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RESEARCH PAPER
Epidemiological studies in Poland on effect of physical activity of pregnant women on the health of offspring and future generations - adaptation of the hypothesis Development Origin of Health and Diseases
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
3
Department of Public Health, University of Information Technology and Management, Rzeszow, Poland
4
Department of Functional Research, Institute of Rural Health, Lublin, Poland
5
Second Department of Gynecology, Medical University, Lublin, Poland
6
Chief Sanitary Inspectorate, Warsaw, Poland and Institute of Haematology and Transfusion Medicine, Warsaw, Poland
Corresponding author
Andrzej Wojtyła
Department of Health Promotion, Food and Nutrition, Institute of Rural Health, Lublin, Poland
Department of Health Promotion, Food and Nutrition, Institute of Rural Health, Lublin, Poland
Ann Agric Environ Med. 2012;19(2):315-326
KEYWORDS
ABSTRACT
It is recognized that the levels of women's physical activity during pregnancy has a direct bearing on the method of delivery and health of the newborn. The main objective of the study was investigation of the level of physical activity of women during pregnancy according to the Pregnancy Physical Activity Questionnaire (PPAQ). The subjects of this study were n=2852 post-partum women surveyed together with their newborns, representing all obstetric hospital departments throughout Poland. The questionnaires were completed on a single day during the second week of November 2011. The women were also asked about the amount, range and type of physical activity they performed before becoming pregnant. The Pregnancy Physical Activity Questionnaire was used for precisely measuring physical activity according to the standard metabolically equivalent (MET). In addition, comparisons were made between the weight of the infant and newborn status using the APGAR scale with the amount of physical activity performed by the mothers. There were decidedly low physical activity levels observed in pregnant women compared to those before becoming pregnant. Appropriate interventions can therefore now be targeted through remedial action in Poland. It is important to perform intervention studies intended to test this hypothesis and attempt to identify the most appropriate levels for intensity, duration and frequency of physical exercise during pregnancy. The studies should consider the four domains of daily physical activity and utilize tools that reliably measure exposure variables. Such studies would provide valuable information for recommendations about physical activity during pregnancy.
REFERENCES (158)
1.
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.
2.
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.
3.
Kochan-Vintinner A. Active Living During Pregnancy. Physical Activity Guidelines for Mother and Baby. Ottawa: Canadian Society for Exercise Physiology and Health, 1999.
4.
Exercise during pregnancy and the postpartum period. ACOG Technical Bulletin Number 189, Feb 1994. Int J Gynecol Obstet. 1994; 45(1): 65-76.
5.
ACOG Committee opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. ACOG Committee Obstetric Practice. Obstet Gynecol. 2002; 99(1): 171-173.
6.
Royal College of Obstetricians and Gynaecologists (RCOG), Statement No. 4, January 2006.
7.
Chauhan SP, Gupta LM, Hendrix NW, Berghella V. American College of Obstetricians and Gynecologists.Intrauterine growth restriction: comparison of American College of Obstetricians and Gynecologists practice bulletin with other national guidelines. Am J Obstet Gynecol. 2009; 200(4): 409 e1-6.
8.
Albright, A, Franz, M, Hornsby G, Kriska A, Marrero D, Ullrich I et al. American college of sports medicine position stand. Exercise and type 2 diabetes. Med Sci Sports Exerc. 2000; 32 (7): 1345-1360.
9.
American College of Sports Medicine. American college of sports medicine position stand. Exercise for patients with coronary artery disease. Med Sci Sports Exerc. 1994; 26: i–v.
10.
Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA. American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc. 2004; 36: 533-553.
11.
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2003; 27: 99-105.
12.
Artal R. Exercise: the alternative therapeutic intervention for gestational diabetes. Clin Obstet Gynecol. 2003; 46: 479-487.
13.
Jovanovic L. What is so bad about a big baby? Diabetes Care. 2001; 24: 1317-1318.
14.
American College of Obstetricians and Gynecologists 2001. ACOG practice bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 30, September 2001. Gestational diabetes. Obstet Gynecol. 2001; 98: 525-538.
15.
Ben-Haroush A, Yogev Y, Hod M. Epidemiology of gestational diabetes mellitus and its association with type 2 diabetes. Diabet Med. 2004; 21: 103-113.
16.
Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. Canadian Diabetes Association clinical practice guidelines for the prevention and management of diabetes in Canada. Can J Diabetes. 2003; 27: 99-10.
17.
Catalano PM, Thomas A, Huston-Presley L, Amini SB. Increased fetal adiposity: a very sensitive marker of abnormal in utero development. Am J Obstet Gynecol 2003; 189: 1698-1704.
18.
Stafne SN, Salvesen KA, Romundstad PR, Eggebo TM, Carlsen SM, Morkved S. Regular exercise during pregnancy to prevent gestational diabetes: a randomized controlled trial. Obstet Gynecol. 2012; 119(1): 29-36.
19.
Dempsey JC, Butler CL, Sorensen TK, Lee IM, Thompson ML, Miller RS, et al. A case-control study of maternal recreational physical activity and risk of gestational diabetes mellitus. Diabetes Res Clin Pract. 2004; 66: 203-215.
20.
Dyck R, Sheppard M, Klomp H, Tan LK, Chad K, Van Vliet S et al. Using exercise to prevent gestational diabetes among Aboriginal women – a hypothesis and results of a pilot/feasibility project in Saskatchewan. Can J Diabetes Care 1999; 23: 32-38.
21.
Dempsey JC, Butler CL, Williams MA. No need for a pregnant pause: physical activity may reduce the occurence of gestational diabetes and pre-eclampsia. Exerc Sport Sci Rev. 2005; 33: 141-149.
22.
Saftlas 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: 758-765.
23.
Sorensen TK, Williams MA, Lee IM, Dashow EE, Thompson ML, Luthy DA. Recreational physical activity during pregnancy and risk of pre-eclampsia. Hypertension.2003; 41: 1273-1280.
24.
Clapp JF, 3rd. The effects of maternal exercise on fetal oxygenation and feto-placental growth. Eur J Obstet Gynecol Reprod Biol. 2003; 110: Suppl 1, 80-85.
25.
Jackson MR, Gott P, Lye SJ, Ritchie JW, Clapp JF 3rd. The effects of maternal aerobic exercise on human placental development: placental volumetric composition and surface areas. Placenta. 1995; 16: 179-191.
26.
Kobe H, Nakai A, Koshino T, Araki T. Effect of regular maternal exercise on lipid peroxidation levels and antioxidant enzymatic activities before and after delivery. J Nippon Med Sch. 2002; 69: 542-548.
27.
Goldhammer E, Tanchilevitch A, Maor I, Beniamini Y, Rosenschein U, Sagiv M. Exercise training modulates cytokines activity in coronary heart disease patients. Int. J Cardiol. 2005; 100: 93-99.
28.
Kasapis C, Thompson PD. The effects of physical activity on serum C-reactive protein and inflammatory markers: a systematic review. J Am Coll Cardiol. 2005; 45: 1563-1569.
29.
Adamopoulos S, Parissis J, Kroupis C, Georgiadis M, Karatzas D, Karavolias G et al. Physical training reduces peripheral markers of inflammation in patients with chronic heart failure. Eur Heart J. 2001; 22: 791-797.
30.
Pischon T, Hankinson SE, Hotamisligil GS, Rifai N, Rimm, EB. Leisure-time physical activity and reduced plasma levels of obesity-related inflammatory markers. Obes Res. 2003; 11: 1055-1064.
31.
Redman CW, Sargent IL. The pathogenesis of pre-eclampsia. Gynecol Obstet Fertil. 2001; 29: 518-522.
32.
DeSouza CA, Shapiro LF, Clevenger CM, Dinenno FA, Monahan KD, Tanaka H et al. Regular aerobic exercise prevents and restores age-related declines in endothelium-dependent vasodilation in healthy men. Circulation. 2000; 102: 1351-1357.
33.
Maiorana A, O’Driscoll G, Cheetham C, Dembo L, Stanton K, Goodman C et al. The effect of combined aerobic and resistance exercise training on vascular function in type 2 diabetes. J Am Coll Cardiol. 2001; 38: 860-866.
34.
Weissgerber TL, Wolfe LA, Davies GAL, Mottola MF. Exercise in the prevention and treatment of maternal–fetal disease: a review of the literature. Appl Physiol Nutr Metab. 2006; 31(6): 661–674, doi:10.1139/H06-060.
35.
Moutquin JM, Garner PR, Burrows RF, Rey E, Helewa ME, Lange IR, Rabkin SW. Report of the Canadian Hypertension Society Consensus Conference: 2. Nonpharmacologic management and prevention of hypertensive disorders in pregnancy. Can Med Assoc J. 1997; 157: 907-919.
36.
Okosun IS, Chandra KM, Boev A, Boltri JM, Choi ST, Parish DC et al. Abdominal adiposity in U.S. adults: prevalence and trends, 1960-2000. Prev Med 2004; 39: 197-206.
37.
Yen SS. The polycystic ovary syndrome. Clin Endocrinol. (Oxford).1980; 12: 177-207.
38.
Rich-Edwards JW, Goldman MB, Willett WC, Hunter DJ, Stampfer MJ, Colditz GA et al. Adolescent body mass index and infertility caused by ovulatory disorder. Am J Obstet Gynecol. 1994; 171: 171-177.
39.
Barker DJ. The developmental origins of adult disease. J Amer Coll Nutr. 2004; 23: 588-595.
40.
Eriksson JG, Forsen TJ, Kajantie E, Osmond C, Barker DJ. Childhood growth and hypertension in later life. Hypertension. 2007; 49: 1415-1421.
41.
Whincup PH, Kaye SJ, Owen CG, Huxley R, Cook DG, Anazawa S, et al. Birthweight and risk of type 2 diabetes: a systematic review. JAMA. 2008; 300: 2886-2897.
42.
Eriksson JG, Osmond C, Kajantie E, Forsen TJ, Barker DJ. Patterns of growth among children who later develop type 2 diabetes or its risk factors. Diabetologia. 2006; 49: 2853-2858.
43.
Vickers MH, Breier BH, McCarthy D, Gluckman PD. Sedentary behavior during postnatal life is determined by the prenatal environment and exacerbated by postnatal hypercaloric nutrition. Am J Physiol Regul Integr Comp Physiol. 2003; 285: 271-273.
44.
Barker DJ. In utero programming of chronic disease. Clin Sci. 1998; 95(2): 115-28.
45.
Andersen LG, Angquist L, Gamborg M, Byberg L, Bengtsson C, Canoy D, et al. Birth weight in relation to leisure time physical activity in adolescence and adulthood: meta-analysis of results from 13 nordic cohorts. 2009; PLoS One 4: e8192.
46.
Salonen MK, Kajantie E, Osmond C, Forse´n T, Yliha¨rsila¨ H, Paile-Hyvärinen M, et al. Developmental Origins of Physical Fitness: The Helsinki Birth Cohort Study. 2011; doi:10.1371/journal.pone.0022302, PLoS ONE 6 (7): e22302.
47.
Eriksson JG, Yliharsila H, Forsen T, Osmond C, Barker DJ. Exercise protects against glucose intolerance in individuals with a small body size at birth. Prev Med. 2004; 39: 164-167.
48.
Laaksonen DE, Lakka HM, Lynch J, Lakka TA, Niskanen L, Rauramaa R, et al. Cardiorespiratory fitness and vigorous leisure-time physical activity modify the association of small size at birth with the metabolic syndrome. Diabetes Care. 2003; 26: 2156-2164.
49.
Parsons TJ, Power C, Manor O. Fetal and early life growth and body mass index from birth to early adulthood in 1958 British cohort: longitudinal study. Bone Miner J. 2001; 323: 1331-1335.
50.
Bavdekar A, Yajnik C, Fall C, Bapat S, Pandit A, Deshpande V et al. Insulin resistance syndrome in 8-year-old Indian children: small at birth, big at 8 years, or both? Diabetes. 1999; 48: 2422-2429.
51.
McMillen C, Robinson JS. Developmental Origins of the Metabolic Syndrome: Prediction, Plasticity, and Programming. Physiol Rev. 2005; 85: 571-63.
52.
Clapp JF, Capeless EL. Neonatal morphometrics after endurance exercise during pregnancy. Am J Obstet Gynecol.1990.163:1805-1811.
53.
Yajnik CS, Fall CH, Coyaji KJ, Hirve SS, Rao S, Barker DJ et al. Neonatal anthropometry: the thin-fat Indian baby. The Pune Maternal Nutrition Study. Int J Obesity. 2002; 27: 173-80.
54.
Yajnik CS, Lubree HG, Rege SS, Naik SS, Deshpande JA, Deshpande SS et al. Adiposity and hyperinsulinaemia in Indians are present at birth. J Clin Endocrinol Metab. 2002; 87: 5575-5580.
55.
Kinare AS, Chinchwadkar MC, Natekar AS, Coyaji KJ, Wills AK, Joglekar CV et al. Patterns of fetal growth in a rural Indian cohort and comparison with a Western European population: data from the pune maternal nutrition study. J Ultrasound Med. 2010; 29: 215-223.
56.
Prentice AM, Moore SE. Global child health: Early programming of adult diseases in resource poor countries. Arch Dis Child. 2005; 90: 4 429-432 doi:10.1136/adc.2004.059030.
57.
Clapp JF, Kim H, Burciu B, Schmidt S, Petry K, Lopez B. Continuing regular exercise during pregnancy: effect of exercise volume on fetoplacental growth. Am J Obstet Gynecol. 2002; 186(1): 142-147.
58.
Olson CM, Strawderman MS. Modifiable behavioral factors in a biopsychosocial model predict inadequate and excessive gestational weight gain. J Am Dietetic Assoc. 2003; 103: 48-54.
59.
Mamelle N, Laumon B, Lazar P. Prematurity and occupational activity during pregnancy. Am J Epidemiol. 1984; 119 (3): 309-22.
60.
Misra DP, Strobino DM, Stashinko EE, Nagey DA, Nanda J. Effects of physical activity on preterm birth. Am J Epidemiol. 1998; 147 (7): 628-635.
61.
Magann EF, Evans SF, Weitz B, Newnham J. Antepartum, intrapartum, and neonatal significance of exercise on healthy low-risk pregnant working women. Obstet Gynecol. 2002; 99 (3): 466-72.
62.
Both MI, Overvest MA, Wildhagen MF, Golding J, Wildschut HI. The association of daily physical activity and birth outcome: a population-based cohort study. Eur J Epidemiol. 2010; 25(6): 421-429.
63.
Hatch M, Ji BT, Shu XO, Susser M. Do standing, lifting, climbing, or long hours of work during pregnancy have an effect on fetal growth? Epidemiology. 1997; 8(5):530-536.
64.
Hatch M, Levin B, Shu XO, Susser M. Maternal leisure-time exercise and timely delivery. Am J Public Health. 1998; 88 (10): 1528-1533. doi:10.2105/AJPH.88.10.1528.
65.
Clapp JF 3rd, Kim H, Burciu B, Lopez B. Beginning regular exercise in early pregnancy: effect on fetoplacental growth.Am J Obstet Gynecol. 2000; 183(6): 1484-1488.
66.
Magann EF, Evans SF, Newnham JP. Employment, exertion, and pregnancy outcome: assessment by kilocalories expended each day. Am J Obstet Gynecol. 1996; 175(1): 182-187.
67.
Schramm WF, Stockbauer JW, Hoffman HJ. Exercise, employment, other daily activities, and adverse pregnancy outcomes. Am J Epidemiol. 1996; 143(3): 211-218.
68.
Perera F, Herbstman J. Prenatal environmental exposures, epigenetics, and disease. Reprod Toxicol. 2011; 31(3): 363-373.
69.
Physical Activity Guidelines for Americans. Office of Disease Prevention & Health Promotion, US Department of Health and Human Services, October 2008. http://www.health. gov/paguidelines (access: 2012.04.20).
70.
Davies GA, Wolfe LA, Mottola MF, MacKinnon C, Arsenault MY, Bartellas E et al. SOGC Clinical Practice Obstetrics Committee, Canadian Society for Exercise Physiology Board of Directors. Exercise in pregnancy and the postpartum period.J Obstet Gynaecol Can. 2003; 25(6): 516-529.
71.
Denmark National Board of Health: Physical activity – a handbook on prevention and treatment.Copenhagen, Denmark: National Board of Health, 2003.
72.
National Collaborating Centre for Women’s and Children’s Health (UK): Antenatal care: routine care for the healthy pregnant woman. In NICE Clinical Guidelines, No. 62. London: RCOG Press, 2008.
73.
Directorate for Health and Social Affairs: Guidelines for antenatal care. Oslo, Norway: Directorate for Health and Social Affairs; 2005.
74.
Sports Medicine Australia: Exercise in pregnancy. http://sma.org.au/wp-content/u.... (access: 2012.04.20).
75.
World Health Organization. Global Strategy on Diet, Physical Activity and Health: Diabetes. Geneva, World Health Organization, 2006.
76.
Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C et al. Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA. 1995; 273: 402-407.
77.
ACOG (American College of Gynecologists) Committee, Opinion no 267: Exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002; 99: 171-173.
78.
Wright JD, Pawar N, Gonzalez JS, Lewin SN, Burke WM, Simpson LL et al. Scientific evidence underlying the American College of Obstetricians and Gynecologists’ practice bulletins.Obstet Gynecol. 2011; 118 (3): 505-512.
79.
Davies GAL, Wolfe LA, Mottola MF, MacKinnon C: Exercise in pregnancy and the postpartum period. J Obstet Gynaecol Can. 2003; 25: 516-522.
80.
ACOG Committee opinion. Number 267, January 2002: exercise during pregnancy and the postpartum period. Obstetrics and gynecology. 2002; 99(1): 171-173.
81.
Department of Health (DOH): At least five a week. http://www.dh.gov.uk/ prod_consum_dh/ groups/ dh_digitalassets/@dh/@en/documents/digitalasset/dh_4080981.pdf (webcite Evidence on the impact of physical activity and its relationship to health 2004). (access: 2012.04.20).
82.
Calguneri M, Bird HA, Wright V. Changes in joint laxity occurring during pregnancy. Ann Rheum Dis. 1982; 41: 126-128.
83.
Karzel RP, Friedman MJ. Orthopaedic injuries in pregnancy. In: Artal R, Wiswell RA, Drinkwater BL, editors. Exercise in Pregnancy. Baltimore: Williams & Wilkins. 1991; p. 123-132.
84.
Stevenson L. Exercise in pregnancy: part 2: recommendations for individuals. Can Fam Physician. 1997; 43: 107-111.
85.
Edwards MJ. Hyperthermia as a teratogen: a review of experimental studies and their clinical significance. Teratog Carcinog Mutagen. 1986; 6: 563-582.
86.
Exercise during pregnancy and the postpartum period. ACOG Technical Bulletin Number 189, Feb 1994. Int J Gynecol Obstet.1994; 45(1): 65-76.
87.
Soultanakis HN, Artal R, Wiswell RA. Prolonged exercise in pregnancy: glucose homeostasis, ventilatory and cardiovascular responses. Semin Perinatol. 1996; 20(4): 315-327.
88.
Wolfe LA, Weissgerber TL. Clinical physiology of exercise in pregnancy: a literature review. J Obstet Gynaecol Can. 2003; 25(6): 473-83.
89.
Szymanski LM, Satin AJ. Exercise during pregnancy: fetal responses to current public health guidelines. Obstet Gynecol. 2012; 119(3): 603-610.
90.
Artal R. Exercise during pregnancy: Safe and beneficial for most. The Physician and Sports Medicine.1999; 27(8).
91.
Artal R, Fortunato V, Welton A, Constantino N, Khodiguian N, Villalobos L et al. A comparison of cardiopulmonary adaptations to exercise in pregnancy at sea level and altitude. Am J Obstet Gynecol. 1995; 172: 1170-1180.
92.
Huch R. Physical activity at altitude in pregnancy. Semin Perinatol. 1996; 20(4): 303-314.
93.
Sternfeld B. Physical activity and pregnancy outcome: review and recommendations. Sports Med. 1997; 23: 33-47.
94.
Paisley TS, Joy EA, Price RJ. Exercise during pregnancy: A practical approach. Curr Sports Med Rep. 2003; 2: 325-30.
95.
Camporesi EM. Diving and pregnancy. Semin Perinatol. 1996; 20(4): 292-302.
96.
Mottola MF. Exercise in the postpartum period: Practical applications. Curr Sports Med. 2002; 1: 362-368.
97.
Kochan-Vintinner A. Active Living During Pregnancy: Physical Activity Guidelines for Mother and Baby. Ottawa:Canadian Society for Exercise Physiology and Health; 1999.
98.
Evenson KR, Siega-Riz AM, Savitz DA, Leiferman JA, Thorp JM Jr. Vigorous leisure activity and pregnancy outcome. Epidemiology. 2002; 13(6): 653-659.
99.
Petersen AM, Leet TL, Brownson RC. Correlates of physical activity among pregnant women in the United States. Med Sci Sports Exerc. 2005; 37(10): 1748-1753.
100.
Skinner MK, Manikkam M, Guerrero-Bosagna C. Epigenetic transgenerational actions of endocrine disruptors. Reprod Toxicol. 2011; 31(3): 337-343.
101.
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.
102.
Amezcua-Prieto C, Lardelli-Claret P, Olmedo-Requena R, Mozas-Moreno J, Bueno-Cavanillas A, Jiménez-Moleón JJ. Compliance with leisure-time physical activity recommendations in pregnant women. Acta Obstet Gynecol Scand. 2011; 90: 245-252.
103.
Domingues MR, Barros AJ. Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study. Rev Saude Publica. 2007; 41(2): 173-180.
104.
Dumith SC, Domingues MR, Mendoza-Sassi RA, Cesar JA. Physical activity during pregnancy and its association with maternal and child health indicators. Rev. Saúde Pública (serial on the Internet). 2012; 46(2): 327-333.
105.
Ning Y, Williams MA, Dempsey JC, Sorensen TK, Frederick IO, Luthy DA. Correlates of recreational physical activity in early pregnancy. J Matern Fetal Neonatal Med. 2003; 13(6): 385-393.
106.
Evenson K, Wen F. National trends in self-reported physical activity and sedentary behaviors among pregnant women: NHANES 1999-2006. Prev Med. 2010; 50: 123-128.
107.
Liu J, Blair SN, Teng Y, Ness AR, Lawlor DA, Riddoch C. Physical activity during pregnancy in a prospective cohort of British women: results from the AVON longitudinal study of parents and children. Eur J Epidemiol. 2011; 26: 237-247.
108.
Marquez-Sterling S, Perry AC, Kaplan TA, Halberstein RA, Signorile JF. Physical and psychological changes with vigorous exercise in sedentary primigravidae. Med Sci Sports Exerc. 2000; 32(1): 58–62.
109.
Santos IA, Stein R, Fuchs SC, Duncan BB, Ribeiro JP, Kroeff LR et al. Aerobic exercise and submaximal functional capacity in overweight pregnant women: a randomized trial. Obstet Gynecol. 2005; 106(2): 243-249.
110.
Clapp JF, Kim H, Burciu B, Schmidt S, Petry K, Lopez B. Continuing regular exercise during pregnancy: effect of exercise volume on fetoplacental growth. Am J Obstet Gynecol. 2002; 186(1): 142-14.
111.
Zhang J, Savitz D. Exercise during pregnancy among U.S. women. Ann Epidemiol. 1996; 6: 53-59.
112.
Evenson KR, Savitz DA,Huston SL. Leisure-time physical activity among pregnant women in the US. Paediatric and Perinatal Epidemiology. 2004; 1: 400-407.
113.
Domingues M, Barros A. Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study. Revista de Saúde Pública. 2007; 41: 173-180.
114.
Haakstad L, Voldner N, Henriksen T, BÃ K. Physical activity level and weight gain in a cohort of pregnant Norwegian women. Acta Obstetricia et Gynecologica Scandinavica. 2007; 86(5): 559-564.
115.
Pereira MA, Rifas-Shiman SL, Kleinman KP, Rich-Edwards JW, Peterson KE, Gillman MW. Predictors of change in physical activity during and after pregnancy. Project Viva. Am J Prev Med.. 2007: 312-319.
116.
Evenson KR, Moos MK, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009; 13(3): 364-375.
117.
Clarke PE, Gross H. Women’s behaviour, beliefs and information sources about physical exercise in pregnancy. Midwifery. 2004; 20(2): 133-141.
118.
Duncombe D, Wertheim EH, Skouteris H, Paxton J, 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: 430-438.
119.
Weir Z, Bush J, Robson SC, McParlin C, Rankin J, Bell R. Physical activity in pregnancy: a qualitative study of the beliefs of overweight and obese pregnant women. BMC Pregnancy Childbirth. 2010; 28(10): 18.
120.
Symons DD, Hausenblas HA. Women’s exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifery Womens Health. 2004; 49(2): 138-44.
121.
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.
122.
Zhang J, Savitz DA. Exercise during pregnancy among US women. Ann Epidemiol. 1996; 6(1): 53-59.
123.
Foxcroft KF, Rowlands IJ, Byrne NM, McIntyre HD, Callaway LK, BAMBINO group. Exercise in obese pregnant women: the role of social factors, lifestyle and pregnancy symptoms. BMC Pregnancy Childbirth. 2011; 12(11): 4.
124.
Gaston A, Cramp A. Exercise during pregnancy: a review of patterns and determinants. J Sci Med Sport.2011; 14(4): 299-305.
125.
Rode L, Kjærgaard H, Ottesen B, Damm P, Hegaard HK. Association between gestational weight gain according to body mass index and postpartum weight in a large cohort of Danish women. Matern Child Health J. 2012; 16(2): 406-13.
126.
Evenson KR, Moos MK, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009; 13(3): 364-37.
127.
Paisley TS, Joy EA, Price RJ. Exercise during pregnancy: a practical approach. Sports Med Rep. 2003; 2: 325-330.
128.
Evenson KR, Aytur SA, Borodulin K. Physical activity beliefs, barriers, and enablers among postpartum women. J Womens Health (Larchmt). 2009; 18(12): 1925-1934.
129.
Haas JS, Jackson RA, Fuentes-Afflick E, Stewart AL, Dean ML, Brawarsky P et al. Changes in the health status of women during and after pregnancy. J Gen Intern Med. 2004; 20: 45-51.
130.
Symons Downs D, Hausenblas HA. Women’s exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifery Womens Health. 2004; 49: 138-144.
131.
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 Women’s Health. 2008; 8: 14 http://www.biomedcentral.com/1... (access: 2012.04.20).
132.
Laitakari J, Asikainen T-M. 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: 13-23.
133.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997; 12: 38-48.
134.
Wolfe LA, Weissgerber TL.Clinical physiology of exercise in pregnancy: a literature review. J Obstet Gynaecol Can. 2003; 25(6): 473-483.
135.
Clinical Practice Guidelines of the Society of Obstetricians and Gynaecologists of Canada and Canadian Society for Exercise Physiology. Exercise in Pregnancy and Postpartum.2003; Society of Obstetricians and Gynaecologists of Canada. www.sogc.org. (access: 2012.04.20).
136.
Canadian Society for Exercise Physiology. Physical Activity Readiness Medical Examination for Pregnancy (PARmed-X for Pregnancy). www.csep.ca. 2002. (access: 2012.04.20).
137.
Jukic A MZ, Evenson KR, Herring AH, Wilcox AJ, Hartmann KE, Daniels JL. Correlates of physical activity at two time points during pregnancy.J Phys Act Health. 2012; 9(3): 325-335.
138.
Hegaard HK, Damm P, Hedegaard M, Henriksen TB, Ottesen B, Dykes AK et al. Sports and leisure time physical activity during pregnancy in nulliparous women. Matern Child Health J. 2011; 15(6): 806-813.
139.
Dumith SC, Domingues MR, Mendoza-Sassi RA, Cesar JA. Physical activity during pregnancy and its association with maternal and child health indicators. Rev. Saúde Pública. 2012; 46(2): 327-333.
140.
Domingues MR, Barros AJ. Leisure-time physical activity during pregnancy in the 2004 Pelotas Birth Cohort Study. Rev Saude Publica. 2007; 41 (2): 173-80. doi:10.1590/S0034-89102007000200002.
141.
Evenson KR, Savitz DA, Huston SL. Leisure-time physical activity among pregnant women in the US. Paediatr Perinat Epidemiol. 2004; 18 (6): 400-407.
142.
Łobaszewski J, Przewoźniak K, Zatońska K, Wojtyła A, Bylina J, Mańczuk M et al. Patterns of leisure time physical activity and its determinants among a sample of adults from Kielce region, Poland – the ‘PONS’ study. Ann Agric Environ Med 2011; 18(2): 241-245.
143.
Horns PN, Ratcliffe LP, Leggett JC, Swanson MS. Pregnancy outcomes among active and sedentary primiparous women. J Obstet Gynecol Neonatal Nurs. 1996; 25 (1): 49-54.
144.
Butte NF, Wong WW, Treuth MS, Ellis KJ, O’Brian Smith E. Energy requirements during pregnancy based on total energy expenditure and energy deposition Am J Clin Nutr. 2004; 79(6): 1078-1087.
145.
Melzer K, Schutz Y, Boulvain M, Kayser B. Physical activity and pregnancy: cardiovascular adaptations, recommendations and pregnancy outcomes. Sports Med. 2010; 40(6): 493-507.
146.
Sternfeld B, Quesenberry Jr CP, Eskenazi B, Newman LA. Exercise during pregnancy and pregnancy outcome. Med Sci Sports Exerc. 1995; 27(5): 634-640.
147.
Young TK, Woodmansee B. Factors that are associated with cesarean delivery in a large private practice: the importance of prepregnancy body mass index and weight gain. Am J Obstet Gynecol. 2002; 187 (2): 312-320.
148.
Kramer MS, McDonald SW. Aerobic exercise for women during pregnancy. Cochrane Database Syst Rev. 2006; (3): CD000180.
149.
Janszky I, Vatten L,Romundstad P,Laugsand LE, Bjørngård JH,Mańczuk M et al. Metabolic syndrome in Poland – the PONS Study. Ann Agric Environ Med. 2011; 18(2): 270-272.
150.
Zatońska K, Ilow R, Regulska-Ilow B, Różańska D, Szuba A, Wołyniec M et al. Prevalence of diabetes mellitus and IFG in the prospective cohort ‘PONS’ study – baseline assessment. Ann Agric Environ Med. 2011; 18(2): 265-269.
151.
Szuba A, Martynowicz H, Zatońska K, Ilow R, Regulska-Ilow B, Różańska D et al. Prevalence of hypertension in a sample of Polish population – baseline assessment from the prospective cohort ‘PONS’ study. Ann Agric Environ Med. 2011; 18(2): 260-264.
152.
Islami F, Mańczuk M, Vedanthan R, Vatten L, Polewczyk A, Fuster V et al. A cross-sectional study of cardiovascular disease and associated factors. Ann Agric Environ Med. 2011; 18(2): 255-259.
153.
Zatońska K, Regulska-Ilow B, Janik-Koncewicz K, Ilow R, Różańska D, Szuba A et al. Prevalence of obesity – baseline assessment in the prospective cohort ‘PONS’ study. Ann Agric Environ Med. 2011; 18(2): 246-250.
154.
Zatoński WA, Mańczuk M. Kielce PONS team. POlish-Norwegian Study (PONS): research on chronic non-communicable diseases in European high risk countries – study design. Ann Agric Environ Med 2011; 18(2): 203-206.
155.
Zatoński WA. the HEM project team. Epidemiological analysis of health situation development in Europe and its causes until 1990.Ann Agric Environ Med. 2011; 18(2): 194-202.
156.
Boyle P. Improving Health in Central and Eastern Europe. Ann Agric Environ Med. 2011; 18 (2).
157.
Hoffmann K, Bryl W, Marcinkowski JT, Strażyńska A, Pupek-Musialik D. Estimation of physical activity and prevalence of excessive body mass in rural and urban Polish adolescents. Ann Agric Environ Med. 2011; 18 (2): 398-403.
158.
Wojtyła A, Kapka-Skrzypczak L, Biliński P, Paprzycki P. 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. Ann Agric Environ Med. 2011; 18(2): 365-374.
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