《妊娠体力活动问卷》德文版：翻译、跨文化调适、信度和效度评估。
The German version of the Pregnancy Physical Activity Questionnaire: a translation, cross-cultural adaptation, reliability and validity assessment.
机构信息
Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, Cologne, 50933, Germany.
Cologne Center for Prevention in Childhood, Youth/Heart Center Cologne, University Hospital of Cologne, Kerpener Str. 62, Cologne, 50937, Germany.
出版信息
BMC Pregnancy Childbirth. 2024 Sep 17;24(1):604. doi: 10.1186/s12884-024-06804-5.
BACKGROUND
Validated and internationally standardised measurement instruments are a prerequisite for ensuring that physical activity during pregnancy is comparable and for deriving physical activity recommendations. In Germany, there has been no adapted version of the internationally used Pregnancy Physical Activity Questionnaire (PPAQ) until now. This study's aim centred around translating the original English version into German (PPAQ-G) and determining its reliability as well as validity in a German population.
METHODS
The PPAQ was translated into German using the forward-backwards technique. Its reliability and validity were tested. Thirty-four correctly completed questionnaires were analysed. The test-retest reliability was presented using the intraclass correlation coefficient (ICC) and Spearman correlation coefficient. Validity was tested by using accelerometer (n = 23) and determined by Spearman correlation coefficient.
RESULTS
In the transcultural adjustment, two questions were amended to describe intensity more precisely, and two other questions were adapted to reflect the units of measurement used in Germany. The ICC indicated a reliability of r = 0.79 for total activity (without sitting), and the intensity subcategories ranged from r = 0.70 (moderate-intensity activities) to r = 0.90 (sitting). Although, validity assessment showed no significant correlation for sedentary, moderate or vigorous intensity, there were significant correlations for total activity (light and above; r = 0.49; p < 0.05) and for light activity (r = 0.65; p < 0.01).
CONCLUSIONS
The PPAQ-G showed good reliability for use on pregnant German women and a moderately accurate measurement of physical activity. It can be used nationally for epidemiological studies, and it also enables international comparisons of physical activity during pregnancy.
TRIAL REGISTRATION
DRKS00023426; Registration date 20 May 2021.
背景
有效的、国际标准化的测量工具是确保怀孕期间体力活动具有可比性并得出体力活动建议的前提。在德国，直到现在才有国际上使用的怀孕体力活动问卷（PPAQ）的改编版本。本研究的目的是将原始的英文版翻译成德文（PPAQ-G），并确定其在德国人群中的可靠性和有效性。
方法
使用前后翻译技术将 PPAQ 翻译成德文。测试了其可靠性和有效性。分析了 34 份正确填写的问卷。使用组内相关系数（ICC）和斯皮尔曼相关系数呈现测试-重测信度。使用加速度计（n=23）进行有效性测试，并通过斯皮尔曼相关系数确定。
结果
在跨文化调整中，对两个问题进行了修订，以更准确地描述强度，对另外两个问题进行了调整，以反映德国使用的测量单位。ICC 表明总活动（不包括坐着）的可靠性为 r=0.79，强度亚类的范围从 r=0.70（中等强度活动）到 r=0.90（坐着）。尽管，有效性评估显示，对于久坐、中等或剧烈强度，没有显著相关性，但对于总活动（轻及以上；r=0.49；p<0.05）和轻活动（r=0.65；p<0.01），存在显著相关性。
结论
PPAQ-G 对德国孕妇具有良好的可靠性，可用于测量体力活动的准确性中等。它可在全国范围内用于流行病学研究，也可用于国际比较怀孕期间的体力活动。
试验注册
DRKS00023426；注册日期 2021 年 5 月 20 日。
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