Physical Activity Questionnaires for Pregnancy: A Systematic Review of Measurement Properties.
Physical Activity Questionnaires for Pregnancy: A Systematic Review of Measurement Properties.
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DOI：
10.1007/s40279-018-0961-x
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Dietz P
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文献类型：
--
作者：
Sattler MC;Jaunig J;Watson ED;van Poppel MNM;Mokkink LB;Terwee CB;Dietz P
为了评估怀孕期间的身体活动（PA），选择具有最佳测量性能的仪器非常重要。系统总结、评价和比较所有评估妊娠期PA的自填问卷的测量特性。我们使用以下纳入标准检索了PubMed、Embase和SPORTDiscus：（i）研究报告了自填问卷的至少一个测量属性（可靠性、标准效度、结构效度、反应性）;（ii）旨在测量PA的问卷;（iii）在健康孕妇中评价了问卷;（iv）研究以英文发表。我们使用标准化检查表（身体活动质量评估表[QAPAQ]）和GRADE（推荐、评估、发展和评价分级）方法评估结果、个体研究质量和证据质量。纳入了17篇文章，报告了11种不同PA问卷（17个版本）的18项研究。大多数问卷版本显示测量属性不足。只有法语和土耳其语版本的怀孕体力活动问卷（PPAQ）表现出足够的信度和结构效度。然而，所有版本的PPAQ汇总在一起显示出不足的结构效度。个别研究的质量通常是高的可靠性，但差异很大的结构效度。总体而言，证据质量为非常低至中等。我们建议PPAQ来评估妊娠期PA，尽管汇总结果显示结构效度不足。缺乏适当的标准，在数据收集和处理标准的客观设备测量PA在怀孕期间削弱了证据的质量。因此，需要对妊娠期比较工具的有效性进行研究，然后就验证参考标准和PA测量标准达成共识。本文的在线版本（10.1007/s40279-018-0961-x）包含补充材料，可供授权用户使用。
In order to assess physical activity (PA) during pregnancy, it is important to choose the instrument with the best measurement properties. To systematically summarize, appraise, and compare the measurement properties of all self-administered questionnaires assessing PA in pregnancy. We 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. Seventeen 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. We 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. The online version of this article (10.1007/s40279-018-0961-x) contains supplementary material, which is available to authorized users.
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