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Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study

BACKGROUND: The short form of the International Physical Activity Questionnaire (IPAQ-sf) is a validated questionnaire used to assess physical activity (PA) in healthy adults and commonly used in both apparently healthy adults and cancer patients. However, the IPAQ-sf has not been previously validat...

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Autores principales: Vassbakk-Brovold, Karianne, Kersten, Christian, Fegran, Liv, Mjåland, Odd, Mjåland, Svein, Seiler, Stephen, Berntsen, Sveinung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837555/
https://www.ncbi.nlm.nih.gov/pubmed/27099757
http://dx.doi.org/10.1186/s13102-016-0035-z
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author Vassbakk-Brovold, Karianne
Kersten, Christian
Fegran, Liv
Mjåland, Odd
Mjåland, Svein
Seiler, Stephen
Berntsen, Sveinung
author_facet Vassbakk-Brovold, Karianne
Kersten, Christian
Fegran, Liv
Mjåland, Odd
Mjåland, Svein
Seiler, Stephen
Berntsen, Sveinung
author_sort Vassbakk-Brovold, Karianne
collection PubMed
description BACKGROUND: The short form of the International Physical Activity Questionnaire (IPAQ-sf) is a validated questionnaire used to assess physical activity (PA) in healthy adults and commonly used in both apparently healthy adults and cancer patients. However, the IPAQ-sf has not been previously validated in cancer patients undergoing oncologic treatment. The objective of the present study was to compare IPAQ-sf with objective measures of physical activity (PA) in cancer patients undergoing chemotherapy. METHODS: The present study was part of a 12-month prospective individualized lifestyle intervention focusing on diet, PA, stress management and smoking cessation in 100 cancer patients undergoing chemotherapy. During the first two months of the lifestyle intervention, participants were wearing an activity monitor (SenseWear™ Armband (SWA)) for five consecutive days while receiving chemotherapy before completing the IPAQ-sf. From SWA, Moderate-to-Vigorous intensity PA (MVPA) in bouts ≥10 min was compared with self-reported MVPA from the IPAQ-sf. Analyses both included and excluded walking in MVPA from the IPAQ-sf. Results were extrapolated to a wearing time of seven days. RESULTS: Sixty-six patients completed IPAQ-sf and wore the SWA over five days. Mean difference and limit of agreement between the IPAQ-sf and SWA including walking was 662 (±1719) min(.)wk(−1). When analyzing time spent in the different intensity levels separately, IPAQ-sf reported significantly higher levels of moderate (602 min(.)wk(−1), p = 0.001) and vigorous (60 min(.)wk(−1), p = 0.001) PA compared to SWA. CONCLUSIONS: Cancer patients participating in a lifestyle intervention during chemotherapy reported 366 % higher MVPA level from the past seven days using IPAQ-sf compared to objective measures. The IPAQ-sf appears insufficient when assessing PA level in cancer patients undergoing oncologic treatment. Activity monitors or other objective tools should alternatively be considered, when assessing PA in this population. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13102-016-0035-z) contains supplementary material, which is available to authorized users.
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spelling pubmed-48375552016-04-21 Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study Vassbakk-Brovold, Karianne Kersten, Christian Fegran, Liv Mjåland, Odd Mjåland, Svein Seiler, Stephen Berntsen, Sveinung BMC Sports Sci Med Rehabil Research Article BACKGROUND: The short form of the International Physical Activity Questionnaire (IPAQ-sf) is a validated questionnaire used to assess physical activity (PA) in healthy adults and commonly used in both apparently healthy adults and cancer patients. However, the IPAQ-sf has not been previously validated in cancer patients undergoing oncologic treatment. The objective of the present study was to compare IPAQ-sf with objective measures of physical activity (PA) in cancer patients undergoing chemotherapy. METHODS: The present study was part of a 12-month prospective individualized lifestyle intervention focusing on diet, PA, stress management and smoking cessation in 100 cancer patients undergoing chemotherapy. During the first two months of the lifestyle intervention, participants were wearing an activity monitor (SenseWear™ Armband (SWA)) for five consecutive days while receiving chemotherapy before completing the IPAQ-sf. From SWA, Moderate-to-Vigorous intensity PA (MVPA) in bouts ≥10 min was compared with self-reported MVPA from the IPAQ-sf. Analyses both included and excluded walking in MVPA from the IPAQ-sf. Results were extrapolated to a wearing time of seven days. RESULTS: Sixty-six patients completed IPAQ-sf and wore the SWA over five days. Mean difference and limit of agreement between the IPAQ-sf and SWA including walking was 662 (±1719) min(.)wk(−1). When analyzing time spent in the different intensity levels separately, IPAQ-sf reported significantly higher levels of moderate (602 min(.)wk(−1), p = 0.001) and vigorous (60 min(.)wk(−1), p = 0.001) PA compared to SWA. CONCLUSIONS: Cancer patients participating in a lifestyle intervention during chemotherapy reported 366 % higher MVPA level from the past seven days using IPAQ-sf compared to objective measures. The IPAQ-sf appears insufficient when assessing PA level in cancer patients undergoing oncologic treatment. Activity monitors or other objective tools should alternatively be considered, when assessing PA in this population. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13102-016-0035-z) contains supplementary material, which is available to authorized users. BioMed Central 2016-04-19 /pmc/articles/PMC4837555/ /pubmed/27099757 http://dx.doi.org/10.1186/s13102-016-0035-z Text en © Vassbakk-Brovold et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Vassbakk-Brovold, Karianne
Kersten, Christian
Fegran, Liv
Mjåland, Odd
Mjåland, Svein
Seiler, Stephen
Berntsen, Sveinung
Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study
title Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study
title_full Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study
title_fullStr Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study
title_full_unstemmed Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study
title_short Cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study
title_sort cancer patients participating in a lifestyle intervention during chemotherapy greatly over-report their physical activity level: a validation study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837555/
https://www.ncbi.nlm.nih.gov/pubmed/27099757
http://dx.doi.org/10.1186/s13102-016-0035-z
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