Review of self-reported physical activity assessments for pregnancy: summary of the evidence for validity and reliability.

Review of self-reported physical activity assessments for pregnancy: summary of the evidence for validity and reliability.
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DOI:
10.1111/j.1365-3016.2012.01311.x
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发表时间:
2012-09
影响因子:
2.8
通讯作者:
Pearce EE
Pearce EE
中科院分区:
医学3区
文献类型:
--
作者:
Evenson KR;Chasan-Taber L;Symons Downs D;Pearce EE

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对孕妇的流行病学研究和监测系统往往依赖于通过自我报告收集体力活动。这项系统的回顾确定并总结了孕妇自我报告的体力活动评估,并提供了有效性和可靠性的证据。2011年发表的同行评议文章如果评估了面试者或孕妇自我管理的体力活动问卷或日记的有效性和/或可靠性,则包括在内。我们确定了15项研究,包括12项评估问卷的研究和4项评估日记的研究,这些研究在澳大利亚、芬兰、挪威、英国、美国和越南进行。对于问卷,92%(11/12)的评估模式、所有评估的频率和/或持续时间,58%(7/12)收集了关于感知强度的信息。除了一项研究(92%)外,所有研究都对问卷的有效性进行了评估。调查问卷与客观测量(加速计、计步器)的一致性从轻微到一般,而与其他自我报告的测量结果的比较从基本一致到几乎完全一致。五项研究(42%)评估了问卷的重测可靠性,从基本一致到几乎完全一致。四项关于日记的研究都是根据客观标准对有效性进行评估,从轻微的一致性到实质性的一致性不等。建议选择有效和可靠的体力活动措施,收集关于剂量(类型、频率、持续时间、强度)的信息,以提高检测体力活动与母婴结局的相关性的精确度和准确性。
Epidemiologic studies and surveillance systems of pregnant women often rely collection of physical activity through self-report. This systematic review identified and summarized self-reported physical activity assessments with evidence for validity and reliability among pregnant women. Peer-reviewed articles published through 2011 were included if they assessed validity and/or reliability of an interviewer- or self-administered physical activity questionnaire or diary among pregnant women. We identified 15 studies, including 12 studies that assessed questionnaires and 4 studies that assessed diaries, conducted in Australia, Finland, Norway, United Kingdom, United States, and Vietnam. For questionnaires, 92% (11/12) assessed mode, all assessed frequency and/or duration, and 58% (7/12) collected information on perceived intensity. All but one study (92%) assessed validity of the questionnaires. Questionnaires compared to objective measures (accelerometers, pedometers) ranged from slight to fair agreement, while comparison to other self-reported measures ranged from substantial to almost perfect agreement. Five studies (42%) assessed test-retest reliability of the questionnaires, ranging from substantial to almost perfect agreement. The four studies on diaries were all assessed for validity against objective measures, ranging from slight to substantial agreement. Selection of valid and reliable physical activity measures that collect information on dose (type, frequency, duration, intensity) is recommended to increase precision and accuracy in detecting associations of physical activity with maternal and fetal outcomes.
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