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Measuring Physical Activity in Pregnancy Using Questionnaires: A Meta-Analysis

Snježana Schuster¹, Iva Šklempe Kokić², Joško Sindik³

¹University of Applied Health Sciences, Zagreb, Croatia

Acta Clinica Croatica

|October 19, 2017

Summary

Accurately measuring physical activity (PA) in pregnant women is crucial for understanding health outcomes. The Modified Kaiser Physical Activity Survey and Pregnancy Physical Activity Questionnaire demonstrate good validity and reliability for this purpose.

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Area of Science:

Obstetrics and Gynecology
Public Health
Sports Medicine

Background:

Physical activity (PA) during pregnancy offers significant health benefits for expectant mothers.
Accurate PA measurement is essential for research linking PA to maternal health outcomes.
Assessing PA in pregnant populations presents unique challenges.

Purpose of the Study:

To review and summarize valid and reliable physical activity questionnaires specifically for pregnant women.
To identify the most accurate tools for measuring PA in this demographic.

Main Methods:

A systematic literature search was conducted in 2013 across PubMed, OvidSP, and Web of Science.
Included studies evaluated the measurement properties of PA questionnaires in pregnant populations.

Keywords:

Motor activity Exercise Pregnancy, Surveys and questionnaires Self-report

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Four questionnaires (Pregnancy Physical Activity Questionnaire, Modified Kaiser Physical Activity Survey, Short Pregnancy Leisure Time Physical Activity Questionnaire, Third Pregnancy Infection and Nutrition Study Physical Activity Questionnaire) met the criteria.

Main Results:

Validity and reliability were assessed using correlations with objective/subjective PA measures and test-retest reliability.
Sample sizes ranged from 45 to 177 subjects.
The Modified Kaiser Physical Activity Survey and Pregnancy Physical Activity Questionnaire (various versions) showed the best validity and reliability characteristics.

Conclusions:

Measuring physical activity in pregnant women is complex.
While questionnaires offer a practical method, they have limitations.
The Modified Kaiser Physical Activity Survey and Pregnancy Physical Activity Questionnaire are recommended for assessing PA in pregnant women.