Ann Geriatr Med Res.
2017 Sep;21(3):101-107. 10.4235/agmr.2017.21.3.101.
Comparison Between Korean Version of Physical Activity Scale for the Elderly and International Physical Activity Questionnaire-Short Form in Evaluation of Frailty Phenotype
- Affiliations
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- 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. eunjulee@amc.seoul.kr
- 2Pyeongchang Health Center & County Hospital, Pyeongchang, Korea.
- 3Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Korea.
- 4Goldman Urology Clinic, Seoul, Korea.
- 5Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
- 6Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
- KMID: 2393085
- DOI: http://doi.org/10.4235/agmr.2017.21.3.101
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.
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