1.1 Background of the study
During obesity the body experience dramatic
physiological and psychological changes which is natural and to remain healthy,
the obese people must indulge in regular physical activities call exercise.1
The professional health workers need to carefully design physical exercise
programme to enable the obese people remain healthy. In country like Brazil,
her Ministry of Health stipulates that in addition to consultation and medical
care, breathing and relaxation techniques should be taught for better control
of labour and general well-being (2). Different exercise programmes are
available for obese people; these exercises include aerobic exercises such as
dancing, walking and swimming. Another type is Kegel exercise; this involves
tightening of pelvic muscles to control urine flow (3).
Exercise has been known scientifically and
physically to promote blood circulation to the vital organs such as the brain,
liver and heart etc; exercise also improve pelvic bone and muscle tone thus
enhancing normal safe delivery of baby during labour (5). Exercise is an
activity requiring physical effort done to improve health, it is a physical or
mental activity that is done to stay healthy or become stronger. Exercise
session in health clinic should be designed to stimulate interest in the
physical changes occurring to promote body awareness and to facilitate physical
and mental relaxation.
Heggard states that women who practiced more than
one type of sports or leisure time physical activity had 24% of reduced risk of
preterm delivery, which compared with women with no sports activity (12). It
must be noted that before asking a group to perform health exercise on the
floor, the correct way of getting down and up again must be demonstrated
side-lying in the coma position with pillows under arm and knee is usually
comfortable position in obesity. The obese people should get up from lying by
bending the knees, rolling on to one side then using the arms to push up into a
sitting or kneeling position to prevent strains on both the back and the
abdominal muscles. Muscles of good tone are more elastic and will regain their
former length more efficiently and more quickly after being stretched than
muscles of poor tone. Exercising the abdominal muscles healthly will ensure a
speed to normal fatty, effective pushing in labour, and the lessening of back
ache in obesity (13). Exercise during obesity are of utmost concern for most
medical care giver, educators, the general public as well as obese people and
their family (14). Regular and moderate exercise in early fatty is healthy for
the obese people (7,15,16). Mother’s health physiotherapist is the ideal choice
to teach the physical skills required or parenthood.17 However in areas where
there is no physiotherapist available, midwives may find themselves responsible
for physical preparation as well as parent education in health classes or as
one-to-one basis (5).
1.2 Statement of the problem
Medical exercise is of benefit to every obese people.
Exercise can reduce the length of labour, shorten the recovery time and even
help with post-partum weight management (5). The physiotherapists in the
hospital always come to the clinic as early as possible but they usually meet
only few obese people because they come late to the clinic for the exercise as
they see little or no need for medical exercise. The purpose of this study is
to study how obese people perceive usefulness of health exercise as it is being
performed in the health clinics. There is need to find a way to change the
perception of obese people about health clinic through training, seminars and
health talks on important of exercises in obesity and health clinics.
1.3 Objectives of the study
1. To
examine the importance of exercise in obese people.
2. To examine how the perception of obese
people about exercise during obesity can be positively improved.
1.4 Research Questions
1.
What is the importance of exercise in obese people?
2.
How can perception of obese people about exercise
during obesity be positively improved?
1.5 Significance of the study
Exercise during obesity has the following
importance:
- Fast labour.
- Weight loss in obese obese people.
- Relief of fatigue, swelling and back pain.
Therefore, this study will help in educating obese
people on the importance of exercise during obesity, which has great advantage
on their health.
1.6 Scope of the study
The study focuses on the Perception of exercise and
recreation among obese people attending health clinic.
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