EVIDENCE BASE

PRACTICE (EBP)
Yusup Dwiyanto
 Paper Title:
Adults with congenital heart disease overestimate their physical activity
level
◈ Authors:
BJ, KW and CS designed this study. BJ, KW, UT and CS collected data. LL,
BJ and CS analyzed the data. All authors wrote and critically revised the
manuscript and approved the final article.

◈ Journal : IJC Heart & Vascular

◈ Volume : 22
◈ DOI : 10.1016/j.ijcha.2018.11.005

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 Paper Title:
Adults with congenital heart disease overestimate their physical activity
level

◈ Research Problem:
Physical activity reduces the risk of acquired cardiovascular disease, which is
of great importance in patients with congenital heart disease (CHD). There are
diverging data whether physical activity level (PAL) differs between patients
with CHD and controls.

◈ Research Objective:
PAL can be assessed by patient history, self-reported instruments and objective
measurements with the latter being the most reliable.

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 Paper Title:
Adults with congenital heart disease overestimate their physical activity
level
◈ Research Instrument:
All participants completed the long version of the IPAQ [17] in the end of the
Actiheart monitoring period in order to cover the same period of time.
physical activity (International Physical Activities Questionnaire)

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 Paper Title:
Adults with congenital heart disease overestimate their physical activity
level

◈ Validity & Reliability Instrument:

Physical activity
◈ Journal: Validity of the international
physical activity questionnaire and the
Singapore prospective study program
physical activity questionnaire in a
multiethnic urban Asian population
Received: 12 April 2011, Accepted: 13 October 2011,
Published: 13 October 2011

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 Paper Title:
Adults with congenital heart disease overestimate their physical activity
level
◈ Validity & Reliability Instrument: Physical activity
◈ Journal: Validity of the international physical activity questionnaire and the Singapore prospective
study program physical activity questionnaire in a multiethnic urban Asian population
Received: 12 April 2011, Accepted: 13 October 2011, Published: 13 October 2011

◈ Results: The corrected correlation with accelerometer estimates of energy expenditure from
physical activity was better for the SP2PAQ (vigorous activity: r = 0.73; moderate activity: r =
0.27) than for the IPAQ (vigorous activity: r = 0.31; moderate activity: r = 0.15). For moderate
activity, the corrected correlation between SP2PAQ and the accelerometer was higher for Chinese
(r = 0.38) and Malays (r = 0.57) than for Indians (r = -0.09). Both questionnaires overestimated
energy expenditure from physical activity to a greater extent at higher levels of physical activity
than at lower levels of physical activity. The reproducibility for moderate activity (accelerometer:
r = 0.68; IPAQ: r = 0.58; SP2PAQ: r = 0.55) and vigorous activity (accelerometer: 0.52; IPAQ: r =
0.38; SP2PAQ: r = 0.75) was moderate to high for all instruments.
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 Paper Title:
Adults with congenital heart disease overestimate their physical activity
level
◈Validity & Reliability Instrument: Physical activity
◈Journal: Validity of the international physical activity questionnaire and the
Singapore prospective study program physical activity questionnaire in a multiethnic
urban Asian population
Received: 12 April 2011, Accepted: 13 October 2011, Published: 13 October 2011
◈ Physical activity categories: Scoring a HIGH level of physical activity on the IPAQ
means your physical activity levels equate to approximately one hour of activity
per day or more at least a moderate intensity activity level. Those who score HIGH
on the IPAQ engage in
• Vigorous intensity activity on at least 3 days achieving a minimum total physical activity of
at least 1500 MET minutes a week OR
• 7 or more days of any combination of walking, moderate intensity or vigorous intensity
activities achieving a minimum total physical activity of at least 3000 MET minutes a week
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