Análise de validade e fiabilidade da versão portuguesa do questionário de estilo de vida saudável - EVS IV
DOI:
https://doi.org/10.47197/retos.v72.116802Palavras-chave:
Análisis factorial, conduta sedentaria, estilos de vida saludables , psicometría, saludResumo
Introdução e Objectivo. O principal objetivo deste estudo foi validar o Custionario de Estilos de Vida Saludables – EVS IV, utilizando um Modelo de Ecuaciones Estructurales Exploratorio (ESEM).
Metodologia. Participaram em estúdio um total de 1.668 indivíduos portugueses de ambos os sexos, com idades compreendidas entre os 18 e os 70 anos (M = 39,71, DP = 15,68), dos quais 856 eram homens (51,3%) e 812 mulheres (48,7%).
Resultados. Os hallazgos confirmaram a adequação da estrutura fatorial do Questionário de Estilos de Vida Saludáveis – EVS IV (8 fatores / 29 itens), apresentando propriedades psicométricas sólidas e índices de ajuste satisfatórios: χ² = 253,499, gl = 189, p = 0,001; χ²/gl = 1,34; CFI = 0,97; TLI = 0,93; RMSEA = 0,01 (IC 95%: 0,01, 0,02); SRMR = 0,02. O instrumento avalia duas dimensões específicas: dieta equilibrada, cumprimento dos horários de alimentação, consumo de tabaco, consumo de álcool, consumo de outras drogas, hábitos de descanso, hábitos de atividade física e comportamento sedentário.
Conclusões. A versão portuguesa do Questionário de Estilos de Vida Saludáveis – EVS IV apresenta uma validade psicométrica sólida e pode ser utilizada com plena confiança para a avaliação de condutas relacionadas com um estilo de vida saludável.
Referências
Ajzen, I. (2014). The theory of planned behaviour is alive and well, and not ready to retire: a commentary on Sniehotta, Presseau, and Araújo-Soares. Health Psychology Review, 9(2), 131–137. https://doi.org/10.1080/17437199.2014.883474
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.
Alvarez-Alvarez, M., de la Vega-Marcos, R., Jiménez-Castuera, R. & Leyton-Román, M. (2021) Psychometric Properties of the Healthy Lifestyle Questionnaire for Ecuadorian University Students (EVS-EUE). Int. J. Environ. Res. Public Health, 18, 1087. https://doi.org/10.3390/ ijerph18031087.
Aparicio-Ugarriza, R., Cuenca-García, M., Gonzalez-Gross, M., Julián, C., Bel-Serrat, S., Moreno, L. A., Breindenassel, Ch., Kersting, M., Arouca, A., Michels, N., Mouratidou, T., Manios, Y., Dallongeville, J., Gottrand, F., Widhalm, K., Kafatos, A., Molnar D., De Henauw, S., Gunter, M. & Huybrechts, I. (2019). Relative validation of the adapted Mediterranean Diet Score for Adolescents by comparison with nutritional biomarkers and nutrient and food intakes: the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. Public health Nutrition, 22(13), 2381-2397. https://dx.doi.org/10.1017/S1368980019001022.
Arriscado, D., Knox, E., Zabala, M., Zurita-Ortega, F., Dalmau, J. M. & Muros, J. J. (2017). Different healthy habits between northern and southern Spanish school children. Journal of Public Health, 25(6), 653-660. https://dx.doi.org/10.1007/s10389-017-0823-2.
Aspano M. (2015). Predicción de estilos de vida saludables a través de la teoría de la autodeterminación en adolescentes portugueses. Trabajo de fin de Master no publicado. Cáceres: Universidad de Extremadura.
Asparouhov, T., & Muthén, B. (2009). Exploratory Structural Equation Modeling. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 397–438. https://doi.org/10.1080/10705510903008204.
Arias, B. (2008). Desarrollo de un ejemplo de análisis factorial confirmatorio con LISREL, AMOS y SAS. In M. A. Verdugo, M. Crespo, M. Badía and B. Arias (Coords.), Metodología en la investigación sobre discapacidad. Introducción al uso de las ecuaciones estructurales. Salamanca: INICO.
Batista, M., Leyton-Román, M., & Jiménez-Castuera, R. (2022). Validity and Reliability of the Portuguese Version of the Healthy Lifestyle Questionnaire—EVS III. Int. J. Environ. Res. Public Health, 19, 1612. https://doi.org/10.3390/ijerph1903161 2.
Batista, M., Leyton Roman, M., Honório, S., Santos, J. & Jimenez Castuera, R. (2020). Validation of the portuguese version of the healthy life styles questionnaire. International Journal of Environmental Research and Public Health, 17(4), 1458, 1-12. DOI: https://doi.org/10.3390/ijerph17041458.
Batista, M., Leyton, M., Lobato, S., & Jiménez, R. (2019) Modelo Transcontextual de la Motivación en la Predicción de Estilos de Vida Saludables. Revista Internacional de Medicina y Ciencias de la Actividad Física y el Deporte, 19 (75), 463-488. DOI: 10.15366/rimcafd2019.75.006
Batista, M., Jiménez, R., Leyton, M., Lobato, S., & Aspano, M. (2016). Adaptation and validation of the portuguese version of the healthy life styles questionnaire. Ponte – International Scientific Researches Journal, 72 (9), 145-158. ISSN: 0032-423x. DOI: http://dx.doi.org/10.21506/j.ponte.2016.9.11.
Browne, M. & Cudeck, R. (1993). Alternative ways of assessing model fit. En K.A. Bollen y J.S. Long (Eds). Testing Structural Equation Models. Newbury Park, C.A: Sage, 136-162.
Byrne, B. (2006). Structural equation modeling with EQS. Basic concepts, applications, and programming (2nd Ed.) Mahawah, NJ: Lawrence Erlbaum Associates, Publishers.
Carbó-Carreté, M., Guàrdia-Olmos, J., Giné, C., & Schalock, R. L. (2016). A Structural Equation Model of the relationship between physical activity and quality of life. International Journal of Clinical and Health Psychology, 16, 147-156. https://doi.org/10.1016/j.ijchp.2015.11.001
Chacón-Cuberos, R., Zurita-Ortega, F., Martínez-Martínez, A., Olmedo-Moreno, E. M., & Castro-Sánchez, M. (2018). Adherence to the Mediterranean diet Is related to healthy habits,learning processes, and academic achievement in adolescents: A cross-sectional study. Nutrients, 10, Article 1566. https://doi.org/10.3390/nu10111566.
Clark, B. K., Thorp, A. A., Winkler, E. A. H., Gardiner, P. A., Healy, G. N., Owen, N., & Dunstan, D. W. (2011). Validity of self-reported measures of workplace sitting time and breaks in sitting time. Medicine and Science in Sportsand Exercise, 43 (10), 1907–1912. http://doi.org/10.1249/MSS.0b013e31821820a2
Cubo-Delgado S, Martín-Marin B, & Ramos-Sanchez JL. (2011). Métodos de Investigación y Análisis de Datos en Ciências Sociales y de la Salud. Madrid: Pirâmide.
Deci, E. L. & Ryan, R. M. (1980). The empirical exploration of intrinsic motivational processes. En L. Berkowitz (Ed.), Advances in experimental social psychology (pp. 39-80). New York: Academic Press. https://dx.doi.org/10.1016/s0065-2601(08)60130-6.
Deci, E. L. & Ryan, R. M. (2000). The ‘‘what’’ and ‘‘why’’ of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227-268. https://dx.doi.org/10.1207/S15327965PLI1104_01.
Deci, E. L. & Ryan, R. M. (2012). Self-determination theory. In A. W. Kruglanski, P. A. M. Van Lange y E. T. Higgins (Eds.), Handbook of theories social psychology (416-437). London: SAGE. http://dx.doi.org/10.4135/9781446249215.n21.
Dunton, G. F. (2018). Sustaining health-protective behaviors such as physical activity and healthy eating. Jama, 320(7), 639-640. https://dx.doi.org/10.1001/jama.2018.6621.
Ezzati, M. & Riboli, E. (2013). Behavioral and dietary risk factors for noncommunicable diseases. The New England Journal of Medicine. 369(10), 954-964. https://dx.doi.org/10.1056/NEJMra1203528.
Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Field Methods, 18(1), 59–82. https://doi.org/10.1177/1525822X05279903
Gignac, G.E. & Kretzschmar, A. (2017). Evaluating dimensional distinctness with correlated-factor models: Limitations and suggestions. Intelligence, 62, 138–147. https://doi.org/10.1016/j.intell.2017.04.001.
Hagger, M., Anderson, M., Kyriakaki, M., & Darkings, S. (2007). Aspects of identity and their influence on intentional behaviour: comparing effects for three health behaviours. Personality and Individual Differences, 42, 355–367.
Hein, V., Müür, M., & Koka, A. (2004). Intention to be physically active after school graduation and its relationship to three types of intrinsic motivation. European Physical Education Review, 10, 5-19. https://doi.org/10.1177/1356336X04040618.
Hermassi, S., Ketelhut, S., Konukman, F., Ayari, M. A., Al-Marri, S., Al Rawahi, N., Bouhafs, E. G., Nigg, C. R., & Schwesig, R. (2024). Differences in physical activity, sedentary behavior, health-related physical performance indices and academic achievement: A comparative study of normal-weight and obese children in Qatar. Journal of Clinical Medicine, 13(4), 1057. https://doi.org/10.3390/jcm13041057
Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling. 6, 1–55. http://dx. doi.org/10.1080/10705519909540118.
Jakicic, J. M., Rogers, R. J., Davis, K. K. & Collins, K. A. (2018). Role of physical activity and exercise in treating patients with overweight and obesity. Clinical Chemistry, 64(1), 99-107. https://dx.doi.org/10.1373/clinchem.2017.272443.
Jimenez, R., Leyton, M. & Batista, M. (2019). Validation of the Intentionality Scale of being physically active in a Portuguese population. Journal of Human Sport and Exercise, 14(4proc), S1800-S1803. ISSN 1988-5202. doi: https://doi.org/10.14198/jhse.2019.14.Proc4.82.
Kang, S., Lee, K., & Kwon, S. (2019). Basic psychological needs, exercise intention and sport commitment as predictors of recreational sport participants’ exercise adherence. Psychology & Health, 12, 1-17. https://doi.org/10.1080/08870446.2019.1699089
Lavie, C. J., Ozemek, C., Carbone, S., Katzmarzyk, P. T., & Blair, S. N. (2019). Sedentary behavior, exercise, and cardiovascular health. Circulation Research, 124(5), 799-815. https://doi.org/10.1161/CIRCRESAHA.118.312669
Lee, M. (2018). Exercise Adherence Model of Middle-Aged based on Theory of Self-determination. Journal of the Korea Society of Computer and Information, 23, 143-149.
Leyton, M., Mesquita, S., & Jiménez-Castuera, R. (2021). Validation of the Spanish Healthy Lifestyle Questionnaire. International Journal of Clinical and Health Psychology, 21(2), 100228. ISSN 1697-2600, https://doi.org/10.1016/j.ijchp.2021.100228.
Leyton, M., Batista, M. & Jiménez-Castuera, R. (2020). Prediction model of healthy lifestyles in physical education students based on self-determination theory. Revista de Psicodidáctica, 25(1), 68-75. https://dx.doi.org/10.1016/j.psicoe.2019.05.002.
Leyton, M., Lobato, S., Batista, M., Aspano, M., & Jiménez, R. (2018). Validación del cuestionario de estilo de vida saludable (evs) en una población española. Revista Iberoamericana de Psicologia del Deporte, 13(1), 23-31. ISSN 1886-8576.
Leytón Román, M., García Matador, J., Fuentes García, J. P., & Jiménez Castuera, R. (2018). Análisis de variables motivacionales y de estilos de vida saludables en practicantes de ejercicio físico en centros deportivos en función del género (Analysis of motivational variables and healthy lifestyles in sports center practitioners by gender). Retos, 34, 166–171. https://doi.org/10.47197/retos.v0i34.58281
Llorent-Bedmar, V., & Cobano-Delgado, V. (2019). Health education training of university students of the early childhood education degree in Spain. Ciencia & Saude Coletiva, 24, 3067-3078.https://doi.org/10.1590/1413-81232018248.28642017.Marsh, H., Morin, A., Parker, P., & Kaur, G. (2014). Exploratory Structural Equation Modeling: An Integration of the Best Features of Exploratory and Confirmatory Factor Analysis. Annual review of clinical psychology, 10:85-110. https://doi.org/10.1146/annurev-clinpsy-032813-153700.
Marsh, H. W., Muthén, B., Asparouhov, T., Lüdtke, O., Robitzsch, A., Morin, A. J. S., & Trautwein, U. (2009). Exploratory Structural Equation Modeling, Integrating CFA and EFA: Application to Students’ Evaluations of University Teaching. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 439–476. https://doi.org/10.1080/10705510903008220.
Marshall, A. L., Miller, Y. D., Burton, N. W., & Brown, W. J. (2010). Measuring total and domain-specific sitting: a study of reliability and validity. Medicine and Science in Sports and Exercise, 42 (6), 1094–1102. http://doi.org/10.1249/MSS.0b013e3181c5ec18
Meneguci, J., Santos, D., Silva, R., Santos, R., Sasaki, J., Tribess, S., Damião, R., & Virtuoso-Júnior, J. (2015). Comportamento sedentário: conceito, implicações fisiológicas e os procedimentos de avaliação. Motricidade, 11(1). 160-174. https://doi.org/10.6063/motricidade.3178
Meredith, L. S., Ewing, B. A., Stein, B. D., Shadel, W. G., Holliday, S. B., Parast, L. & D’Amico, E. J. (2018). Influence of mental health and alcohol or other drug use risk on adolescent reported care received in primary care settings. BMC family practice, 19(1), 10. https://dx.doi.org/10.1186/s12875-017-0689-y.
Montero, I. & León, O. (2007). A guide for naming research studies in psychology. International Journal of Clinical and Health Psychology,7(3), 847–862.
Muthén, L. K., & Muthén, B. O. (1998-2017). Mplus user’s guide (8th ed.). Los Angeles: Muthén & Muthén.
Nunnally, J. (1978). Psychometric theory. New York: McGraw-Hill.
Odgen, C. & Carrol, M. (2010). Prevalence of overweight, obesity, and extreme obesity among adults: United States, trends 1960–1962 through 2007–2008. National Center for Health Statistics - Division of Health and Nutrition Examination Surveys, 1-5.
Onambele-Pearson, G., Wullems, J., Doody, C., Ryan, D., Morse, C. & Degens, H. (2019). Influence of Habitual Physical Behavior–Sleeping, Sedentarism, Physical Activity–On Bone Health in Community-Dwelling Older People. Frontiers in Physiology, 10. https://dx.doi.org/10.3389/fphys.2019.00408.
Pestana, M. & Gageiro, J. (2005). Análise de dados para
ciências sociais - A complementaridade do SPSS. Lisboa: Ediçoes Silabo.
Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459–467. https://doi.org/10.1002/nur.20199
Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health, 29(5), 489–497. https://doi.org/10.1002/nur.20147
Prochaska, J. & DiClemente, C. (1982). Trans-theoretical therapy - toward a more integrative model of change. Psychotherapy: Theory, Research and Practice,19(3), 276-288.
Revelle, W. (2014). Psych: Procedures for Psychological, Psychometric, and Personality Research. Illinois: Evanston.
Rodrigues, F., Bento, T., Cid, L., Pereira Neiva, H., Teixeira, D., Moutão, J., Almeida, D. & Monteiro, D. (2018). Can interpersonal behavior influence the persistence and adherence to physical exercise practice in adults? A systematic review. Frontiers in Psychology, 9, 2141. https://dx.doi.org/10.3389/fpsyg.2018.02141.
Ryan, R. & Deci, E. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemporary Educational Psychology, 61, 101860. https://dx.doi.org/10.1016/j.cedpsych.2020.101860.
Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods Psychol. Res. Online, 8, 23–74.
Schumacker, R., & Lomax, R. (2010). A beginner’s guide to structural equation modeling (3rd ed.). New York: Routledge.
Scoffier-Mériaux, S., d’Arripe-Longueville, F., Woodman, T., Lentillon-Kaestner, V., & Corrion, K. (2020). High-level athletes’ motivation for sport and susceptibility to doping: The mediating role of eating behaviours. European Journal of Sport Science, https://doi.org/10.1080/17461391.2020.1736642.
Telama, R., Yang, X., Leskinen, E., Kankaanpa, A., Hirvensalo, M., Tammelin, T., Viikari, J., & Raitakari, O. (2014). Tracking of Physical Activity from EarlyChildhood through Youth into Adulthood. Medicine and Science In Sports And Exercise, 46(5), 955-962.
Vancampfort, D., Van Damme, T., Probst, M., Vandael, H., Hallgren, M., Mutamba, B. B., Nabanoba, J., Basangwa, D., & Mugisha, J. (2018). Motives for physical activity in the adoption and maintenance of physical activity in men with alcohol use disorders. Psychiatry Research, 261, 522-526. https://doi.org/10.1016/j.psychres.2018.01.038.
WHO (2002). The European Healyh Report 2002. Copenhagen: WHO Regional Office for Europe.
WHO (2020). Guidelines on Physical Activity and Sedentary Behaviour: at a glance. Genebra: World Health Organization.
Wilson, P. M., Rodgers, W. M., Loitz, C. C., & Scime, G. (2006). ‘‘It’s Who I Am. . . Really!’ The Importance of Integrated Regulation in Exercise Contexts. Journal of Applied Biobehavioral Research, 11, 79-104. https://doi.org/10.1111/j.1751-9861.2006.tb00021.x.
Wold, B. (1995). Health-Behaviour in schoolchildren: A WHO crossnational Survey. Resource Package Questions 1993-4. Norway: University of Bergen.
Yong, A. G. & Pearce, S. (2013) A Beginner’s Guide to Factor Analysis: Focusing on Exploratory Factor Analysis. Tutorials in Quantitative Methods for Psychology, 9(2), 79-94. doi:10.20982/tqmp.09.2.p079.
Downloads
Publicado
Edição
Secção
Licença
Direitos de Autor (c) 2025 Marco Alexandre Silva Batista, Miguel López-Gajardo, Marta Leyton-Román, Ruth Jiménez-Castuera

Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-SemDerivações 4.0.
Autores que publicam nesta revista concordam com os seguintes termos:
- Autores mantém os direitos autorais e assegurar a revista o direito de ser a primeira publicação da obra como licenciado sob a Licença Creative Commons Attribution que permite que outros para compartilhar o trabalho com o crédito de autoria do trabalho e publicação inicial nesta revista.
- Os autores podem estabelecer acordos adicionais separados para a distribuição não-exclusiva da versão do trabalho publicado na revista (por exemplo, a um repositório institucional, ou publicá-lo em um livro), com reconhecimento de autoria e publicação inicial nesta revista.
- É permitido e os autores são incentivados a divulgar o seu trabalho por via electrónica (por exemplo, em repositórios institucionais ou no seu próprio site), antes e durante o processo de envio, pois pode gerar alterações produtivas, bem como a uma intimação mais Cedo e mais do trabalho publicado (Veja O Efeito do Acesso Livre) (em Inglês).
Esta revista é a "política de acesso aberto" de Boai (1), apoiando os direitos dos usuários de "ler, baixar, copiar, distribuir, imprimir, pesquisar, ou link para os textos completos dos artigos". (1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess