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Updated: Jun 16, 2026

Assessment of Physical Activity Intensity with Accelerometers and Oxygen Consumption
Published on: June 20, 2025
The international physical activity questionnaire overestimates moderate and vigorous physical activity in
Soula Fillipas1, Flavia Cicuttini, Anne Elizabeth Holland
1Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Abstract:
This study evaluates the validity of the last-7-day, self-administered version of the International Physical Activity Questionnaire (IPAQ) long form in HIV-infected people, using accelerometry as the objective criterion. The ActiGraph GT1M accelerometer was worn during all waking hours for 7 days, and the IPAQ was completed on day 7. A total of 30 men were recruited as participants from the Alfred Infectious Disease Clinic, Melbourne, Australia. Self-reported total number of metabolic equivalents minutes per week correlated moderately with accelerometer total activity counts (r = .41, p = .02). However, mean differences showed overreporting with the questionnaire; 546.63 min/wk (95% confidence interval: 217.1-871.2 minutes) for moderate and 295.33 min/wk (95% confidence interval: 88.08-502.6 minutes) for vigorous activity. The IPAQ correlated with accelerometry, but substantial overreporting occurred. The tool may be useful in screening physical activity but should not be used to determine precise levels.
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