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

Department of Physical Culture and Health Promotion, University of Szczecin, Poland
Ann Agric Environ Med. 2017;24(4):640-643
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.

Brown W. The benefits of physical activity during pregnancy. J Sci Med Sport.2002; 5(1): 37–45.
Sternfeld B, Quesenberry CP Jr, Eskenazi B, Newman LA. Exercise during pregnancy and pregnancy outcome. Med Sci Sports Exerc.1995; 27(5): 634–640.
Sternfeld B. Physical activity and pregnancy outcome. Review and recommendations. Sports Med.1997; 23(1): 33–47.
Szumilewicz A, Wojtyła A, Zarębska A, Drobnik-Kozakiewicz I, Sawczyn M, Kwitniewska A. Influence of prenatal physical activity on the course of labour and delivery according to the new Polish standard for perinatal care. Ann Agric Environ Med. 2013; 20(2): 380–389.
ACOG Committee Obstetric Practice. ACOG Committee opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002; 99(1): 171–173.
Smith KM, Campbell CG. Physical activity during pregnancy: impact of applying different physical activity guidelines. J Pregnancy. 2013; ID 165617. doi: 10.1155/2013/165617.
Sallis JF, Saelens BE. Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport. 2000; 71(2 Suppl): S1–14.
Schmidt MD, Freedson PS, Pekow P, Roberts D, Sternfeld B, Chasan-Taber L. Validation of the Kaiser Physical Activity Survey in pregnant women. Med Sci Sports Exerc. 2006; 38(1): 42–50.
Chasan-Taber L, Schmidt MD, Roberts DE, Hosmer D, Markenson G, Freedson PS. Development and validation of aPregnancyPhysical Activity Questionnaire. Med Sci Sports Exerc. 2004; 36(10): 1750–1760.
Pereira MA, Fitzer Gerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, et al. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc. 1997 Jun; 29(6 Suppl): S1–205.
Aday LA, Llewellyn JC. Designing and conducting health surveys: a comprehensive guide. John Wiley & Sons Publishers, 2011.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000; 25(24): 3186–3191.
Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993; 46(12): 1417–1432.
Matsuzaki M, Haruna M, Ota E, Yeo S, Murayama R, Murashima S. Translation and cross-cultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) to Japanese. Biosci Trends. 2010; 4(4): 170–177.
Matsuzaki M, Haruna M, Nakayama K, Shiraishi M, Ota E, Murayama R, et al. Adapting the Pregnancy Physical Activity Questionnaire for Japanese pregnant women. J Obstet Gynecol Neonatal Nurs. 2014; 43(1): 107–116.
Ota E, Haruna M, Yanai H, Suzuki M, Anh DD, Matsuzaki M, et al. Reliability and validity of the Vietnamese version of the Pregnancy Physical Activity Questionnaire (PPAQ). Southeast Asian J Trop Med Public Health. 2008; 39(3): 562–570.
Chandonnet N, Saey D, Alméras N, Marc I. French Pregnancy Physical Activity Questionnaire compared with an accelerometer cut point to classify physical activity among pregnant obese women. PLoS One. 2012; 7(6): e38818. doi: 10.1371/journal.pone.0038818.
Wojtyła A, Kapka-Skrzypczak L, Paprzycki P, Skrzypczak M, Biliński P. Epidemiological studies in Poland on effect of physical activity of pregnant women on the health of offspring and future generations – adaptation of the hypothesis development origin of health and diseases. Ann Agric Environ Med. 2012; 19(2): 315–326.
Ćwiek D, Szczęsna M, Malinowski W, Fryc D, Daszkiewicz A, Augustyniuk K. Analiza aktywności fizycznej podejmowanej przez kobiety w czasie ciąży. PNiG. 2012; 5(1): 51–54.
Makara-Studzińska M, Kryś-Noszczyk K, Starczyńska M, Sieroń A, Śliwiński Z. Types of physical activity during pregnancy. Pol Ann Med. 2013; 20(1): 19–24.
Rutkowska E, Łepecka-Klusek C. The role of physical activity in preparing women for pregnancy and delivery in Poland. Health Care Women Int. 2002; 23(8): 919–923.
Bushnell CD, Johnston DC, Goldstein LB. Retrospective assessment of initial stroke severity: comparison of the NIH Stroke Scale and the Canadian Neurological Scale. Stroke. 2001; 32(3): 656–660.
Altman DG, Bland JM. Measurement in medicine: the analysis of method comparison studies. J Roy Stat Soc D-Sta.1983; 32: 307–317.
Davies GA, Wolfe LA, Mottola MF, MacKinnon C, Arsenault MY, Bartellas E, et al. SOGC Clinical Practice Obstetrics Committee, Canadian Society for Exercise Physiology Board of Directors. Exercisein pregnancy and the postpartum period. J Obstet Gynaecol Can. 2003; 25(6): 516–529.
Zavorsky GS, Longo LD. Exercise guidelines in pregnancy: new perspectives. Sports Med. 2011; 41(5): 345–360.
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