{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:13:09Z","timestamp":1791889989663,"version":"4.3.4"},"reference-count":71,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"International Prevention Research Institute\u2014Collaborating Centre, Calisia University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Regular and well-planned physical activity (PA) has a positive impact on pregnancy outcomes. In this study, we determine the impact of the PA of pregnant women on the occurrence of certain pregnancy outcomes, such as type of labor, duration of pregnancy, and birthweight. The study is based on the results of a Polish national survey performed between 2011 and 2017 on a group of 9170 women. The Pregnancy Physical Activity Questionnaire (PPAQ) was used to estimate the PA of pregnant women. Light intensity PA accounts for the largest proportion of women\u2019s total energy expenditure. Increase in women\u2019s total energy expenditure was associated with an increase in the birthweight of a child. A similar relationship was observed in the case of light and moderate PA. Vaginal birth was more common among women with higher total energy expenditure. Mothers of preterm children showed lower energy expenditure for each type of PA compared to term pregnancies. There was also a correlation between moderate and vigorous PA and low birthweight. Our study indicates that PA undertaken by pregnant women has a positive impact on pregnancy outcomes.<\/jats:p>","DOI":"10.3390\/ijerph191912541","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T22:19:27Z","timestamp":1665267567000},"page":"12541","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Impact of Physical Activity of Pregnant Women on Obstetric Outcomes"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5824-2438","authenticated-orcid":false,"given":"Ksawery","family":"Go\u0142awski","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Medical University of Warsaw, 02-015 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1249-1893","authenticated-orcid":false,"given":"Cezary","family":"Wojty\u0142a","sequence":"additional","affiliation":[{"name":"International Prevention Research Institute\u2014Collaborating Centre, Calisia University, 16 Kaszubska St., 62-800 Kalisz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1139\/h03-024","article-title":"Joint SOGC\/CSEP Clinical Practice Guideline: Exercise in Pregnancy and the Postpartum Period","volume":"28","author":"Davies","year":"2003","journal-title":"Can. J. Appl. Physiol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists (2020). Physical Activity and Exercise during Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804. Obstet. Gynecol., 135, e178\u2013e188.","DOI":"10.1097\/AOG.0000000000003772"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1552-6909.1996.tb02512.x","article-title":"Pregnancy Outcomes among Active and Sedentary Primiparous Women","volume":"25","author":"Horns","year":"1996","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Troy, K.L., Mancuso, M.E., Butler, T.A., and Johnson, J.E. (2018). Exercise Early and Often: Effects of Physical Activity and Exercise on Women\u2019s Bone Health. Int. J. Environ. Res. Public Health, 15.","DOI":"10.20944\/preprints201803.0132.v1"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1093\/aje\/kwh277","article-title":"Work, Leisure-Time Physical Activity, and Risk of Preeclampsia and Gestational Hypertension","volume":"160","author":"Saftlas","year":"2004","journal-title":"Am. J. Epidemiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1161\/01.HYP.0000072270.82815.91","article-title":"Recreational Physical Activity During Pregnancy and Risk of Preeclampsia","volume":"41","author":"Sorensen","year":"2003","journal-title":"Hypertension"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1097\/00005768-200007000-00024","article-title":"Exercise and Type 2 Diabetes","volume":"32","author":"Albright","year":"2000","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1249\/01.MSS.0000115224.88514.3A","article-title":"Exercise and Hypertension","volume":"36","author":"Pescatello","year":"2004","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Krzepota, J., Sadowska, D., and Biernat, E. (2018). Relationships between Physical Activity and Quality of Life in Pregnant Women in the Second and Third Trimester. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15122745"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s00404-020-05570-x","article-title":"Reduction in physical activity significantly increases depression and anxiety in the perinatal period: A longitudinal study based on a self-report digital assessment tool","volume":"302","author":"Brusniak","year":"2020","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.jad.2018.12.009","article-title":"Physical activity during pregnancy and postpartum depression: Systematic review and meta-analysis","volume":"246","author":"Nakamura","year":"2018","journal-title":"J. Affect. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1111\/j.1479-828X.1995.tb01829.x","article-title":"The Effect of Vigorous Exercise during Pregnancy on Birth-Weight","volume":"35","author":"Bell","year":"1995","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_14","first-page":"611","article-title":"Flow velocity waveforms in uterine and umbilical arteries during submaximal bicycle exercise in normal pregnancy","volume":"79","author":"Erkkola","year":"1992","journal-title":"Obstet. Gynecol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1093\/oxfordjournals.aje.a113750","article-title":"Prematurity and occupational activity during pregnancy","volume":"119","author":"Mamelle","year":"1984","journal-title":"Am. J. Epidemiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1093\/oxfordjournals.aje.a009503","article-title":"Effects of physical activity on preterm birth","volume":"147","author":"Misra","year":"1998","journal-title":"Am. J. Epidemiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1111\/j.1471-0528.1990.tb01718.x","article-title":"The effect of maternal work on fetal growth and duration of pregnancy: A prospective study","volume":"97","author":"Launer","year":"1990","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_18","first-page":"466","article-title":"Antepartum, intrapartum, and neonatal significance of exercise on healthy low-risk pregnant working women","volume":"99","author":"Magann","year":"2002","journal-title":"Obstet. Gynecol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1528","DOI":"10.2105\/AJPH.88.10.1528","article-title":"Maternal leisure-time exercise and timely delivery","volume":"88","author":"Hatch","year":"1998","journal-title":"Am. J. Public Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"388","DOI":"10.26444\/aaem\/110480","article-title":"Physical activity patterns in third trimester of pregnancy\u2014Use of pregnancy physical activity questionnaire in Poland","volume":"27","author":"Ciebiera","year":"2020","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"606","DOI":"10.5604\/12321966.1120611","article-title":"Assessing physical activity and sedentary lifestyle behaviours for children and adolescents living in a district of Poland. What are the key determinants for improving health?","volume":"21","author":"Klimberg","year":"2014","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_22","unstructured":"Chasan-Taber, L. (2022, February 23). Pregnancy Physical Activity Questionnaire Assessment. Available online: https:\/\/dapa-toolkit.mrc.ac.uk\/pdf\/pa\/PPAQ_instructions_1.pdf."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"S498","DOI":"10.1097\/00005768-200009001-00009","article-title":"Compendium of Physical Activities: An update of activity codes and MET intensities","volume":"32","author":"Ainsworth","year":"2000","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"185","DOI":"10.5114\/jhi.2016.65361","article-title":"Polish Pregnancy-related Assessment Monitoring System (Pol-PrAMS): Research on lifestyle health behaviours of Polish women during gestation\u2014Study design","volume":"2","year":"2016","journal-title":"J. Health Inequalities"},{"key":"ref_25","unstructured":"(2022, February 23). Effect Size in Statistics\u2014The Ultimate Guide. Available online: https:\/\/www.spss-tutorials.com\/effect-size\/."},{"key":"ref_26","first-page":"19","article-title":"The need to report effect size estimates revisited. An overview of some recommended measures of effect size","volume":"1","author":"Tomczak","year":"2014","journal-title":"Trends Sport Sci."},{"key":"ref_27","unstructured":"King, B.M., Rosopa, P.J., and Minium, E.W. (2011). Statistical Reasoning in the Behavioral Sciences, John Wiley & Sons, Inc.. [6th ed.]."},{"key":"ref_28","unstructured":"Field, A. (2018). Discovering Statistics with IBM SPSS Statistics, SAGE Publications."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/birt.12396","article-title":"Effects of physical exercise during pregnancy on maternal and infant outcomes in overweight and obese pregnant women: A meta-analysis","volume":"46","author":"Du","year":"2018","journal-title":"Birth"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1586\/14737175.2015.1077115","article-title":"Physical activity and brain development","volume":"15","author":"Arida","year":"2015","journal-title":"Expert Rev. Neurother."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"493","DOI":"10.2165\/11532290-000000000-00000","article-title":"Physical Activity and Pregnancy","volume":"40","author":"Melzer","year":"2010","journal-title":"Sports Med."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Hoffmann, J., G\u00fcnther, J., Geyer, K., Stecher, L., Kunath, J., Meyer, D., Spies, M., Rosenfeld, E., Kick, L., and Rauh, K. (2019). Associations between Prenatal Physical Activity and Neonatal and Obstetric Outcomes\u2014A Secondary Analysis of the Cluster-Randomized GeliS Trial. J. Clin. Med., 8.","DOI":"10.3390\/jcm8101735"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e000242","DOI":"10.1136\/bmjsem-2017-000242","article-title":"Physical activity during pregnancy and infant\u2019s birth weight: Results from the 3D Birth Cohort","volume":"3","author":"Bisson","year":"2017","journal-title":"BMJ Open Sport Exerc. Med."},{"key":"ref_34","first-page":"15","article-title":"Relationship between Daily Physical Activity during Last Month of Pregnancy and Pregnancy Outcome","volume":"13","author":"Hojjati","year":"2011","journal-title":"Iran Red. Crescent. Med. J."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/GCO.0b013e328359f131","article-title":"Physical exercise during pregnancy","volume":"24","author":"Nascimento","year":"2012","journal-title":"Curr. Opin. Obstet. Gynecol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.ajog.2016.06.014","article-title":"Exercise during pregnancy in normal-weight women and risk of preterm birth: A systematic review and meta-analysis of randomized controlled trials","volume":"215","author":"Saccone","year":"2016","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/j.ajog.2017.01.037","article-title":"A randomized clinical trial of exercise during pregnancy to prevent gestational diabetes mellitus and improve pregnancy outcome in overweight and obese pregnant women","volume":"216","author":"Wang","year":"2017","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Hoffmann, J., G\u00fcnther, J., Geyer, K., Stecher, L., Rauh, K., Kunath, J., Meyer, D., Sitzberger, C., Spies, M., and Rosenfeld, E. (2019). Effects of a lifestyle intervention in routine care on prenatal physical activity\u2014Findings from the cluster-randomised GeliS trial. BMC Pregnancy Childbirth, 19.","DOI":"10.1186\/s12884-019-2553-7"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Kunath, J., G\u00fcnther, J., Rauh, K., Hoffmann, J., Stecher, L., Rosenfeld, E., Kick, L., Ulm, K., and Hauner, H. (2019). Effects of a lifestyle intervention during pregnancy to prevent excessive gestational weight gain in routine care\u2014The cluster-randomised GeliS trial. BMC Med., 17.","DOI":"10.1186\/s12916-018-1235-z"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Meander, L., Lindqvist, M., Mogren, I., Sandlund, J., West, C.E., and Domell\u00f6f, M. (2021). Physical activity and sedentary time during pregnancy and associations with maternal and fetal health outcomes: An epidemiological study. BMC Pregnancy Childbirth, 21.","DOI":"10.1186\/s12884-021-03627-6"},{"key":"ref_41","unstructured":"OECD (2022, February 25). Age of Mothers at Childbirth and Age-Specific Fertility. Available online: https:\/\/www.oecd.org\/els\/soc\/SF_2_3_Age_mothers_childbirth.pdf."},{"key":"ref_42","unstructured":"(2022, February 25). Eurostat: Mean Age of Women at Birth of First Child. Available online: https:\/\/ec.europa.eu\/eurostat\/web\/products-eurostat-news\/-\/ddn-20210224-1."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1001\/jamainternmed.2021.6373","article-title":"Association of Antenatal Diet and Physical Activity\u2013Based Interventions With Gestational Weight Gain and Pregnancy Outcomes","volume":"182","author":"Teede","year":"2022","journal-title":"JAMA Intern. Med."},{"key":"ref_44","unstructured":"(2022, February 25). The European Perinatal Health Report 2015. Available online: https:\/\/www.europeristat.com\/images\/EPHR2015_Euro-Peristat.pdf."},{"key":"ref_45","first-page":"380","article-title":"Haematological parameters in postpartum women and their babies in Po-land\u2014Comparison of urban and rural areas","volume":"18","author":"Paprzycki","year":"2011","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_46","first-page":"836","article-title":"Smoking during pregnancy--hematological observations in preg-nant women and their newborns after delivery","volume":"19","author":"Paprzycki","year":"2012","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Coll, C.D.V.N., Domingues, M.R., Hallal, P.C., Da Silva, I.C.M., Bassani, D.G., Matijasevich, A., Barros, A., Santos, I.S., and Bertoldi, A.D. (2017). Changes in leisure-time physical activity among Brazilian pregnant women: Comparison between two birth cohort studies (2004\u20132015). BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4036-y"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1007\/s10995-010-0647-y","article-title":"Sports and Leisure Time Physical Activity During Pregnancy in Nulliparous Women","volume":"15","author":"Hegaard","year":"2011","journal-title":"Matern. Child Health J."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1007\/s10995-011-0831-8","article-title":"A prospective study of the association between vigorous physical activity during pregnancy and length of gestation and birthweight","volume":"16","author":"Jukic","year":"2012","journal-title":"Matern. Child Health J."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"401.e1","DOI":"10.1016\/j.ajog.2014.03.030","article-title":"Effect of physical activity during pregnancy on mode of delivery","volume":"211","author":"Domenjoz","year":"2014","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"590.e1","DOI":"10.1016\/j.ajog.2009.06.004","article-title":"Type of delivery is not affected by light resistance and toning exercise training during pregnancy: A randomized controlled trial","volume":"201","author":"Barakat","year":"2009","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1111\/aogs.12675","article-title":"Effects of exercise during pregnancy on mode of delivery: A meta-analysis","volume":"94","year":"2015","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e170","DOI":"10.1055\/s-0036-1583169","article-title":"Physical Activity Volumes during Pregnancy: A Systematic Review and Meta-Analysis of Observational Studies Assessing the Association with Infant\u2019s Birth Weight","volume":"6","author":"Bisson","year":"2016","journal-title":"Am. J. Perinatol. Rep."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"2329","DOI":"10.1007\/s40279-021-01499-6","article-title":"Effects of Maternal Exercise During Pregnancy on Perinatal Growth and Childhood Obesity Outcomes: A Meta-analysis and Meta-regression","volume":"51","author":"Chen","year":"2021","journal-title":"Sports Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1111\/1471-0528.15476","article-title":"Associations between maternal physical activity in early and late pregnancy and offspring birth size: Remote federated individual level meta-analysis from eight cohort studies","volume":"126","author":"Pastorino","year":"2019","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1136\/bjsports-2018-099836","article-title":"Impact of prenatal exercise on neonatal and childhood outcomes: A systematic review and meta-analysis","volume":"52","author":"Davenport","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1097\/00001648-200211000-00020","article-title":"Swimming and Birth Weight","volume":"13","author":"Nieuwenhuijsen","year":"2002","journal-title":"Epidemiology"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"63.e1","DOI":"10.1016\/j.ajog.2009.07.033","article-title":"Physical exercise during pregnancy and fetal growth measures: A study within the Danish National Birth Cohort","volume":"202","author":"Juhl","year":"2010","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/01.AOG.0000249605.11458.ac","article-title":"Physical Activity and Fetal Growth during Pregnancy","volume":"109","author":"Perkins","year":"2007","journal-title":"Obstet. Gynecol."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Ming, W.-K., Ding, W., Zhang, C.J.P., Zhong, L., Long, Y., Li, Z., Sun, C., Wu, Y., Chen, H., and Chen, H. (2018). The effect of exercise during pregnancy on gestational diabetes mellitus in normal-weight women: A systematic review and meta-analysis. BMC Pregnancy Childbirth, 18.","DOI":"10.1186\/s12884-018-2068-7"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/AOG.0000000000000373","article-title":"Physical Activity in Pregnancy and Neonatal Body Composition","volume":"124","author":"Harrod","year":"2014","journal-title":"Obstet. Gynecol."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"e96","DOI":"10.1111\/j.1600-0838.2009.00918.x","article-title":"Sports and leisure-time physical activity in pregnancy and birth weight: A population-based study","volume":"20","author":"Hegaard","year":"2010","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/s12966-017-0632-6","article-title":"A randomized controlled trial of exercise during pregnancy on maternal and neonatal outcomes: Results from the PAMELA study","volume":"14","author":"Hallal","year":"2017","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1816","DOI":"10.1111\/1471-0528.14672","article-title":"Physical activity and the risk of preterm birth: A systematic review and meta-analysis of epidemiological studies","volume":"124","author":"Aune","year":"2017","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"640","DOI":"10.5604\/12321966.1228390","article-title":"Measuring physical activity during pregnancy\u2014Cultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) and assessment of its reliability in Polish conditions","volume":"24","author":"Krzepota","year":"2017","journal-title":"Ann. Agric. Environ. Med."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"3954","DOI":"10.1080\/14767058.2018.1479849","article-title":"Translation and cross-cultural adaptation of the Pregnancy Physical Activity Questionnaire (PPAQ) into Spanish","volume":"32","author":"Aparicio","year":"2019","journal-title":"J. Matern. Neonatal Med."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"4566","DOI":"10.1080\/14767058.2020.1856807","article-title":"Validity and reliability of the Danish version of the pregnancy physical activity questionnaire to assess levels of physical activity during pregnancy","volume":"35","author":"Knudsen","year":"2022","journal-title":"J. Matern. Neonatal Med."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"3703","DOI":"10.1589\/jpts.27.3703","article-title":"Pregnancy physical activity questionnaire (PPAQ): Reliability and validity of Turkish version","volume":"27","author":"Demir","year":"2015","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/1552-6909.12267","article-title":"Adapting the Pregnancy Physical Activity Questionnaire for Japanese Pregnant Women","volume":"43","author":"Matsuzaki","year":"2014","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.gaceta.2017.12.004","article-title":"Transcultural adaptation and psychometric properties of Spanish version of Pregnancy Physical Activity Questionnaire: The PregnActive project","volume":"33","year":"2019","journal-title":"Gac. Sanit."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"e297","DOI":"10.17269\/cjph.106.4938","article-title":"Self-report Pregnancy Physical Activity Questionnaire overestimates physical activity","volume":"106","author":"Brett","year":"2015","journal-title":"Can. J. Public Health"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/19\/12541\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:45:01Z","timestamp":1760143501000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/19\/12541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,1]]},"references-count":71,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["ijerph191912541"],"URL":"https:\/\/doi.org\/10.3390\/ijerph191912541","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,1]]}}}