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Pregnancy physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version
Physical activity level during pregnancy is unknown in Middle Eastern and North African countries, since no valid tools assessing it exist in Arabic. The aim of this study is to culturally adapt and translate to Arabic an internationally validated instrument, the Pregnancy Physical Activity Question...
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Published in: | PloS one 2020-03, Vol.15 (3), p.e0230420-e0230420 |
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description | Physical activity level during pregnancy is unknown in Middle Eastern and North African countries, since no valid tools assessing it exist in Arabic. The aim of this study is to culturally adapt and translate to Arabic an internationally validated instrument, the Pregnancy Physical Activity Questionnaire (PPAQ), and to measure the physical activity of pregnant women using the adapted PPAQ, Arabic version. This tool is time-sparing, self-administered and is the only one taking into account childcare and household chores.
After following the guidelines for translation and back-translation by certified translators, a committee composed of professionals in the field reviewed each item of the PPAQ, for its comprehensibility. This Arabic version of the PPAQ was tested on a sample of 179 pregnant Lebanese women, from different educational backgrounds, socioeconomic status and gestational ages.
Cross-cultural adaptations were applied on the newly translated PPAQ in Arabic version, thus questions referring to some types of outdoor activities were excluded from the final format. Our results reported that 51% and 1.7% of women engage respectively in light and high intensity physical activity, while 18% had a sedentary lifestyle. Occupational type of activities were significantly more performed by women having a higher education (p value 0.001), as opposed to those who attended only high school, who were physically more active in household activities (p value 0.038). Second trimester was a period where pregnant women were active for household, caregiving (p value 0.031), whereas women in their third trimester were physically more active in occupational activities (p value 0.001). Sport-oriented activities were performed by women reporting a good physical status (p value 0.03). Age and crowding index were significantly correlated with occupational, household and caregiving activities (p values 0.004, 0.008 respectively). No significant correlations were observed with pre-gestational body mass index and the physical activity levels.
A valid tool will help researchers in Arab countries identify physical activity levels of pregnant women and consequently emit specific guidelines relative to the importance and the benefits of a daily active lifestyle throughout gestation. |
doi_str_mv | 10.1371/journal.pone.0230420 |
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After following the guidelines for translation and back-translation by certified translators, a committee composed of professionals in the field reviewed each item of the PPAQ, for its comprehensibility. This Arabic version of the PPAQ was tested on a sample of 179 pregnant Lebanese women, from different educational backgrounds, socioeconomic status and gestational ages.
Cross-cultural adaptations were applied on the newly translated PPAQ in Arabic version, thus questions referring to some types of outdoor activities were excluded from the final format. Our results reported that 51% and 1.7% of women engage respectively in light and high intensity physical activity, while 18% had a sedentary lifestyle. Occupational type of activities were significantly more performed by women having a higher education (p value 0.001), as opposed to those who attended only high school, who were physically more active in household activities (p value 0.038). Second trimester was a period where pregnant women were active for household, caregiving (p value 0.031), whereas women in their third trimester were physically more active in occupational activities (p value 0.001). Sport-oriented activities were performed by women reporting a good physical status (p value 0.03). Age and crowding index were significantly correlated with occupational, household and caregiving activities (p values 0.004, 0.008 respectively). No significant correlations were observed with pre-gestational body mass index and the physical activity levels.
A valid tool will help researchers in Arab countries identify physical activity levels of pregnant women and consequently emit specific guidelines relative to the importance and the benefits of a daily active lifestyle throughout gestation.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0230420</identifier><identifier>PMID: 32226052</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adaptation ; Additives ; Biology and Life Sciences ; Body mass ; Body mass index ; Body size ; Child care ; Education ; Exercise ; Gestation ; Guidelines ; Households ; Interpreters ; Levels ; Luminous intensity ; Medicine and Health Sciences ; Nutrition ; People and Places ; Pharmacy ; Physical activity ; Physical fitness ; Pregnancy ; Pregnant women ; Questionnaires ; Research and Analysis Methods ; Retirement benefits ; Sedentary behavior ; Social class ; Social Sciences ; Socioeconomics ; Surveys ; Time ; Translation ; Translations ; Translators ; Translators (Persons) ; Womens health</subject><ispartof>PloS one, 2020-03, Vol.15 (3), p.e0230420-e0230420</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Papazian et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Papazian et al 2020 Papazian et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-bd1cb510d21f959856890c5b2c2e500e3b848dfdcb20ea63e8fa4d4fdb01cb3a3</citedby><cites>FETCH-LOGICAL-c593t-bd1cb510d21f959856890c5b2c2e500e3b848dfdcb20ea63e8fa4d4fdb01cb3a3</cites><orcidid>0000-0002-4355-3006</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2384477700/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2384477700?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32226052$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gebremedhin, Samson</contributor><creatorcontrib>Papazian, Tatiana</creatorcontrib><creatorcontrib>El Osta, Nada</creatorcontrib><creatorcontrib>Hout, Hala</creatorcontrib><creatorcontrib>Chammas, Daisy El</creatorcontrib><creatorcontrib>El Helou, Nour</creatorcontrib><creatorcontrib>Younes, Hassan</creatorcontrib><creatorcontrib>Abi Tayeh, Georges</creatorcontrib><creatorcontrib>Rabbaa Khabbaz, Lydia</creatorcontrib><title>Pregnancy physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Physical activity level during pregnancy is unknown in Middle Eastern and North African countries, since no valid tools assessing it exist in Arabic. The aim of this study is to culturally adapt and translate to Arabic an internationally validated instrument, the Pregnancy Physical Activity Questionnaire (PPAQ), and to measure the physical activity of pregnant women using the adapted PPAQ, Arabic version. This tool is time-sparing, self-administered and is the only one taking into account childcare and household chores.
After following the guidelines for translation and back-translation by certified translators, a committee composed of professionals in the field reviewed each item of the PPAQ, for its comprehensibility. This Arabic version of the PPAQ was tested on a sample of 179 pregnant Lebanese women, from different educational backgrounds, socioeconomic status and gestational ages.
Cross-cultural adaptations were applied on the newly translated PPAQ in Arabic version, thus questions referring to some types of outdoor activities were excluded from the final format. Our results reported that 51% and 1.7% of women engage respectively in light and high intensity physical activity, while 18% had a sedentary lifestyle. Occupational type of activities were significantly more performed by women having a higher education (p value 0.001), as opposed to those who attended only high school, who were physically more active in household activities (p value 0.038). Second trimester was a period where pregnant women were active for household, caregiving (p value 0.031), whereas women in their third trimester were physically more active in occupational activities (p value 0.001). Sport-oriented activities were performed by women reporting a good physical status (p value 0.03). Age and crowding index were significantly correlated with occupational, household and caregiving activities (p values 0.004, 0.008 respectively). No significant correlations were observed with pre-gestational body mass index and the physical activity levels.
A valid tool will help researchers in Arab countries identify physical activity levels of pregnant women and consequently emit specific guidelines relative to the importance and the benefits of a daily active lifestyle throughout gestation.</description><subject>Adaptation</subject><subject>Additives</subject><subject>Biology and Life Sciences</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Child care</subject><subject>Education</subject><subject>Exercise</subject><subject>Gestation</subject><subject>Guidelines</subject><subject>Households</subject><subject>Interpreters</subject><subject>Levels</subject><subject>Luminous intensity</subject><subject>Medicine and Health Sciences</subject><subject>Nutrition</subject><subject>People and Places</subject><subject>Pharmacy</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Pregnancy</subject><subject>Pregnant 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physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version</title><author>Papazian, Tatiana ; El Osta, Nada ; Hout, Hala ; Chammas, Daisy El ; El Helou, Nour ; Younes, Hassan ; Abi Tayeh, Georges ; Rabbaa Khabbaz, Lydia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-bd1cb510d21f959856890c5b2c2e500e3b848dfdcb20ea63e8fa4d4fdb01cb3a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adaptation</topic><topic>Additives</topic><topic>Biology and Life Sciences</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Child care</topic><topic>Education</topic><topic>Exercise</topic><topic>Gestation</topic><topic>Guidelines</topic><topic>Households</topic><topic>Interpreters</topic><topic>Levels</topic><topic>Luminous intensity</topic><topic>Medicine and Health 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version</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-03-30</date><risdate>2020</risdate><volume>15</volume><issue>3</issue><spage>e0230420</spage><epage>e0230420</epage><pages>e0230420-e0230420</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Physical activity level during pregnancy is unknown in Middle Eastern and North African countries, since no valid tools assessing it exist in Arabic. The aim of this study is to culturally adapt and translate to Arabic an internationally validated instrument, the Pregnancy Physical Activity Questionnaire (PPAQ), and to measure the physical activity of pregnant women using the adapted PPAQ, Arabic version. This tool is time-sparing, self-administered and is the only one taking into account childcare and household chores.
After following the guidelines for translation and back-translation by certified translators, a committee composed of professionals in the field reviewed each item of the PPAQ, for its comprehensibility. This Arabic version of the PPAQ was tested on a sample of 179 pregnant Lebanese women, from different educational backgrounds, socioeconomic status and gestational ages.
Cross-cultural adaptations were applied on the newly translated PPAQ in Arabic version, thus questions referring to some types of outdoor activities were excluded from the final format. Our results reported that 51% and 1.7% of women engage respectively in light and high intensity physical activity, while 18% had a sedentary lifestyle. Occupational type of activities were significantly more performed by women having a higher education (p value 0.001), as opposed to those who attended only high school, who were physically more active in household activities (p value 0.038). Second trimester was a period where pregnant women were active for household, caregiving (p value 0.031), whereas women in their third trimester were physically more active in occupational activities (p value 0.001). Sport-oriented activities were performed by women reporting a good physical status (p value 0.03). Age and crowding index were significantly correlated with occupational, household and caregiving activities (p values 0.004, 0.008 respectively). No significant correlations were observed with pre-gestational body mass index and the physical activity levels.
A valid tool will help researchers in Arab countries identify physical activity levels of pregnant women and consequently emit specific guidelines relative to the importance and the benefits of a daily active lifestyle throughout gestation.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32226052</pmid><doi>10.1371/journal.pone.0230420</doi><orcidid>https://orcid.org/0000-0002-4355-3006</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation Additives Biology and Life Sciences Body mass Body mass index Body size Child care Education Exercise Gestation Guidelines Households Interpreters Levels Luminous intensity Medicine and Health Sciences Nutrition People and Places Pharmacy Physical activity Physical fitness Pregnancy Pregnant women Questionnaires Research and Analysis Methods Retirement benefits Sedentary behavior Social class Social Sciences Socioeconomics Surveys Time Translation Translations Translators Translators (Persons) Womens health |
title | Pregnancy physical activity questionnaire (PPAQ): Translation and cross cultural adaption of an Arabic version |
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