Concordance between Different Criteria for Self-Reported Physical Activity Levels and Risk Factors in People with High Blood Pressure in a Rural District in Bangladesh

Fakir M. Amirul Islam, Jahar Bhowmik, Donny M. Camera, Ralph Maddison and Gavin W. Lambert
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Fakir M. Amirul Islam: School of Health Sciences, Swinburne University of Technology, Melbourne, VIC 3122, Australia
Jahar Bhowmik: School of Health Sciences, Swinburne University of Technology, Melbourne, VIC 3122, Australia
Donny M. Camera: School of Health Sciences, Swinburne University of Technology, Melbourne, VIC 3122, Australia
Ralph Maddison: Institute for Physical Activity and Nutrition (IPAN), Faculty of Health, Deakin University, Geelong, VIC 3220, Australia
Gavin W. Lambert: School of Health Sciences, Swinburne University of Technology, Melbourne, VIC 3122, Australia

IJERPH, 2021, vol. 18, issue 19, 1-12

Abstract: Self-reported assessment of physical activity (PA) is commonly used in public health research. The present study investigated the concordance of self-reported PA assessed using the global physical activity questionnaire (GPAQ) and two different measurement approaches. Participants ( n = 307, aged 30–75 years with hypertension) were recruited from a rural area in Bangladesh. We analyzed the difference between the World Health Organization (WHO) recommendations of more than 600 metabolic-equivalent time-minutes (MET-min) and the self-reported active hours, at least 2.5 h per week. Tests of sensitivity and specificity were conducted to determine concordance between the two measures. According to the WHO criteria, 255 (83%) participants were active more than 600 MET-min per week and 172 (56%) people were physically active 2.5 h or more per week, indicating a 27% difference in self-reported PA. The sensitivity, specificity, positive and negative predictive values and concordance between the two measures were 64%, 92%, 98%, 34% and 70%, respectively. Considering the WHO MET-min as the appropriate measure, 89 (35%) were false negative (FN). Older age, professionals and businesspersons were associated with a higher proportion of FN. There is a gap between self-reported PA, thus a better estimate of PA may result from combining two criteria to measure PA levels.

Keywords: rural area; Bangladesh; self-reported physical activity; difference; sensitivity and specificity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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