Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-30T05:45:06.926Z Has data issue: false hasContentIssue false

Development and test–retest reliability of the Combat Sports Post-Career Health Questionnaire (CSPCHQ)

Published online by Cambridge University Press:  25 May 2022

Saša Krstulović
Affiliation:
Faculty of Kinesiology, University of Split, Split, Croatia
Emerson Franchini
Affiliation:
Martial Arts and Combat Sports Research Group, Sport Department, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
David H. Fukuda
Affiliation:
Institute of Exercise Physiology and Rehabilitation Science, School of Kinesiology and Physical Therapy, University of Central Florida, Orlando, FL, USA
Jeffrey R. Stout
Affiliation:
Institute of Exercise Physiology and Rehabilitation Science, School of Kinesiology and Physical Therapy, University of Central Florida, Orlando, FL, USA
Óscar DelCastillo-Andrés
Affiliation:
Department of Physical Education and Sports, University of Seville, Seville, Spain
Goran Kuvačić*
Affiliation:
Faculty of Kinesiology, University of Split, Split, Croatia
*
* Corresponding author: Dr Goran Kuvačić, email goran.kuvacic@kifst.eu

Abstract

The long-term impact of weight cycling on health status, eating habits, physical activity and the lifestyle of former combat sports athletes is still insufficiently explored. Therefore, a novel questionnaire in English, Portuguese, Spanish and Croatian language was constructed. To determine the reliability and the content/face validity, a total of 110 participants filled the questionnaire on two occasions. With the majority of intra-class correlation coefficient values above 0·75, the questionnaire items were shown to be very stable. Additionally, according to κ values, the questionnaire has fair test–retest reliability, with only one coefficient being labelled as poor (Q40 in ESP). All questionnaire sub-scales showed moderate to very good internal consistency when the overall sample was observed (α ranging from 0·605 to 0·802). Poor α values were found only in Godin-Shephard Leisure-Time Physical Activity Questionnaire for CRO and ESP samples. Wilcoxon’s signed rank test showed significant differences only in the Mindful Eating Questionnaire sub-scale scores (overall: P = 0·002, effect size = −0·208 [moderate]; CRO: P = 0·005, effect size = 0·303 [moderate]). It can be concluded that the newly developed questionnaire had strong test–retest reliability. Further validity research in a larger sample of former combat sports athletes should be considered.

Type
Research Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Strohacker, K, Carpenter, KC & McFarlin, BK (2009) Consequences of weight cycling: an increase in disease risk? Int J Exerc Sci 2, 191201.Google ScholarPubMed
Montani, JP, Viecelli, AK, Prévot, A, et al. (2006) Weight cycling during growth and beyond as a risk factor for later cardiovascular diseases: the ‘repeated overshoot’ theory. Int J Obes 30, S58S66.CrossRefGoogle ScholarPubMed
Franchini, E, Brito, C & Artioli, G (2012) Weight loss in combat sports: physiological, psychological and performance effects. J Int Soc Sports Nutr 9, 52.CrossRefGoogle ScholarPubMed
Marquet, LA, Brown, M, Tafflet, M, et al. (2013) No effect of weight cycling on the post-career BMI of weight class elite athletes. BMC Public Health 13, 18.CrossRefGoogle ScholarPubMed
Sabato, TM, Walch, TJ & Caine, DJ (2016) The elite young athlete: strategies to ensure physical and emotional health. Open Access J Sport Med 7, 99.Google ScholarPubMed
Peplonska, B, Adamczyk, JG, Siewierski, M, et al. (2017) Genetic variants associated with physical and mental characteristics of the elite athletes in the Polish population. Scand J Med Sci Sports 27, 788800.CrossRefGoogle ScholarPubMed
Reale, R, Burke, LM, Cox, GR, et al. (2020) Body composition of elite Olympic combat sport athletes. Eur J Sport Sci 20, 147156.CrossRefGoogle ScholarPubMed
Reale, R, Slater, G & Burke, LM (2017) Acute-weight-loss strategies for combat sports and applications to Olympic success. Int J Sports Physiol Perform 12, 142151.CrossRefGoogle Scholar
Hagmar, M, Hirschberg, AL, Berglund, L, et al. (2008) Special attention to the weight-control strategies employed by Olympic athletes striving for leanness is required. Clin J Sport Med 18, 59.CrossRefGoogle Scholar
Matthews, JJ, Stanhope, EN, Godwin, MS, et al. (2019) The magnitude of rapid weight loss and rapid weight gain in combat sport athletes preparing for competition: a systematic review. Int J Sport Nutr Exerc Metab 29, 441452.CrossRefGoogle ScholarPubMed
Fogelholm, M (1994) Effects of bodyweight reduction on sports performance. Sport Med 18, 249267.CrossRefGoogle ScholarPubMed
Loucks, AB (2004) Energy balance and body composition in sports and exercise. J Sports Sci 22, 114.CrossRefGoogle ScholarPubMed
Rankin, JW (2002) Weight loss and gain in athletes. Curr Sports Med Rep 1, 208213.CrossRefGoogle ScholarPubMed
Mountjoy, M, Sundgot-Borgen, J, Burke, L, et al. (2014) The IOC consensus statement: beyond the female athlete triad-relative energy deficiency in sport (RED-S). Br J Sports Med 48, 491497.CrossRefGoogle ScholarPubMed
Zubac, D, Karnincic, H & Sekulic, D (2018) Rapid weight loss is not associated with competitive success in elite youth Olympic-style boxers in Europe. Int J Sports Physiol Perform 13, 860866.CrossRefGoogle Scholar
Artioli, GG, Saunders, B, Iglesias, RT, et al. (2016) It is time to ban rapid weight loss from combat sports. Sport Med 46, 15791584.CrossRefGoogle ScholarPubMed
Brito, CJ, Roas, AFCM, Brito, ISS, et al. (2012) Methods of body-mass reduction by combat sport athletes. Int J Sport Nutr Exerc Metab 22, 8997.CrossRefGoogle ScholarPubMed
Dugonjić, B, Krstulović, S & Kuvačić, G (2019) Rapid weight loss practices in elite kickboxers. Int J Sport Nutr Exerc Metab 29, 122.CrossRefGoogle ScholarPubMed
Crighton, B, Close, GL & Morton, JP (2016) Alarming weight cutting behaviours in mixed martial arts: a cause for concern and a call for action. Br J Sports Med 50, 446447.CrossRefGoogle Scholar
Kordi, R, Ziaee, V, Rostami, M, et al. (2011) Patterns of weight loss and supplement consumption of male wrestlers in Tehran. Sport Med Arthrosc Rehabil Ther Technol 3, 4.CrossRefGoogle ScholarPubMed
Steen, SN & Brownell, KD (1990) Patterns of weight loss and regain in wrestlers: has the tradition changed? Med Sci Sports Exerc 22, 762768.CrossRefGoogle ScholarPubMed
Roemmich, JN & Sinning, WE (1997) Weight loss and wrestling training: effects on nutrition, growth, maturation, body composition, and strength. J Appl Physiol 82, 17511759.CrossRefGoogle ScholarPubMed
Nitzke, SA, Voichick, SJ & Olson, D (1992) Weight cycling practices and long-term health conditions in a sample of former wrestlers and other collegiate athletes. J Athl Train 27, 257261.Google Scholar
Saarni, SE, Rissanen, A, Sarna, S, et al. (2006) Weight cycling of athletes and subsequent weight gain in middleage. Int J Obes 30, 16391644.CrossRefGoogle ScholarPubMed
Steen, SN, Oppliger, RA & Brownell, KD (1988) Metabolic effects of repeated weight loss and regain in adolescent wrestlers. JAMA 260, 4750.CrossRefGoogle ScholarPubMed
McCargar, LJ & Crawford, SM (1992) Metabolic and anthropometric changes with weight cycling in wrestlers. Med Sci Sports Exerc 24, 12701275.CrossRefGoogle ScholarPubMed
Miles-Chan, JL & Isacco, L (2021) Weight cycling practices in sport: a risk factor for later obesity? Obes Rev 22, e13188.CrossRefGoogle Scholar
Tsang, S, Royse, CF & Terkawi, AS (2017) Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesthesia 11, S80S89.CrossRefGoogle ScholarPubMed
Del Greco, L, Walop, W & McCarthy, RH (1987) Questionnaire development: 2. Validity and reliability. Can Med Assoc J 136, 699700.Google ScholarPubMed
Brod, M, Tesler, LE & Christensen, TL (2009) Qualitative research and content validity: developing best practices based on science and experience. Qual Life Res 18, 12631278.CrossRefGoogle ScholarPubMed
Artioli, GG, Scagliusi, F, Kashiwagura, D, et al. (2010) Development, validity and reliability of a questionnaire designed to evaluate rapid weight loss patterns in judo players. Scand J Med Sci Sports 20, e177e187.CrossRefGoogle ScholarPubMed
Artioli, GG, Gualano, B, Franchini, E, et al. (2010) Prevalence, magnitude, and methods of rapid weight loss among judo competitors. Med Sci Sports Exerc 42, 436442.CrossRefGoogle ScholarPubMed
da Silva Santos, JF, Takito, MY, Artioli, GG, et al. (2016) Weight loss practices in Taekwondo athletes of different competitive levels. J Exerc Rehabil 12, 202208.CrossRefGoogle ScholarPubMed
Reale, R, Slater, G & Burke, LM (2018) Weight management practices of Australian Olympic combat sport athletes. Int J Sports Physiol Perform 13, 459466.CrossRefGoogle ScholarPubMed
Connor, J & Egan, B (2019) Prevalence, magnitude and methods of rapid weight loss reported by male mixed martial arts athletes in Ireland. Sports 7, 206.CrossRefGoogle ScholarPubMed
White, T & Kirk, C (2020) Pre-Competition body mass loss characteristics of Brazilian jiu-jitsu competitors in the United Kingdom. Nutr Health 27, 387394.CrossRefGoogle Scholar
Godin, G & Shephard, RJ (1985) A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 10, 141146.Google ScholarPubMed
Amireault, S & Godin, G (2015) The Godin-Shephard leisure-time physical activity questionnaire: validity evidence supporting its use for classifying healthy adults into active and insufficiently active categories. Percept Mot Skills 120, 604622.CrossRefGoogle ScholarPubMed
Bush, K, Kivlahan, DR, McDonell, MB, et al. (1998) The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Arch Intern Med 158, 17891795.CrossRefGoogle ScholarPubMed
Paxton, AE, Strycker, LA, Toobert, DJ, et al. (2011) Starting the conversation: performance of a brief dietary assessment and intervention tool for health professionals. Am J Prev Med 40, 6771.CrossRefGoogle ScholarPubMed
Framson, C, Kristal, AR, Schenk, JM, et al. (2009) Development and validation of the mindful eating questionnaire. J Am Diet Assoc 109, 14391444.CrossRefGoogle ScholarPubMed
Government of Northwest Territories (2017) Healthy Eating Assessment. https://www.hss.gov.nt.ca/sites/hss/files/resources/healthy-eating-assessment.pdf (acessed March 2021).Google Scholar
Beaton, DE, Bombardier, C, Guillemin, F, et al. (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25, 31863191.CrossRefGoogle ScholarPubMed
Breslin, R (1986) Field methods in cross-cultural psychology. In The Wording and Translation of Research Instruments, pp. 137164 [Looner, WJ and Berry, JW, editors]. Newbury Park, CA: SAGE Publications Inc.Google Scholar
Guillemin, F, Bombardier, C & Beaton, D (1993) Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 46, 14171432.CrossRefGoogle ScholarPubMed
Taherdoost, H (2018) Validity and reliability of the research instrument; how to test the validation of a questionnaire/survey in a research. SSRN Electron J 2016, 5.Google Scholar
Jones, AM, Lamp, C, Neelon, M, et al. (2015) Reliability and validity of nutrition knowledge questionnaire for adults. J Nutr Educ Behav 47, 6974.CrossRefGoogle ScholarPubMed
Parmenter, K & Wardle, J (1999) Development of a general nutrition knowledge questionnaire for adults. Eur J Clin Nutr 53, 298308.CrossRefGoogle ScholarPubMed
Hart, PD & Kang, M (2015) Reliability of short-form health survey (SF-36) in physical activity research using meta-analysis. World J Prev Med 3, 1723.Google Scholar
Tavakol, M & Dennick, R (2011) Making sense of Cronbach’s α . IJME 2, 5355.CrossRefGoogle ScholarPubMed
Sim, J & Wright, CC (2005) The κ statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther 85, 257268.CrossRefGoogle ScholarPubMed
Walter, SD, Eliasziw, M & Donner, A (1998) Sample size and optimal designs for reliability studies. Stat Med 17, 101110.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Mokkink, LB, Terwee, CB, Patrick, DL, et al. (2010) The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol 63, 737745.CrossRefGoogle ScholarPubMed
Weir, JP (2005) Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res 19, 231240.Google ScholarPubMed
McHugh, ML (2012) Interrater reliability: the κ statistic. Biochem Medica 22, 276282.CrossRefGoogle ScholarPubMed
Cicchetti, D, Bronen, R, Spencer, S, et al. (2006) Rating scales, scales of measurement, issues of reliability: resolving some critical issues for clinicians and researchers. J Nerv Ment Dis 194, 557564.CrossRefGoogle ScholarPubMed
Landis, JR & Koch, GG (1977) The measurement of observer agreement for categorical data. Biometrics 33, 159.CrossRefGoogle ScholarPubMed
Streiner, DL (2003) Starting at the beginning: an introduction to coefficient α and internal consistency. J Pers Assess 80, 99103.CrossRefGoogle ScholarPubMed
Cohen, J (1988) Statistical Power Analysis for the Behavioral Sciences. New York, NY: Routledge Academic.Google Scholar
Webster, S, Rutt, R & Weltman, A (1990) Physiological effects of a weight loss regimen practiced by college wrestlers. Med Sci Sport Exerc 22, 229234.Google ScholarPubMed
Sudi, K, Ottl, K, Payerl, D, et al. (2004) Anorexia athletica. Nutrition 20, 657661.CrossRefGoogle ScholarPubMed
Wilkinson, L (1999) Statistical methods in psychology journals: guidelines and explanations. Am Psychol 54, 594604.CrossRefGoogle Scholar
Supplementary material: File

Krstulović et al. supplementary material

Krstulović et al. supplementary material

Download Krstulović et al. supplementary material(File)
File 40.2 KB