French Pregnancy Physical Activity Questionnaire compared with an accelerometer cut point to classify physical activity among pregnant obese women.

French Pregnancy Physical Activity Questionnaire compared with an accelerometer cut point to classify physical activity among pregnant obese women.
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DOI:
10.1371/journal.pone.0038818
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Marc I
Marc I
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Chandonnet N;Saey D;Alméras N;Marc I

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考虑到肥胖妇女在怀孕期间缺乏活动的高风险,在评估PA对围产期结局的影响之前,需要在这一特定人群中进行有效的体力活动(PA)评估问卷。没有调查问卷在妊娠肥胖妇女中得到验证。妊娠体力活动问卷(PPAQ)是根据妊娠期间报告的活动设计的,并在妊娠女性中得到验证。我们将PPAQ翻译成法语,并在肥胖孕妇中评估法语版本的可靠性和准确性。在这项横断面研究中,怀孕的肥胖妇女在怀孕的每个三个月结束时均匀招募。他们完成了两次PPAQ,中间间隔7天,回忆过去三个月的PA。在PPAQ评估之间,参与者在连续7天内佩戴加速度计(Actigraph GT 1 M)。四十九(49)例妊娠肥胖女性(29.8±4.2岁,34.7±5.1 kg.m-2)参加了本研究。两个PPAQ评估之间的组内相关系数(ICC)为0.90的总活动,0.86的轻,中度强度,和0.81的剧烈强度的活动。它的范围从“交通”的0.59到“家务和照料”活动的0.89不等。PPAQ与用于划分中等及以上强度活动的马修斯分界点之间的斯皮尔曼相关系数(SCC)对于总活动为0.50,对于剧烈强度为0.25,对于中等强度为0.40。PPAQ和加速度计计数之间的相关性为0.58的总活动,0.39的剧烈强度和0.49的中等强度。“职业”和“家务和护理”活动的特殊消费类别最高。与其他标准临界点的比较见文件S1、S2、S3、S4、S5、S6、S7。PPAQ是可靠的和中等准确度的测量PA的各种强度和类型的孕妇肥胖。
Given the high risk for inactivity during pregnancy in obese women, validated questionnaires for physical activity (PA) assessment in this specific population is required before evaluating the effect of PA on perinatal outcomes. No questionnaire was validated in pregnant obese women. The Pregnancy Physical Activity Questionnaire (PPAQ) has been designed based on activities reported during pregnancy and validated in pregnant women. We translated the PPAQ to French and assessed reliability and accuracy of this French version among pregnant obese women. In this cross-sectional study, pregnant obese women were evenly recruited at the end of each trimester of pregnancy. They completed the PPAQ twice, with an interval of 7 days in-between, to recall PA of the last three months. Between PPAQ assessments, participants wore an accelerometer (Actigraph GT1M) during 7 consecutive days. Fourty-nine (49) pregnant obese women (29.8±4.2 yrs, 34.7±5.1 kg.m−2) participated to the study. The intraclass correlation coefficients (ICCs) between the two PPAQ assessments were 0.90 for total activity, 0.86 for light and for moderate intensity, and 0.81 for vigorous intensity activities. It ranged from 0.59 for “Transportation” to 0.89 for “Household and Caregiving” activities. Spearman correlation coefficients (SCCs) between the PPAQ and the Matthews’ cut point used to classify an activity of moderate and above intensity were 0.50 for total activity, 0.25 for vigorous intensity and 0.40 for moderate intensity. The correlations between the PPAQ and the accelerometer counts were 0.58 for total activity, 0.39 for vigorous intensity and 0.49 for moderate intensity. The highest SCCs were for “Occupation” and “Household and Caregiving” activities. Comparisons with other standard cutpoints were presented in files S1, S2, S3, S4, S5, S6, S7. The PPAQ is reliable and moderately accurate for the measure of PA of various intensities and types among pregnant obese women.
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