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Non-wear time algorithms have not been validated in pregnant women with overweight/obesity (PW-OW/O, potentially leading to misclassification of sedentary/activity data, and inaccurate estimates of how physical activity is associated with pregnancy outcomes. We examined (1) validity/reliability of non-wear time algorithms in PW-OW/OB by comparing wear time from five algorithms to a self-report criterion and (2) whether these algorithms over- or underestimated sedentary behaviors. PW-OW/OB (N = 19) from the Healthy Mom Zone randomized