Fiabilidad y validez del cuestionario SAPF y del pictograma de Stunkard en población mayor española

  1. D. Martínez-Aldao
  2. J.C. Diz
  3. S. Varela
  4. M.A. Sanchez-Lastra
  5. C. Ayán Pérez
Revista:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Ano de publicación: 2021

Volume: 44

Número: 3

Páxinas: 327-337

Tipo: Artigo

Outras publicacións en: Anales del sistema sanitario de Navarra

Resumo

Background. The aim of the study was to identify the reliability and validity of the SAPF questionnaire and the Stunkard rating scale in determining self-perceived physical appearance and the degree of body dissatisfaction in a group of elderly Spanish people. Methods. Both instruments were adapted to Spanish people and were administered twice to a group of 86 elderly people. Their reliability and validity were assessed by means of the intraclass correlation coefficient (ICC), Cronbach’s alpha and Spearman’s rho coefficient, from the physical fitness level of the participants and their body mass index (BMI). ANOVA test was carried out to compare the variables with normal distribution. Results. The questionnaire and the Stunkard rating scale showed a good test-retest reliability (ICC=0.78 and ICC=0.8, respectively). SAPF and fitness level showed a significant, albeit weak, association (rho=0.424), while the association between self-perception of body composition and BMI was moderately strong (rho=0.727). The self-perceived physical appearance of 59.5% of the sample was acknowledged to be normal, 11.4% perceived it as bad and 29.1% as good. Only 27.1% were satisfied with their body image, while the other participants showed a desire to lose the equivalent weight of one (47.06%), two (22.35%) or three or more (3.5%) points in the Stunkard scale. Conclusion. The versions of both instruments adapted to Spanish persons showed reliability and validity, and showed that it was possible to determine that a large part of the sample was dissatisfied with their body image. BMI had a significant influence in this regard

Referencias bibliográficas

  • Citas 1. FOX KR. Self-esteem, self-perceptions and exercise. Int J Sport Psychol 2000; 31: 228-240.
  • DELGADO, AM. Estructura interna y medida del autoconcepto físico de personas mayores. Contextos: Estudios de Humanidades y Ciencias Sociales 2016; 35: 49-67.
  • MILANOVIĆ Z, PANTELIĆ S, TRAJKOVIĆ N, SPORIŠ G, KOSTIĆ R, JAMES N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging 2013; 8: 549-556. https://doi.org/10.2147/CIA.S44112
  • FOX KR, CORBIN CB. The physical self-perception profile: Development and preliminary validation. J Sport Exerc Psychol 1989; 11: 408-430. https://doi.org/10.1123/jsep.11.4.408
  • MAYORGA VD, VICIANA J, COCCA A, VILLÉN B. Effect of a physical fitness program on physical self-concept and physical fitness elements in primary school students. Percept Mot Skills 2012; 115: 984-996. https://doi.org/10.2466/06.10.25.PMS.115.6.984-996
  • MARSH HW, RICHARDS GE, JOHNSON S, ROCHE L, TREMAYNE P. Physical self-description questionnaire: Psychometric properties and a multitrait-multimethod analysis of relation to existing instruments. J Sport Exerc Psychol 1994; 16: 270-305. https://doi.org/10.1123/jsep.16.3.270
  • UTESCH T, BARDID F, BÜSCH D, STRAUSS B. The relationship between motor competence and physical fitness from early childhood to early adulthood: a meta-analysis. Sports Med 2019; 49: 541-551. https://doi.org/10.1007/s40279-019-01068-y
  • AMESBERGER G, FINKENZELLER T, MÜLLER E, WÜRTH S. Aging‐related changes in the relationship between the physical self‐concept and the physical fitness in elderly individuals. Scand J Med Sci Sports 2019; 29: 26-34. https://doi.org/10.1111/sms.13377
  • KNAPIK A, BRZĘK A, FAMUŁA-WĄŻ A, GALLERT-KOPYTO W, SZYDŁAK D, MARCISZ C et al. The relationship between physical fitness and health self-assessment in elderly. Medicine (Baltimore) 2019; 98: e15984. https://doi.org/10.1097/MD.0000000000015984
  • YABUSHITA N, KIKKAWA K, SAKAI T. Assessment of physical fitness status in older Japanese men using a physical fitness age. Jn Soc Health Hum Ecol 2004; 70: 196-206.
  • AYÁN C, FERNÁNDEZ-VILLA T, DURO A, MOLINA DE LA TORRE A. Reliability and validity of a questionnaire for assessing self-perceived health-related fitness in Spanish children. Span J Psychol 2020; 23: e25. https://doi.org/10.1017/SJP.2020.27
  • WEENING-DIJKSTERHUIS E, DE GREEF MH, KRIJNEN W, VAN DER SCHANS CP. Self-reported physical fitness in frail older persons: reliability and validity of the self-assessment of physical fitness (SAPF). Percept Mot Skills 2012; 115: 797-810. https://doi.org/10.2466/10.06.15.PMS.115.6.797-810
  • KEITH NR, CLARK DO, STUMP TE, MILLER DK, CALLAHAN CM. Validity and reliability of the self-reported physical fitness (SRFit) survey. J Phys Act Health 2014; 11: 853-859. https://doi.org/10.1123/jpah.2012-0264
  • VAN HEUVELEN MJ, KEMPEN GI, ORMEL J, DE GREEF MH. Self-reported physical fitness of older persons: a substitute for performance-based measures of physical fitness? J Aging Phys Act 1997; 5: 298-310. https://doi.org/10.1123/japa.5.4.298
  • DEVEREAUX-MELILLO KD, WILLIAMSON E, FUTRELL M, CHAMBERLAIN C. A self‐assessment tool to measure older adults. Perceptions regarding physical fitness and exercise activity. J Adv Nurs 1997; 25: 1220-1226. https://doi.org/10.1046/j.1365-2648.1997.19970251220.x
  • MANGWETH-MATZEK B, HOEK HW, POPE HG JR. Pathological eating and body dissatisfaction in middle-aged and older women. Curr Opin Psychiatry 2014; 27: 431-435. https://doi.org/10.1097/YCO.0000000000000102
  • HILDEBRANDT T, SHIOVITZ R, ALFANO L, GREIF R. Defining body deception and its role in peer based social comparison theories of body dissatisfaction. Body image 2008; 5: 299-306. https://doi.org/10.1016/j.bodyim.2008.04.007
  • MARSHALL C, LENGYEL C, UTIOH A. Body dissatisfaction: Among middle-aged and older women. Can J Diet Pract Res 2012; 73: e241-e241. https://doi.org/10.3148/73.2.2012.e241
  • QUITTKAT HL, HARTMANN AS, DÜSING R, BUHLMANN U, VOCKS S. Body dissatisfaction, importance of appearance, and body appreciation in men and women over the lifespan. Front Psychiatry 2019; 10: 864. https://doi.org/10.3389/fpsyt.2019.00864
  • CLARKE LH, GRIFFIN M. PACC research team. Failing bodies: body image and multiple chronic conditions in later life. Qual Health Res 2008; 18: 1084-1095. https://doi.org/10.1177/1049732308320113
  • FLANAGAN EW, PERRY AC. Perception of physical fitness and exercise self-efficacy and its contribution to the relationship between body dissatisfaction and physical fitness in female minority children. Int J Environ Res Public Health 2018; 15: 1187. https://doi.org/10.3390/ijerph15061187
  • STUNKARD AJ, SØRENSEN T, SCHULSINGER F. Use of the Danish adoption register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis 1983; 60: 115-20.
  • IBÁÑEZ-ZAMACONA ME, POVEDA A, REBATO E. Body image in relation to nutritional status in adults from the Basque Country, Spain. J Biosoc Sci 2020; 52: 272-285. doi:10.1017/S0021932019000439
  • MENDES J, AMARAL TF, BORGES N, SANTOS A, PADRÃO P, MOREIRA P et al. Handgrip strength values of Portuguese older adults: a population based study. BMC Geriatr 2017; 17: 191. https://doi.org/10.1186/s12877-017-0590-5
  • BOHANNON RW. GRIP STRENGTH: An indispensable biomarker for older adults. Clin Interv Aging 2019; 14: 1681-1691. https://doi.org/10.2147/CIA.S194543
  • WANG C-Y, CHEN L-Y. Grip strength in older adults: Test-retest reliability and cutoff for subjective weakness of using the hands in heavy tasks. Arch Phys Med Rehabil 2010; 91: 1747-1751. https://doi.org/10.1016/j.apmr.2010.07.225
  • RIKLI RE, JONES CJ. Senior fitness test manual. New York: Human Kinetics, 2001.
  • MANGAN D, JUDGE J. Reliability and validation of the six minutes walk. J Am Geriatr Soc 1994, 42: SA73
  • PEETERS P, METS T. The 6-minute walk as an appropriate exercise test in elderly patients with chronic heart failure. J Gerontol A Biol Sci Med Sci 1996; 51: M147-M151. https://doi.org/10.1093/gerona/51a.4.m147
  • BUTLAND RJ, PANG J, GROSS ER, WOODCOCK AA, GEDDES DM. Two, six, and 12 minute walking tests in respiratory disease. Br Med J (Clin Res Ed) 1982; 284: 1607-1608. https://doi.org/10.1136/bmj.284.6329.1607
  • SOLWAY S, BROOKS D, LACASSE Y, THOMAS S. A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest 2001; 119: 256-270. https://doi.org/10.1378/chest.119.1.256
  • ROSE DJ, JONES CJ, LUCCHESE N. Predicting the probability of falls in community-residing older adults using the 8-foot Up-and-Go: a new measure of functional mobility. J Aging Phys Act 2002; 10: 466-475. https://doi.org/10.1123/japa.10.4.466
  • MIOTTO JM, CHODZKO-ZAJKO WJ, REICH JL, SUPLER MM. Reliability and validity of the Fullerton functional fitness: an independent replication study. J Aging Phys Act 1999; 7: 339-53. https://doi.org/10.1123/japa.7.4.339.
  • KOO TK, LI MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med 2016; 15: 155-163. https://doi.org/10.1016/j.jcm.2016.02.012
  • GEORGE D, MALLERY P. SPSS for Windows step by step: A simple guide and reference 11.0 update (4th ed.). Boston: Allyn & Bacon 2003.
  • CONTI MA, FERREIRA MEC, DE CARVALHO PHB, KOTAIT MS, PAULINO ES, COSTA LS et al. Stunkard figure rating scale for Brazilian men. Eat Weight Disord 2013; 18: 317-322. https://doi.org/10.1007/s40519-013-0037-8
  • MARTÍNEZ ORTEGA, RM, TUYA PENDÁS LC, MARTÍNEZ ORTEGA M, PÉREZ ABREU A, CÁNOVAS AM. El coeficiente de correlación de los rangos de Spearman caracterización. Rev haban cienc méd 2009; 8: 0-0.
  • OLSSON SJG, EKBLOM‐BAK E, EKBLOM B, KALLINGS LV, EKBLOM Ö, BÖRJESSON M. Association of perceived physical health and physical fitness in two Swedish national samples from 1990 and 2015. Scand J Med Sci Sports 2018; 28:717-724. https://doi.org/10.1111/sms.12943
  • MAÂMOURI L, BRISSWALTER J, JEDDI R, LEGROS P. Self-perception of health and fitness among French and Tunisian men and women. Percept Mot Skills 2007; 105: 227-235. https://doi.org/10.2466/pms.105.1.227-235
  • WINOCUR G, MOSCOVITCH M. A comparison of cognitive function in community-dwelling and institutionalized old people of normal intelligence. Can J Psychol 1990; 44: 435-444. https://doi.org/10.1037/h0084270
  • MERELLANO-NAVARRO E, COLLADO-MATEO D, GARCÍA-RUBIO J, GUSI N, OLIVARES PR. Validity of the International Fitness Scale “IFIS” in older adults. Exp Gerontol 2017; 95: 77-81. https://doi.org/10.1016/j.exger.2017.05.001
  • ABADIE BR. Construction and validation of a perceived physical fitness scale. Percept Mot Skills 1988; 67: 887-892. https://doi.org/10.2466/pms.1988.67.3.887
  • MIKKELSSON L, KAPRIO J, KAUTIAINEN H, KUJALA UM, NUPPONEN H. Associations between self‐estimated and measured physical fitness among 40‐year‐old men and women. Scand J Med Sci Sports 2005; 15: 329-335. https://doi.org/10.1111/j.1600-0838.2004.00429.x
  • KESHTKAR AA, SEMNANI S, POURSHAMS A, KHADEMI H, ROSHANDEL G, BOFFETTA P et al. Pictogram use was validated for estimating individual's body mass index. J Clin Epidemiol 2010; 63: 655-659. https://doi.org/10.1016/j.jclinepi.2009.08.01
  • BOUZAS C, BIBILONI MDM, Tur JA. Relationship between body image and body weight control in overweight≥ 55-year-old adults: A systematic review. Int J Environ Res Public Health 2019; 16: 1622. https://doi.org/10.3390/ijerph16091622
  • LATORRE ROMÁN PA, GARCÍA-PINILLOS F, HUERTAS HERRADOR JA, CÓZAR BARBA M, MUÑOZ JIMÉNEZ M. Relationship between sex, body composition, gait speed and body satisfaction in elderly people. Nutr Hosp 2014; 30: 851-857. https://doi.org/10.3305/nh.2014.30.4.7669
  • FARIAS RR, MARTINS RB, ULRICH V, KANAN JHC, SILVA FILHO IGD, RESENDE TDL. Body image satisfaction, sociodemographic, functional and clinical aspects of community-dwelling older adults. Dement Neuropsychol 2018; 12: 306-313. https://doi.org/10.1590/1980-57642018dn12-030012
  • ACEVEDO P, LÓPEZ-EJEDA N, ALFÉREZ-GARCÍA I, MARTÍNEZ-ÁLVAREZ JR, VILLARINO A, CABAÑAS MD et al. Body mass index through self-reported data and body image perception in Spanish adults attending dietary consultation. Nutrition 2014; 30: 679-684. https://doi.org/10.1016/j.nut.2013.11.006
  • VARELA C, MONTECINOS CO, GARCÍA CS. Estudio transcultural de los diferentes componentes de la insatisfacción corporal en muestras comunitarias de España y Chile. Nutri Hosp 2019; 36: 691-697. https://doi.org/10.20960/nh.02212