Cultural adaptation and validation of the "Pregnancy Physical Activity Questionnaire" for the Portuguese population

PLoS One. 2023 Jan 10;18(1):e0279124. doi: 10.1371/journal.pone.0279124. eCollection 2023.

Abstract

Background: The lack of instruments to assess the level of physical activity in pregnant women, led to the development of the PPAQ (Pregnancy Physical Activity Questionnaire), a self-administered questionnaire, which has already been translated in several countries and has already been used in several studies.

Aim(s): Translate and adapt the PPAQ into Portuguese and test its reliability and validity.

Methods: An analytical observational study was carried out. Linguistic and semantic equivalence was performed through translation and back-translation and content validity was tested by a panel of experts. To test reliability, a test-retest was performed on a sample of 184 pregnant women, with an interval of 7 days and the ICC was used. To test the criterion validity, Pearson's correlation coefficient (r) was used between the PPAQ and the accelerometer, in a sample of 226 pregnant women.

Findings: The questionnaire was considered comprehensive. The ICC values of Reliability were: total score (0.77); sedentary activities (0.87); light-intensity activities (0.76); moderate-intensity activities (0.76); vigorous-intensity activities (0.70). For criterion validity was obtained a coefficient correlation of r = -0.030, considered weak and negative, for total activity.

Discussion: This study describes the translation and validation process of the PPAQ questionnaire from English to Portuguese. The final version of the PPAQ was considered as a valid instrument in terms of content to measure physical activity and was referred to as being simple to apply and easy to understand.

Conclusion: The PPAQ has content validity, excellent reliability and weak criterion validity, as in the original version.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cross-Cultural Comparison
  • Exercise*
  • Female
  • Humans
  • Portugal
  • Pregnancy
  • Pregnant Women*
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires

Grants and funding

This work was financially supported by the Portuguese Foundation for Science and Technology (FCT); (Grant number FCT SFRH/BD/45375/2008; FCT UID/DTP/00617/2020 [Research Center in Physical Activity, Health and Leisure - CIAFEL] and LA/P/0064/2020 [Laboratory of Interdisciplinary Research - ITR]) and PROTEC SFRH/BD/50002/2009. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.