scholarly journals The Influence of Physical Activity on the Quality of Life During Pregnancy

Author(s):  
Vilma Dudonienė ◽  
Rasa Vaškevičiūtė ◽  
Rolandas Kesminas

Pregnancy sets new and higher demands for woman’s body. There are changes in almost all functions of organs and systems, and metabolism during pregnancy. These changes are physiological and the body adapts to the new conditions. Many organs and systems start functioning pathologically, and pregnant body starts to react abnormally to various external and internal stimuli. Physical activity (any bodily movement produced by skeletal muscles that requires energy expenditure higher than resting; physical activity is indicatedby the average energy expenditure a day, a week, and is defined by metabolic equivalent (MET) [1]), fully affects and strengthens woman’s body, increases the physiological capacities, activates the work of all systems, and ensures the normal course of pregnancy by improving maternal cardiovascular condition, activating placental blood flow, oxygen transport, improving fetal metabolism. Physical activity has been proved to have positive effect on different systems of human body. The death-rate in pregnant women resulting from hypertension is the second cause after embolism. Preeclampsia is one of the hypertension-related failures which affects 3 to 5% of the pregnant women [2]. The purpose of this study was to evaluate and compare the effect of physical activity on the quality of life (quality of sleep, headache, right side pain, physical and psychological fatigue), blood pressure, and body mass index in physically active and inactive women during 20–35 weeks of pregnancy. It was found that the quality of sleep during 20–25–30–35 weeks of pregnancy was significantly higher and headache and right side pain, as well as, blood pressure, and body mass index were significantly lower in physically active women compared to inactive women. Conclusion. Physical activity during pregnancy had a positive effect on antenatal arterial blood pressure, body mass index and the quality of life during 20–35 weeks of pregnancy.Keywords: pregnancy, physical activity, quality of life, blood pressure, body mass index.

Author(s):  
Alba Marcos-Delgado ◽  
Tania Fernández-Villa ◽  
Miguel Ángel Martínez-González ◽  
Jordi Salas-Salvadó ◽  
Dolores Corella ◽  
...  

The main objective of this study was to examine the relationship between the level of physical activity (PA) and the degree of obesity with health-related quality of life (HRQoL) in individuals with metabolic syndrome (MetS) who participated in the Predimed-Plus study. A total of 6875 subjects between 55 and 75 years of age with MetS were selected and randomized in 23 Spanish centers. Subjects were classified according to categories of body mass index (BMI). PA was measured with the validated Registre Gironí del Cor (REGICOR) questionnaire and subjects were classified according to their PA level (light, moderate, vigorous) and the HRQoL was measured with the validated short-form 36 (SF-36) questionnaire. By using the ANOVA model, we found a positive and statistically significant association between the level of PA and the HRQoL (aggregated physical and mental dimensions p < 0.001), but a negative association with higher BMI in aggregated physical dimensions p < 0.001. Furthermore, women obtained lower scores compared with men, more five points in all fields of SF-36. Therefore, it is essential to promote PA and body weight control from primary care consultations to improve HRQoL, paying special attention to the differences that sex incurs.


2018 ◽  
Vol 128 (03) ◽  
pp. 170-181 ◽  
Author(s):  
Rainer Lundershausen ◽  
Sabrina Müller ◽  
Mahmoud Hashim ◽  
Joachim Kienhöfer ◽  
Stefan Kipper ◽  
...  

Abstract Purpose To assess quality of life, glycemic control, and safety/tolerability associated with liraglutide versus insulin initiation in patients with type 2 diabetes in Germany. Methods Liraglutide/insulin-naïve adults with type 2 diabetes and inadequate glycemic control despite using oral antidiabetic medication were assigned to liraglutide (≤1.8 mg daily; n=878) or any insulin (n=382) according to the treating physician’s decision and followed for 52 weeks. The primary objective was to evaluate Audit of Diabetes-Dependent Quality of Life (ADDQoL) scores. Results At baseline, the liraglutide group was younger and had shorter type 2 diabetes duration, lower glycated hemoglobin (HbA1c), higher body mass index, and a lower prevalence of certain diabetes-related complications than the insulin group (all p<0.05). ADDQoL average weighted impact scores improved numerically in both groups from baseline to 52 weeks (mean difference [95% confidence interval], liraglutide vs. insulin: 0.159 [−0.023;0.340]; not significant). Changes in general wellbeing and five ADDQoL domains significantly favored liraglutide (remaining 14 domains, not significant). HbA1c reductions were greater with insulin than liraglutide (−2.0% vs. −1.2%; p<0.01); however, mean HbA1c after 52 weeks was 7.2% in both groups. Compared with insulin, liraglutide significantly decreased body mass index (−1.54 kg/m2 vs. +0.27 kg/m2; p<0.001), systolic blood pressure (−5.03 mmHg vs. −1.03 mmHg; p<0.01) and non-severe hypoglycemia (0.85% vs. 4.55% at 52 weeks; p<0.01). Adverse drug reactions were reported for<3% of patients in both groups. Conclusions Liraglutide improved certain ADDQoL components and reduced body mass index, systolic blood pressure, and non-severe hypoglycemia versus insulin. Both treatments improved glycemic control.


2014 ◽  
Vol 11 (7) ◽  
pp. 1265-1275 ◽  
Author(s):  
David Feeny ◽  
Rochelle Garner ◽  
Julie Bernier ◽  
Amanda Thompson ◽  
Bentson H. McFarland ◽  
...  

Background:The objective of this study was to assess the associations among body mass index (BMI), leisure time physical activity (LTPA) and health-related quality of life (HRQL) trajectories among adults.Methods:Self-reported data were drawn from the Canadian National Population Health Survey, with respondents being interviewed every 2 years between 1996–97 and 2006–07. Using growth curve modeling, HRQL trajectories for individuals aged 18 and over were associated with measures of BMI and LTPA. Growth models were constructed separately for males and females.Results:Findings suggested that, for males, BMI categories had little impact on baseline HRQL, and no impact on the rate of change in HRQL. Among women, higher BMI categories were associated with significantly lower baseline HRQL. However, BMI had no impact on the rate of change of HRQL. Conversely, for both men and women and regardless of BMI category, LTPA had significant impacts on baseline HRQL, as well as the rate of change in HRQL. Individuals who were inactive or sedentary had much steeper declines in HRQL as they aged, as compared with individuals who were active in their leisure time.Conclusions:The results underscore the importance of LTPA in shaping trajectories of HRQL.


2015 ◽  
Vol 139 (1) ◽  
pp. 148-154 ◽  
Author(s):  
Anke Smits ◽  
Eline Smits ◽  
Alberto Lopes ◽  
Nagindra Das ◽  
Geoffrey Hughes ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Randi Jepsen ◽  
Eivind Aadland ◽  
Lesley Robertson ◽  
Ronette L. Kolotkin ◽  
John Roger Andersen ◽  
...  

It is unknown how changes in physical activity may affect changes in quality of life (QoL) outcomes during lifestyle interventions for severely obese adults. The purpose of this study was to examine associations in the patterns of change between objectively assessed physical activity as the independent variable and physical, mental, and obesity-specific QoL and life satisfaction as the dependent variables during a two-year lifestyle intervention. Forty-nine severely obese adults (37 women;43.6±9.4years; body mass index42.1±6.0 kg/m2) participated in the study. Assessments were conducted four times using Medical Outcomes Study Short-Form 36 Health Survey (SF-36), Obesity-Related Problems (OP) scale, a single item on life satisfaction, and accelerometers. The physical component summary (PCS) score and the mental component summary (MCS) score were used as SF-36 outcomes. Associations were determined using linear regression analyses and reported as standardized coefficients (stand. coeff.). Change in physical activity was independently associated with change in PCS (stand. coeff. = 0.35,P=.033), MCS (stand. coeff. = 0.51,P=.001), OP (stand. coeff. = −0.31,  P=.018), and life satisfaction (stand. coeff. = 0.39,P=.004) after adjustment for gender, age, and change in body mass index.


2021 ◽  
Vol 13 (6) ◽  
pp. 3019
Author(s):  
Iago Portela-Pino ◽  
Myriam Alvariñas-Villaverde ◽  
Margarita Pino-Juste

Physical activity (PA) has been shown to be an important variable in achieving a good quality of life. The objective of this study was to determine adolescents’ perceptions of environmental barriers to PA based on age, gender, geographic location, body mass index (BMI), PA index, and whether they engage in sports or not. The sample was made up of 849 adolescents aged between 12 and 17 years old. The PA Questionnaire for Adolescents (PAQ-A) and three questions on environmental barriers were used. Among the results, we should point out that adolescents hardly perceive any environmental barriers. There are no differences in the perception of barriers neither in terms of gender nor BMI. As adolescents get older, they consider that there are few recreational spaces, that the distance is not adequate, and that there is no accessibility to them or they do not encourage walking. The adolescents who perceive the greatest barriers are those who live in settlements of 10,000–50,000 inhabitants, especially those more linked to the neighborhood and to the accessibility and availability of spaces. It seems especially important to establish health policies in order to neutralize the barriers related to the accessibility and availability of spaces and the neighborhood-related barriers.


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