Reliability and Validity of a Physical Activity Questionnaire for Indian Children and Adolescents

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Reliability and Validity of a Physical Activity Questionnaire for Indian Children and Adolescents TS MEHREEN1, HARISH RANJANI 1, C ANITHA 1, N JAGANNATHAN 1, MICHAEL PRATT2, VISWANATHAN MOHAN 1 AND RANJIT MOHAN ANJANA 1

From 1Madras Diabetes Research Foundation and Dr. Mohan’s Diabetes Specialities Centre, Chennai, Tamil Nadu, India; and 2Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States. Correspondence to: Dr RM Anjana, Managing Director and Consultant Diabetologist, Dr Mohan’s Diabetes Specialities Centre, WHO Collaborating Centre for Non-Communicable Diseases Prevention and Control, IDF Centre for Education and ICMR Advanced Centre for Genomics of Diabetes, No. 6B, Conran Smith Road, Gopalapuram, Chennai, India. [email protected] Submitted: April 08, 2019; Initial review: July 29, 2019; Accepted: March 11, 2020. Background: In low- and middle-income countries, sedentary behavior is widely prevalent in the young. Reliable and valid instruments are essential for evaluating sedentary behavior and physical activity in children and adolescents.

November and December, 2017. Reliability of MPAQ was assessed by repeat administration after 2 weeks for upto a month later. Validity of MPAQ(c) was measured against accelerometer using Spearman’s correlation and Bland and Altman agreements.

Objective: To evaluate the reliability and validity of an easy to use physical activity questionnaire for children and adolescents from India.

Results: Test-retest reliability of the questionnaire revealed good agreement (ICC: 0.77 min/wk). Correlation coefficients (95% CI) for sedentary behavior and moderate to vigorous physical activity for MPAQ(c) against accelerometer were 0.52 (0.36, 0.64) and 0.41 (0.23, 0.55), respectively indicating moderate correlation. Good agreement was present between MPAQ(c) and accelerometer for sedentary behavior [mean bias = -4.9 (±2SD -197.1 to 187.3) min/d].

Study design: Evaluation of a questionnaire tool. Participants: 104 children and adolescents belonging to the age group of 10-17 years were selected using a purposive sampling technique. Methods: The Madras Diabetes Research Foundation - Physical Activity Questionnaire for Children and Adolescents [MPAQ(c)] was used to assess the various dimensions of physical activity. Physical activity was also objectively assessed using accelerometer worn around the waist for five complete days. The baseline administration of MPAQ(c) was done between

Conclusion: MPAQ(c) is a valid and reliable instrument for evaluating physical activity in Indian children aged 10-17 years. Keywords: Accelerometry, Assessment, Obesity, Sedentary, Self-reported. Published online: June 12, 2020; PII: S097475591600195

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hysical activity (PA) is defined as any bodily movement produced by skeletal muscles that results in energy expenditure [1]. Approximately 38% of children in India between the ages of 13 to 15 years meet the recommended PA levels [2]. Reliable and valid instruments for evaluating PA i