Validity and Reliability of the Korean Version of the Pregnancy Physical Activity Questionnaire

Han, Jeong‐Won; Kang, Ji-Soon; Lee, Hanna

doi:10.3390/ijerph17165873

Cited by 8 publications

(11 citation statements)

References 20 publications

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“…Scores for light- and moderate-intensity activity in our study were found to be higher than in the U.S., while the median for vigorous-intensity activity was in accordance with the findings of prior studies in the United States, Japan, Vietnam, China, Saudi Arabia, and South Korea [ 25 , 40 , 41 , 44 , 45 , 46 ]. Women’s modifying the intensity and type of their activities in pregnancy, especially through the later stages of pregnancy, might be reflected in their lower scores for vigorous activities and sports and recreational activities.…”

Section: Discussionsupporting

confidence: 92%

“…The overall activity scores of our pregnant women were higher than overall scores observed in other studies [ 25 , 44 , 45 , 46 ]. In general, through criticism and advice, cultural norms and expectations often shape what pregnant women do with their bodies.…”

Section: Discussioncontrasting

confidence: 92%

“…The median for sports/exercise was consistent with the results from other studies, which showed that the amount of energy expended during sports and exercise by pregnant women is relatively modest [ 25 , 35 , 40 , 41 , 42 , 44 , 45 , 48 ]. This could be because the participants in our study group were in the last trimester of pregnancy and were already preparing for childbirth through activities that consumed less energy and through continued daily activities.…”

Section: Discussionsupporting

confidence: 90%

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The Translation and Cross-Cultural Adaptation of the Pregnancy Physical Activity Questionnaire: Validity and Reliability of a Serbian Version (PPAQ-SRB)

et al. 2022

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Exercise during pregnancy has a positive effect on the health of both pregnant women and their fetuses. This study aimed to translate the Pregnancy Physical Activity Questionnaire (PPAQ) into the Serbian language and assess its validity and reliability among Serbian pregnant women. The study was conducted between October 2020 and March 2021 at the Obstetrics and Gynecology Clinic (Narodni Front), in Belgrade, Serbia. The PPAQ was translated according to a standardized methodology, and its internal consistency and construct and concurrent validity were assessed. The mean PPAQ score for the total amount of physical activity was 37.72 MET-h/week−1. Exploratory factor analysis of the Serbian PPAQ identified six factors similar to the original questionnaire that explained 70.26% of the data variance. The Cronbach’s alpha coefficient of the Serbian version of the PPAQ was 0.69. The two-week intraclass correlation coefficient (ICC) scores ranged from 0.768 to 0.930. We tested the evidence to assess the concurrent validity of the Serbian version of PPAQ (PPAQ-SRB) correlations with the International Physical Activity Questionnaire-long form (IPAQ-LF), and all domains of the PPAQ were significantly correlated with domains of the IPAQ-LF. The findings of our reliability and validity evaluation are consistent with those of prior studies, indicating that the PPAQ was successfully translated and implemented in the Serbian population and that its reliability was acceptable.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

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The Translation and Cross-Cultural Adaptation of the Pregnancy Physical Activity Questionnaire: Validity and Reliability of a Serbian Version (PPAQ-SRB)

et al. 2022

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“…Cultural attitudes surrounding exercise during pregnancy may explain why low levels of vigorous PA were observed among our sample. 35 Recommendation against vigorous activity during pregnancy is prevalent in Asian populations, as it is viewed as potentially causing stress and harm to the mother and developing baby. 35 Lastly, since this study was done in a small sample of women recruited from a single hospital in Nepal, our ndings cannot be generalized with assurance to pregnant populations elsewhere.…”

Section: Discussionmentioning

confidence: 99%

Reliability and Validity of a Global Physical Activity Questionnaire Adapted for use Among Pregnant Women in Nepal

Algallai

Martin

Shah

et al. 2022

Preprint

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Background: Physical activity (PA) plays an important role in optimizing health outcomes throughout pregnancy. In many low-income countries, including Nepal, data on the associations between PA and pregnancy outcomes are scarce, likely due to the lack of validated questionnaires for assessing PA in this population. Here we aimed to evaluate the reliability and validity of an adapted version of Global Physical Activity Questionnaire (GPAQ) among a sample of pregnant women in Nepal. Methods: A pilot cohort of pregnant women (N=101; age 25.9±4.1 years) was recruited from a tertiary, peri-urban hospital in Nepal. An adapted Nepali version of GPAQ was administered to gather information about sedentary behavior (SB) as well as moderate and vigorous PA across work/domestic tasks, travel (walking/bicycling), and recreational activities, and was administered twice and a month apart in both the 2nd and 3rd trimesters. Responses on GPAQ were used to determine SB (min/day) and total moderate to vigorous PA (MVPA; min/week) across all domains. GPAQ was validated against PA data collected by a triaxial accelerometer (Axivity AX3; UK) worn by a subset of the subjects (n=21) for seven consecutive days in the 2nd trimester. Intra-class correlation coefficients (ICC) and Spearman’s rho were used to assess the reliability and validity of GPAQ.Results: Almost all of the PA in the sample was attributed to moderate activity during work/domestic tasks or travel. On average, total MVPA was higher by 50 minutes/week in the 2nd trimester as compared to the 3rd trimester. Based on the World Health Organization (WHO) guidelines, almost all of the participants were classified as having a low or moderate level of PA. PA scores for all domains showed moderate to good reliability across both the 2nd and 3rd trimesters, with ICCs ranging from 0.45 (95%CI: (0.17, 0.64)) for travel PA at 2nd trimester to 0.69 (95%CI: (0.51, 0.80)) for travel PA at 3rd trimester. Agreement for total MVPA was higher in the 3rd trimester compared to 2nd trimester [ICCs 0.62 (0.40, 0.75) vs. 0.55 (0.32, 0.70)], whereas the opposite was true for SB [ICCs 0.48 (0.19, 0.67) vs. 0.64 (0.46, 0.76)]. There was moderate agreement between the GPAQ and accelerometer for total MVPA [ICC=0.55 (0.0, 0.8)] while the agreement between the two was poor for SB [ICC=0.35 (0.0, 0.7)]. Conclusions: The modified GPAQ appears to be a reliable and valid tool for assessing moderate PA, but not SB, among pregnant women in Nepal.

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“…We believe such information would be relevant in shaping maternal health interventions in the context of promotion of leisure-time physical activity, at least in this setting. Again, the prospective evaluation of physical activity using the PPAQ, a simple and short, reliable and valid tool, which has been used in several countries [47,[79][80][81][82][83][84], and the large sample of pregnant women serve as unique strengths of the study. To the best of the author's knowledge, previous studies examining physical activity during pregnancy in South Africa have not utilised such a large population as ours.…”

Section: Limitationsmentioning

confidence: 99%

Physical Activity Level during Pregnancy in South Africa: A Facility-Based Cross-Sectional Study

Okafor

Goon

2020

IJERPH

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Physical activity participation during pregnancy confers many maternal and foetal health benefits to the woman and her infant and is recommended by various health bodies and institutions. However, in South Africa, scant information exists about the physical activity status and its determinants among pregnant women. The aim of this study was to assess the physical activity level and associated factors among pregnant women. This cross-sectional study enrolled 1082 pregnant women attending public health facilities in Buffalo City Municipality, Eastern Cape, South Africa. Information on socio-demographic and maternal characteristics were obtained, and the Pregnancy Physical Activity Questionnaire was used to assess physical activity during pregnancy. Multiple logistic regression analyses were used to assess associations between physical activity and the predictor variables during pregnancy. Adjusted odds ratios with 95% confidence interval were applied to estimate factors associated with physical activity levels. Statistical significance was set at p < 0.05. Only 278 of the women (25.7%) met recommendations for prenatal activity (≥150 min moderate intensity exercise per week). The average time spent in moderate–vigorous physical activity was 151.6 min (95% CI: 147.2–156.0). Most of the women participated in light exercises with a mean of 65.9% (95% CI: 64.8–67.0), and 47.6% (95% CI: 46.3–48.9) participated in household activities. The majority of the women did not receive physical activity advice during prenatal care sessions (64.7%). Factors negatively associated with prenatal physical activity were lower age (<19 years) (adjusted odd ratio (AOR) = 0.3; CI: 0.16–0.76), semi-urban residence (AOR = 0.8; CI: 0.55–1.03), lower educational level (AOR = 0.5; CI: 0.20–0.71), unemployment (AOR = 0.5; CI: 0.29–0.77) and nulliparity (AOR = 0.6; CI: 0.28–1.31). However, prenatal physical activity was positively associated with starting physical activity in the first trimester (AOR = 1.9; CI: 1.06–3.31) compared to other trimesters. The findings of this study demonstrated low levels of physical activity during pregnancy in South Africa. The majority of women did not meet the recommendation of 150 min of moderate intensity activity per week. Light intensity and household activities were the most preferred form of activity. The factors affecting physical activity of women in this present study include lower age, semi-urban setting, low educational level, unemployment and nulliparity. In order to increase activity levels, future work should seek to improve knowledge, access and support for physical activity in pregnant women in South Africa. This should include education and advocacy regarding physical activity for professionals involved in maternal health provision.

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Validity and Reliability of the Korean Version of the Pregnancy Physical Activity Questionnaire

Cited by 8 publications

References 20 publications

The Translation and Cross-Cultural Adaptation of the Pregnancy Physical Activity Questionnaire: Validity and Reliability of a Serbian Version (PPAQ-SRB)

The Translation and Cross-Cultural Adaptation of the Pregnancy Physical Activity Questionnaire: Validity and Reliability of a Serbian Version (PPAQ-SRB)

Reliability and Validity of a Global Physical Activity Questionnaire Adapted for use Among Pregnant Women in Nepal

Physical Activity Level during Pregnancy in South Africa: A Facility-Based Cross-Sectional Study

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