260647 Influence of women performing physical activity during pregnancy on newborn health in Poland

Wednesday, October 31, 2012

Przemyslaw Bilinski, MD, PhD , Chief Sanitary Inspector, Chief Sanitary Inspectorate, Institute of Haematology and Transfusion Medicine, Warsaw, Poland
Andrzej Wojtyla, MD PhD , Director, Institute of Agricultural Medicine Lublin, Lublin, Poland
Cezary Wojtyla , Institute of Haematology and Transfusion Medicine, Warsaw, Poland
Piotr Holownia, PhD , Chief Sanitary Inspectorate, Warsaw, Poland
Marek Posobkiewicz, PhD MD , Chief Sanitary Inspectorate in Poland, Warsaw, Poland
Lucyna Kapka-Skrzypczak, PhD , University of Information Technology and Management, Department of Public Health, Rzeszow, Poland, Institute of Rural Health, Independent Laboratory of Molecular Biology, Lublin, Poland, Lublin, Poland
It is recognised that levels of women's physical activity during pregnancy has a direct bearing on the method of delivery and the health of the newborn. The subjects of this study were n=3000 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 third week of September 2010. The women were also asked about the quantity, range and type of physical activity they did before becoming pregnant. In 2011 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 types of delivery, infant weight and newborn status using the APGAR scale with the amount of physical activity performed by the mothers. There was a positive relationship found between women's levels of physical activity and the newborn body mass ie. lowered incidences of intrauterine hypertrophy (macrosomia) and underweight and higher incidences of correct body mass, as well as fewer births by Caesarean Section were found in women that did more physical activity. The data thus support the now recognised benefits of physical activity in pregnancy and on the newborn. In order to improve this situation, education for women, medical staff and society in general is paramount and will be targeted to schools, medical universities, nursing colleges, media and post-graduates; especially GPs and gynaecologists.

Learning Areas:
Advocacy for health and health education
Basic medical science applied in public health
Public health or related research

Learning Objectives:
Learning objectives; Demonstrate and assess the harmful effects of too little physical exercise undertaken by women during pregnancy on newborn health thus allowing preventative action, (appropriate education), to be formulated and targeted for both subjects and healthcare staff.

Keywords: Infant Health, Physical Activity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Medical University of Lodz (MD), PhD; Endocrinology; in Poland. Clinical endocrinological post-graduate qualifications at leading European universities and senior management, administration, public health, education and business qualifications. Postings; Directors of major Polish teaching hospitals/departments (Lodz & Warsaw in internal medicine, osteoporosis & menopause, disease prevention, thyroidology, haematology & transfusion). Several consultantships member of European scientific and management associations. Current tenure is Chief Sanitary Inspector of Poland & Ministry of Health responsible for Public Health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.