Self-report Pregnancy Physical Activity Questionnaire overestimates physical activity

Brett, Kendra; Wilson, Shanna; Ferraro, Zachary M.; Adamo, Kristi B.

doi:10.17269/cjph.106.4938

Cited by 31 publications

(34 citation statements)

References 22 publications

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“…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%

“…The results of studies of the construct validity of (versions of) the PPAQ were predominantly insufficient, such as for the Vietnamese [ 51 ], Japanese [ 49 ], English [ 44 , 46 ], Chinese [ 55 ], and bilingual [ 46 ] versions of the questionnaire. Likewise, the second study [ 42 ] of the English version revealed insufficient construct validity for all scores expect for LT-MVPA. The Turkish version of the PPAQ [ 45 ] showed sufficient validity for the assessment of total PA due to a high correlation with the pedometer but insufficient ratings for all other estimates.…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

et al. 2018

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“…Second, an overestimation of physical activity or misclassification of intensity is possible with self-report. However, data derived from the PPAQ correlate with acceptable accuracy with objective data obtained by accelerometry during pregnancy,19 20 despite a possible overestimation 46. To establish the precise effects of various physical activity intensities and levels on birth weight, future cohorts should nevertheless use objective measures of physical activity such as accelerometry.…”

Section: Discussionmentioning

confidence: 99%

Physical activity during pregnancy and infant’s birth weight: results from the 3D Birth Cohort

Bisson

Croteau

Guinhouya

et al. 2017

BMJ Open Sport Exerc Med

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AimTo evaluate the association between maternal physical activity and infant’s birth weight or risk of inappropriate weight for gestational age (GA), and whether this association differs by infant’s sex, maternal body mass index (BMI) or pregnancy complications in a prospective cohort study.Methods1913 pregnant women from the 3D Birth Cohort (Québec, Canada) completed the Pregnancy Physical Activity Questionnaire at each trimester. Energy expenditure (metabolic equivalent of task (MET)*hours/week) for total activity, sports and exercise and vigorous intensity activities was calculated. The associations with birth weight and risk of inappropriate weight for GA were evaluated by regression modelling. Interactions were tested with infant’s sex, maternal prepregnancy BMI, gestational diabetes, hypertensive disorders and prematurity.ResultsEach 1 MET/hours/week increase in sports and exercise in the first trimester was associated with a 2.5 g reduction in infant’s birth weight (95% CI −4.8 to −0.3) but was not associated with the risk of small weight for GA. In contrast, although not significant, a 17% reduction in the risk of large weight for GA was observed with increasing sports and exercise. Furthermore, in women with subsequent pre-eclampsia (but not normotensive or hypertensive women), each 1 MET/hours/week increment spent in any vigorous exercise in the first trimester reduced the infant’s birth weight by 19.8 g (95% CI −35.2 to −4.3).ConclusionsPregnant women with higher sports and exercise levels in the first trimester delivered infants with a lower birth weight. The risk of reducing infant’s birth weight with vigorous exercise in women who develop pre-eclampsia later in pregnancy requires evaluation.

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“…Furthermore, the authors used the MPAQ to retrospectively assess self-reported LTPA performed during the nine months of pregnancy plus three months before pregnancy. Since objective measurements of PA delivers more valid results than self-reported (subjective) measurements [54, 55], future studies assessing PA in pregnancy should use objective devices such as accelerometers, or use an exercise intervention (randomized design).…”

Section: Discussionmentioning

confidence: 99%

The influence of physical activity during pregnancy on maternal, fetal or infant heart rate variability: a systematic review

Dietz

Watson

Sattler

et al. 2016

BMC Pregnancy Childbirth

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BackgroundPhysical activity (PA) during pregnancy has been shown to be associated with several positive effects for mother, fetus, and offspring. Heart rate variability (HRV) is a noninvasive and surrogate marker to determine fetal overall health and the development of fetal autonomic nervous system. In addition, it has been shown to be significantly influenced by maternal behavior. However, the influence of maternal PA on HRV has not yet been systematically reviewed. Therefore, the aim of this systematic review was to assess the influence of regular maternal PA on maternal, fetal or infant HRV.MethodsA systematic literature search following a priori formulated criteria of studies that examined the influence of regular maternal PA (assessed for a minimum period of 6 weeks) on maternal, fetal or infant HRV was performed in the databases Pubmed and SPORTDiscus. Quality of each study was assessed using the standardized Quality Assessment Tool for Quantitative Studies (QATQS).ResultsNine articles were included into the present systematic review: two intervention studies, one prospective longitudinal study, and six post-hoc analysis of subsets of the longitudinal study. Of these articles four referred to maternal HRV, five to fetal HRV, and one to infant HRV. The overall global rating for the standardized quality assessment of the articles was moderate to weak. The articles regarding the influence of maternal PA on maternal HRV indicated contrary results. Five of five articles regarding the influence of maternal PA on fetal HRV showed increases of fetal HRV on most parameters depending on maternal PA. The article referring to infant HRV (measured one month postnatal) showed an increased HRV.ConclusionsBased on the current evidence available, our overall conclusion is that the hypothesis that maternal PA influences maternal HRV cannot be supported, but there is a trend that maternal PA might increase fetal and infant HRV (clinical conclusion). Therefore, we recommend that further, high quality studies addressing the influence of maternal PA on HRV should be performed (methodological conclusion).

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Self-report Pregnancy Physical Activity Questionnaire overestimates physical activity

Cited by 31 publications

References 22 publications

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

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

Physical activity during pregnancy and infant’s birth weight: results from the 3D Birth Cohort

The influence of physical activity during pregnancy on maternal, fetal or infant heart rate variability: a systematic review

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