A College of Massachusetts Amherst public well being researcher has up to date and validated the broadly used Being pregnant Bodily Exercise Questionnaire (PPAQ) to enhance the measurement efficiency of this self-report bodily exercise methodology.
Lisa Chasan-Taber, professor and chair of biostatistics and epidemiology, and her analysis group used novel and progressive instruments – a complicated accelerometer and wearable digital camera – to evaluate PPAQ efficiency. The researchers developed the PPAQ in 2004 as the primary validated being pregnant bodily exercise questionnaire. Listed on the UMass Amherst timeline of analysis breakthroughs, the PPAQ is taken into account the gold customary within the discipline of prenatal bodily exercise epidemiology.
“We’re happy to report that the up to date PPAQ offers dependable and legitimate estimates of bodily exercise and sedentary conduct in pregnant ladies,” says Chasan-Taber, lead writer of the paper printed at this time (June 8) within the American Journal of Epidemiology. “It’s important for public well being researchers to have a toolbox of bodily exercise measurements – each self-report and goal measures corresponding to displays – at their disposal.”
The paper factors out that bodily inactivity throughout being pregnant is “an pressing public well being concern,” implicated in a spread of situations, together with extreme gestational weight acquire, gestational diabetes, pre-eclampsia and pre-term beginning.
The validated, up to date PPAQ is a vital device with a wide range of purposes to shut the data hole on how greatest to quantify bodily exercise throughout being pregnant.
The PPAQ has been translated into 13 languages to be used in 70 international locations. Within the U.S., it is a part of the Environmental Influences on Youngster Well being Outcomes (ECHO) research, a Nationwide Institutes of Well being-supported longitudinal beginning cohort throughout 35 facilities. ECHO goals to grasp the results of early environmental influences on little one well being and growth, in an effort to seek out methods to reinforce it.
The PPAQ is utilized in surveillance research to see how energetic pregnant ladies are, it is used to measure compliance with pointers for exercise throughout being pregnant, to find out the optimum dose of bodily exercise for lowering danger of maternal and fetal problems, and to guage the affect of train intervention research.”
Lisa Chasan-Taber, professor and chair of biostatistics and epidemiology
In updating the PPAQ, the researchers aimed to benefit from advances over the previous 20 years in calibration and validation strategies and within the measurement of up to date sedentary behaviors, corresponding to texting and display screen time.
“The accelerometer helps us validate the depth of the exercise, but it surely tells us nothing about what persons are doing,” Chasan-Taber says. “The digital camera takes repeated, frequent snapshots to find out the kind of exercise – was it sports activities, was it childcare, was it housekeeping? The 2 collectively present a robust illustration.”
For the validation research, 50 individuals in early, mid and late being pregnant accomplished the up to date PPAQ and wore the accelerometer on their non-dominant wrist and the wearable digital camera on a lanyard round their neck for seven consecutive days. Afterward, they accomplished the PPAQ once more. The information analyzed confirmed the PPAQ is a dependable and legitimate measure of a broad vary of bodily actions.
The novel validation research was supported by a grant from the NIH’s Nationwide Institute of Youngster Well being and Human Improvement. Co-authors embody John Staudenmeyer, UMass Amherst professor of arithmetic and statistics; Scott Strath, professor of kinesiology on the College of Wisconsin-Milwaukee; Patty Freedson, UMass Amherst professor emerita and chair of kinesiology; Susan Park, a UMass Amherst Ph.D. candidate in epidemiology; and Robert Marcotte, a UMass Amherst Ph.D. candidate in kinesiology.
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Journal reference:
Chasan-Taber, L., et al. (2023) Replace and Novel Validation of a Being pregnant Bodily Exercise Questionnaire. American Journal of Epidemiology. doi.org/10.1093/aje/kwad130.