SynthesisSports medicine (Auckland, N.Z.)2018
Physical Activity Questionnaires for Pregnancy: A Systematic Review of Measurement Properties.
Synthesis in Sports medicine (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Physical activity measurement tools among college students in intervention studies: A systematic review.PloS one · 2025Pooled it
- Physical activity and gestational weight gain: a systematic review of observational studies.BMC public health · 2022Pooled it
- Current Evidence of Measurement Properties of Physical Activity Questionnaires for Older Adults: An Updated Systematic Review.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Interventions to increase self-reported physical activity during pregnancy: A systematic review.Women's health (London, England)Pooled it
- Effects of Structured Supervised Exercise Training or Motivational Counseling on Pregnant Women's Physical Activity Level: FitMum - Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Influence of Appetite and Perceived Ability to Control Cravings on Excessive Gestational Weight Gain.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2021Trial
- Effect of Evidence-Based Materials and Access to Local Resources on Physical Activity Levels, Beliefs, and Motivation During Pregnancy in a Rural Setting.Journal of physical activity & health · 2020Trial
- Effects of a lifestyle intervention in routine care on prenatal physical activity - findings from the cluster-randomised GeliS trial.BMC pregnancy and childbirth · 2019Trial
- Article
- Evaluating the barriers to physical activity during pregnancy: a sequential explanatory mixed-methods study.Archives of public health = Archives belges de sante publique · 2026Article
- Evaluating physical activity questionnaires for postpartum women.Maternal health, neonatology and perinatology · 2026Article
- Physical activity during the last trimester of pregnancy and its correlates among pregnant women: a cross-sectional analysis from the French national cohort ELFE.BMC pregnancy and childbirth · 2026Article
- Barriers to physical activity in pregnant women: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Barriers to Physical Activity During Pregnancy and Postpartum-A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Association between objectively measured physical activity and maternal stool microbiota during pregnancy: results from a preliminary investigation.Frontiers in cellular and infection microbiology · 2026Article
- Trimester-specific association of maternal prenatal physical activities with risk of preterm birth: a prospective pre-birth cohort study.BMC pregnancy and childbirth · 2025Article
- Miles and Maternity: A Survey of Long-Duration Exercise During Pregnancy.Sports medicine (Auckland, N.Z.) · 2025Article
- Swedish version of the Pregnancy Physical Activity Questionnaire (PPAQ-SWE), translation and cultural adaptation.BMC research notes · 2025Article
- Physical activity trajectory during pregnancy and associations with maternal fatigue using a growth mixture modeling approach.Scientific reports · 2024Article
- Physical Activity and High-Sensitivity C-Reactive Protein in Pregnancy: Does It Matter during Leisure or Work?Medicine and science in sports and exercise · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn order to assess physical activity (PA) during pregnancy, it is important to choose the instrument with the best measurement properties.
objectivesTo systematically summarize, appraise, and compare the measurement properties of all self-administered questionnaires assessing PA in pregnancy.
methodsWe searched PubMed, Embase, and SPORTDiscus with the following inclusion criteria: (i) the study reported at least one measurement property (reliability, criterion validity, construct validity, responsiveness) of a self-administered questionnaire; (ii) the questionnaire intended to measure PA; (iii) the questionnaire was evaluated in healthy pregnant women; and (iv) the study was published in English. We evaluated results, quality of individual studies, and quality of evidence using a standardized checklist (Quality Assessment of Physical Activity Questionnaires [QAPAQ]) and the GRADE (Grading of Recommendation, Assessment, Development, and Evaluation) approach.
resultsSeventeen articles, reporting 18 studies of 11 different PA questionnaires (17 versions), were included. Most questionnaire versions showed insufficient measurement properties. Only the French and Turkish versions of the Pregnancy Physical Activity Questionnaire (PPAQ) showed both sufficient reliability and construct validity. However, all versions of the PPAQ pooled together showed insufficient construct validity. The quality of individual studies was usually high for reliability but varied considerably for construct validity. Overall, the quality of evidence was very low to moderate.
conclusionsWe recommend the PPAQ to assess PA in pregnancy, although the pooled results revealed insufficient construct validity. The lack of appropriate standards in data collection and processing criteria for objective devices in measuring PA during pregnancy attenuates the quality of evidence. Therefore, research on the validity of comparison instruments in pregnancy followed by consensus on validation reference criteria and standards of PA measurement is needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.