目的 系统评价妊娠期体力活动(physical activity,PA)自评式测量工具的测量学属性和方法学质量.方法 计算机检索 The Cochrane Library、PubMed、Web of Science、Embase、CINAHL、PsycINFO、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于妊娠期PA自评式问卷的相关研究,检索时限为建库至2023年11 月 30日.基于体力活动问卷质量评估问卷检查表(qualitative attributes and measurement properties of physical activity questionnaires a checklist,QAPAQ)和改良版定量系统评价证据分级方法评估纳入工具及研究,形成推荐意见.结果 共纳入32篇文献,涉及15个妊娠期PA自评问卷,自填式体力活动问卷(physical activity scale,PAS)和孕期体力活动问卷(pregnancy physical activity questionnaire,PPAQ)的内容效度为"充分",且质量为"中";PAS与PPAQ结构效度分别为"低"质量"充分"证据及"中"质量"不充分"证据,但PAS问卷存在高估能量消耗的倾向,同时也存在部分问卷测量学属性报告不全面等问题.结论 PPAQ问卷的测量学属性结果相对较好,可暂被推荐使用,其余现有的妊娠期PA自评工具的测量学属性有待进一步验证.
A systematic review of self-report tools measuring physical activity for pregnancy based on QAPAQ criteria
Objective To systematically review the measurement properties and methodological quality of self-as-sessment tools for physical activity(PA)during pregnancy.Methods All relevant studies on PA self-assessment of questionnaire in pregnancy were searched by computer in The Cochrane Library,PubMed,Web of Science,Embase,CINAHL,PsycINFO,CNKI,Wanfang Database,VIP Database,and SinoMed,and the search time was from the establishment of the databases to November 30,2023.Based on the qualitative attributes and measurement properties of PA questionnaires a checklist(QAPAQ)and the modified the grading of recommendations assessment,develop-ment and evaluation tools to assess and recommend included instruments and studies.Results A total of 32 studies were included,involving 15 PA questionnaires during pregnancy.The physical activity scale(PAS)and pregnancy physical activity questionnaire(PPAQ)was"adequate"with a quality rating of"medium";The structural validity of the PAS and PPAQ had"low"quality and"insufficient"evidence,and"moderate"quality and"sufficient"evidence,respectively,but the PAS questionnaire had the tendency of overestimating energy expenditure,and there were also problems such as incomplete reporting of their measurement attributes in some questionnaires.Conclusions The PPAQ questionnaire has relatively good results in terms of its measurement properties and can be tentatively recom-mended,while the measurement properties of the remaining available physical activity self-assessment tools in preg-nancy need to be further validated.
万方数据
维普
