Name and Surname

Age years
Weight kilograms

INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE

FOR USE WITH YOUNG AND MIDDLE-AGED ADULTS (15-69 years)

We are interested in finding out about the kinds of physical activities that people do as part of their everyday lives. The questions will ask you about the time yo
being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Please think about the activities
at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport.

Think about all the vigorous activities that you did in the last 7 days. Vigorous physical activities refer to activities that take hard physical effort and make you
much harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time.

1. During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?

0 days per week No vigorous physical activities. Skip to question 3

2. How much time did you usually spend doing vigorous physical activities on one of those days?

0 hours per day 0 minutes per day Don’t know/Not sure

Versione elettronica del questionario IPAQ sviluppata dal dott. Andrea Di Blasio e da Christian Mazzocco.
Per info: [email protected]
Think about all the moderate activities that you did in the last 7 days. Moderate activities refer to activities that take moderate physical effort and make you
somewhat harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time.

3. During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis? Do not
include walking.

0 days per week No moderate physical activities. Skip to question 5

4. How much time did you usually spend doing moderate physical activities on one of those days?

0 hours per day 0 minutes per day Don’t know/Not sure

Think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you h
done solely for recreation, sport, exercise, or leisure.

5. During the last 7 days, on how many days did you walk for at least 10 minutes at a time?

0 days per week No walking. Skip to question 7

6. How much time did you usually spend walking on one of those days?

0 hours per day 0 minutes per day Don’t know/Not sure

Versione elettronica del questionario IPAQ sviluppata dal dott. Andrea Di Blasio e da Christian Mazzocco.
Per info: [email protected]
The last question is about the time you spent sitting on weekdays during the last 7 days. Include time spent at work, at home, while doing course work and during lei
time. This may include time spent sitting at a desk, visiting friends, reading, or sitting or lying down to watch television.

7. During the last 7 days, how much time did you spend sitting on a week day?

0 hours per day 0 minutes per day Don’t know/Not sure

This is the end of the questionnaire, thank you for participating.

Versione elettronica del questionario IPAQ sviluppata dal dott. Andrea Di Blasio e da Christian Mazzocco.
Per info: [email protected]
NNAIRE
(15-69 years)

lives. The questions will ask you about the time you spent
be an active person. Please think about the activities you do
exercise or sport.

tivities that take hard physical effort and make you breathe
me.

aerobics, or fast bicycling?

estion 3

on’t know/Not sure

Versione elettronica del questionario IPAQ sviluppata dal dott. Andrea Di Blasio e da Christian Mazzocco.
Per info: [email protected]
s that take moderate physical effort and make you breathe
a time.

icycling at a regular pace, or doubles tennis? Do not

uestion 5

on’t know/Not sure

from place to place, and any other walking that you have

on’t know/Not sure

Versione elettronica del questionario IPAQ sviluppata dal dott. Andrea Di Blasio e da Christian Mazzocco.
Per info: [email protected]
work, at home, while doing course work and during leisure
elevision.

on’t know/Not sure

Versione elettronica del questionario IPAQ sviluppata dal dott. Andrea Di Blasio e da Christian Mazzocco.
Per info: [email protected]
 TIP: use the TAB key to move between editable cells

Automatic report of the INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE.

Authors: Andrea Di Blasio, Ph.D., M.Sc., B.Sc.; Pascal Izzicupo, Ph.D., M.Sc., B.Sc.; Francesco Di Donato, B.Sc.; Christian Mazzocco.
[email protected]

Versione elettronica del questionario IPAQ sviluppata dal dott. Andrea Di Blasio e da Christian Mazzocco.
Per info: [email protected]
 Name and Surname 0
Age 0 years This report does not constitute diagnosis.
Weight 0 kilograms Do not forget to consult your physician before to start a physical exercise program.
Dear Sir/Madam, you can find below the estimation of your weekly metabolic commitment in terms of your walking and carrying out of moderate to vigorous physical activity. These
calculations are designed to be able to classify your physical activity level. This enables you to understand whether the quality and quantity of your weekly physical activity should be
increased, which will help to prevent the onset of pathologies that are correlated with a sedentary life style. This automatic report was generated by Dr. Andrea Di Blasio, Pascal
Izzicupo, Francesco Di Donato, and Mr. Christian Mazzocco, of the ‘G. d'Annunzio’ University of Chieti–Pescara, following the assessment and advice contained in the International
Physical Activity Questionnaire (IPAQ) scoring protocol.

Walking 0 MET-min/week 0.00 Kcal/week

Moderate physical activities 0 MET-min/week 0.00 Kcal/week
Vigorous physical activities 0 MET-min/week 0.00 Kcal/week
Total 0 MET-min/week 0.00 Kcal/week

Weekly physical activity level

LOW

According to your report, from Monday to Friday, your daily time spent in sedentary activities is, meanly,
0 hour/s 0 minutes/day
As the scientific literature highlights that both the daily sedentary time and the daily time dedicated to moderate to vigorous intensity physical activity have roles in the
onset and/or prevention of the most common chronic non-transmissible pathologies, such as cardiometabolic disorders and certain types of cancer, it is extremely
important to take both of these into consideration to promote good health.

COMMENT

Your physical activity level must be improved. Although your daily sedentary time is low, at less than 4 hours, the low/absent daily moderate to vigorous intensity
physical activity will have negative effects on your current and future health. According to your health status, you should devote 60 to 75 minutes daily to moderate
intensity physical activity, or 30 to 35 minutes daily to vigorous physical activity, or 45 to 55 minutes daily to mixed intensity moderate to vigorous physical activities.

MET-min/week. The Metabolic Equivalent of Task (MET), or metabolic equivalent, is a physiological measure expressing the energy cost of physical activities and is defined as the ratio of metabolic rate (and therefore the rate of energy consumption) during a specific physical activity to a
reference metabolic rate, usually represented by resting metabolic rate. In this case, the variable MET-min/week expresses weekly metabolic engagement in walking, and in both moderate and vigorous physical activities practice.
Ekelund et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016 Sep 24;388(10051):1302-10.

This report does not constitute diagnosis.

Do not forget to consult your physician before to start a physical exercise program.
To request information about the excel file and the report: [email protected]
 Name and Surname
0

To store the data, you can copy the green section and paste it in your own database.

Legend
VPA: vigorous physical activity
MPA: moderate physical activity
MVPA: moderate-to-vigorous physical activity
PAL: physical activity level
 Age Weight
0 0

n your own database.

Days/week VPA Minutes/week VPA
0 0
Days/week MPA Minutes/week MPA
0 0
Days/week walking Minutes/week walking
0 0
Days/week MPA + walking Minutes/week MPA + walking
0 0
Minutes/week MVPA Minutes/week MVPA + walking
0 0
MET-min/week VPA MET-min/week MPA
0 0
MET-min/week walking MET-min/week total
0 0
Kcal/week VPA Kcal/week MPA
0 0
Kcal/week walking Kcal/week total
0 0
PAL Minutes/week sitting time
LOW 0