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Ann Geriatr Med Res > Volume 21(3); 2017 > Article
Annals of Geriatric Medicine and Research 2017;21(3):101-107.
DOI: https://doi.org/10.4235/agmr.2017.21.3.101    Published online September 30, 2017.
Comparison Between Korean Version of Physical Activity Scale for the Elderly and International Physical Activity Questionnaire-Short Form in Evaluation of Frailty Phenotype
Il Young Jang, Hee Won Jung, Chang Ki Lee, Young Soo Lee, Eunju Lee, Dae Hyun Kim
<sup>1</sup>Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, <sup>2</sup>Pyeongchang Health Center &amp; County Hospital, Pyeongchang, <sup>3</sup>Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea, <sup>4</sup>Goldman Urology Clinic, Seoul, <sup>5</sup>Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, <sup>6</sup>Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
Correspondence:  Eunju Lee,
Email: eunjulee@amc.seoul.kr
Abstract
BACKGROUND
Evaluation of frailty in older people requires assessment of their physical activity level. The Korean version of the Physical Activity Scale for the Elderly (K-PASE) questionnaire is more comprehensive, yet it can be time-consuming and costly to administer on a large scale. The International Physical Activity Questionnaire (IPAQ) short form, which is simpler and free of charge, may replace the K-PASE for defining the Cardiovascular Health Study (CHS) frailty phenotype.
METHODS
We analyzed data from 160 community-dwelling older adults (mean age: 75 years) who were administered both the K-PASE and IPAQ short form questionnaires as part of the assessments in the Aging Study of Pyeongchang Rural Area. We compared agreements between the 2 physical activity questionnaires and between the CHS frailty phenotype defined using the K-PASE and IPAQ short form. Correlations between each CHS frailty phenotype definition and common geriatric syndromes were assessed.
RESULTS
The physical activity level measured using the K-PASE correlated modestly with the level measured using the IPAQ short form (correlation coefficient, 0.250; p=0.001). However, the agreement was substantially higher between the CHS frailty phenotype based on the K-PASE and the definition based on the IPAQ short form (Cohen kappa, 0.625; p<0.001). Both frailty phenotype definitions were positively correlated with most geriatric conditions.
CONCLUSION
The simpler IPAQ short form may replace the more comprehensive K-PASE for assessing CHS frailty phenotype in older people. Our results should inform frailty assessment in research and clinical care settings.
Key Words: Frail elderly, Cohort studies, Exercise, Motor activity, Physical activity
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