Test-retest reliability of a modified International Physical Activity Questionnaire (IPAQ) to capture neighbourhood physical activity

Levi Frehlich, Christine Friedenreich, Alberto Nettel-Aguirre, Gavin R. McCormack


Introduction: Few self-report tools capture neighbourhood physical activity. The aim of our study was to modify a widely-used self-report tool (International Physical Activity Questionnaire – IPAQ) to capture neighbourhood physical activity and estimate the test-retest reliability of these modifications. Material and Methods: Seventy-five adults completed the modified IPAQ twice, 7-days apart, capturing neighbourhood days·week-1 and usual minutes·day-1 of bicycling and walking for transport and leisure, moderate physical activity, and vigorous physical activity. Test-retest reliability was assessed with Intraclass Correlations (ICC), percent of overall agreement and Kappa statistics (κ). Results: Consistency in participation in neighbourhood PA ranged from k = 0.21 for moderate physical activity to k = 0.55 for vigorous physical activity, while proportion of overall agreement ranged from 64.0% for moderate physical activity to 81.3% for bicycling for transportation. ICC for reported neighbourhood PA between the two occasions ranged from ICC = 0.33 for moderate physical activity to ICC = 0.69 for bicycling for transportation for days·week-1, ICC = 0.17 for bicycling for transportation to ICC = 0.48 for walking for leisure for minutes·day-1, and ICC = 0.31 for vigorous physical activity to ICC = 0.52 for walking for leisure for minutes·week-1. Conclusions: With the exception of minutes spent bicycling for transportation, our findings suggest that IPAQ items can be modified to provide reliable estimates of neighbourhood physical activity.


International physical activity questionnaire, IPAQ, Physical activity, Adults, Neighbourhood


Al-Hazzaa, H. M., Abahussain, N. A., Al-Sobayel, H. I., Qahwaji, D. M., & Musaiger, A. O. (2011). Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. International Journal of Behavioral Nutrition and Physical Activity, 8(1), 140. https://doi.org/10.1186/1479-5868-8-140

Bae, W. K., Cho, B., & Son, K. Y. (2015). Validity and reliability of the korean version of neighborhood physical activity questionnaire. Korean Journal of Family Medicine, 36(3), 135–40. https://doi.org/10.4082/kjfm.2015.36.3.135

Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J. F., Martin, B. W., & Lancet Physical Activity Series Working Group. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380(9838), 258–271. https://doi.org/10.1016/S0140-6736(12)60735-1

Cerin, E., Barnett, A., Sit, C. H. P., Cheung, M., Lee, L. J., Ho, S., & Chan, W. (2011). Measuring walking within and outside the neighborhood in Chinese elders: reliability and validity. BMC Public Health, 11(1), 851. https://doi.org/10.1186/1471-2458-11-851

Cerin, E., Conway, T. L., Cain, K. L., Kerr, J., De Bourdeaudhuij, I., Owen, N., … Sallis, J. F. (2013). Sharing good NEWS across the world: developing comparable scores across 12 countries for the Neighborhood Environment Walkability Scale (NEWS). BMC Public Health, 13(1), 309. https://doi.org/10.1186/1471-2458-13-309

Cerin, E., Nathan, A., van Cauwenberg, J., Barnett, D. W., Barnett, A., & Council on Environment and Physical Activity (CEPA) – Older Adults working group. (2017). The neighbourhood physical environment and active travel in older adults: a systematic review and meta-analysis. The International Journal of Behavioral Nutrition and Physical Activity, 14(1), 15. https://doi.org/10.1186/s12966-017-0471-5

Cerin, E., Saelens, B. E., Sallis, J. F., & Frank, L. D. (2006). Neighborhood Environment Walkability Scale: validity and development of a short form. Medicine and Science in Sports and Exercise, 38(9), 1682–91. https://doi.org/10.1249/01.mss.0000227639.83607.4d

Choi, J., Lee, M., Lee, J., Kang, D., & Choi, J.-Y. (2017). Correlates associated with participation in physical activity among adults: a systematic review of reviews and update. BMC Public Health, 17(1), 356. https://doi.org/10.1186/s12889-017-4255-2

Christian, H. E., Bull, F. C., Middleton, N. J., Knuiman, M. W., Divitini, M. L., Hooper, P., … Giles-Corti, B. (2011). How important is the land use mix measure in understanding walking behaviour? Results from the RESIDE study. The International Journal of Behavioral Nutrition and Physical Activity, 8(1), 55. https://doi.org/10.1186/1479-5868-8-55

Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., … Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB

Ding, D., Adams, M. a, Sallis, J. F., Norman, G. J., Hovell, M. F., Chambers, C. D., … Bauman, A. E. (2013). Perceived neighborhood environment and physical activity in 11 countries: do associations differ by country? The International Journal of Behavioral Nutrition and Physical Activity, 10, 57. https://doi.org/10.1186/1479-5868-10-57

Ding, D., & Gebel, K. (2012). Built environment, physical activity, and obesity: what have we learned from reviewing the literature? Health & Place, 18(1), 100–5. https://doi.org/10.1016/j.healthplace.2011.08.021

Doma, K., Speyer, R., Leicht, A. S., & Cordier, R. (2017). Comparison of psychometric properties between usual-week and past-week self-reported physical activity questionnaires: a systematic review. The International Journal of Behavioral Nutrition and Physical Activity, 14(1), 10. https://doi.org/10.1186/s12966-017-0470-6

Ferdinand, A. O., Sen, B., Rahurkar, S., Engler, S., & Menachemi, N. (2012). The relationship between built environments and physical activity: A systematic review. American Journal of Public Health, 102(10), 7–13. https://doi.org/10.2105/AJPH.2012.300740

Frank, L. D., Sallis, J. F., Conway, T. L., Chapman, J. E., Saelens, B. E., & Bachman, W. (2006). Many Pathways from Land Use to Health: Associations between Neighborhood Walkability and Active Transportation, Body Mass Index, and Air Quality. Journal of the American Planning Association, 72(1), 75–87. https://doi.org/10.1080/01944360608976725

Giles-Corti, B., Timperio, A., Cutt, H., Pikora, T. J., Bull, F. C. L., Knuiman, M., … Shilton, T. (2006). Development of a reliable measure of walking within and outside the local neighborhood: RESIDE's Neighborhood Physical Activity Questionnaire. Preventive Medicine, 42(6), 455–9. https://doi.org/10.1016/j.ypmed.2006.01.019

Hallal, P., & Victora, C. (2004). Reliability and Validity of the International Physical Activity Questionnaire (IPAQ). Medicine & Science in Sports & Exercise, 36(3), 556. https://doi.org/10.1249/01.MSS.0000117161.66394.07

Hillsdon, M., Coombes, E., Griew, P., & Jones, A. (2015). An assessment of the relevance of the home neighbourhood for understanding environmental influences on physical activity: how far from home do people roam? The International Journal of Behavioral Nutrition and Physical Activity, 12(1), 100. https://doi.org/10.1186/s12966-015-0260-y

Humpel, N., Owen, N., Leslie, E., Marshall, A. L., Bauman, A. E., & Sallis, J. F. (2004). Associations of location and perceived environmental attributes with walking in neighborhoods. American Journal of Health Promotion : AJHP, 18(3), 239–42. https://doi.org/10.4278/0890-1171-18.3.239

Kim, Y., Park, I., & Kang, M. (2013). Convergent validity of the international physical activity questionnaire (IPAQ): meta-analysis. Public Health Nutrition, 16(3), 440–52. https://doi.org/10.1017/S1368980012002996

Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–74. https://doi.org/10.2307/2529310

McCormack, G., Csizmadi, I., Friedenreich, C., McLaren, L., Nettel-Aguirre, A., Potestio, M., & Sandalack, B. (2013). Pathways to weight: The influence of neighbourhood environments on the weight status of adults. Canadian Institutes of Health Research, Open Operating Grant Competition.

McCormack, G., Giles-Corti, B., & Bulsara, M. (2008). The relationship between destination proximity, destination mix and physical activity behaviors. Preventive Medicine, 46(1), 33–40. https://doi.org/10.1016/j.ypmed.2007.01.013

McCormack, G. R., Friedenreich, C., Sandalack, B. A., Giles-Corti, B., Doyle-Baker, P. K., & Shiell, A. (2012). The relationship between cluster-analysis derived walkability and local recreational and transportation walking among Canadian adults. Health & Place, 18(5), 1079–87. https://doi.org/10.1016/j.healthplace.2012.04.014

McCormack, G., & Shiell, A. (2011). In search of causality: a systematic review of the relationship between the built environment and physical activity among adults. The International Journal of Behavioral Nutrition and Physical Activity, 8, 125. https://doi.org/10.1186/1479-5868-8-125

McCormack, G., Shiell, A., Doyle-Baker, P., Friedenreich, C., Sandalack, B., & Giles-Corti, B. (2009). Testing the reliability of neighborhood-specific measures of physical activity among Canadian adults. Journal of Physical Activity & Health, 6(3), 367–73. https://doi.org/10.1123/jpah.6.3.367

Owen, N., Cerin, E., Leslie, E., duToit, L., Coffee, N., Frank, L. D., … Sallis, J. F. (2007). Neighborhood Walkability and the Walking Behavior of Australian Adults. American Journal of Preventive Medicine, 33(5), 387–395. https://doi.org/10.1016/j.amepre.2007.07.025

Prince, S., Adamo, K., Hamel, M., Hardt, J., Gorber, S., & Tremblay, M. (2008). A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. International Journal of Behavioral Nutrition and Physical Activity, 5(1), 56. https://doi.org/10.1186/1479-5868-5-56

Saelens, B. E., & Handy, S. L. (2008). Built environment correlates of walking: a review. Medicine and Science in Sports and Exercise, 40(7 Suppl), S550-66. https://doi.org/10.1249/MSS.0b013e31817c67a4

Saelens, B. E., Sallis, J. F., Black, J. B., & Chen, D. (2003). Neighborhood-based differences in physical activity: an environment scale evaluation. American Journal of Public Health, 93(9), 1552–8. https://doi.org/10.2105/AJPH.93.9.1552

Sallis, J. F., Frank, L. D., Saelens, B. E., & Kraft, M. K. (2004). Active transportation and physical activity: Opportunities for collaboration on transportation and public health research. Transportation Research Part A: Policy and Practice, 38(4), 249–268. https://doi.org/10.1016/j.tra.2003.11.003

Sallis, J. F., & Saelens, B. E. (2000). Assessment of physical activity by self-report: status, limitations, and future directions. Research Quarterly for Exercise and Sport, 71(2 Suppl), S1-14. https://doi.org/10.1080/02701367.2000.11082780

Sundquist, K., Eriksson, U., Kawakami, N., Skog, L., Ohlsson, H., & Arvidsson, D. (2011). Neighborhood walkability, physical activity, and walking behavior: the Swedish Neighborhood and Physical Activity (SNAP) study. Social Science & Medicine (1982), 72(8), 1266–73. https://doi.org/10.1016/j.socscimed.2011.03.004

Van Dyck, D., Cardon, G., Deforche, B., & De Bourdeaudhuij, I. (2015). IPAQ interview version: convergent validity with accelerometers and comparison of physical activity and sedentary time levels with the self-administered version. The Journal of Sports Medicine and Physical Fitness, 55(7–8), 776–86.

Warburton, D. E. R., Nicol, C. W., & Bredin, S. S. D. (2006). Prescribing exercise as preventive therapy. CMAJ : Canadian Medical Association Journal = Journal de l'Association Medicale Canadienne, 174(7), 961–74. https://doi.org/10.1503/cmaj.1040750

DOI: https://doi.org/10.14198/jhse.2018.131.17

License URL: http://creativecommons.org/licenses/by-nc-nd/3.0/