Andre P Dos Santos, Amanda L Willig, Stephanie A Ruderman, Vitor H F Oliveira, Christine Horvat Davey, Thomas W Buford, Dustin M Long, Barbara Gripshover, Mari Katundu, John D Cleveland, Heidi M Crane, Julia Fleming, Greer Burkholder, Michael S Saag, Allison R Webel
{"title":"脂质研究诊所体力活动问卷不能准确测量艾滋病毒感染者的体力活动。","authors":"Andre P Dos Santos, Amanda L Willig, Stephanie A Ruderman, Vitor H F Oliveira, Christine Horvat Davey, Thomas W Buford, Dustin M Long, Barbara Gripshover, Mari Katundu, John D Cleveland, Heidi M Crane, Julia Fleming, Greer Burkholder, Michael S Saag, Allison R Webel","doi":"10.1097/QAD.0000000000004226","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the agreement between self-reported physical activity (PA) levels, as measured by the Lipid Research Clinics Physical Activity Questionnaire (LRCQ), and objective measures obtained through actigraphy in people with HIV.</p><p><strong>Methods: </strong>Cross-sectional data were analyzed from the 130 people with HIV who completed the LRCQ and wore an actigraphy device for 7-10 days. The agreement between the LRCQ and actigraphy was assessed using various interrater agreement metrics, including Cohen's kappa and percentage agreement.</p><p><strong>Results: </strong>The predominantly male (67.7%) cohort had a mean age of 55.7 ± 10.6 years. The LRCQ categorized 51.5% of participants as low activity; however, 33% of those self-reporting low activity achieved over 150 min of moderate to vigorous PA weekly measured by actigraphy. Agreement metrics indicated a \"fair\" level of concordance: Percentage agreement was 67%, and Cohen's kappa was 0.29 ( P < 0.001).</p><p><strong>Conclusions: </strong>The LRCQ does not accurately capture PA levels in people with HIV compared to actigraphy. This discrepancy suggests potential under- or over-reporting, emphasizing caution in using self-reported data for clinical assessments. Future research should focus on refining PA questionnaires and integrating objective measures to enhance the accuracy of PA evaluations in this population.</p>","PeriodicalId":7502,"journal":{"name":"AIDS","volume":" ","pages":"1392-1396"},"PeriodicalIF":3.1000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254016/pdf/","citationCount":"0","resultStr":"{\"title\":\"The lipid research clinics physical activity questionnaire does not accurately measure physical activity in people with HIV.\",\"authors\":\"Andre P Dos Santos, Amanda L Willig, Stephanie A Ruderman, Vitor H F Oliveira, Christine Horvat Davey, Thomas W Buford, Dustin M Long, Barbara Gripshover, Mari Katundu, John D Cleveland, Heidi M Crane, Julia Fleming, Greer Burkholder, Michael S Saag, Allison R Webel\",\"doi\":\"10.1097/QAD.0000000000004226\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to evaluate the agreement between self-reported physical activity (PA) levels, as measured by the Lipid Research Clinics Physical Activity Questionnaire (LRCQ), and objective measures obtained through actigraphy in people with HIV.</p><p><strong>Methods: </strong>Cross-sectional data were analyzed from the 130 people with HIV who completed the LRCQ and wore an actigraphy device for 7-10 days. The agreement between the LRCQ and actigraphy was assessed using various interrater agreement metrics, including Cohen's kappa and percentage agreement.</p><p><strong>Results: </strong>The predominantly male (67.7%) cohort had a mean age of 55.7 ± 10.6 years. The LRCQ categorized 51.5% of participants as low activity; however, 33% of those self-reporting low activity achieved over 150 min of moderate to vigorous PA weekly measured by actigraphy. Agreement metrics indicated a \\\"fair\\\" level of concordance: Percentage agreement was 67%, and Cohen's kappa was 0.29 ( P < 0.001).</p><p><strong>Conclusions: </strong>The LRCQ does not accurately capture PA levels in people with HIV compared to actigraphy. This discrepancy suggests potential under- or over-reporting, emphasizing caution in using self-reported data for clinical assessments. Future research should focus on refining PA questionnaires and integrating objective measures to enhance the accuracy of PA evaluations in this population.</p>\",\"PeriodicalId\":7502,\"journal\":{\"name\":\"AIDS\",\"volume\":\" \",\"pages\":\"1392-1396\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254016/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AIDS\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/QAD.0000000000004226\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"IMMUNOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AIDS","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/QAD.0000000000004226","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"IMMUNOLOGY","Score":null,"Total":0}
The lipid research clinics physical activity questionnaire does not accurately measure physical activity in people with HIV.
Objective: This study aimed to evaluate the agreement between self-reported physical activity (PA) levels, as measured by the Lipid Research Clinics Physical Activity Questionnaire (LRCQ), and objective measures obtained through actigraphy in people with HIV.
Methods: Cross-sectional data were analyzed from the 130 people with HIV who completed the LRCQ and wore an actigraphy device for 7-10 days. The agreement between the LRCQ and actigraphy was assessed using various interrater agreement metrics, including Cohen's kappa and percentage agreement.
Results: The predominantly male (67.7%) cohort had a mean age of 55.7 ± 10.6 years. The LRCQ categorized 51.5% of participants as low activity; however, 33% of those self-reporting low activity achieved over 150 min of moderate to vigorous PA weekly measured by actigraphy. Agreement metrics indicated a "fair" level of concordance: Percentage agreement was 67%, and Cohen's kappa was 0.29 ( P < 0.001).
Conclusions: The LRCQ does not accurately capture PA levels in people with HIV compared to actigraphy. This discrepancy suggests potential under- or over-reporting, emphasizing caution in using self-reported data for clinical assessments. Future research should focus on refining PA questionnaires and integrating objective measures to enhance the accuracy of PA evaluations in this population.
期刊介绍：
Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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