Zusammenfassung
Hintergrund: Körperliche Inaktivität spielt als Risikofaktor für Stürze von älteren Menschen eine
große Rolle. Zur Erfassung des Aktivitätsgrades werden häufig Fragebogen eingesetzt.
Ziel: Basierend auf einem vorangegangenen systematischen Review von Experten des Prevention of Falls Network Europe (ProFaNE) beurteilt diese Arbeit sowohl die Gütekriterien der empfohlenen Fragebogen
als auch die der zugrunde liegenden Validierungsmethoden.
Methode: Die Literaturrecherche nach den von ProFaNE identifizierten Fragebogen erfolgte in
den Datenbanken PubMed, CINAHL und PsychINFO sowie nach deren Validationsmethoden
in PubMed und PsychINFO.
Ergebnis: Die Experten identifizierten 10 Fragebogen, von denen keiner eine ausreichende Evidenz
für Sensitivität, Reliabilität und Validität aufwies.
Schlussfolgerung: Die 3 Fragebogen PAR, QAPSE und CHAMPS eignen sich noch am ehesten zur Erfassung
körperliche Aktivität bei älteren Menschen.
Abstract
Background: Physical inactivity plays a vital role as risk factor for falls in elderly people.
For assessment of the activity degree questionnaires are often used.
Objective: Based on a preceding systematic expert review of Prevention of Falls Network Europe (ProFaNE) this article assesses the quality criteria of the recommended questionnaires
as well as of their underlying validation methods.
Method: A literature research for the questionnaires identified by ProFaNE was performed
in the databases PubMed, CINAHL and PsychINFO and in PubMed and PsychINFO concerning
their validation methods.
Result: The experts identified 10 questionnaires. None of these showed adequate evidence
for sensitivity, reliability and validity.
Conclusion: The questionnaires PAR, QAPSE and CHAMPS are more suitable than the others to assess
elderly people’s physical activity.
Schlüsselwörter
gebrechliche ältere Menschen - körperliche Aktivität - Fragebogen - Gütekriterien
- Stürze
Key words
frail elderly - motor activity - questionnaire - quality criteria - falls
Literatur
- 1 Becker C, Lindemann U, Rißmann U. et al .Dritter Jahresbericht und Abschlussbericht
zum Modellvorhaben: Mobilitätsverbesserung und Sturzprävention bei zu Hause lebenden
hilfs- und pflegebedürftigen Älteren. 2005 www.aktivinjedemalter.de/downloads/pdf/Abschlussbericht-Stapf.pdf
- 2
Bonnefoy M, Normand S, Pachiandi C. et al .
Simultaneous validation of ten physical activity questionnaires in older men: a doubly
labeled water study.
Journal of the American Geriatrics Society.
2001;
49
28-35
- 3
Cauley J A, LaPorte R E, Sandler R B. et al .
Comparison of methods to measure physical activity in postmenopausal women.
American Journal of Clinical Nutrition.
1987;
45
14-22
- 4
Cyarto E V, Myers A M, Tudor-Locke C.
Pedometer Accuracy in Nursing Home and Community-Dwelling Older Adults.
Medicine & Science in Sports & Exercise.
2004;
36
205-209
- 5
Graafmans W C, Lips P, Wijlhuizen G J. et al .
Daily physical activity and the use of a walking aid in relation to falls in elderly
people in a residential care setting.
Zeitschrift für Gerontologie und Geriatrie.
2003;
36
23-28
- 6
Harada N D, Chiu V, King A C. et al .
An evaluation of three self-report physical activity instruments for older adults.
Medicine and Science in Sports and Exercise.
2001;
33
962-970
- 7
Hendelman D, Miller K, Baggett C. et al .
Validity of accelerometry for the assessment of moderate intensity physical activity
in the field.
Medicine & Science in Sports & Exercise.
2000;
32 (Suppl)
442-449
- 8
Jørstad-Stein E C, Hauer K, Becker C. et al .
Suitability of Physical Activity Questionnaires for Older Adults in Fall-Prevention
Trials: A Systematic Review.
Journal of Aging and Physical Activity.
2005;
13
461-481
- 9
Jørstad-Stein E C, Hauer K, Becker C. et al .
Measuring the psychological outcomes of falling: a systematic review.
Journal of the American Geriatric Society.
2005;
53
501-510
- 10
Karinkanta S, Heinonen A, Sievänen H. et al .
Factors Predicting Dynamic Balance and Quality of Life in Home-Dwelling Elderly Women.
Gerontology.
2005;
51
116-121
- 11
Loland N W.
Reliability of the Physical Activity Scale for the Elderly (PASE).
European Journal of Sports Science.
2002;
2
1-12
- 12 Najafi B. Physical Activity Monitoring and Risk of Falling Evaluation in Elderly
People [PhD Thesis]. Lausanne; École Polytechnique Fédérale de Lausanne 2003
- 13
Phillips B, Ball C, Sackett D. et al .
Oxford Centre of Evidence-Based Medicine Levels of Evidence, 2001, www.cebm.net.
- 14
Pols M A, Peeters P HM, Kemper H CG. et al .
Repeatability and relative validity of two physical activity questionnaires in elderly
women.
Medicine and Science in Sports and Exercise.
1996;
28
1020-1025
- 15
Rowland L, Dickinson E J, Newman P. et al .
Look after Your Heart Programme: Impact on health status, exercise knowledge, attitudes
and behaviour of retired women in England.
Journal of Epidemiology and Community Health.
1994;
48
123-128
- 16
Rydwik E, Frändin K, Akner G.
Effects of physical training on physical performance in institutionalised elderly
patients (70 +) with multiple diagnoses.
Age and Aging.
2004;
33
13-23
- 17
Sallis J F, Haskell W L, Wood P D. et al .
Physical activity assessment methodology in the Five-City Project.
American Journal of Epidemiology.
1985;
121
91-106
- 18 Steinfelder J. Pressemitteilung des statistischen Bundesamtes. 26.04.2006 www.destatis.de/presse/deutsch/pm2005
/p2920530.htm
- 19
Trost S G, McIver K L, Pate R R.
Conducting Accelerometer-Based Activity Assessments in Field-Based Research.
Medicine & Science in Sports & Exercise.
2005;
37 (Suppl)
531-543
- 20
Voorrips L E, Ravelli A CJ, Dongelmans P CA. et al .
A physical activity questionnaire for the elderly.
Medicine and Science in Sports and Exercise.
1991;
23
974-979
- 21
Whiting P, Ruthes A WS, Reitsma J B. et al .
The development of QUADAS: a tool for the quality assessment of studies of diagnostic
accuracy included in systematic reviews.
BMC Medical Research Methodology.
2003;
3
25
, www.biomedcentral.com/ 1471 – 2288 / 3 / 25
- 22
Young D R, Jee S H, Appel L J.
A comparison of the Yale Physical Activity Survey with other physical activity measures.
Medicine and Science in Sports and Exercise.
2001;
33
955-961
Ruth Hoffrichter
MSc., Phys., Klinik für Geriatrische Rehabilitation am RBK
Auerbachstr. 110
70376 Stuttgart
eMail: ruth.hoffrichter@rbk.de
