Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients
Abstract Background Valid instruments for measuring physical activity at the low end of the physical activity range and producing quantitative results are required among dialysis patients who are extremely inactive. This study aimed to translate and adapt a Chinese version of the low physical activi...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | BMC Nephrology |
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| Online Access: | https://doi.org/10.1186/s12882-021-02230-3 |
| _version_ | 1818953227812470784 |
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| author | Huang Rui Zhang Haifen Yang Yan Fang Nina Liu Qian Ma Jun Wang Min Shi Ling Tao Xingjuan |
| author_facet | Huang Rui Zhang Haifen Yang Yan Fang Nina Liu Qian Ma Jun Wang Min Shi Ling Tao Xingjuan |
| author_sort | Huang Rui |
| collection | DOAJ |
| description | Abstract Background Valid instruments for measuring physical activity at the low end of the physical activity range and producing quantitative results are required among dialysis patients who are extremely inactive. This study aimed to translate and adapt a Chinese version of the low physical activity questionnaire (LoPAQ) and to examine its reliability and validity among hemodialysis patients. Methods This was a cross-sectional study. The LoPAQ was translated into Chinese and culturally adapted following the standardized questionnaire adaptation process. Participants wore an ActiGraph for seven consecutive days and were asked to complete the Chinese version of the LoPAQ (C-LoPAQ) following the ActiGraph monitoring period. The criterion validity of the C-LoPAQ was examined with accelerometers using Spearman’s correlation coefficients. Bland-Altman plots were adopted to determine the absolute agreement between methods. The test-retest reliability was analyzed using the intraclass correlation coefficient (ICC). Results Eighty-five hemodialysis patients had valid accelerometers and C-LoPAQ data. The total walking time reported on LoPAQ was correlated with step counts by ActiGraph (rho = 0.47, p < 0.01). A moderate correlation was also observed between the C-LoPAQ and the ActiGraph-measured physical activity for total calories (rho = 0.44, p < 0.01). There was a fair correlation between ActiGraph-measured sedentary time and C-LoPAQ-measured inactive time (rho = 0.22, p < 0.05). The test-retest reliability coefficients of C-LoPAQ ranged from 0.30 to 0.66. Conclusions The C-LoPAQ demonstrated moderate validity for measuring low levels of physical activity, especially walking, and total kilocalories of physical activity among hemodialysis patients in China. |
| first_indexed | 2024-12-20T10:02:56Z |
| format | Article |
| id | doaj.art-61c07917cb4842609907a34638aee89c |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-12-20T10:02:56Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-61c07917cb4842609907a34638aee89c2022-12-21T19:44:19ZengBMCBMC Nephrology1471-23692021-01-012211810.1186/s12882-021-02230-3Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patientsHuang Rui0Zhang Haifen1Yang Yan2Fang Nina3Liu Qian4Ma Jun5Wang Min6Shi Ling7Tao Xingjuan8Shanghai Jiao Tong University School of NursingNursing Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityNursing Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityNursing Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityNursing Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Nephrology, Tong Ren Hospital, Shanghai Jiao Tong University School of MedicineNursing Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityNursing Department, Renji Hospital, School of Medicine, Shanghai Jiao Tong UniversityShanghai Jiao Tong University School of NursingAbstract Background Valid instruments for measuring physical activity at the low end of the physical activity range and producing quantitative results are required among dialysis patients who are extremely inactive. This study aimed to translate and adapt a Chinese version of the low physical activity questionnaire (LoPAQ) and to examine its reliability and validity among hemodialysis patients. Methods This was a cross-sectional study. The LoPAQ was translated into Chinese and culturally adapted following the standardized questionnaire adaptation process. Participants wore an ActiGraph for seven consecutive days and were asked to complete the Chinese version of the LoPAQ (C-LoPAQ) following the ActiGraph monitoring period. The criterion validity of the C-LoPAQ was examined with accelerometers using Spearman’s correlation coefficients. Bland-Altman plots were adopted to determine the absolute agreement between methods. The test-retest reliability was analyzed using the intraclass correlation coefficient (ICC). Results Eighty-five hemodialysis patients had valid accelerometers and C-LoPAQ data. The total walking time reported on LoPAQ was correlated with step counts by ActiGraph (rho = 0.47, p < 0.01). A moderate correlation was also observed between the C-LoPAQ and the ActiGraph-measured physical activity for total calories (rho = 0.44, p < 0.01). There was a fair correlation between ActiGraph-measured sedentary time and C-LoPAQ-measured inactive time (rho = 0.22, p < 0.05). The test-retest reliability coefficients of C-LoPAQ ranged from 0.30 to 0.66. Conclusions The C-LoPAQ demonstrated moderate validity for measuring low levels of physical activity, especially walking, and total kilocalories of physical activity among hemodialysis patients in China.https://doi.org/10.1186/s12882-021-02230-3HemodialysisPhysical activityValidityReliabilityAccelerometer |
| spellingShingle | Huang Rui Zhang Haifen Yang Yan Fang Nina Liu Qian Ma Jun Wang Min Shi Ling Tao Xingjuan Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients BMC Nephrology Hemodialysis Physical activity Validity Reliability Accelerometer |
| title | Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients |
| title_full | Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients |
| title_fullStr | Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients |
| title_full_unstemmed | Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients |
| title_short | Validation of the Chinese version of the low physical activity questionnaire (LoPAQ) with ActiGraph accelerometer in hemodialysis patients |
| title_sort | validation of the chinese version of the low physical activity questionnaire lopaq with actigraph accelerometer in hemodialysis patients |
| topic | Hemodialysis Physical activity Validity Reliability Accelerometer |
| url | https://doi.org/10.1186/s12882-021-02230-3 |
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