Validation of the rapid assessment of physical activity questionnaire in older patients with chronic obstructive pulmonary disease

Year 2021, Volume: 5 Issue: 3, 100 - 106, 20.09.2021

Rıdvan Aktan , Sevgi Özalevli , Gamze Yalçınkaya , Aylin Özgen Alpaydın , Can Sevinç

https://doi.org/10.30621/jbachs.917212

Cited By: 1

Abstract

Purpose: There are not many questionnaires that have proven validity and reliability in evaluating the level of physical activity in older patients with chronic obstructive pulmonary disease (COPD). In clinical and scientific studies, it is important to quickly determine the physical activity level of patients in terms of time management. The aim of the study was to examine the validity of the rapid assessment of physical activity (RAPA) questionnaire in older patients with COPD.

Methods: A total of 105 older patients with COPD surveyed the short form of the International Physical Activity Questionnaire (IPAQ-SF) and after 2 weeks RAPA questionnaire as well. The IPAQ-SF was accepted as the gold standard for physical activity assessment in COPD. Furthermore, patients were assessed for a 6-min walking test (6MWT) and perceived dyspnea (with modified medical research dyspnea scale (mMRC)). Correlation coefficients (r) was used for the relationship between RAPA and IPAQ-SF.

Results: There were significant positive correlations between RAPA and IPAQ-SF total score (r = 0.968, p< 0.001), 6MWT (r = 0.626, p< 0.001), in addition to significant negative correlation between the RAPA and mMRC scores (r = -0.454, p< 0.001). The RAPA showed good sensitivity (87.5%) and a specificity (100%) value. Positive and negative predictive values of the RAPA were 100% and 96.4% respectively.

Conclusion: This study showed the RAPA was an easy-to-use, valid, and reliable questionnaire to measure physical activity levels in older patients with COPD.

Keywords

Chronic Obstructive, Pulmonary Disease, Physical activity, Assessment, Questionnaire

References

• Williams K, Frei A, Vetsch A, Dobbels F, Puhan MA, Rüdell K. Patient-reported physical activity questionnaires: a systematic review of content and format. Health Qual Life Outcomes 2012; 10:28.
• Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011; 431334-1359.
• Devereux-Fitzgerald A, Powell R, Dewhurst A, French DP. The acceptability of physical activity interventions to older adults: A systematic review and meta-synthesis. Soc Sci Med 2016; 158:14-23.
• Garcia-Aymerich J, Farrero E, Felez M, Izquierdo J, Marrades R, Anto J. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study. Thorax 2003; 58:100-105.
• Yohannes AM, Baldwin RC, Connolly M. Mortality predictors in disabling chronic obstructive pulmonary disease in old age. Age Ageing 2002; 31:137-140.
• Montoye HJ. Introduction: evaluation of some measurements of physical activity and energy expenditure. Med Sci Sports Exerc 2000; 32:S439-S441.
• Restrick LJ, Paul EA, Braid GM, Cullinan P, Moore-Gillon J, Wedzicha JA. Assessment and follow up of patients prescribed long term oxygen treatment. Thorax 1993; 48:708-713.
• The Global Strategy of Diagnosis, Management and Prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2021. Available from: http://www.goldcopd.org/.
• Folgering H, von Herwaarden C. Exercise limitations in patients with pulmonary diseases. Int J Sports Med 1994; 15:107-111.
• McCarthy B, Casey D, Devane D, Murphy K, Murphy E, Lacasse Y. Pulmonary rehabilitation for chronic obstructive pulmonary disease. Cochrane Database Syst Rev 2015; 2:CD003793. https://doi.org/10.1002/14651858.CD003793.pub3.
• Celli BR, MacNee W. Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J 2004; 23:932-946.
• Schrack JA, Cooper R, Koster A, et al. Assessing daily physical activity in older adults: unraveling the complexity of monitors, measures, and methods. J Gerontol A Biol Sci Med Sci 2016; 71:1039-1048.
• Donaire-Gonzalez D, Gimeno-Santos E, Serra I, et al. Validation of the Yale Physical Activity Survey in chronic obstructive pulmonary disease patients. Arch Bronconeumol 2011; 47:552-560.
• Katajisto M, Kupiainen H, Rantanen P, et al. Physical inactivity in COPD and increased patient perception of dyspnea. Int J Chron Obstruct Pulmon Dis 2012; 7:743-755.
• Liao S-Y, Benzo R, Ries AL, Soler X. Physical activity monitoring in patients with chronic obstructive pulmonary disease. Chronic Obstr Pulm Dis 2014; 1:155-165.
• Çekok FK, Kahraman T, Kalkışım M, Genç A, Keskinoğlu P. Cross‐cultural adaptation and psychometric study of the Turkish version of the Rapid Assessment of Physical Activity. Geriatr Gerontol Int 2017; 17:1837-1842.
• Topolski TD, LoGerfo J, Patrick DL, Williams B, Walwick J, Patrick MMB. Peer reviewed: the Rapid Assessment of Physical Activity (RAPA) among older adults. Prev Chronic Dis 2006; 3:A118.
• MacNee W. Chapter 41 - Chronic Obstructive Pulmonary Disease: Epidemiology, Pathophysiology, and Clinical Evaluation. In: Spiro SG, Silvestri GA, Alvar A, editors. Clinical Respiratory Medicine (Fourth Edition). Philadelphia: W.B. Saunders; 2012.p.531-552.
• Nunnally J. Psychometric theory. New York: McGraw-Hill; 1978.
• Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35:1381-1395.
• Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 2010; 111:278-284.
• Chhabra SK, Gupta AK, Khuma MZ. Evaluation of three scales of dyspnea in chronic obstructive pulmonary disease. Ann Thorac Med 2009; 4:128-132.
• ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166:111-117.
• McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb) 2012; 22:276-282.
• Westen D, Rosenthal R. Quantifying construct validity: two simple measures. J Pers Soc Psychol 2003; 84:608-618.
• Hayata A, Minakata Y, Matsunaga K, Nakanishi M, Yamamoto N. Differences in physical activity according to mMRC grade in patients with COPD. Int J Chron Obstruct Pulmon Dis 2016; 11:2203-2208.
• DePew ZS, Garofoli AC, Novotny PJ, Benzo RP. Screening for severe physical inactivity in chronic obstructive pulmonary disease: the value of simple measures and the validation of two physical activity questionnaires. Chron Respir Dis 2013; 10:19-27.
• Watz H, Waschki B, Meyer T, Magnussen H. Physical activity in patients with COPD. Eur Respir J 2009; 33:262-272.
• Van Remoortel H, Hornikx M, Demeyer H, et al. Daily physical activity in subjects with newly diagnosed COPD. Thorax 2013; 68:962-963.
• Breda CA, Rodacki AL, Leite N, Homann D, Goes SM, Stefanello JM. Physical activity level and physical performance in the 6-minute walk test in women with fibromyalgia. Rev Bras Reumatol 2013; 53:276-281.