4.2
Physical activity
Regular, adequate physical activity is required to maintain a good energy balance, ensure
normal body weight and for a number of other health benefits. Physical activity is considered to
be any body movement performed by the skeletomuscular system, including walking,
housework, physical work and sports. Individuals should practise physical activities throughout
their lives, as a sedentary lifestyle is a risk factors for disease, including NCDs and obesity, and
premature mortality. Pregnant women should engage in physical exercise of average intensity
without building up endurance and power. The intensity of exercise should be such as to allow
women to talk freely during a session.
Physical activities during pregnancy improve the health of the expectant mother and the child:
they reduce the risks for gestational diabetes and pre-‐eclampsia, help to control weight gain
and promote psycho-‐emotional health. Expectant mothers should be active every day, with
both routine activities and physical exercise, as long as there is no medical contraindication.
They should, however, avoid adopting unfamiliar types of physical activity. Sports that could
result in trauma or falls (team games, combat sports, diving, jumping) are discouraged. It is
advisable to engage in sports involving diverse muscle groups, e.g. cycling, swimming, water
aerobics, walking and trekking, as well as Nordic walking. Regular outdoor activities also
contribute to the provision of adequate vitamin D. Guidance on physical activities during
pregnancy will be developed in 2017. The material currently available is “Writing a prescription
for physical activities in the family doctor’s practice” by the State Centre for Sports Medicine,
with a separate section on physical activity during pregnancy (http://www.vsmc.gov.lv/wp-‐
content/uploads/2015/03/ Portaliem2015VSMC.pdf; pp. 108–112.).
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