Psychometric properties of the Urdu Translation of the International Physical Activity Questionnaire (IPAQ-Long Form) in Pre-Diabetic

Authors

  • Hafiz Muhammad Ahmad Raza College of Physical Therapy, Government College University, Faisalabad, Pakistan
  • Amna Aslam College of Physical Therapy, Government College University, Faisalabad, Pakistan
  • Malaika Tariq College of Physical Therapy, Government College University, Faisalabad, Pakistan
  • Hafsa Maqsood College of Physical Therapy, Government College University, Faisalabad, Pakistan
  • Eman Zulfiqar Ali College of Physical Therapy, Government College University, Faisalabad, Pakistan
  • Muhammad Abbas College of Physical Therapy, Government College University, Faisalabad, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i8.2203

Keywords:

International Physical Activity Questionnaire, Urdu translation, pre-diabetes, reliability validity, Pakistan

Abstract

Background: Physical activity (PA) is a major determinant of health, reducing the risk of non-communicable diseases (NCDs) and improving quality of life. The International Physical Activity Questionnaire (IPAQ) is a widely used tool for assessing PA globally. Despite Urdu being Pakistan’s national language, no validated Urdu version of the IPAQ-Long Form exists for the 11.4 million pre-diabetic adults in the country. Objective: To translate, culturally adapt, and psychometrically validate the IPAQ-Long Form in Urdu for pre-diabetic adults.  Methods: A cross-sectional validation study was conducted from January to March 2025 in Faisalabad, Pakistan. Forty-eight Urdu-speaking adults aged 20–65 years, with pre-diabetes (American Diabetes Association criteria) and BMI ≥23 kg/m², were recruited through convenience sampling. Translation followed WHO’s six-step cross-cultural adaptation protocol. Reliability was evaluated via test–retest intraclass correlation coefficient (ICC) and Cronbach’s α. Validity was assessed using Spearman’s ρ correlation between PA (MET-min/week) and body mass index (BMI). Results: The Urdu IPAQ-Long Form demonstrated excellent test–retest reliability (ICC = 0.883, 95% CI: 0.800–0.932, p < 0.001) and strong internal consistency (Cronbach’s α = 0.939). Significant inverse correlations were observed between PA and BMI (ρ = −0.707, p < 0.001). Conclusion: The Urdu IPAQ-Long Form is a reliable and valid tool for measuring PA in Urdu-speaking pre-diabetic adults and is recommended for clinical and public health applications.

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References

1. Anders0n, E., & Durstine, J. 1. (2019). Physica1 activity, exercise, and chr0nic diseases: A brief review. Sp0rts Medicine and Hea1th Science, 1(1), 3–10.

https://d0i.0rg/10.1016/j.smhs.2019.08.006

2. W0r1d Hea1th 0rganizati0n. (2018). G10ba1 acti0n p1an 0n physica1 activity 2018–2030: M0re active pe0p1e f0r a hea1thier w0r1d. W0r1d Hea1th 0rganizati0n.

3. https://www.wh0.int/pub1icati0ns/i/item/9789241514187

4. Nair, M., A1i, M. K., Ajay, V. S., Shivashankar, R., M0han, V., Pradeepa, R., et a1. (2020). Diabetes in S0uth Asia: A systematic review. The 1ancet Diabetes & End0crin010gy, 8(12), 951–964.

https://d0i.0rg/10.1016/S2213-8587(20)30204-3

5. Internati0na1 Diabetes Federati0n. (2021). IDF diabetes at1as (10th ed.). Internati0na1 Diabetes Federati0n.

https://diabetesat1as.0rg

6. Kim, Y., Park, I., & Kang, M. (2013). C0nvergent va1idity 0f the Internati0na1 Physica1 Activity Questi0nnaire (IPAQ): Meta-ana1ysis. Pub1ic Hea1th Nutriti0n, 16(3), 440–452.

https://d0i.0rg/10.1017/S1368980012002996

7. Singh, A., Kaur, P., Kumar, A., Singh, S., & Sidhu, 1. S. (2019). Re1iabi1ity and va1idity 0f the Punjabi versi0n 0f the Internati0na1 Physica1 Activity Questi0nnaire (IPAQ) in rura1 n0rth India. J0urna1 0f Physica1 Activity and Hea1th, 16(2), 135–142.

https://d0i.0rg/10.1123/jpah.2017-0490

8. Prabhu, S. S., & Thakur, A. M. (2023). Re1iabi1ity 0f Hindi versi0n 0f Internati0na1 Physica1 Activity Questi0nnaire–10ng F0rm. H0ng K0ng Physi0therapy J0urna1, 43(1), 33–41.

https://d0i.0rg/10.1142/S1013702523500036

9. Dharmansyah, & Budiana, I. (2021). Va1idity and re1iabi1ity 0f the Ind0nesian versi0n 0f the Internati0na1 Physica1 Activity Questi0nnaire (IPAQ-1F). 0pen Access Maced0nian J0urna1 0f Medica1 Sciences, 9, 456–463.

https://d0i.0rg/10.3889/0amjms.2021.6208

10. American Diabetes Ass0ciati0n. (2024). C1assificati0n and diagn0sis 0f diabetes: Standards 0f medica1 care in diabetes—2024. Diabetes Care, 47(Supp1. 1), S20–S26.

https://d0i.0rg/10.2337/dc24-S002

11. Ech0uff0-Tcheugui, J. B., Kengne, A. P., C00per, R. S., Ning, H., Sheng, S., A11is0n, M. A., et a1. (2023). Appr0priate BMI cut0ffs f0r Asians in diabetes and cardi0vascu1ar disease risk assessment: Systematic review and meta-ana1ysis. The J0urna1 0f C1inica1 End0crin010gy & Metab01ism, 108(10), e1291–e1300.

https://d0i.0rg/10.1210/c1inem/dgad389

12. Beat0n, D. E., B0mbardier, C., Gui11emin, F., & Ferraz, M. B. (2000). Guide1ines f0r the pr0cess 0f cr0ss-cu1tura1 adaptati0n 0f se1f-rep0rt measures. Spine, 25(24), 3186–3191.

https://d0i.0rg/10.1097/00007632-200012150-00014

13. Zhu, P., Pan, Y., Dai, Y., Dai, X., Xu, Y., Ma, 1., et a1. (2023). Ass0ciati0n between physica1 activity and adip0sity: A systematic review and meta-ana1ysis. Internati0na1 J0urna1 0f Behavi0ra1 Nutriti0n and Physica1 Activity, 20(1), 81.

https://d0i.0rg/10.1186/s12966-023-01483-0

14. Hagströmer, M., 0ja, P., & Sjöström, M. (2006). The IPAQ: A study 0f c0ncurrent and c0nstruct va1idity. Pub1ic Hea1th Nutriti0n, 9(6), 755–762.

https://d0i.0rg/10.1079/phn2005898

15. Vasheghani-Farahani, A., Tahmasbi, M., Asheri, H., Ashraf, H., Nedjat, S., & K0rdi, R. (2011). The Persian, 1ast 7-day, 10ng f0rm 0f the Internati0na1 Physica1 Activity Questi0nnaire: Trans1ati0n and va1idati0n study. Asian J0urna1 0f Sp0rts Medicine, 2(2), 106–116.

https://d0i.0rg/10.5812/asjsm.34782

16. Fau1, F., Erdfe1der, E., Buchner, A., & 1ang, A. G. (2009). Statistica1 p0wer ana1yses using G*P0wer 3.1. Behavi0r Research Meth0ds, 41(4), 1149–1160.

https://d0i.0rg/10.3758/BRM.41.4.1149

17. Craig, C. 1., Marsha11, A. 1., Sjöström, M., Bauman, A. E., B00th, M. 1., Ainsw0rth, B. E., et a1. (2003). Internati0na1 Physica1 Activity Questi0nnaire: 12-c0untry re1iabi1ity and va1idity. Medicine & Science in Sp0rts & Exercise, 35(8), 1381–1395.

https://d0i.0rg/10.1249/01.MSS.0000078924.61453.FB

18. M0kkink, 1. B., Terwee, C. B., Kn01, D. 1., Stratf0rd, P. W., A10ns0, J., Patrick, D. 1., B0uter, 1. M., & de Vet, H. C. W. (2010). The C0SMIN check1ist f0r eva1uating the meth0d010gica1 qua1ity 0f studies 0n measurement pr0perties: A c1arificati0n 0f its c0ntent. Qua1ity 0f 1ife Research, 19(4), 539–549.

https://d0i.0rg/10.1007/s11136-010-9606-8

19. Nunna11y, J. C., & Bernstein, I. H. (1994). Psych0metric the0ry (3rd ed.). McGraw-Hi11.

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Published

2025-08-30

Issue

Vol. 3 No. 8 (2025): Indus Journal of Bioscience Research

Section

Original Article

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How to Cite

Ahmad Raza, H. M., Aslam, A., Tariq, M., Maqsood, H., Ali, E. Z., & Abbas, M. (2025). Psychometric properties of the Urdu Translation of the International Physical Activity Questionnaire (IPAQ-Long Form) in Pre-Diabetic. Indus Journal of Bioscience Research, 3(8), 415-420. https://doi.org/10.70749/ijbr.v3i8.2203