Physical Activity Scale for the Elderly (PASE)

Original Editor - Ajay Upadhyay

Top Contributors - Alberto Bertaggia, Kim Jackson, Gayatri Jadav Upadhyay, Ajay Upadhyay, Shaimaa Eldib, Lauren Lopez, 127.0.0.1, WikiSysop, Amanda Ager, Evan Thomas and Michelle Lee  

Objective

The PASE is an instrument that measures the level of physical activity for individuals aged 65 and older.

Intended Population

The PASE can be used to measure physical activity in surveys of older person and to assess the effectiveness of interventions.

Method of Use

The PASE is comprised of self-reported occupational, household and leisure items over a one-week period and can be administered by telephone, mail or in-person. The PASE scoring was derived from movement counts from an electronic physical activity monitor, activity diaries and self-assessed activity levels in a general population of non-institutionalized older persons.

The leisure activity items require participants to first report the number of days per week the activity was performed and then the number of hours per day. PASE scores are calculated from weights and frequency values for each of the 12 types of activities. Responses to the first question about sitting are not scored.

Q1. Over the past 7 days, how often did you participate in sitting activities such as reading, watching TV, or doing handcrafts?

LEISURE TIME ACTIVITY

2. Over the past 7 days, how often did you take a walk outside your home or yard for any reason? For example, for fun or exercise, walking to work, walking the dog, etc?

never seldom (1-2 days) sometimes (3-4 days) often (5-7 days) If 1,2 or 3:

2a. On average, how many hours per day did you spend walking?

less than 1 hour 1 but less than 2 hours 2-4 hours more than 4 hours

5. Over the past 7 days, how often did you engage in strenuous sport and recreational activities such as jobbing swimming, cycling, singles tennis, aerobic dance, skiing(downhill or cross country) or other similar activities?

never seldom (1-2 days) sometimes (3-4 days) often (5-7 days) If 1,2 or 3:

5a. What were these activities? ___________________________

5b. On average, how many hours per day did you engage in these strenuous sport and recreational activities?

less than 1 hour 1 but less than 2 hours 2-4 hours more than 4 hours HOUSEHOLD ACTIVITY

No walking or bicycling related questions in this section.

WORK RELATED ACTIVITY

10. During the past 7 days, did you work for pay or as a volunteer?

NO YES IF YES:

10a. How many hours per week did you work for pay and or as a volunteer? ____ hours

10b. Which of the following categories best describes the amount of physical activity required on your job and or volunteer work?

Sitting or standing with some walking, Ex: cashier, general office worker, light tool and machinery worker Walking with some handling of materials generally weighing less than 50 pounds. Ex: mailman, waiter/waitress, construction worker, heavy tool and machinery worker Walking and heavy manual work often requiring handling of materials weighting over 50 pounds. Ex: lumberjack, stone mason, farm or general laborer.

Evidence

Reliability & Validity

The validity and reliability of PASE were established in a random sample of 222 individuals ages 65-100y, and scores were significantly correlated with balance, grip strength, leg strength and health status. Scores range from 0 to 361.

The validity of the Physical Activity Scale for the Elderly (PASE) was assessed in a sample of sedentary adults (56 men, 134 women, mean age +/- [SD] 66.5+/-5.3 years) who volunteered to participate in a randomized controlled trial on the effect of aerobic conditioning on psychological function. Construct validity was established by correlating PASE scores with physiologic and performance characteristics: peak oxygen uptake, resting heart rate and blood pressure, percent body fat, and balance. The mean PASE scores were higher in men than in women (men = 145.8+/-78.0; women = 123.9+/-66.3, P<0.05), and in those age 55-64 years compared with those age 65 years and over (55-64 = 144.2+/-75.8; 65 and over = 118.9+/-63.9, P<0.05). PASE scores were also significantly higher in those who did not report a chronic health condition (cardiovascular disease, hypertension, cancer, or recent surgery). PASE scores were significantly associated (P<0.05) with peak oxygen uptake (r = 0.20), systolic blood pressure (r = -0.18) and balance score (r = 0.20). No significant associations of PASE score and diastolic blood pressure, resting heart rate, or percent body fat were noted. These results provide additional evidence for the validity of the PASE as a measure of physical activity suitable for use in epidemiology studies on the association of physical activity, health, and physical function in older individuals.  

The Japanese version of PASE was shown to have acceptable validity and reliability. The PASE is useful to measure the physical activity of elderly people in Japan.

Recent Related Research (from Pubmed)

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References

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