An individual type-based approach to movement regime in overweight women of fertile age

Aim. The paper aims to provide a physiological assessment of movement variability in women aged 20-35 years and identify individual criteria for changing movement patterns in normal-weight and overweight women as part of preconception care. Materials and methods. 354 women of fertile age (20-35 years) participated in the study as part of preconception care. The study was conducted at “Mother and child” hospital (Tyumen). All women were divided into two experimental groups: group I (n = 63) included normal-weight women; group II (n = 55) included overweight women. The following methods were used for the purpose of the study: comprehensive health examination, anthropometry, ultrasound diagnostics (Logiq S8, General Electric Co., USA), step counting (mobile applications for Android 4.4 and later and iOS 8.0 and later), cardiac measurements (HR, SBP, DBP) (A&D, Japan), Ruffier - Dickson test. Statistical processing was performed with Microsoft Excel Statistics 17.0 (Pearson χ2 and Mann - Whitney non-parametric tests, Pearson and Spearman correlation coefficients). Results. A systemic approach allowed to provide a physiological assessment of movement variability in women of fertile age. The results obtained were used for developing normative (centile) tables of daily movement patterns and identifying quantitative criteria for women with very low, low, average, high, and very high movement rates. In addition, a close correlation was observed between the centile distribution of daily movement patterns and body mass (BM), which allowed to propose body mass-based daily movement norms and find the coefficient of compliance between the body mass index and daily movement patterns. The data obtained were used to substantiate the need for increasing movement rates in overweight women of fertile age as part of preconception care. Conclusion. Clinical and physiological analysis of the abovementioned preconception care program demonstrated a higher pregnancy rate compared with the average data for both normal-weight (92.1% compared to 75%) and overweight (52.7% compared to 19.5%) women of fertile age.