Capacidade discriminatória da Ferramenta Breve de Avaliação da Atividade Física
DOI:
https://doi.org/10.12820/rbafs.31e0449Palabras clave:
Exercício, Monitores de atividade, Estudo de validaçãoResumen
Introdução: A avaliação dos níveis de atividade física (AF) em indivíduos utilizando questionários subjetivos é complexa, principalmente devido à sua extensão e complexidade. Objetivo: Avaliar a concordância e a capacidade discriminatória das classificações da Brief Physical Activity Assessment Tool (BPAAT) em relação a parâmetros de AF medidos objetivamente. Métodos: Foram incluídos indivíduos adultos (18-59 anos). A concordância e a capacidade discriminatória da BPAAT foram comparadas objetivamente utilizando acelerômetros triaxiais utilizados por cinco dias consecutivos. Resultados: Dos 385 indivíduos triados para elegibilidade, 169 foram avaliados. A BPAAT foi capaz de categorizar os participantes do estudo como suficientemente e insuficientemente ativos para as variáveis objetivas de acelerometria de contagem por minuto (cpm), equivalente metabólico da tarefa (MET) e número de passos (valores de Cohen’d = -0,57 [-0,89; -0,25]; -0,59 [-0,91; -0,27]; -0,52 [-0,84; -0,20], respectivamente). O mesmo foi observado para os tempos nas diferentes classificações de AF. Conclusão: As classificações obtidas por meio do BPAAT demonstraram a capacidade de discriminar objetivamente indivíduos em medidas derivadas da acelerometria, como cpm, MET, tempo em diferentes intensidades de AF e número de passos.
Descargas
Citas
1. Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health. 2018;6(10):e1077-e1086. DOI: https://doi.org/10.1016/S2214-109X(18)30357-7
2. Strain T, Flaxman S, Guthold R, Semenova E, Cowan M, Riley LM, et al. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants. Lancet Glob Health. 2024;12(8):e1232-e1243.
3. Barboza LLS, Pierangeli Costa A, de Oliveira Araujo RH, Barbosa OGS, Leitão JLAESP, de Castro Silva M, et al. Comparative analysis of temporal trends of obesity and physical inactivity in Brazil and the USA (2011-2021). BMC Public Health. 2023;23(1):2505. DOI: https://doi.org/10.1186/s12889-023-17257-4
4. de Rezende LF, Rodrigues Lopes M, Rey-López JP, Matsudo VK, Luiz Odo C. Sedentary behavior and health outcomes: an overview of systematic reviews. PLoS One. 2014;9(8):e105620. DOI: https://doi.org/10.1371/journal.pone.0105620
5. Dollman J, Okely AD, Hardy L, Timperio A, Salmon J, Hills AP. A hitchhiker's guide to assessing young people's physical activity: Deciding what method to use. J Sci Med Sport. 2009;12(5):518-25. DOI: https://doi.org/10.1016/j.jsams.2008.09.007
6. Ainslie P, Reilly T, Westerterp K. Estimating human energy expenditure: a review of techniques with particular reference to doubly labelled water. Sports Med. 2003;33(9):683-98. DOI: https://doi.org/10.2165/00007256-200333090-00004
7. Bel-Serrat S, Huybrechts I, Thumann BF, Hebestreit A, Abuja PM, de Henauw S, et al. Inventory of surveillance systems assessing dietary, physical activity and sedentary behaviours in Europe: a DEDIPAC study. Eur J Public Health. 2017;27(4):747-55. DOI: https://doi.org/10.1093/eurpub/ckx023
8. Ho CS, Chang CH, Hsu YJ, Tu YT, Li F, Jhang WL, et al. Feasibility of the Energy Expenditure Prediction for Athletes and Non-Athletes from Ankle-Mounted Accelerometer and Heart Rate Monitor. Sci Rep. 2020;10(1):8816. DOI: https://doi.org/10.1038/s41598-020-65713-7
9. Puig-Ribera A, Martín-Cantera C, Puigdomenech E, Real J, Romaguera M, Magdalena-Belio JF, et al. Cómo identificar la inactividad física en atención primaria: validación de las versiones catalana y española de 2 cuestionarios breves [How to identify physical inactivity in primary care: validation of the Catalan and Spanish versions of 2 short questionnaires]. Aten Primaria. 2012;44(8):485-93. DOI: https://doi.org/10.1016/j.aprim.2012.01.005
10. Wu WJ, Yu HB, Tai WH, Zhang R, Hao WY. Validity of Actigraph for Measuring Energy Expenditure in Healthy Adults: A Systematic Review and Meta-Analysis. Sensors (Basel). 2023;23(20):8545. DOI: https://doi.org/10.3390/s23208545
11. Baranowski T. Validity and Reliability of Self Report Measures of Physical Activity: An Information-Processing Perspective. Res. Q. Exerc. Sport. 1988;59(4):314–27. DOI: https://doi.org/10.1080/02701367.1988.10609379
12. Sember V, Meh K, Sorić M, Starc G, Rocha P, Jurak G. Validity and Reliability of International Physical Activity Questionnaires for Adults across EU Countries: Systematic Review and Meta Analysis. Int J Environ Res Public Health. 2020;17(19):7161. DOI: https://doi.org/10.3390/ijerph17197161
13. Matsudo S, Araújo T, Matsudo V, Andrade D, Andrade E, Oliveira LC, et al. Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no brasil. Rev. Bras. Ativ. Fís. Saúde. 2001;6(2):5-18.
14. Prabhu SS, Thakur AM. Reliability and validity of the Hindi version of international physical activity questionnaire-long-form (IPAQ-LF). Hong Kong Physiother J. 2023;43(1):33-41. DOI: https://doi.org/10.1142/S1013702523500026
15. Kim Y, Park I, Kang M. Convergent validity of the international physical activity questionnaire (IPAQ): meta-analysis. Public Health Nutr. 2013;16(3):440-52. DOI: https://doi.org/10.1017/S1368980012002996
16. Cleland C, Ferguson S, Ellis G, Hunter RF. Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom. BMC Med Res Methodol. 2018;18(1):176. DOI: https://doi.org/10.1186/s12874-018-0642-3
17. Marshall AL, Smith BJ, Bauman AE, Kaur S. Reliability and validity of a brief physical activity assessment for use by family doctors. Br J Sports Med. 2005;39(5):294-7. DOI: https://doi.org/10.1136/bjsm.2004.013771
18. Macena ML, Ferro DC, Silva MECM, Rocha MVC, Paula DTC, Silva Júnior AE, et al. Tradução da “Brief Physical Activity Assessment Tool” para o Português Brasileiro. Rev. Bras. Ativ. Fís. Saúde. 2024;29:1-8. DOI: https://doi.org/10.12820/rbafs.29e0345
19. Migueles JH, Cadenas-Sanchez C, Ekelund U, Delisle Nyström C, Mora-Gonzalez J, Löf M, et al. Accelerometer data collection and processing criteria to assess physical activity and other outcomes: A systematic review and practical considerations. Sports Med. 2017;47(9):1821–45. DOI: https://doi.org/10.1007/s40279-017-0716-0
20. Sasaki J, Coutinho A, Santos C, Bertuol C, Minatto G, Berria J,et al. Orientações para utilização de acelerômetros no Brasil. Rev. Bras. Ativ. Fís. Saúde. 2017;22(2):110-26. DOI: https://doi.org/10.12820/rbafs.v.22n2p110-126
21. Tcymbal A, Messing S, Mait R, Perez RG, Akter T, Rakovac I, et al. Validity, reliability, and readability of single-item and short physical activity questionnaires for use in surveillance: A systematic review. PLoS One. 2024;19(3):e0300003. DOI: https://doi.org/10.1371/journal.pone.0300003
22. Herrmann SD, Willis EA, Ainsworth BE, Barreira TV, Hastert M, Kracht CL, et al. 2024 Adult Compendium of Physical Activities: A third update of the energy costs of human activities. J Sport Health Sci. 2024;13(1):6-12. DOI: https://doi.org/10.1016/j.jshs.2023.10.010
23. Sedentary Behaviour Research Network. Letter to the editor: standardized use of the terms "sedentary" and "sedentary behaviours". Appl Physiol Nutr Metab. 2012;37(3):540-2. DOI: https://doi.org/10.1139/h2012-024
24. Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181-8. DOI: https://doi.org/10.1249/mss.0b013e31815a51b3
25. Yngve A, Nilsson A, Sjostrom M, Ekelund U. Effect of monitor placement and of activity setting on the MTI accelerometer output. Med Sci Sports Exerc. 2003;35(2):320-6. DOI: https://doi.org/10.1249/01.MSS.0000048829.75758.A0
26. Swartz AM, Strath SJ, Bassett DR Jr, O'Brien WL, King GA, Ainsworth BE. Estimation of energy expenditure using CSA accelerometers at hip and wrist sites. Med Sci Sports Exerc. 2000;32(9 Suppl):S450–6. DOI: https://doi.org/10.1097/00005768-200009001-00003
27. Kang M, Marshall SJ, Barreira TV, Lee JO. Effect of pedometer-based physical activity interventions: a meta-analysis. Res Q Exerc Sport. 2009;80:648–55. DOI: https://doi.org/10.5641/027013609X13088500160000
28. Ferrero-Hernández P, Farías-Valenzuela C, Jofré-Saldía E, Marques A, Kovalskys I, Gómez G, et al. Physical activity and daily steps cut offs points for overweight/obesity prevention among eight Latin American countries. Sci Rep. 2022;12(1):18827. DOI: https://doi.org/10.1038/s41598-022-23586-y
29. Mayorga-Vega D, Casado-Robles C, Viciana J, López-Fernández I. Daily Step-Based Recommendations Related to Moderate-to-Vigorous Physical Activity and Sedentary Behavior in Adolescents. J Sports Sci Med. 2019;19;18(4):586-95.
30. Tudor-Locke C, Schuna JM Jr, Han H, Aguiar EJ, Larrivee S, Hsia DS, et al. Cadence (steps/min) and intensity during ambulation in 6-20 year olds: the CADENCE-kids study. Int J Behav Nutr Phys Act. 2018;15(1):20. DOI: https://doi.org/10.1186/s12966-018-0651-y
31. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54:1451-62. DOI: https://doi.org/10.1136/bjsports-2020-102955
32. Puig-Ribera A, Martín-Cantera C, Puigdomenech E, Real J, Romaguera M, Magdalena-Belio JF, et al. Screening Physical Activity in Family Practice: Validity of the Spanish Version of a Brief Physical Activity Questionnaire. PLoS One. 2015;10(9):e0136870. DOI: https://doi.org/10.1371/journal.pone.0136870
33. Lopes S, Mesquita-Bastos J, Garcia C, Figueiredo D, Carvalho P, Oliveira J, et al. Are subjective measures the answer to assess physical inactivity on a daily basis in patients with resistant hypertension?. J Hum Hypertens. 2021;35(12):1180-2. DOI: https://doi.org/10.1038/s41371-021-00579-4
34. Cruz J, Jácome C, Oliveira A, Paixão C, Rebelo P, Flora S, et al. Construct validity of the brief physical activity assessment tool for clinical use in COPD. Clin Respir J. 2021;15(5):530-9. DOI: https://doi.org/10.1111/crj.13333
35. Helmerhorst HJ, Brage S, Warren J, Besson H, Ekelund U. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int J Behav Nutr Phys Act. 2012;9:103. DOI: https://doi.org/10.1186/1479-5868-9-103
36. Milton K, Clemes S, Bull F. Can a single question provide an accurate measure of physical activity?. Br J Sports Med. 2013;47(1):44-8. DOI: https://doi.org/10.1136/bjsports-2011-090899
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2026 Mateus de Lima Macena, Déborah Tenório da Costa Paula, Isabelle Rodrigues de Souza Gama, Délis Barbosa Soares, Débora Cavalcante Ferro, Rodrigo Tenório Lins Carnaúba, Maria Eduarda de Carvalho Macário da Silva, André Eduardo da Silva Júnior, Luiz Rodrigo Augustemak de Lima, Ezequiel Moreira Gonçalves, Nassib Bezerra Bueno
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Al enviar un manuscrito a la Revista Brasileira de Atividade Física & Saúde, los autores mantienen la titularidad de los derechos de autor sobre el artículo y autorizan a la Revista Brasileira de Atividade Física & Saúde a publicar este manuscrito bajo la Licencia Creative Commons Atribución 4.0 e identificarla como el vehículo de su publicación original.
