ORIGINAL PAPER
Validation of the Pregnancy Physical Activity Questionnaire (PPAQ)
More details
Hide details
1
Department of the Prevention of Alimentary Tract Diseases, Institute of Nursing and Obstetrics, Faculty of Medicine and Health
Science, Jan Kochanowski University, Kielce, Poland
2
Department of Physiology, Institute of Medical Science, Faculty of Medicine and Health Science, Jan Kochanowski University,
Kielce, Poland
Submission date: 2016-06-29
Final revision date: 2016-12-06
Acceptance date: 2016-12-20
Publication date: 2017-03-31
Medical Studies 2017;33(1):40-45
KEYWORDS
TOPICS
ABSTRACT
Introduction: The results of many studies confirm the positive effect of physical activity during pregnancy on the health of both mother and child. Due to this, it is important to use standardised methods of its assessment. In 2004, Chasan-Taber et al. developed the Pregnancy Physical Activity Questionnaire (PPAQ), taking into account household/caregiving activities, occupational activities, sports/exercise activities, transportation activities, and inactivity.
Aim of the research: The validation of the Pregnancy Physical Activity Questionnaire (PPAQ) by determination of its reproducibility.
Material and methods: The questionnaire was validated from June 2014 to February 2015 among 164 women. The respondents were surveyed twice in a 2-week interval. The repeatability of the questionnaire was verified by determining the Pearson correlation coefficient between the results obtained for the same people in the first and second interview, thus determining the intra-subject variability. Inter-subject variability was analysed by comparing the average values of physical activity for the whole group using the Student’s t-test for dependent samples.
Results: For all levels of physical activity, a high correlation between the results obtained in both interviews was found. The correlation coefficient for total physical activity was r = 0.96. The reproducibility of the results obtained from PPAQ questionnaire was the highest for inactivity and moderate activity (r = 0.96). The analysis according to the type of activity showed that the reproducibility was the highest for occupational activity (r = 0.98).
Conclusions: High reproducibility of results obtained using PPAQ questionnaire was found. This allows the assessed questionnaire to be considered as an accurate measurement tool that can be a source of reliable information about physical activity in pregnant women.
REFERENCES (21)
1.
Downs DS, Chasan-Taber L, Evenson KR, Leiferman J, Yeo S. Physical activity and pregnancy: past and present evidence and future recommendations. Res Q Exerc Sport 2012; 83: 485-502.
2.
Muktabhant B, Lawrie TA, Lumbiganon P, Laopaiboon M. Diet or exercise, or both, for preventing excessive weight gain in pregnancy. Cochrane Database Syst Rev 2015; 6: CD007145.
3.
Loprinzi PD, Fitzgerald EM, Woekel E, Cardinal BJ. Association of physical activity and sedentary behavior with biological markers among U.S. pregnant women. J Womens Health 2013; 22: 953-8.
4.
Pivarnik JM, Chambliss H, Clapp J. Impact of physical activity during pregnancy and postpartum on chronic disease risk. Med Sci Sports Exerc 2006; 38: 989-1006.
5.
Colberg SR, Castorino K, Jovanović L. Prescribing physical activity to prevent and manage gestational diabetes. World J Diabetes 2013; 4: 256-62.
6.
Davies G, Wolfe L, Mottola M, MacKinnon C. Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period. Can J Appl Physiol 2003; 28: 330-41.
7.
Loprinzi PD, Loprinzi KL, Cardinal BJ. The relationship between physical activity and sleep among pregnant women. Ment Health Phys Act 2012; 5: 22-7.
8.
Huberty J, Leiferman JA, Gold KJ, Rowedder L, Cacciatore J, McClain DB. Physical activity and depressive symptoms after stillbrith: informing future interventions. BMC Pregnancy Childbirth 2014; 14: 391.
9.
Phelan S, Phipps MG, Abrams B, Darroch F, Grantham K, Schaffner A. Does behavioral intervention in pregnancy reduce postpartum weight retention? Twelve-month outcomes of the Fit for Delivery randomized trial. Am J Clin Nutr 2014; 99: 302-11.
10.
Mourtakos SP, Tambalis KD, Panagiotakos DB, Antonogeorgos G, Arnaoutis G, Karteroliotis K, Sidossis LS. Maternal lifestyle characteristics during pregnancy, and the risk of obesity in the offspring: a study of 5,125 children. BMC Pregnancy Childbirth 2015; 15: 66.
11.
Lipert A, Jegier A. Metody pomiaru aktywności ruchowej. Medycyna Sportowa Medsportpress 2009; 25: 155-68.
12.
Ota E, Haruna M, Yanai H, Suzuki M, Matsuzaki M, Ariyoshi K, Yeo S, Murashima S. Reliability and validity of the Vietnamese version of the pregnancy physical activity questionaire (PPAQ). Southeast Asian J Trop Med Public Health 2008; 39: 562-70.
13.
Matsuzaki M, Haruna M, Ota E, Seon Ae Yeo, Murayama R, Murashima S. Translation and cross-cultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) to Japanese. BioScience Trends 2010; 4: 170-7.
14.
Chandonnet N, Saey D, Almeras N, Marc I. French pregnancy physical activity questionnaire compared with an accelerometer cut point to classify physical activity among pregnant obese women. PLoS One 2012; 7: e38818.
15.
Zhang Y, Zhao Y, Dong SW, Xiong Y, Xq H. Reliability and validity of the Chinese version of the Pregnancy Physical Activity Questionnaire (PPAQ). Chin J Nurs 2013; 48: 825-7.
16.
Cirak Y, Yilmaz GD, Demir YP, Dalkilnc M, Yaman S. Pregnancy physical activity questionnaire (PPAQ): reliability and validity of Turkish version. J Phys Therapy Sci 2015; 27: 3703-9.
17.
Chasan-Taber L, Schmidt MD, Roberts DE, Hosmer D, Markenso G, Federson PS. Development and validation of a Pregnancy Physical Activity Questionnaire. Med Sci Sports Exerc 2004; 36: 1750-60.
18.
Szkultecka-Dębek M, Bem M, Mazur J. Różnice kulturowe – wpływ na ocenę jakości życia związanej ze zdrowiem. Farmakoekonomika 2006; 10: 3-10.
19.
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS. Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 2011; 43: 1575-81.
20.
Zhang Y, Dong S, Zuo J, Hu X, Zhang H. Physical activity level of urban pregnant women in Tianjin, China: a crosssectional study. PLoS One 2014; 9: e109624.
21.
Hawkins M, Braun B, Marcus BH, Stanek E, Markenson G, Chasan-Taber L. The impact of an exercise intervention on C-reactive protein during pregnancy: a randomized controlled trial. BMC Pregnancy Childbirth 2015; 15: 139.