자가기입식 신체활동 설문지 개발
Development of self-administered questionnaire for the assessment of physical acitivity
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초록
신체활동 참여가 건강에 대한 이점이 있다는 증거가 커져감에 따라 신체활동량을 정확히 평가하는 것이 중요해졌다. 현재 신체활동량 평가를 위해 다양한 설문지를 사용하고 있지만 신뢰도와 타당도가 평가된 설문지가 없다. 이번 연구는 자가기입식신체활동 설문지 3종(International Physical Activity Questionnaire(IPAQ) short form 한글 번역판, 2004 National Health Interview Survey Questionnaire-Adult Health Behaviors(NHISQ-AHB) 한글 번역판, 1일 신체활동 분포표(Daily Physical Activity Distribution Table, DPAD table))의 타당도와 신뢰도를 평가하기 위해 시행되었다. 2004년 9월부터 2005년 1월까지 고혈압, 당뇨병, 심장 질환, 폐질환의 과거 병력이 없는 20~40세 성인 남자 자원자를 대상으로 운동부하검사(Graded exercise test)를 시행하여 Peak VO2 측정하였으며 세 종류의 자가기입식 신체활동 설문지를 이용하여 신체활동량을 조사하였다. 1주 후 동일 설문지를 반복 조사하였다. 설문지를 이용하여 조사한 신체활동량과 운동부하검사에서 측정한 Peak VO2의 상관계수를 구하여 설문지의 타당성을 평가하고 신뢰도 평가를 위해 설문지의 문항 각각에 대해 1차 조사 설문 응답과 2차 조사 설문 응답 사이의 상관계수를 구하였다. 본 연구에서 사용된 세 가지 설문지 모두 신체활동량(Met-min/wk)과 운동부하검사로 측정한 Peak VO2가 통계적으로 유의한 상관관계를 보여 설문지의 타당성이 있었다(p<0.05). 신뢰도 조사를 위해 문항별로 구한 1차와 2차 설문조사 응답 사이의 상관계수가 NHISQ-AHB 한글 번역판과 IPAQ short form 한글 번역판에서 유의한 값을 보였다. 1일 신체활동 분포표의 경우1차, 2차 응답이 유의한 상관성을 보이지 못했다. 이번 연구에서 타당도와 신뢰도를 평가한 3가지 자가기입식 설문지(IPAQ short form 한글 번역판, NHISQ-AHB 한글 번역판, 1일 신체활동 분포표)중 2가지(IPAQ short form 한글 번역판, NHISQ-AHB 한글 번역판)는 신체활동량을 평가하기 위한도구로서 유용하다.
Abstract
As the evidence that participation in physical activity have benefits for health is growing, it is important to evaluate physical activity accurately. Up to now, although many questionnaires have being used for evaluation of physical activity, there are no self-administered uestionnaires evaluated for these reliability and validity. This study was undertaken to establish the validity and reliability of three self-aministered physical activity questionnaires(International Physical activity Questionnaire translated into Korean(Translated IPAQ), 2004 National Health Interview Survey Questionnaire-Adult Health Behaviors translated into Korean(Translated NHISQ-AHB), Daily Physical Activity Distribution table(DPAD table)) From September 2004 to January 2005, 20 to 40 aged male volunteers(n=30) who have no history of hypertension, diabetes mellitus, coronary heart disease and pulmonary disease undertook grade treadmill test for getting Peak VO2and filled out three self-administered physical activity questionnaires. And second test with same questionnaires was repeated after 1 week. To evaluate validity, the correlation coefficients between Peak VO2and physical activity from the questionnaires were calculated. And to establish reliability, the correlation coefficients between 1st and 2nd replies to the same questionnaires were calculated In the validity analyses, there was significant correlation between the physical activity obtained from the three questionnaires and the Peak VO2(p<0.05). In the reliability study, significant correlation between physical activity of 1st and 2nd test with same questionnaires was found from Translated IPAQ and Translated NHISQ-AHB, but not from DPAD table Among the three questionnaires evaluated in this study, Translated IPAQ and Translated NHISQ-AHB can be used with confidence to measure physical activity. (Korean J Health Promot Dis Prev 2005 ; 3 :178~189)
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