Ethical Considerations

This is a dissertation questionnaire on the topic ‘Relationship between Sedentary Behavior and Metabolic Syndrome among Adult Patients Presenting at The General Out-Patient Clinic, Federal Medical Centre Owerri’. It is a requirement for the award of Fellowship (FMCFM) in the faculty of Family Medicine of the National Post-graduate Medical College of Nigeria.

Your participation is highly needed to achieve this goal. You are please requested to fill the attached consent form.

Please, kindly answer the following questions. Any answer or information will be treated with strict confidentiality.

126 Serial Number………

Hospital Number………….………

BP……. ………..

WC………..

FBG………

FLP………...………..

HDL………..………

SECTION A (DEMOGRAPHY) 1 .Age (years)_________

2. Sex: Male____ Female ____

3. Highest educational level attained:

No formal education___ Primary___

Secondary___________ Tertiary___

4. Occupation:

Unemployed___ Student/Apprentice___

Civil Servant (specify)_________ Retired___

Professional (specify)_________ Farming___

Technician (specify) ___________ Trading (specify)_________

Others (specify) _____________

5. Marital status:

Single ___ Married ___

Separated__ Divorced __

Widowed ___

127 6. Address:______________________________________________

______________________________________________

7. Religion:

Christianity_____ Islam____

Traditional______ Atheist___

Others (specify)_____________

8. Tribe: Igbo____ Yoruba___

Hausa___ Others (specify) _____________

SECTION B (MEDICAL HISTORY)

1. Are you a hypertensive: Yes__ No__ Unsure___

If yes, specify how long _____________

2. Are you on any anti-hypertensive medication?

Yes___ No___ Unsure__

If yes, specify medication, and for how long_______________

3. Are you a Diabetic: Yes__ No__ Unsure ___

If yes, specify how long _____________

4. Are you on any anti-diabetic medication? Yes___ No___ Unsure__

If yes, specify medication, and for how long_______________

5. Are you dyslipidemic?: Yes__ No__ Unsure___

If yes, specify how long _____________

6. Are you on any anti-dyslipidemic medication?

Yes___ No___ Unsure__

If yes, specify medication and for how long_______________

128 SECTION C (PHYSICAL ACTIVITIES)¹³⁹

The questions will ask you about the time you spent 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 you do 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 breathe 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?

_____ days per week _____No vigorous physical activities

2. How much time (average) did you spend doing vigorous physical activities on one of those days? _____ hours per day _____ minutes per day _____Don’t know/Not sure 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 breathe 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.

_____ days per week ______No moderate physical activity

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

129 home, walking to travel from place to place, and any other walking that you might do 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?

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

_____ hours per day ____ minutes per day ____Don’t know/Not sure 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 leisure 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?

_____ hours per day _____ minutes per day _____Don’t know/Not sure

8. List the factors that contribute in limiting your physical activity level

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

130 APPENDIX 2

Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) - Short Form,⁴

Version 2.0. April 2004

Categorical Score- three levels of physical activity are proposed 1. Low

a. No activity is reported, OR

b. Some activity is reported but not enough to meet Categories 2 or 3.

2. Moderate

Either of the following 3 criteria;

a. 3 or more days of vigorous-intensity activity of at least 20 minutes per day OR b. 5 or more days of moderate-intensity activity and/or walking of at least 30 minutes per day, OR

131 c. 5 or more days of any combination of walking, moderate-intensity or vigorous intensity activities achieving a minimum of at least 600 MET-min/week.

3.High

Any one of the following 2 criteria

• Vigorous-intensity activity on at least 3 days and accumulating at least 1500 MET-minutes/week OR

• 7 or more days of any combination of walking, moderate- or vigorous- intensity activities accumulating at least 3000 MET-minutes/week

MET values and Formula for computation of Met-minutes

Walking MET-minutes/week = 3.3 * walking minutes * walking .days.

Moderate MET-minutes/week = 4.0 * moderate-intensity activity minutes * moderate days Vigorous MET-minutes/week = 8.0 * vigorous-intensity activity minutes * vigorous-intensity days

A combined total physical activity MET-min/week can be computed as the sum of Walking + Moderate + Vigorous MET-min/week scores.

The MET values used in the above formula were derived from the IPAQ validity and reliability

Study undertaken in 2000-2001

132 APPENDIX 3

MET VALUES

133 APPENDIX 4

LETTER OF CONSENT

I do hereby consent to participate in this study titled: Relationship between sedentary behavior and metabolic syndrome among adult patients presenting at the General Out-Patient Clinic, Federal Medical Centre, Owerri. I acknowledge that I have been properly counseled on the implications of my involvement. I understand that the examinations that would be carried out in the course of this study are solely for the purpose of medical research