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General Practice Physical Activity Questionnaire (GPPAQ)

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The General Practice Physical Activity Questionnaire (GPPAQ) was commissioned by the Department of Health and developed by the London School of Hygiene and Tropical Medicine as a validated short measure of physical activity. It was developed to assist primary care trusts (PCTs) to meet the National Service Framework recommendations that "primary care teams assess and record the modifiable risk factors for each of their patients, including physical activity".1

Questionnaire

The GPPAQ is a validated screening tool for use in primary care that can be used to assess adult (16-74 years) physical activity levels.
It generates a simple, 4-level Physical Activity Index (PAI) categorising patients as: Active, Moderately Active, Moderately Inactive, and Inactive.

All patients who receive a score less than "Active" should be offered a brief intervention supporting behaviour change to increase their physical activity. It can be used as part of the NHS Health Check programme to assess people's risk of heart disease, stroke, kidney disease and diabetes.

The appropriate PAI Read Codes should be used if entering PAI data into the clinical record.2

Questions concerning Walking, Housework/Childcare and Gardening/DIY have been included to allow patients to record their physical activity in these categories; however, these questions have not been shown to yield data of a sufficient reliability to contribute to an understanding of overall physical activity levels. They are not used in the generation of the PAI. 1

The GPPAQ is ©Crown copyright.


Document references
  1. The General Practice Physical Activity Questionnaire (GPPAQ), Department of Health, 2006
  2. GPPAQ Publication Update (May 09), Eastern Region Public Health Observatory (NHS)

Internet and further reading
Acknowledgements EMIS is grateful to Dr Huw Thomas for writing this article. The final copy has passed scrutiny by the independent Mentor GP reviewing team. ©EMIS 2009.
Document ID: 12442
Document Version: 2
Document Reference: bgp26214
Last Updated: 1 Oct 2009
Planned Review: 30 Sep 2014

The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest. Find out more about updating.

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