Development and Evaluation of the Physical Activity Questionnaire for Elderly Japanese: The Nakanojo Study

in Journal of Aging and Physical Activity
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The Physical Activity Questionnaire for Elderly Japanese (PAQ-EJ) is a self-administered physical activity questionnaire for elderly Japanese; the authors report here on its repeatability and direct and indirect validity. Reliability was assessed by repeat administration after 1 month. Direct validation was based on accelerometer data collected every 4 s for 1 month in 147 individuals age 65–85 years. Indirect validation against a 10-item Barthel index (activities of daily living [ADL]) was completed in 3,084 individuals age 65–99 years. The test–retest coefficient was high (r = .64–.71). Total and subtotal scores for lower (transportation, housework, and labor) and higher intensity activities (exercise/sports) were significantly correlated with step counts and durations of physical activity <3 and ≥3 METs (r = .41, .28, .53), respectively. Controlling for age and ADL, scores for transportation, exercise/sports, and labor were greater in men, but women performed more housework. Sex- and ADL- or age-adjusted PAQ-EJ scores were significantly lower in older and dependent people. PAQ-EJ repeatability and validity seem comparable to those of instruments used in Western epidemiological studies.

Yasunaga is with the Faculty of Liberal Arts and Sciences, Bunka Women’s University, Tokyo 187-0021 Japan. H. Park, Togo, S. Park, and Aoyagi are with the Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015 Japan. Watanabe is with the Faculty of Human Health Science, University of Hachinohe, Aomori 031-8566 Japan. Shephard is with the Faculty of Physical Education and Health, University of Toronto.