Validity of the global physical activity questionnaire (GPAQ) in Bangladesh

Journal article


Mumu, Shirin Jahan, Ali, Liaquat, Barnett, Anthony and Merom, Dafna. (2017). Validity of the global physical activity questionnaire (GPAQ) in Bangladesh. BMC Public Health. 17(650), pp. 1 - 10. https://doi.org/10.1186/s12889-017-4666-0
AuthorsMumu, Shirin Jahan, Ali, Liaquat, Barnett, Anthony and Merom, Dafna
Abstract

Background Feasible and cost-effective as well as population specific instruments for monitoring physical activity (PA) levels are needed for the management and prevention of non-communicable diseases. The WHO-endorsed Global Physical Activity Questionnaire (GPAQ) has been widely used in developing countries, but the evidence base for its validity, particularly for rural populations, is still limited. The aim of the study was to validate GPAQ among rural and urban residents in Bangladesh. Methods A total of 162 healthy participants of both genders aged 18–60 years were recruited from Satia village (n = 97) and Dhaka City (n = 65). Participants were invited to take part in the study and were asked to wear an accelerometer (GT3X) for 7 days, after which they were invited to answer the GPAQ in a face to face interview. Results Valid accelerometer data (i.e., ≥10 h of wear times over ≥3 days) were received from 155 participants (rural = 94, urban = 61). The mean age was 35 (SD = ±9) years, 55% were females and 19% of the participants had no schooling, which was higher in the rural area (21% vs 17%). The mean ± SD steps/day was 9998 ± 3936 (8658 ± 2788 and 12,063 ± 4534 for rural and urban respectively, p = 0.0001) and the mean ± SD daily moderate-to-vigorous physical activity (MVPA) was 58 ± 30 min (51 ± 26 for rural and 69 ± 34 for the urban, p = 0.001) for accelerometer. In case of GPAQ, rural residents reported significantly higher moderate work related PA (MET-minutes/week: 600 vs. 360 p = 0.02). Spearman correlation coefficients between GPAQ total MVPA MET-min/day and accelerometer MVPA min/day, counts per minute (CPM) or steps counts/day were acceptable for urban residents (rho: 0.46, 0.55 and 0.63, respectively; p < 0.01) but poor for rural residents. The overall correlation between the GPAQ and accelerometer for sitting was low (rho: 0.23; p < 0.001). GPAQ-Accelerometer correlation for MVPA was higher for females (rho: 0.42), ≤35 age group (rho: 0.31) and those with higher education attainment (rho: 0.48). The Bland-Altman plots illustrated bias towards over estimation of GPAQ MVPA with increased activity levels for urban and rural residents. Conclusion GPAQ is an acceptable measure for physical activity surveillance in Bangladesh particularly for urban residents, women and people with high education. Given waist worn accelerometers do not capture the typical PA in rural context, further study using a physical activity diary and a combination of multiple sensors (e.g., wrist, ankle and waist worn accelerometers) to capture all movement is warranted among rural population with purposive sampling of all education levels.

Year2017
JournalBMC Public Health
Journal citation17 (650), pp. 1 - 10
PublisherBiomed Central Ltd
ISSN1471-2458
Digital Object Identifier (DOI)https://doi.org/10.1186/s12889-017-4666-0
Scopus EID2-s2.0-85030644131
Open accessOpen access
Page range1 - 10
Research GroupMary MacKillop Institute for Health Research
Publisher's version
License
Place of publicationUnited Kingdom
EditorsN. Pafitis
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Cerin, Ester, Suen, Yi-nam, Barnett, Anthony, Huang, Wendy Y.J. and Mellecker, Robin. (2017). Validity of a scale of neighbourhood informal social control relevant to pre-schoolers' physical activity: A cross-sectional study. Social Science and Medicine - Population Health. 3, pp. 57 - 65. https://doi.org/10.1016/j.ssmph.2016.11.007
Reliability of self-report measures of correlates of obesity-related behaviours in Hong Kong adolescents for the iHealt(h) and IPEN adolescent studies
Cerin, Ester, Sit, Cindy, Barnett, Anthony, Huang, Wendy Y.J., Gao, Gemma Y., Wong, Stephen H.S. and Sallis, Jim. (2017). Reliability of self-report measures of correlates of obesity-related behaviours in Hong Kong adolescents for the iHealt(h) and IPEN adolescent studies. Archives of Public Health. 75(38), pp. 1 - 13. https://doi.org/10.1186/s13690-017-0209-5
Built environmental correlates of older adults' total physical activity and walking: a systematic review and meta-analysis
Barnett, David W., Barnett, Anthony, Nathan, Andrea, van Cauwenberg, Jelle and Cerin, Ester. (2017). Built environmental correlates of older adults' total physical activity and walking: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity. 14(1), pp. 1 - 24. https://doi.org/10.1186/s12966-017-0558-z
Development of physical activity-related parenting practices scales for urban Chinese parents of preschoolers: confirmatory factor analysis and reliability
Suen, Yi-nam, Cerin, Ester, Barnett, Anthony, Huang, Wendy Y.J. and Mellecker, Robin. (2017). Development of physical activity-related parenting practices scales for urban Chinese parents of preschoolers: confirmatory factor analysis and reliability. Journal of Physical Activity and Health. 14(9), pp. 692 - 700. https://doi.org/10.1123/jpah.2016-0704
Places where preschoolers are (in)active: An observational study on Latino preschoolers and their parents using objective measures
Cerin, Ester, Baranowski, Tom, Barnett, Anthony, Butte, Nancy, Hughes, Sheryl, Lee, Rebecca E., Mendoza, Jason A., Thompson, Debbe and O'Connor, Teresia Margareta. (2016). Places where preschoolers are (in)active: An observational study on Latino preschoolers and their parents using objective measures. International Journal of Behavioral Nutrition and Physical Activity. 13(29), pp. 1 - 12. https://doi.org/10.1186/s12966-016-0355-0
Neighbourhood environment, physical activity, quality of life and depressive symptoms in Hong Kong older adults: A protocol for an observational study
Cerin, Ester, Sit, Cindy H. P., Zhang, Casper J. P., Barnett, Anthony, Cheung, Martin M. C., Lai, Poh-chin, Johnston, Janice M. and Lee, Ruby S. Y.. (2016). Neighbourhood environment, physical activity, quality of life and depressive symptoms in Hong Kong older adults: A protocol for an observational study. BMJ Open. 6(1), pp. 1 - 11. https://doi.org/10.1136/bmjopen-2015-010384
Associations of objectively-assessed neighborhood characteristics with older adults' total physical activity and sedentary time in an ultra-dense urban environment: Findings from the ALECS study
Cerin, Ester, Zhang, Casper, Barnett, Anthony, Sit, Cindy, Cheung, Martin M.C., Johnston, Janice, Lai, Poh-chin and Lee, Ruby S.Y.. (2016). Associations of objectively-assessed neighborhood characteristics with older adults' total physical activity and sedentary time in an ultra-dense urban environment: Findings from the ALECS study. Health and Place. https://doi.org/10.1016/j.healthplace.2016.08.009
Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: the ALECS cross-sectional study
Barnett, Anthony, Cerin, Ester, Zhang, Casper J.P., Sit, Cindy H.P., Johnston, Janice M., Cheung, Martin C. and Lee, Ruby S.Y.. (2016). Associations between the neighbourhood environment characteristics and physical activity in older adults with specific types of chronic conditions: the ALECS cross-sectional study. International Journal of Behavioral Nutrition and Physical Activity. 13(53), pp. 1 - 13. https://doi.org/10.1186/s12966-016-0377-7
Measuring moderate-intensity walking in older adults using the ActiGraph accelerometer
Barnett, Anthony, van den Hoek, Daniel, Barnett, David and Cerin, Ester. (2016). Measuring moderate-intensity walking in older adults using the ActiGraph accelerometer. BMC Geriatrics. 16(211), pp. 1 - 9. https://doi.org/10.1186/s12877-016-0380-5
Length of stay and mortality associated with healthcare-associated urinary tract infections: A multi-state model
Mitchell, Brett G., Ferguson, J. K., Anderson, Malcolm, Sear, J. and Barnett, A.. (2016). Length of stay and mortality associated with healthcare-associated urinary tract infections: A multi-state model. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2016.01.012
Neighbourhood environment, sitting time and motorised transport in older adults: A cross-sectional study in Hong Kong
Barnett, Anthony, Cerin, Ester, Ching, Claudia, Johnston, Janice and Lee, Ruby. (2015). Neighbourhood environment, sitting time and motorised transport in older adults: A cross-sectional study in Hong Kong. BMJ Open. 5(4), pp. 1 - 11. https://doi.org/10.1136/bmjopen-2014-007557
Validity of treadmill- and track-based individual calibration methods for estimating free-living walking speed and VO2 using the Actigraph accelerometer
Barnett, Anthony, Cerin, Ester, Vandelanotte, Corneel, Matsumoto, Aya and Jenkins, David. (2015). Validity of treadmill- and track-based individual calibration methods for estimating free-living walking speed and VO2 using the Actigraph accelerometer. BMC Sports Science, Medicine and Rehabilitation (online). 7(29), pp. 1 - 11. https://doi.org/10.1186/s13102-015-0024-7
An in-depth pilot study on patterns, destinations, and purposes of walking in Hong Kong older adults
Barnett, Anthony, Cerin, Ester, Cheung, Man-chin and Chan, Wai-man. (2015). An in-depth pilot study on patterns, destinations, and purposes of walking in Hong Kong older adults. Journal of Aging and Physical Activity. 23(1), pp. 144 - 152. https://doi.org/10.1123/JAPA.2013-0026
Repeatability of self-report measures of physical activity, sedentary and travel behaviour in Hong Kong adolescents for the iHealt(H) and IPEN - Adolescent studies
Cerin, Ester, Sit, Cindy, Huang, Ya-Jun, Barnett, Anthony, Macfarlane, Duncan and Wong, Stephen. (2014). Repeatability of self-report measures of physical activity, sedentary and travel behaviour in Hong Kong adolescents for the iHealt(H) and IPEN - Adolescent studies. BMC Paediatrics. 14(142), pp. 1 - 9. https://doi.org/10.1186/1471-2431-14-142
Ageing in an ultra-dense metropolis: Perceived neighbourhood characteristics and utilitarian walking in Hong Kong elders
Cerin, Ester, Sit, Cindy, Barnett, Anthony, Johnston, Janice, Cheung, Man-chin and Chan, Wai-man. (2014). Ageing in an ultra-dense metropolis: Perceived neighbourhood characteristics and utilitarian walking in Hong Kong elders. Public Health Nutrition. 17(1), pp. 225 - 232. https://doi.org/10.1017/S1368980012003862
Objectively-measured neighborhood environments and leisure-time physical activity in Chinese urban elders
Cerin, Ester, Lee, Ka-yiu, Barnett, Anthony, Sit, Cindy, Cheung, Man-chin and Chan, Wai-man. (2013). Objectively-measured neighborhood environments and leisure-time physical activity in Chinese urban elders. Preventive Medicine. 56(1), pp. 86 - 89. https://doi.org/10.1016/j.ypmed.2012.10.024
Walking for transportation in Hong Kong Chinese urban elders: A cross-sectional study on what destinations matter and when
Cerin, Ester, Lee, Ka-yiu, Barnett, Anthony, Sit, Cindy, Cheung, Man-chin, Chan, Wai-man and Johnston, Janice. (2013). Walking for transportation in Hong Kong Chinese urban elders: A cross-sectional study on what destinations matter and when. International Journal of Behavioral Nutrition and Physical Activity. 10(78), pp. 1 - 10. https://doi.org/10.1186/1479-5868-10-78
Walking for recreation and perceptions of the neighborhood environment in older Chinese urban dwellers
Cerin, Ester, Sit, Cindy, Barnett, Anthony, Cheung, Man-chin and Chan, Wai-man. (2013). Walking for recreation and perceptions of the neighborhood environment in older Chinese urban dwellers. Journal of Urban Health. 90(1), pp. 56 - 66. https://doi.org/10.1007/s11524-012-9704-8
Socioeconomic status, neighborhood characteristics, and walking within the neighborhood among older Hong Kong Chinese
Cerin, Ester, Mellecker, Robin, Macfarlane, Duncan J., Barnett, Anthony, Cheung, Man-chin, Sit, Cindy H.P. and Chan, Wai-man. (2013). Socioeconomic status, neighborhood characteristics, and walking within the neighborhood among older Hong Kong Chinese. Journal of Aging and Health. 25(8), pp. 1425 - 1444. https://doi.org/10.1177/0898264313510034
Socio-economic status, neighbourhood characteristics, and walking within the neighbourhood among older Hong Kong Chinese
Cerin, Ester, Mellecker, Robin, Macfarlane, Duncan, Barnett, Anthony, Cheung, Man-chin, Sit, Cindy and Chan, Wai-man. (2013). Socio-economic status, neighbourhood characteristics, and walking within the neighbourhood among older Hong Kong Chinese. Journal of Aging and Health. 25(8), pp. 1425 - 1444. https://doi.org/10.1177/0898264313510034
Identifying mediators of training effects on performance-related psychobiosocial states: A single-case observational study in an elite female triathlete
Barnett, Anthony, Cerin, Ester, Reaburn, Peter and Hooper, Sue. (2012). Identifying mediators of training effects on performance-related psychobiosocial states: A single-case observational study in an elite female triathlete. Psychology of Sport and Exercise. 13(5), pp. 541 - 549. https://doi.org/10.1016/j.psychsport.2012.02.010
Reliability and validity of the IPAQ-L in a sample of Hong Kong Urban older adults: Does neighborhood of residence matter?
Cerin, Ester, Barnett, Anthony, Cheung, Man-chin, Sit, Cindy, Macfarlane, Duncan J. and Chan, Wai-man. (2012). Reliability and validity of the IPAQ-L in a sample of Hong Kong Urban older adults: Does neighborhood of residence matter? Journal of Aging and Physical Activity. https://doi.org/10.1123/japa.20.4.402
Impact of an active video game on healthy children's physical activity
Baranowski, Tom, Abdelsamad, Dina, Baranowski, Janice, O'Connor, Teresia, Thompson, Debbe, Barnett, Anthony, Cerin, Ester and Chen, Tzu-An. (2012). Impact of an active video game on healthy children's physical activity. Pediatrics. 129(3), pp. 636 - 642. https://doi.org/10.1542/peds.2011-2050
Predictors of pre- and post-competition affective states in male martial artists: A multilevel interactional approach
Cerin, Ester and Barnett, Anthony. (2011). Predictors of pre- and post-competition affective states in male martial artists: A multilevel interactional approach. Scandinavian Journal of Medicine & Science in Sports. 21(1), pp. 137 - 150. https://doi.org/10.1111/j.1600-0838.2009.01006.x
Active video games for youth: A systematic review
Barnett, Anthony, Cerin, Ester and Baranowski, Tom. (2011). Active video games for youth: A systematic review. Journal of Physical Activity and Health. 8(5), pp. 724 - 737. https://doi.org/10.1123/jpah.8.5.724
Measuring walking within and outside the neighborhood in Chinese elders: Reliability and validity
Cerin, Ester, Barnett, Anthony, Sit, Cindy, Cheung, Man-chin, Lee, Lok-chun, Ho, Sai-yin and Chan, Wai-man. (2011). Measuring walking within and outside the neighborhood in Chinese elders: Reliability and validity. BMC Public Health. 11(851), pp. 3 - 10. https://doi.org/10.1186/1471-2458-11-851
Components of the diet associated with child adiposity: A cross-sectional study
Ledoux, Tracey A., Watson, Kathy, Barnett, Anthony, Nguyen, Nga T., Baranowski, Janice C. and Baranowski, Tom. (2011). Components of the diet associated with child adiposity: A cross-sectional study. Journal of the American College of Nutrition. 30(6), pp. 536 - 546. https://doi.org/10.1080/07315724.2011.10720000
Mechanisms linking affective reactions to competition-related and competition-extraneous concerns in male martial artists
Cerin, Ester and Barnett, Anthony. (2011). Mechanisms linking affective reactions to competition-related and competition-extraneous concerns in male martial artists. Scandinavian Journal of Medicine & Science in Sports. 21(5), pp. 700 - 712. https://doi.org/10.1111/j.1600-0838.2009.01072.x
The effects of training on performance and performance-related states in individual elite athletes: A dynamic approach
Barnett, Anthony, Cerin, Ester, Reaburn, Peter and Hooper, Sue. (2010). The effects of training on performance and performance-related states in individual elite athletes: A dynamic approach. Journal of Sports Sciences. 28(10), pp. 1117 - 1126. https://doi.org/10.1080/02640414.2010.497817
Testing theories of dietary behavior change in youth using the Mediating Variable Model with intervention programs
Cerin, Ester, Barnett, Anthony and Baranowski, Tom. (2009). Testing theories of dietary behavior change in youth using the Mediating Variable Model with intervention programs. Journal of Nutrition Education and Behavior. 41(5), pp. 309 - 318. https://doi.org/10.1016/j.jneb.2009.03.129
Using recovery modalities between training sessions in elite athletes: Does it help?
Barnett, Anthony. (2006). Using recovery modalities between training sessions in elite athletes: Does it help? Sports Medicine. 36(9), pp. 781 - 796. https://doi.org/10.2165/00007256-200636090-00005
A processual analysis of basic emotions and sources of concerns as they are lived before and after a competition
Cerin, Ester and Barnett, Anthony. (2006). A processual analysis of basic emotions and sources of concerns as they are lived before and after a competition. Psychology of Sport and Exercise. 7(3), pp. 287 - 307. https://doi.org/10.1016/j.psychsport.2005.07.002
Individual calibration for estimating free-living walking speed using the MTI monitor
Barnett, Anthony and Cerin, Ester. (2006). Individual calibration for estimating free-living walking speed using the MTI monitor. Medicine and Science in Sports and Exercise. 38(4), pp. 761 - 767. https://doi.org/10.1249/01.mss.0000210206.55941.b2
Peak oxygen uptake of 12 to 18-year-old boys living in a densely populated urban environment
Barnett, Anthony, Bacon-Shone, John, Tam, K. H., Leung, Mauriceping and Armstrong, Neil. (1995). Peak oxygen uptake of 12 to 18-year-old boys living in a densely populated urban environment. Annals of Human Biology. 22(6), pp. 525 - 532. https://doi.org/10.1080/03014469500004182
A preliminary study of the 20-m multistage shuttle run as a predictor of peak  VO2 in Hong Kong Chinese students
Barnett, Anthony, Chan, Lawrence Y.S. and Bruce, Iain C.. (1993). A preliminary study of the 20-m multistage shuttle run as a predictor of peak  VO2 in Hong Kong Chinese students. Pediatric Exercise Science. 5(1), pp. 42-50. https://doi.org/10.1123/pes.5.1.42
Response of unacclimatized males to repeated weekly bouts of exercise in the heat
Barnett, Anthony. (1993). Response of unacclimatized males to repeated weekly bouts of exercise in the heat. British Journal of Sports Medicine.
Leg muscle pH following sprint running
Costill, Davlid L., Barnett, Anthony, Sharp, Rick, Fink, William J. and Katz, Abram. (1983). Leg muscle pH following sprint running. Medicine and Science in Sports and Exercise. 15(4), pp. 325 - 329. https://doi.org/10.1249/00005768-198315040-00013