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Women were also asked to report the amount of time they spent each week walking (that is, walking or hiking outdoors, including walking to work) and to categorize their usual walking pace outdoors as easy or casual (slower than 2.0 mph), normal (2.0 2.9 mph), brisk (3.0 3.9 mph), or very brisk or striding (faster than 4.0 mph). Usual total physical activity before pregnancy was calculated as the sum of the minutes spent each week in each activity, including brisk or very brisk walking. Validity and reproducibility of the questionnaire were evaluated and reported previously.23 Briefly, the correlation between physical activity as reported in one week recalls and that reported on the questionnaires was r=0.79.

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