Assessing physical activity in people with mental illness: 23-country reliability and validity of the simple physical activity questionnaire (SIMPAQ).

Journal: BMC psychiatry

Volume: 20

Issue: 1

Year of Publication: 2020

Affiliated Institutions:  Department of Psychiatry, UNSW Sydney, Sydney, Australia. s.rosenbaum@unsw.edu.au. Department of Psychiatry, UNSW Sydney, Sydney, Australia. Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montreal, Canada. Behavioral Disorders and Substances Abuse Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. Department of Psychiatry, Government Medical College, Trivandrum, India. Department of Psychosomatics and Psychotherapy, University Hospital Münster, Münster, Germany. School of Public Health, University of Sydney, Sydney, Australia. LWL-Klinik Marsberg, Hospital for Psychiatry, Psychotherapy and Psychosomatics, Marsberg, Germany. California State University, Los Angeles, USA. University of Basel, Psychiatric Clinics, Center for Affective, Stress and Sleep Disorders, Basel, Switzerland. Department of Sport, Physical Education and Outdoor Studies, University of South-Eastern Norway, Bø, Norway. Physical Performance & Sports Research Center, Department of Sports and Computer Science, Section of Physical Education and Sports, Faculty of Sports Sciences, Universidad Pablo de Olavide, Seville, Spain. Psychiatry Institute, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. Research Centre in Sports Sciences, Health Sciences and Human Development, CIDESD, GERON Research Community, Vila Real, Portugal. Faculty of Education, Free University of Bolzano, Bolzano, Italy. Early Intervention Program, J. Horwitz Psychiatric Institute, Santiago, Chile. Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. QIMR Berghofer Medical Research Institute, Brisbane, Australia. Department of Exercise Health Science, National Taiwan University of Sport, Taichung, Taiwan. National Institute of Mental Health, Klecany, Czech Republic. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA. Department of Mental Health, North-West Tuscany, Italy. HSE Louth Meath Mental Health Services, Louth, Ireland. South Coast Private Hospital, Wollongong, Australia. Department of Psychiatry, Faculty of Medicine, University of Oviedo, Oviedo, Spain. South London and Maudesley NHS Foundation Trust, London, UK. Department of Sport, Exercise and Health, Division of Sport and Psychosocial Health, University of Basel, Basel, Switzerland. Department of Biomolecular Sciences, University of Urbino, Urbino, Italy. St John of God Hospital, North Richmond, Australia. Psychiatric Services Solothurn, Solothurn, Switzerland. Adult Psychiatric Clinics (UPKE), University of Basel, Basel, Switzerland. Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan. Department of Community Medicine, Government Medical College, Trivandrum, India. Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. Department of Physical Therapy, Universidade Federal do Ceará, Fortaleza, Brazil. Department of Neuropsychiatry, The University of Tokyo Hospital, Tokyo, Japan. Graduate Institute of Sports and Health, National Changhua University of Education, Changhua, Taiwan. Keeping the Body In Mind, South Eastern Sydney Local Health District, Sydney, Australia. Department of Psychiatry, University of Hong Kong, Hong Kong, China. Department of Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany. School of Health Sciences, Waterford Institute of Technology, Waterford, Ireland. Association of early intervention in mental disorders-Cambiare la Rotta-Onlus, Milano, Italy. Department of Psychiatry, Aga Khan University, Karachi, Pakistan. School of Sport Sciences, UiT The Arctic University of Norway, Tromsø, Norway. Department of Affective Disorders, Aarhus University Hospital, Aarhus, Denmark. Orygen, the National Centre of Excellence in Youth Mental Health, Melbourne, Australia. The Sutherland Hospital, South Eastern Sydney Local Health District, Sydney, Australia. Gallipoli Medical Research Institute, Brisbane, Australia. Department of Sports Methods and Techniques, Federal University of Santa Maria, Santa Maria, Brazil. Department of Psychological Medicine, King's College London, London, England. Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria. Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium. University of Groningen, University Medical Center Groningen, University Center of Psychiatry, Groningen, Netherlands. Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital of Psychiatry Zurich, University of Zurich, Zurich, Switzerland. Neuropsychiatric Epidemiology Research Unit, School of Population and Global Health, University of Western Australia, Perth, Australia.

Abstract summary 

Physical inactivity is a key contributor to the global burden of disease and disproportionately impacts the wellbeing of people experiencing mental illness. Increases in physical activity are associated with improvements in symptoms of mental illness and reduction in cardiometabolic risk. Reliable and valid clinical tools that assess physical activity would improve evaluation of intervention studies that aim to increase physical activity and reduce sedentary behaviour in people living with mental illness.The five-item Simple Physical Activity Questionnaire (SIMPAQ) was developed by a multidisciplinary, international working group as a clinical tool to assess physical activity and sedentary behaviour in people living with mental illness. Patients with a DSM or ICD mental illness diagnoses were recruited and completed the SIMPAQ on two occasions, one week apart. Participants wore an Actigraph accelerometer and completed brief cognitive and clinical assessments.Evidence of SIMPAQ validity was assessed against accelerometer-derived measures of physical activity. Data were obtained from 1010 participants. The SIMPAQ had good test-retest reliability. Correlations for moderate-vigorous physical activity was comparable to studies conducted in general population samples. Evidence of validity for the sedentary behaviour item was poor. An alternative method to calculate sedentary behaviour had stronger evidence of validity. This alternative method is recommended for use in future studies employing the SIMPAQ.The SIMPAQ is a brief measure of physical activity and sedentary behaviour that can be reliably and validly administered by health professionals.

Authors & Co-authors:  Rosenbaum S S Morell R R Abdel-Baki A A Ahmadpanah M M Anilkumar T V TV Baie L L Bauman A A Bender S S Boyan Han J J Brand S S Bratland-Sanda S S Bueno-Antequera J J Camaz Deslandes A A Carneiro L L Carraro A A Castañeda C P CP Castro Monteiro F F Chapman J J Chau J Y JY Chen L J LJ Chvatalova B B Chwastiak L L Corretti G G Dillon M M Douglas C C Egger S T ST Gaughran F F Gerber M M Gobbi E E Gould K K Hatzinger M M Holsboer-Trachsler E E Hoodbhoy Z Z Imboden C C Indu P S PS Iqbal R R Jesus-Moraleida F R FR Kondo S S Ku P W PW Lederman O O Lee E H M EHM Malchow B B Matthews E E Mazur P P Meneghelli A A Mian A A Morseth B B Munguia-Izquierdo D D Nyboe L L O'Donoghue B B Perram A A Richards J J Romain A J AJ Romaniuk M M Sadeghi Bahmani D D Sarno M M Schuch F F Schweinfurth N N Stubbs B B Uwakwe R R Van Damme T T Van Der Stouwe E E Vancampfort D D Vetter S S Waterreus A A Ward P B PB

Study Outcome 

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Citations :  Correll CU, et al. Prevalence, incidence and mortality from cardiovascular disease in patients with pooled and specific severe mental illness: a large-scale meta-analysis of 3,211,768 patients and 113,383,368 controls. World Psychiatry. 2017;16(2):163–180. doi: 10.1002/wps.20420.
Authors :  66
Identifiers
Doi : 108
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Assessment;Exercise;Measurement;Mental illness;Physical activity;Sedentary behaviour
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England