Evaluation of Global Physical Activity Questionnaire (GPAQ) among healthy and obese health professionals in Central India
To assess physical activity using the Global Physical Activity Questionnaire (GPAQ) among healthy, overweight and obese Indian health professionals.The Global Physical Activity Questionnaire (GPAQ) was used to assess physical activity among 324 dental health care professionals (third-year students, final-year students, interns, and faculty). Metabolic Equivalents (MET) were used to express the intensity of physical activities, and are also used for the analysis of GPAQ data. The analysis of Variance (ANOVA) was used to compare the mean physical activity scores among dental health care professionals. The Chi Square test was used to compare categorical risk indicators and obesity (BMI). Kendall's test was used to compute the correlation between physical activity categorical indicator (CI), obesity and sedentary behaviour. The logistic regression analysis was performed to determine the importance of the factors associated with obesity. Odds ratio was calculated for all variables with 95% confidence intervals.Total physical activity measured in mean MET minutes per week was 625.6, 786.3, 296.5, and 296.5 for third-year students, final-year students, interns, and faculty respectively (p ≤ 0.05). Total energy expenditure of 0 MET minutes per week was calculated as 32.2%, 10.3%, 17.9% and 44.9% of third-year students, final-year students, interns, and faculty, respectively. Of the 211 health care professionals in high risk group 28.9% were in the third year, 19.9% in the final year, 20.4% were interns and 30.8% were faculty members. Obesity was calculated in 22.4% third-year students, 16.3% final-year students, 20.4% interns and 40.8% of faculty members. Overweight problems were seen in 19.7%, 24.7%, 24.7% and 30.8% of third-year students, final-year students, interns, and faculty members respectively (p ≤ 0.001).A significant correlation was seen between physical activity categorical indicator and BMI. A significant negative correlation was noted between physical activity categorical indicator and sedentary behaviour. A significant correlation was also noted between BMI and sedentary behavior. Physical activity is a positive health behavior with so much potential to improve public health and so few risks that it deserves to be central to any future public health strategy.
- 1. U.S. Department of Health and Human Services (USDHHS). Physical activity and health: a report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services; 1996, 81-172.
- 2. World Health Organization. Preventing chronic diseases: a vital investment. Geneva, Switzerland: World Health Organization; 2005, 106.
- 3. Bauman A, Miller Y. The public health potential of health enhancing physical activity. In: Oja P, Borms J, eds. Health-enhancing physical activity. International Council of Sport Science and Physical Education, 2004.
- 4. Caspersen CJ, Powell KE, Christensen GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports 1985;100:126-131.
- 5. Leadership for Active Living. Leadership action strategies. San Diego, San Diego State University, 2003. [available at: http//:www.leadershipforactiveliving.org]
- 6. WHO. Physical Inactivity: a global public health problem. Geneva: World Health Organization. [available at: http://www.who.int/dietphysicalactivity/factsheet_inactivity/en/index.html]
- 7. WHO. Technical report series 894: Obesity: preventing and managing the global epidemic. Geneva: World Health Organization, 2000.
- 8. Ogden CL, Carroll MD, Flegal KM. Epidemiologic trends in overweight and obesity. Endocrinol Metab Clin North Am 2003;32:741-760.
- 9. The World Health Report 2002 - Reducing risks, promoting healthy life. Geneva, World Health Organization. [available at: http://www.who.int/whr/2002/en]
- 10. Sorensen J, Horsted C, Andersen LB. Models of potential health economic consequences by increased physical activity in the adult population. Odense: Syddansk Universitet, 2005.
- 11. Risk factors and public health in Denmark. Copenhagen: Statens Institut for Folkesundhet, 2006. http://www.si-folkesundhed.dk/upload/risikofaktorer_def.pdf
- 12. WHO. Global strategy on diet, physical activity and health. In: Proceedings of the 57th World Health Assembly. Geneva, Switzerland: World Health Organization; 2004, 2-18.
- 13. WHO. Global Physical Activity Questionnaire (GPAQ). Analysis guide. [available at: http//.www.who.int/chp/steps/resources/GPAQ_Analysis_Guide.pdf]
- 14. Brill PA, Macera CA, Davis DR, Blair SN, Gordon N. Muscular strength and physical function. Med Sci Sport Exer 2000;32:412-416.
- 15. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obesity Rev 2004;5:4-104.
- 16. Reilly JJ, Jackson DM, Montgomery C, et al. Total energy expenditure and physical activity in young Scottish children: mixed longitudinal study. Lancet 2004;363:211-2.
- 17. French SA, Story M, Jeffery RW. Environmental influences on eating and physical activity. Annu Rev Publ Health 2001;22:309-35.
- 18. Sheikholeslam R, Mohamad A, Mohammad K, Vaseghi S. Non-communicable disease risk factors in Iran. Asia Pac J Clin Nutr 2004; 13 Suppl 2:S100.
- 19. Suija K, Pechter U, Maaroos J, et al. Physical activity of Estonian family doctors and their counselling for a healthy lifestyle: a cross-sectional study. BMC Family Practice 2010;11:48.
- 20. Ching PL, Willett WC, Rimm EB, Colditz GA, Gortmaker SL, Stampfer MJ. Activity level and risk of overweight in male health professionals. Am J Public Health 1996;86(1):25-30.
- 21. Frank E, Tong E, Lobelo F, Carrera J, Duperly J. Physical activity levels and counseling practices of U.S. medical students . Med Sci Sport Exer 2008;40(3):413-421.
- 22. Hensrud DD, Sprafka JM, Connett J, Leon AS. Physical activity in Minnesota physicians. Prev Med 1992;21(1):120-126.
- 23. Lobelo F, Duperly J, Frank E Physical activity habits of doctors and medical students influence their counselling practices. Br J Sport Med 2009;43:89-92.
- 24. Fretts AM, Howard BV, Kriska AM, et al. Physical activity and incident diabetes in American Indians.The strong heart study. Am J Epidemiol 2009;170(5) [DOI: 10.1093/aje/kwp181].
- 25. Al-Zahrani MS, Borawski EA, Bissada NF. Increased pysical activity redeucs prevakence of periodontitis. J Dent 2005 Oct;33(9):703-10.
- 26. Department for Culture, Media and Sport (DCMS) and Strategy Unit. Game plan: a strategy for delivering Government’s sport and physical activity objectives. London, Cabinet Office, 2002.
- 27. WHO (Europe). Physical activity and health in Europe. Evidence for action. [available at: http://www.euro.who.int/ data/assets/pdf_file/0011/87545/E89490.pdf]
- 28. Morris JN: Exercise in the prevention of coronary heart disease: today's best buy in public health. Med Sci Sports Exerc 1994, 26:807-14.
- 29. Bull FC, Armstrong T, Dixon T, Ham S, Neiman A, Pratt M: Physical inactivity. In: Comparative Quantification of Health Risks: Global and Regional Burden of Disease due to Selected Major Risk Factors. World Health Organization; 2005, 729-881.
- 30. Valachi B. Managing muscles: neck and shoulder pain among dental hygienists. Contemporary Oral Hygiene 2004;4(12):8-13.