RESEARCH PAPER
Physical activity among women at reproductive age and during pregnancy (Youth Behavioural Polish Survey – YBPS and Pregnancy-related Assessment Monitoring Survay – PrAMS) – epidemiological population studies in Poland during the period 2010-2011
 
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1
Department of Health Promotion, Food and Nutrition, Institute of Rural Health, Lublin, Poland
2
Independent Laboratory of Molecular Biology, Institute of Rural Health, Lublin, Poland ; Department of Public Health, Faculty of Tourism and Health Sciences, University of Information Technology and Management, Rzeszów, Poland
3
Chief Sanitary Inspectorate, Warsaw, Poland; Institute of Haematology and Transfusion Medicine, Warsaw, Poland
4
Department of Functional Research, Institute of Rural Health, Lublin, Poland
 
Ann Agric Environ Med. 2011;18(2):365–374
KEYWORDS
ABSTRACT
Physical activity is among the basic human needs and is the key precondition for the maintenance and enhancement of health throughout all periods of life. Physical inactivity is now identified as the fourth leading risk factor for global mortality. Physical inactivity levels are rising in many countries, with major implications for the prevalence of non-communicable diseases and the general health of the population worldwide. An adequate level of physical activity among young women at reproductive age is especially important because it is one of the preconditions affecting their capability for procreation which, to a great extent, affects their activity during pregnancy and conditions the course of pregnancy and labour. Unfortunately, many scientific reports indicate a decrease in physical activity among adolescents, especially girls. The primary cause of this alarming phenomenon are changes in behaviours, including an increasingly greater amount of time devoted to so-called sedentary activities. Such negative health behaviours of women may have negative health effects on the functioning of their organism and, in the future, on the development of their off spring. The objective of the presented study was analysis of the level of physical activity among women at reproductive age (prior to conception), and pregnant women in Poland. The study group covered 3,940 women, (730 girls aged up to 15, and 3,210 women aged over 15), and 6,252 pregnant women. The survey was conducted among schoolchildren and students during the last quarter of 2011, while the survey among pregnant women was carried out twice: in the second quarter of 2010, and in the third quarter of 2011.The results of the study revealed a relatively low level of physical activity among young women and pregnant women. The analysis showed an alarming downward tendency in the physical activity of women related to age. Such a decrease in physical activity among girls already during the period of puberty may be of key importance during the period of maturity, especially when they become pregnant. It is highly recommended, therefore, that effective actions should be taken in the area of public health; this would enhance the social awareness, especially among females, concerning the importance of physical activity for the normal development of the organism and an adequate course of pregnancy and labour.
 
REFERENCES (85)
1.
Drygas W, Piotrowicz R, Jegier A, Kopeć G, Podolec P. Aktywność fi zyczna u osób zdrowych. Polskie Forum Profi laktyki Chorób Układu Krążenia (PFP) 2008;3(12):1-2,.
 
2.
October 2011, http://www.pfp.edu. pl/download/Forum12.pdf 2. Branca F, Nikogosian H, Lobstein T. Th e challenge of obesity in the WHO European Region and the strategies for response, World Health Organization 2007, 2 October 2010, www.euro.who.int/__data/assets... E89858.pdf.
 
3.
Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise and physical fi tness: defi nitions for health-related research. Public Health Rep 1985;100(2):126-31.
 
4.
Global recommendations on physical activity for health. Geneva, World Health Organization, 2010, 2 October 2011, http://www.who. int/dietphysicalactivity/factsheet_recommendations/en/.
 
5.
Physical Activity Guidelines Advisory Committee (PAGAC). Physical Activity Guidelines Advisory Committee Report 2008. Washington, DC, US Department of Health and Human Services, 2 October 2011, http://www.health.gov/paguidel.... pdf.
 
6.
Blair SN, Kohl HW 3rd, Paff enbarger RS Jr, Clark DG, Cooper KH, Gibbons LW. Physical fi tness and all-cause mortality : a prospective study on healthy men and women. JAMA 1989;262(17):2395-401.
 
7.
Paff enbarger RS Jr, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB. Th e association of changes in physical activity level and other lifestyle characteristics with mortality among men. N Engl J Med 1993;328(8):538-45.
 
8.
Warburton DE, Nicol CW, Bredin SS. Health benefi ts of physical activity: the evidence. CMAJ 2006;174(6):801-9.
 
9.
Rosengren A, Wilhelmsen L. Physical activity protects against coronary heath and deaths from all causes in middle-aged men. Evidence from a 20-year follow-up of the primary prevention study in Goteborg. Ann Epidemiol 1997;7(1):69-75.
 
10.
Schnohr P, Lange P, Scharling H, Jensen JS. Long-term physical activity in leisure time and mortality from coronary heart disease, stroke, respiratory diseases and cancer. Th e Copenhagen City Heart Study. Eur J Cardiovasc Prev Rehabil 2006;13(2):173-9.
 
11.
Lee IM, Skerret PJ. Physical activity and all-cause mortality ; what is the dose-response relation ? Med Sci Sports Exerc 2001;33(6 Suppl): S459-71; discussion S493-4.
 
12.
Oczkowski W. Complexity of the relation between physical activity and stroke : a meta-analysis. Clin J Sport Med 2005;15(5):399.
 
13.
Blair S, Cheng Y, Holder J. Is physical activity or physical fi tness more important in defi ning health benefi ts ? Med Sci Sports Exerc 2001;33(6 Suppl):S379-99; discussion S419-20.
 
14.
Kurl S, Laukkanen JA, Rauramaa R, Lakka TA, Sivenius J, Salonen JT. Cardiorespiratory fi tness and the risk of stroke in men. Arch Intern Med 2003;163(14):1682-8.
 
15.
Boulé NG, Haddad E, Kenny GP, Wells GA, Sigal RJ. Eff ects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a metaanalysis of controlled clinical trials. JAMA 2001;286(10):1218-27.
 
16.
Lee IM. Physical activity and cancer prevention — data from epidemiologic studies. Med Sci Sports Exerc 2003;35(11):1823-7.
 
17.
Walicka-Cupryś K, Ćwirlej A, Kużdżał A, Zawadzka D. Aktywność ruchowa młodzieży z terenów wiejskich i małych miast. Young Sport Science Of Ukraine, 2010, V.2. P 32-39, 2 October 2011, http://www. nbuv.gov.ua/portal/soc_gum/msn....
 
18.
Blair SN, Kohl HW 3rd, Barlow CE, Paff enbarger RS Jr, Gibbons LW, Macera CA. Changes in physical fi tness and all-cause mortality. A prospective study of healthy and unhealthy men. JAMA 1995;273(14):1093-8.
 
19.
Th e Global Recommendations on Physical Activity for Health World Health Organization 2011, 15 November 2011, http://www.who.int/ dietphysicalactivity/pa/en/index.html.
 
20.
EU Platform for Action on Diet, Physical Activity and Health, 15 November 2011, http://ec.europa.eu/health/ph_... style/nutrition/platform/platform_en.htm.
 
21.
Davies GA, Wolfe LA, Mottola MF, MacKinnon C. Society of Obstetricians and gynecologists of Canada, SOGC Clinical Practice Obstetrics Committee. Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period. Can J Appl Physiol 2003;28(3):330-41.
 
22.
Weissgerber TL, Wolfe LA, Davies GA, Mottola MF. Exercise in the prevention and treatment of maternal–fetal disease: a review of the literature. Appl Physiol Nutr Metab 2006;31(6):661-74.
 
23.
Dempsey JC, Butler CL, Sorensen TK, Lee IM, Th ompson ML, Miller RS, Frederick IO, Williams MA. A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract 2004;66(2):203-15.
 
24.
Saft las AF, Logsden-Sackett N, Wang W, Woolson R, Bracken MB. Work, leisure-time physical activity, and risk of pre-eclampsia and gestational hypertension. Am J Epidemiol 2004;160(8):758-65.
 
25.
Sorensen TK, Williams MA, Lee IM, Dashow EE, Th ompson ML, Luthy DA. Recreational physical activity during pregnancy and risk of pre-eclampsia. Hypertension 2003;41(6):1273-80.
 
26.
Clapp JF. 3rd. Th e eff ects of maternal exercise on fetal oxygenation and feto-placental growth. Eur J Obstet Gynecol Reprod Biol 2003;110 Suppl 1:S80-5.
 
27.
Jackson MR, Gott P, Lye SJ, Ritchie JW, Clapp JF 3rd. Th e eff ects of maternal aerobic exercise on human placental development: placental volumetric composition and surface areas. Placenta 1995;16(2):179- 91.
 
28.
Kobe H, Nakai A, Koshino T, Araki T. Eff ect of regular maternal exercise on lipid peroxidation levels and antioxidant enzymatic activities before and aft er delivery. J Nihon Med Sch 2002;69(6):542-8.
 
29.
Redman, CW, Sargent, IL. Th e pathogenesis of pre-eclampsia. Gynecol Obstet Fertil 2001;29(7-8):518-22.
 
30.
Rich-Edwards JW, Goldman MB, Willett WC, Hunter DJ, Stampfer MJ, Colditz GA, Manson JE. Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol 1994;171(1):171-7.
 
31.
Yen, SS. Th e polycystic ovary syndrome. Clin Endocrinol 1980;12(2):177- 207.
 
32.
Wang JX, Davies MJ, Norman RJ. Polycystic ovarian syndrome and the risk of spontaneous abortion following assisted reproductive technology treatment. Hum Reprod 2001;16(12):2606-9.
 
33.
Jensen DM, Damm P, Sørensen B, Mølsted-Pedersen L, Westergaard JG, Ovesen P, Beck-Nielsen H. Pregnancy outcome and prepregnancy body mass index in 2459 glucose-tolerant Danish women. Am J Obstet Gynecol 2003;189(1):239-44.
 
34.
Galtier-Dereure F, Boegner C, Bringer J. Obesity and pregnancy: complications and cost. Am J Clin Nutr 2000;71(5 Suppl):1242S-8S.
 
35.
Rosenberg TJ, Garbers S, Chavkin W, Chiasson MA. Prepregnancy weight and adverse perinatal outcomes in an ethnically diverse population. Obstet Gynecol 2003;102(5 Pt 1):1022-7.
 
36.
Polley BA, Wing RR, Sims CJ. Randomized controlled trial to prevent excessive weight gain in pregnant women. Int J Obes Relat Metab Disord 2002;26(11):1494-502.
 
37.
Rooney BL, Schauberger CW. Excess pregnancy weight gain and longterm obesity: one decade later. Obstet Gynecol 2002;100(2):245-52.
 
38.
Hu FB, Willett WC, Li T, Stampfer MJ, Colditz GA, Manson JE. Adiposity as compared with physical activity in predicting mortality among women. N Engl J Med 2004;351(26):2694-703.
 
39.
Modesitt SC, van Nagell JR Jr. Th e impact of obesity on the incidence and treatment of gynecologic cancers: a review. Obstet Gynecol Surv 2005;60(10):683-92.
 
40.
Artal R, O’Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med 2003;37(1):6-12; discussion 12.
 
41.
Exercise in pregnancy. Royal College Obstetricians and Gynaecologists. Statement No. 4 - January 2006, 10 November 2011, http://www.chap. uk.com/pdfs/Exercise%20in%20Pr....
 
42.
Artal R. Exercise during pregnancy: Safe and benefi cial for most. Phys Sportsmed 1999;27(8):51-75.
 
43.
Mottola MF. Exercise in the postpartum period: Practical applications. Curr Sports Med Rep 2002;1(6):362-8.
 
44.
Johnson V. How the principles of exercise physiology infl uence pelvic fl oor muscle training. J Wound Ostomy Continence Nurs 2001;28(3):150-5.
 
45.
Wolfe LA, Davies GAL. Canadian Guidelines for Exercise in Pregnancy. Clinical Obstetrics & Gynecology 2003;46(2):488–495.
 
46.
Chasan-Taber L, Evenson KR, Sternfeld B, Kengeri S. Assessment of recreational physical activity during pregnancy in epidemiologic studies of birthweight and length of gestation: methodologic aspects. Women Health 2007;45(4):85-107.
 
47.
Institute of Medicine, Nutrition during pregnancy, Part I, Weight gain; Part II Nutrient supplements. Washington D.C., Committee on Nutritional Status During Pregnancy and Lactation, Food and Nutrition Board, National Academy Press 1990, 2 November 2011, www.nap.edu/catalog/1451.html.
 
48.
ACOG Committee. Obstetric Practice.Exercise during pregnancy and the postpartum period. ACOG Committee Opinion No. 267. Obstet Gynecol 2002;99(1):171-3.
 
49.
U.S. Department of Health and Human Services: 2008 Physical Activity Guidelines for Americans Washington, D.C. 2008;1-61, 2 October 2011, http://www.health.gov/paguidel....
 
50.
U.S. Department of Health and Human Services. Th e Surgeon General’s Vision for a Healthy and Fit Nation. Rockville, MD: U.S. Department of Health and Human Services, Offi ce of the Surgeon General, 2010, 2 October 2011, http://www.surgeongeneral.gov/... obesityvision2010.pdf.
 
51.
NICE: Antenatal care: routine care for the healthy pregnant woman. 2009, 2 October 2011, http://www.nice.org.uk/nicemed... CG62FullGuidelineCorrectedJune2008July2009.pdf.
 
52.
Physical Activity Guidelines for Americans, Be Active, Healthy, and Happy!, 2008, 2 October 2011, http://www.health.gov/paguidel... pdf/paguide.pdf.
 
53.
Committee on Obstetric Practice.ACOG committee opinion. Exercise during pregnancy and the postpartum period. Number 267, January 2002. American College of Obstetricians and Gynecologists. Int J Gynaecol Obstet 2002;77(1):79-81.
 
54.
National Collaborating Centre for Primary Care. Obesity: the prevention, identifi cation, assessment and management of overweight and obesity in adults and children. London (UK): National Institute for Health and Clinical Excellence; 2006;2590 http://www.guideline. gov/content.aspx?id=10263 (access: 2 October 2011).
 
55.
Oken E, Ning Y, Rifas-Shiman SL, Radesky JS, Rich-Edwards JW, Gillman MW. Associations of physical activity and inactivity before and during pregnancy with glucose tolerance. Obstet Gynecol 2006;108(5):1200-7.
 
56.
Global health risks: mortality and burden of disease attributable to selected major risks. Geneva, World Health Organization 2009 http:// www.who.int/healthinfo/global_... report_full.pdf (access: 2 October 2011).
 
57.
Th e world health report 2002: reducing risk, promoting healthy life. Geneva, World Health Organization, 2002. http://www.who.int/ whr/2002/en/ (access: 2 October 2011).
 
58.
Eurobarometer 64.3. Health and food. Brussels, European Commission, 2006 (Special Eurobarometer 246) http://ec.europa.eu/health/ph_ publication/eb_food_en.pdf (access: 2 October 2011).
 
59.
Eurobarometer 72.3. Sport and physical activity. Brussels, European Commission, 2010 (Special Eurobarometer 334) http://ec.europa.eu/ public_opinion/archives/ebs/ebs_334_en.pdf, (access: 13 May 2011).
 
60.
Zdrojewski T, Bandosz P, Szpakowski P, Konarski R, Manikowski A, Wołkiewicz E, et al. Rozpowszechnienie głównych czynników ryzyka chorób układu sercowo-naczyniowego w Polsce. Wyniki badania NATPOL PLUS. Kardiol Pol 2004;61(supl. IV):IV1-IV26.
 
61.
Przewęda R, Dobosz J. Kondycja fi zyczna polskiej młodzieży (Physical condition of Polish adolescents). Akademia Wychowania Fizycznego w Warszawie. Studia i monografi e, Warszawa 2003.
 
62.
Małkowska-Szkutnik A, Mazur J, Elżbieta Łata E. Aktywność fi zyczna i zachowania żywieniowe młodzieży w świetle badań HBSC http: //psse.dnsalias.org/test/index_p... (access: October 2011).
 
63.
Bernstein MS, Morabia A, Sloutskis D. Defi nition and prevalence of sedentarism in urban population. Am J Public Health 1999;89(6):862- 7.
 
64.
Manson JE, Skerrett PJ, Greenland P, VanItallie TB. Th e escalating pandemics of obesity and sedentary life style. A call to action for clinicians. Arch Intern Med 2004;164(3):249-58.
 
65.
Drygas W, Kwaśniewska M, Szcześniewska D et al. Ocena poziomu aktywności fi zycznej dorosłej populacji Polski. Wyniki Programu WOBASZ. Kard Pol 2005;63(supl 4);636-640.
 
66.
Wojnarowska B. Wybrane zagadnienia w sporcie dzieci i młodzieży (Selected issues of children and youth sport). In: Medycyna Sportowa, Jegier A, Nazar K, Dziak A (Eds.). PTMS Warszawa 2006;174-233.
 
67.
Kopeć G, Sobień B, Podolec M. Th e level of knowledge and sources of information about cardiovascular risk factors in the Polish population. Acta Cardiologica 2007;62:631-632.
 
68.
Wołowski T, Jankowska M. Wybrane aspekty zachowań zdrowotnych młodzieży gimnazjalnej. Część II. Aktywność fi zyczna oraz formy spędzania czasu wolnego (Lifestyle of secondary school studentsprevalence of chosen health factors. Part II. Physical activity and form of spending free time). Probl Hig Epidemiol 2007;88(1):69-73.
 
69.
Evenson KR, Siega-Riz AM, Savitz DA, Leiferman JA, Th orp JM Jr. Vigorous leisure activity and pregnancy outcome. Epidemiology 2002;13(6):653-9.
 
70.
Evenson KR, Moos MK, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J 2009;13(3):364-75.
 
71.
Clarke PE, Gross H.Women’s behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery 2004;20(2):133-41.
 
72.
Duncombe D, Wertheim EH, Skouteris H, Paxton SJ, Kelly L. Factors related to exercise over the course of pregnancy including women’s beliefs about the safety of exercise during pregnancy. Midwifery 2009;25(4):430-8.
 
73.
Symons Downs D, Hausenblas HA. Women’s exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifery Womens Health 2004;49(2):138-44.
 
74.
Hinton PS, Olson CM. Predictors of pregnancy-associated change in physical activity in a rural white population. Matern Child Health J 2001;5(1):7-14.
 
75.
Zhang J, Savitz DA. Exercise during pregnancy among US women. Ann Epidemiol 1996;6(1):53-9.
 
76.
Hegaard HK, Kjaergaard H, Damm PP, Petersson K, Dykes AK. Experiences of physical activity during pregnancy in Danish nulliparous women with a physically active life before pregnancy. A qualitative study. BMC Pregnancy Childbirth 2010;10:33.
 
77.
Evenson KR, Savitz DA, Huston SL. Leisure-time physical activity among pregnant women in the US. Paediatr Perinat Epidemiol 2004;18(6):400-7.
 
78.
Lokey EA, Tran ZV, Wells CL, Myers BC, Tran AC. Eff ects of physical exercise on pregnancy outcomes: a meta-analytic review. Med Sci Sports Exerc 1991;23(11):1234-9.
 
79.
Paisley TS, Joy EA, Price RJ Jr. Exercise during pregnancy: a practical approach. Curr Sports Med Rep 2003;2(6):325-30.
 
80.
Haas JS, Jackson RA, Fuentes-Affl ick E, Stewart AL, Dean ML, Brawarsky P, Escobar GJ. Changes in the health status of women during and aft er pregnancy. J Gen Intern Med 2005;20(1):45-51.
 
81.
Aittasalo M, Pasanen M, Fogelholm M, Kinnunen TI, Ojala K, Luoto R. Physical activity counseling in maternity and child health care – a controlled trial. BMC Womens Health 2008;8:14.
 
82.
Laitakari J, Asikainen TM. How to promote physical activity through individual counseling – A proposal for a practical model of counseling on health-related physical activity. Patient Educ Couns 1998;33(1 Suppl):S13-24.
 
83.
Prochaska JO, Velicer WF. Th e transtheoretical model of health behavior change. Am J Health Promot 1997;12(1):38-48.
 
84.
Both MI, Overvest MA, Wildhagen MF, Golding J, Wildschut HI. Th e association of daily physical activity and birth outcome. Eur J Epidemiol 2010;25(6):421-9.
 
85.
Rekomendacje Polskiego Towarzystwa Ginekologicznego w zakresie opieki przedporodowej w ciąży o prawidłowym przebiegu. http://www. nucleagena.pl/fi les/rekomendacjaopiekaprzedporodowa.pdf.
 
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