Validity and reliability of the Danish version of the pregnancy physical activity questionnaire to assess levels of physical activity during pregnancy

Krøner, Freja Holmberg; Knudsen, Signe de Place; Roland, Caroline Borup; Alomairah, Saud Abdulaziz; Mølsted, Stig

doi:10.1080/14767058.2020.1856807

Cited by 11 publications

(13 citation statements)

References 23 publications

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“…Furthermore, according to the Koo and Mae guidelines [ 29 ], the current study had strong test–retest reliability, with ICCs ranging from 0.768 to 0.930. This result is comparable with previous translations and adaptations of the PPAQ, such as those by Danes, Persians, and Vietnamese, as well as the original version [ 25 , 34 , 35 , 40 ]. Based on the activity categories, the reliability results were good for all types of activities except caregiving, which was excellent.…”

Section: Discussionsupporting

confidence: 88%

“…Cronbach’s α coefficient for the whole scale was 0.69, slightly below the acceptable cut-off of 0.7. Similarly, a Danish study reported a Cronbach’s alpha for the PPAQ of 0.70 [ 35 ]. In order to raise the Cronbach’s alpha coefficient, we calculated the value it would be when individual items were deleted from the scale ( Table S1 ).…”

Section: Discussionmentioning

confidence: 99%

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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: 88%

Section: Discussionmentioning

confidence: 99%

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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“…PA was digitally self-reported by participants using the PPAQ-DK [ 28 ] at visits 1, 2, and 3. The questionnaire assesses PA related to everyday activities during the current trimester (eg, household, occupational, sports, and transportation) [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

“…The primary objective of FitMum was to evaluate the effects of offering structured supervised exercise training (EXE) or motivational counseling on PA (MOT) compared to standard care (CON) on moderate-to-vigorous intensity PA (MVPA) in pregnant women as determined by a wrist-worn commercial activity tracker. Secondary measures of PA were obtained by the Danish version of the Pregnancy Physical Activity Questionnaire (PPAQ-DK) [27,28] and by the gold standard doubly labeled water (DLW) technique [29][30][31]. The hypotheses were that both EXE and MOT would increase MVPA in pregnancy compared to CON and that EXE would be more effective than MOT [32,33].…”

Section: Introductionmentioning

confidence: 99%

Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women’s Physical Activity Level: FitMum - Randomized Controlled Trial

Knudsen¹,

Alomairah²,

Roland³

et al. 2022

J Med Internet Res

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Background Physical activity (PA) during pregnancy is an effective and safe way to improve maternal health in uncomplicated pregnancies. However, compliance with PA recommendations remains low among pregnant women. Objective The purpose of this study was to evaluate the effects of offering structured supervised exercise training (EXE) or motivational counseling on PA (MOT) during pregnancy on moderate-to-vigorous intensity physical activity (MVPA) level. Additionally, complementary measures of PA using the Pregnancy Physical Activity Questionnaire (PPAQ) and gold standard doubly labeled water (DLW) technique were investigated. The hypotheses were that both EXE and MOT would increase MVPA in pregnancy compared with standard care (CON) and that EXE would be more effective than MOT. In addition, the association between MVPA and the number of sessions attended was explored. Methods A randomized controlled trial included 220 healthy, inactive pregnant women with a median gestational age of 12.9 (IQR 9.4-13.9) weeks. A total of 219 women were randomized to CON (45/219), EXE (87/219), or MOT (87/219). The primary outcome was MVPA (minutes per week) from randomization to the 29th gestational week obtained by a wrist-worn commercial activity tracker (Vivosport, Garmin International). PA was measured by the activity tracker throughout pregnancy, PPAQ, and DLW. The primary outcome analysis was performed as an analysis of covariance model adjusting for baseline PA. Results The average MVPA (minutes per week) from randomization to the 29th gestational week was 33 (95% CI 18 to 47) in CON, 50 (95% CI 39 to 60) in EXE, and 40 (95% CI 30 to 51) in MOT. When adjusted for baseline MVPA, participants in EXE performed 20 (95% CI 4 to 36) minutes per week more MVPA than participants in CON (P=.02). MOT was not more effective than CON; EXE and MOT also did not differ. MVPA was positively associated with the number of exercise sessions attended in EXE from randomization to delivery (P=.04). Attendance was higher for online (due to COVID-19 restrictions) compared with physical exercise training (P=.03). Adverse events and serious adverse events did not differ between groups. Conclusions Offering EXE was more effective than CON to increase MVPA among pregnant women, whereas offering MOT was not. MVPA in the intervention groups did not reach the recommended level in pregnancy. Changing the intervention to online due to COVID-19 restrictions did not affect MVPA level but increased exercise participation. Trial Registration ClinicalTrials.gov NCT03679130; https://clinicaltrials.gov/ct2/show/NCT03679130 International Registered Report Identifier (IRRID) RR2-10.1136/bmjopen-2020-043671

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“…However, meanwhile, a research group at the University of Copenhagen and Nordsjaellands Hospital in Denmark also carried out a similar project using translation methods described by Beaton et al [2] translating the questionnaire to Danish (PPAQ-DK) [3]. The two research groups were not aware of each other's work.…”

Section: Introductionmentioning

confidence: 99%

Translation and cultural adaptation of the Pregnancy Physical Activity Questionnaire into Danish using the dual-panel approach: comparison with outcomes from an alternative translation approach

et al. 2021

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Objective Physical activity reduces the risk of pregnancy-related complications. However, pregnant women often reduce their physical activity levels and do not follow the WHO’s physical activity recommendations during pregnancy. To support pregnant women in monitoring physical activity, the self-administered Pregnancy Physical Activity Questionnaire was developed in the US. We translated and cross-cultural adapted the questionnaire using the dual approach method. Meanwhile, and without knowing this, another Danish group simultaneously translated the questionnaire using the method described by Beaton et al. The aim is to present our data and discuss the unplanned purpose of comparing the results from using two different translation methods. Results We translated and cross-culturally adapted the Pregnancy Physical Activity Questionnaire to Danish with the following findings. Two additional items for cycling were included. Three items about spending time on a computer, reading, writing or talking on the phone were not feasible in terms of differentiating between them and these were merged into one item. The item ‘Taking care of an older adult’ was found to be irrelevant in a Danish setting and was removed. Adaptions were similar comparing the two methods. Consequently, using the dual-panel and the methods suggested by Beaton et al. yield similar results when translating and cultural adapting the PPAQ.

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Validity and reliability of the Danish version of the pregnancy physical activity questionnaire to assess levels of physical activity during pregnancy

Cited by 11 publications

References 23 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)

Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women’s Physical Activity Level: FitMum - Randomized Controlled Trial

Translation and cultural adaptation of the Pregnancy Physical Activity Questionnaire into Danish using the dual-panel approach: comparison with outcomes from an alternative translation approach

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