胃肠道症状分级量表在训练有素的运动员中具有良好的测试-重测可靠性,无论他们以前是否有自我认定的胃肠道不适症状。

IF 9.3 1区 医学 Q1 SPORT SCIENCES
Floris C Wardenaar, Yat Chan, Anna Marie Clear, Kinta Schott, Alex E Mohr, Carmen P Ortega-Sanchez, Ryan G N Seltzer, Jamie Pugh
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引用次数: 0

摘要

背景:运动员经常报告胃肠道(GI)不适。目前还缺乏针对运动员的标准化有效测试:本研究的目的是调查胃肠道症状评分量表(GSRS)的重测可靠性,该量表是一种针对特定疾病的工具,包含 15 个项目,用于量化各种胃肠道症状的严重程度:为此,我们采用了为期 3 周的重复测量设计。分析了重复测量的平均差(Wilcoxon 符号秩检验)、相关性(Spearman 相关性)和使用 Bland-Altman 计算的系统差,以及测试第 1 天和第 2 天的内部一致性(Cronbach's alpha),显著性设定为 p≤ 0.05。共有 n = 70 名训练有素的运动员(26.1 ± 5.4 岁,其中 40% 为女性)参与了研究:在测试第 1 天(0.825)和第 2 天(0.823),GSRS 的 Cronbach's α 较高,表明问卷具有良好的内部一致性。在评估 GSRS 总分(28.0,IQR 22.0-36.3 vs 26.5,IQR 18.0-35.0)的多层次时间稳定性时,发现两者之间存在微小但显著的差异(Z = - 2.489,p = 0.013),但各天分数之间的相关性尚可(r = 0.68,p):总之,在运动员中使用 GSRS 是可靠的,除了饥饿、打嗝和大便稀之外,大多数症状的内部一致性都很好,与性别无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Gastrointestinal Symptom Rating Scale has a Good Test-Retest Reliability in Well-Trained Athletes With and Without Previously Self-Identified Gastrointestinal Complaints.

The Gastrointestinal Symptom Rating Scale has a Good Test-Retest Reliability in Well-Trained Athletes With and Without Previously Self-Identified Gastrointestinal Complaints.

Background: Athletes often report gastrointestinal (GI) complaints. Standardized validated tests validated in athletes are lacking.

Objective: The objective of the current study was to investigate the test-retest reliability of the gastrointestinal symptoms rating scale (GSRS), a disease-specific instrument of 15 items to quantify the severity of various GI symptoms.

Methods: For this purpose, a 3-week repeated measurements design was used. The mean difference (Wilcoxon signed rank test), associations (Spearman correlations), and systematic difference using Bland-Altman calculations for repeated measurements, as well as its internal consistency (Cronbach's alpha) on testing day 1 and day 2 were analyzed, with significance set at p ≤ 0.05. A total of n = 70 well-trained athletes (26.1 ± 5.4 years, of which 40% were female) were included.

Results: A high Cronbach's α for GSRS was found on testing day 1 (0.825), and day 2 (0.823), suggesting a good and comparable internal consistency of the questionnaire. When assessing the multilevel temporal stability for total GSRS scores (28.0, IQR 22.0-36.3 vs 26.5, IQR 18.0-35.0), there was a small but significant difference (Z =  - 2.489, and p = 0.013), but a fair correlation between day scores (r = 0.68, p < 0.001), and a Bland-Altman reporting difference between questionnaires within 10% of the total GSRS score, without significant reporting bias (p = 0.38). In most cases, except for hunger, burping, and loose stools, the individual GSRS items were reported in line with total scores and similar for sex.

Conclusion: In conclusion, the GSRS is reliable when used with athletes, with good internal consistency for most symptoms independently of sex, except for hunger, burping, and loose stools.

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来源期刊
Sports Medicine
Sports Medicine 医学-运动科学
CiteScore
18.40
自引率
5.10%
发文量
165
审稿时长
6-12 weeks
期刊介绍: Sports Medicine focuses on providing definitive and comprehensive review articles that interpret and evaluate current literature, aiming to offer insights into research findings in the sports medicine and exercise field. The journal covers major topics such as sports medicine and sports science, medical syndromes associated with sport and exercise, clinical medicine's role in injury prevention and treatment, exercise for rehabilitation and health, and the application of physiological and biomechanical principles to specific sports. Types of Articles: Review Articles: Definitive and comprehensive reviews that interpret and evaluate current literature to provide rationale for and application of research findings. Leading/Current Opinion Articles: Overviews of contentious or emerging issues in the field. Original Research Articles: High-quality research articles. Enhanced Features: Additional features like slide sets, videos, and animations aimed at increasing the visibility, readership, and educational value of the journal's content. Plain Language Summaries: Summaries accompanying articles to assist readers in understanding important medical advances. Peer Review Process: All manuscripts undergo peer review by international experts to ensure quality and rigor. The journal also welcomes Letters to the Editor, which will be considered for publication.
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