Reliability and Validity of a Chinese-Translated Version of a Pregnancy Physical Activity Questionnaire

Xiang, Ming; Konishi, Masayuki; Hu, Huanhuan; Takahashi, Masaki; Fan, Wenbi; Nishimaki, Mio; Ando, K.; Kim, Hyeon Ki; Tabata, Hiroki; Arao, Takashi; Sakamoto, Shizuo

doi:10.1007/s10995-016-2008-y

Cited by 43 publications

(57 citation statements)

References 24 publications

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“…In this research, vigorous levels of PA, mostly conducted in sports or exercise context, were not observed across the trimesters of pregnancy. These results join those obtained in the Chinese study, where few pregnant women reported engaging in high intensity/vigorous activities [29]. Similar results were obtained by Yi-Li Ko et al in a cohort of 150 pregnant women in Taiwan [33].…”

Section: Plos Onesupporting

confidence: 90%

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Pregnancy physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version

et al. 2020

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Introduction Physical activity level during pregnancy is unknown in Middle Eastern and North African countries, since no valid tools assessing it exist in Arabic. The aim of this study is to culturally adapt and translate to Arabic an internationally validated instrument, the Pregnancy Physical Activity Questionnaire (PPAQ), and to measure the physical activity of pregnant women using the adapted PPAQ, Arabic version. This tool is time-sparing, self-administered and is the only one taking into account childcare and household chores. Methods After following the guidelines for translation and back-translation by certified translators, a committee composed of professionals in the field reviewed each item of the PPAQ, for its comprehensibility. This Arabic version of the PPAQ was tested on a sample of 179 pregnant Lebanese women, from different educational backgrounds, socioeconomic status and gestational ages. Results Cross-cultural adaptations were applied on the newly translated PPAQ in Arabic version, thus questions referring to some types of outdoor activities were excluded from the final format. Our results reported that 51% and 1.7% of women engage respectively in light and high intensity physical activity, while 18% had a sedentary lifestyle. Occupational type of activities were significantly more performed by women having a higher education (p value 0.001), as opposed to those who attended only high school, who were physically more

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Section: Plos Onesupporting

confidence: 90%

“…Our sample size, age, gestational trimesters, and pre-gestational BMI were similar to the study of Xiang Mi et al, which used the Chinese version of PPAQ, among 182 pregnant women, having mostly an initial BMI in the normal category [29].…”

Section: Plos Onementioning

confidence: 70%

Pregnancy physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version

et al. 2020

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“…After reading the full-texts, ten articles were excluded because of the absence of measurement properties ( n = 5) [ 29 – 33 ] or using a diary/record ( n = 3) [ 34 – 36 ] or an interview ( n = 2) [ 37 , 38 ]. Finally, 17 articles [ 39 – 55 ] on 11 different PA questionnaires (17 versions) [ 39 , 44 , 56 – 63 ] were included (Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…In most studies, an accelerometer was used as a comparison measure. Eight studies [ 42 – 46 , 49 , 51 , 55 ] assessed the measurement properties of the Pregnancy Physical Activity Questionnaire (PPAQ) [ 44 ] or adaptations of this questionnaire (e.g., Japanese version). Another study [ 48 ] evaluated the long form of the IPAQ, whereas two studies (of reliability and construct validity), reported in one article [ 52 ], evaluated the short form of the IPAQ (IPAQ-SF).…”

Section: Resultsmentioning

confidence: 99%

Physical Activity Questionnaires for Pregnancy: A Systematic Review of Measurement Properties

et al. 2018

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BackgroundIn order to assess physical activity (PA) during pregnancy, it is important to choose the instrument with the best measurement properties.ObjectivesTo systematically summarize, appraise, and compare the measurement properties of all self-administered questionnaires assessing PA in pregnancy.MethodsWe searched PubMed, Embase, and SPORTDiscus with the following inclusion criteria: (i) the study reported at least one measurement property (reliability, criterion validity, construct validity, responsiveness) of a self-administered questionnaire; (ii) the questionnaire intended to measure PA; (iii) the questionnaire was evaluated in healthy pregnant women; and (iv) the study was published in English. We evaluated results, quality of individual studies, and quality of evidence using a standardized checklist (Quality Assessment of Physical Activity Questionnaires [QAPAQ]) and the GRADE (Grading of Recommendation, Assessment, Development, and Evaluation) approach.ResultsSeventeen articles, reporting 18 studies of 11 different PA questionnaires (17 versions), were included. Most questionnaire versions showed insufficient measurement properties. Only the French and Turkish versions of the Pregnancy Physical Activity Questionnaire (PPAQ) showed both sufficient reliability and construct validity. However, all versions of the PPAQ pooled together showed insufficient construct validity. The quality of individual studies was usually high for reliability but varied considerably for construct validity. Overall, the quality of evidence was very low to moderate.ConclusionsWe recommend the PPAQ to assess PA in pregnancy, although the pooled results revealed insufficient construct validity. The lack of appropriate standards in data collection and processing criteria for objective devices in measuring PA during pregnancy attenuates the quality of evidence. Therefore, research on the validity of comparison instruments in pregnancy followed by consensus on validation reference criteria and standards of PA measurement is needed.Electronic supplementary materialThe online version of this article (10.1007/s40279-018-0961-x) contains supplementary material, which is available to authorized users.

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“…PA during pregnancy was assessed by using the Chinese version of the Pregnancy Physical Activity Questionnaire, which is a semiquantitative questionnaire validated for use during pregnancy (ICC = 0.77, r = 0.35) [18,19]. The original Pregnancy Physical Activity Questionnaire assesses the duration, frequency, and intensity of different types of PA during pregnancy [19].…”

Section: Assessment Of Pamentioning

confidence: 99%

When and How Should Chinese Pregnant Women Exercise? A Longitudinal Study in China

Xiang

Konishi

et al. 2019

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This study aimed to examine when and how physical activity (PA) influences gestational weight gain (GWG) and infant birthweight (BW) by considering the PA’s total volume, timing, intensity, and type, controlling for the influence of energy intake. A total of 1272 participants in different stages of pregnancy were recruited from hospital. The associations between PA and GWG or BW in the latter half of pregnancy were significant. Women with the highest PA volume in the third trimester had significantly lower risks of inadequate and excessive GWG by 69% (OR = 0.31, 95%CI: 0.10–0.91) and 67% (OR = 0.33, 95% CI: 0.12–0.91), respectively, compared to women in the lowest quartile. Women who achieved the recommended moderate intensity of PA during their second and third trimesters, independent of total volume of PA, had infants with significantly lower BWs compared to those who did not (β = −0.15, SE = 66.33, p = 0.04; β = −0.20, SE = 64.54, p = 0.01, respectively). Therefore, the effects of total volume and intensity of PA on GWG and BW were different. Interventions to prevent inappropriate GWG and macrosomia may need to set different priorities and timing regarding total volume or intensity of PA.

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Reliability and Validity of a Chinese-Translated Version of a Pregnancy Physical Activity Questionnaire

Cited by 43 publications

References 24 publications

Pregnancy physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version

Pregnancy physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version

Physical Activity Questionnaires for Pregnancy: A Systematic Review of Measurement Properties

When and How Should Chinese Pregnant Women Exercise? A Longitudinal Study in China

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