Content validity and test–retest reliability with principal component analysis of the translated Malay four-item version of Paffenbarger physical activity questionnaire

Fazlisham Ghazali

Content validity and test–retest reliability with principal component analysis of the translated Malay four-item version of Paffenbarger physical activity questionnaire

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Title

Content validity and test–retest reliability with principal component analysis of the translated Malay four-item version of Paffenbarger physical activity questionnaire

Type

Article

Main Author

Fazlisham Ghazali

Additional Authors

Hazuan Hizan

Subject

RC1200 Sports Medicine
GV Recreation Leisure

ISSN

0857-4421

Language Code

zsm

Bibliographic Details

Place of Production

Tanjong Malim

Publisher

Fakulti Sains Sukan dan Kejurulatihan

Year of publication

2020

Degree Type

Others

Corporate Name

Universiti Pendidikan Sultan Idris

Abstract

Purpose: This study aimed to develop the construct validity for the Malay version of the Paffenbarger physical activity questionnaire (PPAQ) by adapting the original questionnaire to suit the local context. Design/methodology/approach: The PPAQ was adopted and translated into the Malay language and modified to reach good content agreement among a panel of experts. A total of 65 participants aged 22–55 years old, fluent and literate in the Malay language were selected. Principal component analysis (PCA) was used to investigate construct validity. Reliability of this adapted instrument was analyzed according to types of variables. Findings: The panel of experts reached a consensus that the final four items chosen in the adapted Malay version of PPAQ were valid and supported by a good content validity index (CVI). In total, two domains consonant with the operational domain definition were identified by PCA. Based on scores from intensity and duration of exercise, the study further divided the group into who were physically active and those who chose the unstructured physical activity. Relative reliability after a 14-day interval demonstrated moderate strength of agreement with an acceptable range of measurement error. Research limitations/implications: PPAQ has been used worldwide but was less familiar in the local context. The Malay-four item PPAQ will provide the locally validated version of physical activity questionnaire. In addition, the authors have improved the original PPAQ by dividing the question items into two distinct domains which will effectively identify those who are physically active and those who are involved in unplanned exercise. Nevertheless, further research is recommended in bigger and heterogeneous samples along with a number of reliability tests. Practical implications: To the authors’ knowledge, this is the first study to assess internal structure of the four-item version of PPAQ. This analysis successfully identified two components with eigenvalue more than one in the Malay four-item PPAQ. Based on this, the authors were able to separate pool of population into two groups, which are physically active and unplanned exercise (involved in unstructured exercise). The ability of the validated questionnaire to divide the population into various intensities of physical activity is a novel one, which may be useful in many public health studies where high intensity of physical activity; hence, greater energy expenditure is associated with increased longevity, better health benefit and improved cognitive function. Social implications: In addition, the second domain “unplanned exercise” was successfully grouped together. Implication of the unplanned exercise component is to identify pool of population with active lifestyle awareness and choose the unstructured exercise instead of vigorous and formal exercising. Even though the amount of intensity and duration of incidental exercise does not reach recommended public health recommendation, it has been proven that preferred healthier lifestyle is positively associated with better cognition in later life. Originality/value: The adapted Malay version of PPAQ has sound psychometric properties and could assist in differentiating groups of population based on their physical activity

References

Andersen, L. L., Sundstrup, E., Boysen, M., Due Jakobsen, M., Mortensen, O. S., & Persson, R. (2013). Cardiovascular health effects of internet-based encouragements to do daily workplace stair-walks: Randomized controlled trial. Journal of Medical Internet Research, 15(6) doi:10.2196/jmir.2340

Bassett, D. R., Jr. (2000). Validity and reliability issues in objective monitoring of physical activity. Research Quarterly for Exercise and Sport, 71, 30-36. doi:10.1080/02701367.2000.11082783

Cerny, B. A., & Kaiser, H. F. (1977). A study of a measure of sampling adequacy for factor-analytic correlation matrices. Multivariate Behavioral Research, 12(1), 43-47. doi:10.1207/s15327906mbr1201_3

Copay, A. G., Subach, B. R., Glassman, S. D., Polly Jr., D. W., & Schuler, T. C. (2007). Understanding the minimum clinically important difference: A review of concepts and methods. Spine Journal, 7(5), 541-546. doi:10.1016/j.spinee.2007.01.008

Haley, S. M., & Fragala-Pinkham, M. A. (2006). Interpreting change scores of tests and measures used in physical therapy. Physical Therapy, 86(5), 735-743. doi:10.1093/ptj/86.5.735

Holmes, N., Miller, V., Bates, G., & Zheo, Y. (2011). The effect of exercise intensity on sweat rate and sweat sodium loss in well trained athletes. J Sci Med Sport, 14 Retrieved from www.scopus.com

I-Min, L., Matthews, C. E., & Blair, S. N. (2009). The legacy of dr. ralph seal paff enbarger, jr.-past, present, and future contributions to physical activity research. President's Council on Physical Fitness and Sports Research Digest, 10(1), 1-8. Retrieved from www.scopus.com

Kjellsson, G., Clarke, P., & Gerdtham, U. -. (2014). Forgetting to remember or remembering to forget: A study of the recall period length in health care survey questions. Journal of Health Economics, 35(1), 34-46. doi:10.1016/j.jhealeco.2014.01.007

Lee, I. -., & Paffenbarger Jr., R. S. (2000). Associations of light, moderate, and vigorous intensity physical activity with longevity: The harvard alumni health study. American Journal of Epidemiology, 151(3), 293-299. doi:10.1093/oxfordjournals.aje.a010205

Mâsse, L. C., & de Niet, J. E. (2012). Sources of validity evidence needed with self-report measures of physical activity. Journal of Physical Activity & Health, 9 Suppl 1, S44-55. doi:10.1123/jpah.9.s1.s44

Meyer, P., Kayser, B., Kossovsky, M. P., Sigaud, P., Carballo, D., Keller, P. -., . . . Mach, F. (2010). Stairs instead of elevators at workplace: Cardioprotective effects of a pragmatic intervention. European Journal of Preventive Cardiology, 17(5), 569-575. doi:10.1097/HJR.0b013e328338a4dd

Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., . . . De Vet, H. C. W. (2010). The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: An international delphi study. Quality of Life Research, 19(4), 539-549. doi:10.1007/s11136-010-9606-8

Paffenbarger, R. S., Jr., Hyde, R., Wing, A. L., & Hsieh, C. -. (1986). Physical activity, all-cause mortality, and longevity of college alumni. New England Journal of Medicine, 314(10), 605-613. doi:10.1056/NEJM198603063141003

Shenassa, E. D., Frye, M., Braubach, M., & Daskalakis, C. (2008). Routine stair climbing in place of residence and body mass index: A pan-european population based study. International Journal of Obesity, 32(3), 490-494. doi:10.1038/sj.ijo.0803755

Shibasaki, M., & Crandall, C. G. (2010). Mechanisms and controllers of eccrine sweating in humans. Frontiers in Bioscience - Scholar, 2 S(2), 685-696. Retrieved from www.scopus.com

Sim, J., & Wright, C. C. (2005). The kappa statistic in reliability studies: Use, interpretation, and sample size requirements. Physical Therapy, 85(3), 257-268. doi:10.1093/ptj/85.3.257

Sperandio, E. F., Arantes, R. L., Silva, R. P., Matheus, A. C., Lauria, V. T., Bianchim, M. S., . . . Dourado, V. Z. (2016). Screening for physical inactivity among adults: The value of distance walked in the six-minute walk test. A cross-sectional diagnostic study. [Triagem para inatividade física em adultos: O valor da distância percorrida no teste de caminhada de seis minutos. Um estudo transversal diagnóstico] Sao Paulo Medical Journal, 134(1), 56-62. doi:10.1590/1516-3180.2015.00871609

Tonstad, S., Herring, P., Lee, J., & Johnson, J. D. (2018). Two physical activity measures: Paffenbarger physical activity questionnaire versus aerobics center longitudinal study as predictors of adult-onset type 2 diabetes in a follow-up study. American Journal of Health Promotion, 32(4), 1070-1077. doi:10.1177/0890117117725282

Tudor-Locke, C. (2010). Steps to better cardiovascular health: How many steps does it take to achieve good health and how confident are we in this number? Current Cardiovascular Risk Reports, 4(4), 271-276. doi:10.1007/s12170-010-0109-5

Viechtbauer, W., Smits, L., Kotz, D., Budé, L., Spigt, M., Serroyen, J., & Crutzen, R. (2015). A simple formula for the calculation of sample size in pilot studies. Journal of Clinical Epidemiology, 68(11), 1375-1379. doi:10.1016/j.jclinepi.2015.04.014

Watson, P. F., & Petrie, A. (2010). Method agreement analysis: A review of correct methodology. Theriogenology, 73(9), 1167-1179. doi:10.1016/j.theriogenology.2010.01.003

Wicker, P., & Frick, B. (2015). The relationship between intensity and duration of physical activity and subjective well-being. European Journal of Public Health, 25(5), 868-872. doi:10.1093/eurpub/ckv131

Williams, P. T. (2012). Distance walked and run as improved metrics over time-based energy estimation in epidemiological studies and prevention; evidence from medication use. PLoS ONE, 7(8) doi:10.1371/journal.pone.0041906