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Measuring physical activity during pregnancy – Cultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) and assessment of its reliability in Polish conditions

Justyna Krzepota 1  ,  
Department of Physical Culture and Health Promotion, University of Szczecin, Poland
Infrastructure and Management College in Warsaw, Poland
Faculty of Computer Science and Information Technology, West Pomeranian University of Technology Szczecin, Poland
Introduction and objective:
The assessment of physical activity during pregnancy is crucial in perinatal care and it is an important research topic. Unfortunately, in Poland there is a lack of one commonly accepted questionnaire of physical activity during pregnancy. The aim of this study was to adapt the Pregnancy Physical Activity Questionnaire (PPAQ) to Polish conditions and assess the reliability of its Polish version (PPAQ-PL).

Material and Methods:
The PPAQ was translated from English into Polish and its reliability tested. 64 correctly completed (twice, one week apart) questionnaires were qualified for analysis. Test-retest reliability was assessed using Intraclass Correlation Coefficient (ICC).

As a result of the adaptation and psychometric assessment, in the Polish version of the questionnaire the number of questions was reduced from 36 to 35 by removing the question concerning ‘mowing lawn while on a riding mower’. The ICC value for total activity was 0.75, which confirms a substantial level of reliability. The ICC values for subscales of intensity ranged from 0.53 (light) – 0.86 (vigorous). For subscales of type, ICC values ranged from 0.59 (transportation) – 0.89 (household/caregiving).

The PPAQ-PL can be accepted as a reliable tool for the assessing physical activity of pregnant women in Poland. Information obtained using the questionnaire might be helpful in monitoring health behaviours, preventing obesity, as well as designing and promoting physical activity programmes for pregnant women.

Justyna Krzepota   
Department of Physical Culture and Health Promotion, University of Szczecin, Poland
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