Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2016, vol. 25, nr 1, January-February, p. 59–67

doi: 10.17219/acem/39157

Publication type: original article

Language: English

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Evaluation of the Usability of Selected Questionnaires Assessing Physical Activity in the Prophylaxis of Cardiovascular Diseases

Ewa Czeczelewska1,A,C,D,E,F, Jan Czeczelewski2,A,B,C,D,E,F, Agnieszka Wasiluk3,B, Jerzy Saczuk3,B

1 Faculty of Health Sciences, Collegium Mazovia Innovative Higher School, Siedlce, Poland

2 Department of Biology and Anatomy, Faculty of Physical Education and Sport, Division of the Academy of Physical Education, Biała Podlaska, Poland

3 Department of Anthropology and Anthropomotorics, Faculty of Physical Education and Sport, Division of the Academy of Physical Education, Biała Podlaska, Poland


Background. The main health problem of the Polish population is posed by cardiovascular diseases (CDVD), coronary artery disease (CAD) in particular. Respectively higher physical activity linked with energy expenditure of at least 1000 kcal/week may significantly reduce the risk of CAD development. The protective effect of exercise applies not only to persons from high-risk groups and with diagnosed chronic diseases that increase the risk of the incidence of atherosclerosis and its complications, but also to healthy individuals.
Objectives. The aim of this study was to evaluate the usability of the Seven-Day Physical Activity Recall (SDPAR) and International Physical Activity Questionnaire (IPAQ) in research on the correlation between physical activity and risk factors of cardiovascular diseases.
Material and Methods. A screening survey, conducted in 2012, included students (n = 340) of the Division of the Academy of Physical Education in Biała Podlaska, aged 18–29 years. Total cholesterol, triglycerides and glucose levels were analyzed, and arterial blood pressure and heart rate were measured. The physical activity of the students was estimated using IPAQ and SDPAR questionnaires. The effect of physical activity on the biochemical blood markers, arterial blood pressure and heart rate was analyzed in groups differing in weekly energy expenditure (WEE).
Results. Along with increasing WEE values, calculated with IPAQ and SDPAR questionnaires, tangible descending tendencies were observed in cholesterol concentration in both genders. Significant differences were demonstrated in mean values of the resting heart rate between terciles of women ranked according to the increasing WEE values calculated using IPAQ (p < 0.05) and SDPAR (p < 0.01). Significant (p < 0.05) negative correlations were demonstrated only between the heart rate of women and WEE value calculated with IPAQ (r = –0.223) and SDPAR (r = –0.238).
Conclusion. Beneficial changes were observed in the blood lipid profile and in mean resting heart rate values as affected by the higher energy expenditure. The IPAQ and SDPAR may be applied to assess the level of physical activity; however the SDPAR seems to be a more useful tool in CDVD prevention screening.

Key words

students, cardiovascular diseases, physical activity, IPAQ, SDPAR

References (31)

  1. Wysoki MJ, Zejda JE: Epidemiologia chorób niezakaźnych w Polsce w drugiej połowie dwudziestego wieku. Przegl Epidemiol 2007, 61, 615–628.
  2. Balkau B, Charles MA, Drivsholm T, Borch-Johnsen K, Wareham N, Yudkin JS, Morris R, Zavaroni I, van Dam R, Feskins E: Frequency of the WHO metabolic syndrome in European cohorts, and alternative definition of an insulin resistance syndrome. Diabetes Metab 2002, 28, 365–376.
  3. McGill HC, McMahan CA: Starting earlier to prevent heart disease. JAMA 2003, 290, 2320–2322.
  4. Lee IM, Skerret PJ: Physical activity and all-cause mortality; what is the dose-response relation? Med Sci Sport Exerc 2001, 33, 459–471.
  5. Warburton DER, Nicol CW, Bredin SSD: Health benefits of physical activity: the evidence. CMAJ 2006, 174, 801–809.
  6. Leon AS, Myers MJ, Connett J: Leisure time physical activity and the 16-year risk of mortality from coronary heart disease and all-cause in the Multiple Risk Factor Intervention Trial (MRFIF). Int J Sports Med 1997, 18, 208–215.
  7. Church TS, LaMonte MJ, Barlow CE, Blair SN: Cardiorespiratory fitness and body mass index as predictors of cardiovascular disease mortality among men with diabetes. Arch Intern Med 2005, 165, 2144–2120.
  8. Pedersen BK, Saltin B: Evidence for prescribing exercise as therapy in chronic disease. Scand J Med Sci Sports 2006, Suppl. 1, 3–63.
  9. Aaron DJ, Kriska AM, Dearwater SR, Cauley JA, Metz K, LaPorte RE: Reproducibility and validity of an epidemiologic questionnaire to assess past year physical activity in adolescents. Am J Epidemiol 1995, 142, 191–201.
  10. Eaton CB, Nafziger AN, Strogatz DS, Pearson TA: Self-reported physical activity in a rural county: A New York Country Health Census. Am J Public Health 1994, 84, 29–32.
  11. Stasiołek D, Jegier A: Ocena aktywności ruchowej osób dorosłych przy pomocy kwestionariuszy. Czyn Ryz 2001, 3–4, 50–55.
  12. Widecka K, Grodzicki T, Narkiewicz K, Tykarski A, Dziura J: Zasady postępowania w nadciśnieniu tętniczym. Wytyczne Polskiego Towarzystwa Nadciśnienia Tętniczego. Nadciśn Tętn 2011, 15, 55–82.
  13. Biernat E, Stupnicki R, Gajewski AK: Międzynarodowy Kwestionariusz Aktywności Fizycznej (IPAQ) – wersja polska. Wych Fiz Sport 2007, 51, 1, 47–54.
  14. Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN, Paffenbarger RS Jr: Physical activity assessment methodology in the Five-City Project. Am J Epidemiol 1985, 121, 91–106.
  15. Happanen N, Milunpalo S, Vuori I, Oja P, Pasanen M: Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women. Int J Epidemiol 1997, 26, 739–747.
  16. Jegier A, Stasiołek D: Epidemiologiczne podstawy stosowania aktywności ruchowej w prewencji kardiologicznej. Med Sport 2001, 5, Suppl. 2, 97–108.
  17. Furie KL, Kasner SE, Adams RJ, Albers GW, Bush RL, Fagan SC: American Heart Association Stroke Council, Council on Cardiovascular Nursing, Council on Clinical Cardiology, and Interdisciplinary Council on Quality of Care and Outcomes Research. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011, 42, 227–276.
  18. Graham I, Atar D, Borch-Johnsen K: European Guidelines on cardiovascular disease prevention in clinical practice. Fourth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Eur J Cardiovasc Prev Rehab 2007, 14, Suppl. 2, 1–113.
  19. Piotrowicz R, Podolec P, Kopeć G: Wytyczne Polskiego Forum Profilaktyki dotyczące aktywności fizycznej. W: Podręcznik Polskiego Forum Profilaktyki. Wyd. Medycyna Praktyczna 2010, 433–492.
  20. Drygas W, Jegier A, Kostka H, Kuński H: Long-term effects of different physical activity levels on coronary risk factors in middle-aged men. Int J Sports Med 2000, 21, 235–241.
  21. Drygas W, Jegier A: Zalecenia dotyczące aktywności ruchowej w profilaktyce chorób układu krążenia. W: Kardiologia zapobiegawcza. Red.: Naruszewicz M., Versco s.c., Szczecin 2003, 252–266.
  22. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007, 39, 1423–1434.
  23. Kwaśniewska M, Pasowicz M, Tlałka M, Laskowicz B, Jegier A, Drygas W: Aktywność fizyczna a sublkiniczna miażdżyca tętnic wieńcowych bezobjawowych mężczyzn w wieku średnim. Przegl Lek 2011, 68, 571–575.
  24. Lee CD, Blair SN, Jackson AS: Cardiorespiratory fitness, body composition, and all-cause and cardiovascular mortality in men. Am J Clin Nutr 1999, 69, 373–380.
  25. Tanasescu M, Leitzmann MF, Rimm EB, Willett WC, Stampfer MJ, Hu FB: Exercise type and intensity in relation to coronary heart disease in men. JAMA 2002, 288, 1994–2000.
  26. Szczuko M, Seidler T, Mierzwa M: Aterogenność diety a profil lipidowy krwi młodych mężczyzn. Endokrynol Otyłość Zaburzenia Przem Mater 2009, 5, 220–225.
  27. Kłos A, Gaździńska A, Bertrand J, Abramowicz M, Skibińska A: Poziom cholesterolu i glukozy w surowicy krwi młodych mężczyzn pełniących zasadniczą służbę wojskową, kobiet-pacjentek przychodni alergologicznej oraz kandydatów do Wyższej Szkoły Oficerskiej Sił Powietrznych (WSOSP). Żyw Człow Metab 2007, 34, 1160–1166.
  28. Gromadzka-Ostrowska J, Dworznicki J: Zmiany stężenia leptyny i lipidów osocza u kobiet z nadwagą. Bromat Chem Toksykol 2003, 36, 155–159.
  29. Hayashi T, Tsumura K, Suematsu C, Okada K, Fujii S, Endo G: Walking to work and the risk for hypertension in men: the Osaka Health Survey. Ann Intern Med 1999, 131, 21–26.
  30. Chase NL, Sui X, Lee DC, Blair SN: The association of cardiorespiratory fitness and physical activity with incidence of hypertension in men. Am J Hypertens 2009, 22, 417–424.
  31. Palatini P: Cardiovascular effects of exercise in young hypertensives. Int J Sports Med 2012, 33, 683–690.