se/ipaq.htm.
  17. Thuy AB, Blizzard L, Schmidt M, Luc PH, Magnussen C, Dwyer T. Reliability and validity of the global physical activity questionnaire in Vietnam. J Phys Act Health. 2010;7:410-8. DOI: 10.1123/jpah.7.3.410. PMID: 20551499.
  18. Kannel WB, Sorlie P. Some health benefits of physical activity: the Framingham Study. Arch Intern Med. 1979;139:857-61. PMID: 464698.
  19. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36:936-42. DOI: 10.1093/ajcn/36.5.936. PMID: 7137077.
  20. Taylor HL, Jacobs Jr DR, Schucker B, Knudsen J, Leon AS, Debacker G. A questionnaire for the assessment of leisure time physical activities. J Chronic Dis. 1978;31:741-55. DOI: 10.1016/0021-9681(78)90058-9. PMID: 748370.
  21. Jurj AL, Wen W, Xiang YB, et al. Reproducibility and validity of the Shanghai Men's Health Study physical activity questionnaire. Am J Epidemiol. 2007;165:1124-33. DOI: 10.1093/aje/kwk119. PMID: 17351289.
  22. Momenan AA, Delshad M, Sarbazi N, et al. Reliability and validity of the Modifiable Activity Questionnaire (MAQ) in an Iranian urban adult population. Arch Iran Med. 2012;15:279-82. PMID: 22519376.
  23. Delshad M, Ghanbarian A, Ghaleh NR, et al. Reliability and validity of the modifiable activity questionnaire for an Iranian urban adolescent population. Int J Prev Med. 2015;6:3. DOI: 10.4103/2008-7802.151433. PMID: 25789138.
  24. Manshadi FD, Azimi H, Montazeri A, Sadeghisani M. Validity and Reliability of the Persian Version of Baecke Habitual Physical Activity Questionnaire in Healthy Subjects. Asian J Sports Med. 2016;7:e31778. DOI: 10.5812/asjsm.31778. PMID: 27826396.
  25. James WPT, Schofield EC. Human energy requirements. A manual for planners and nutritionists: Oxford University Press; 1990.
  26. Bolton-Smith C, Woodward M, Tunstall-Pedoe H. The Scottish Heart Health Study. Dietary intake by food frequency questionnaire and odds ratios for coronary heart disease risk. II. The antioxidant vitamins and fibre. Eur J Clin Nutr. 1992;46:85-93. PMID: 1313760.
  27. Joint F. Energy and protein requirements: Report of a joint FAO/WHO/UNU Expert Consultation. Technical Report Series (WHO): World Health Organization; 1985.
  28. Zeraati M, Alavi NM. Designing and validity evaluation of quality of nursing care scale in intensive care units. J Nurs Meas. 2014;22:461-71. DOI: 10.1891/1061-3749.22.3.461.PMID: 25608432.
  29. Lawshe CH. A quantitative approach to content validity. Personnel psychol. 1975;28:563-75. DOI:10.1111/j.1744-6570.1975.tb01393.x.
  30. Boon RM, Hamlin MJ, Steel GD, et al. 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;44:741-6. DOI: 10.1136/bjsm.2008.052167. PMID: 18981036
  31. Questionnaire IPA. 2009.
  32. Kritz-Silverstein D, Barrett-Connor E, Corbeau C. Cross-sectional and prospective study of exercise and depressed mood in the elderly: the Rancho Bernardo study. Am J Epidemiol. 2001;153:596-603. DOI: 10.1093/aje/153.6.596. PMID: 11257068.
  33. Lee IM. Physical activity and cancer prevention--data from epidemiologic studies. Med Sci Sports Exerc. 2003;35:1823-7. DOI: 10.1249/01.MSS.0000093620.27893.23. PMID: 14600545.
  34. Manson JE, Stampfer M, Colditz G, et al. Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet. 1991;338:774-8. DOI: 10.1016/0140-6736(91)90664-b. PMID: 1681160.
  35. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ. 2006;174:801-9. DOI: 10.1503/cmaj.051351. PMID: 16534088.
  36. Gholami Fesharaki M, AzadMarzabadi E. Evaluation of the reliability and validity of Azad-Fesharaki's physical activity questionnaire (AFPAQ). J Arak Univ Med Sci. 2011;14:36-44.
  37. Pereira M, FitzerGerald S, Gregg E. A collection of physical activity questionnaires for health-related research. Kriska and Caspersen, Eds. Centers for Disease Control and Prevention. Med Sci Sports Exerc. 1997;29:S1-205.
  38. Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381-95. DOI: 10.1249/01.MSS.0000078924.61453.FB. PMID: 12900694.
  39. Trinh OT, Do Nguyen N, Van Der Ploeg HP, Dibley MJ, Bauman A. Test-retest repeatability and relative validity of the Global Physical Activity Questionnaire in a developing country context. J Phys Act Health. 2009;6:S46-S53. DOI: 10.1123/jpah.6.s1.s46. PMID: 19998849.
  40. Ono R, Hirata S, Yamada M, et al. Reliability and validity of the Baecke physical activity questionnaire in adult women with hip disorders. BMC Musculoskelet Disord. 2007;8:61. DOI: 10.1186/1471-2474-8-61. PMID: 17610746.
International Journal of Nutrition Sciences
Volume 11, Issue 3 - Serial Number 3
September 2026
Pages 469-475

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