Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010. In the sub-continent, Vaughan was amazed that mostly affluent women suffered physically and mentally from childbirth, while poor women typically gave birth with relative ease. She explained that the active indigenous Indian lifestyle and regular exercises that maintain a functional pelvic anatomy were abandoned by the affluent.27 Vaughan K. The shape of the pelvic brim as the determining factor in childbirth. BMJ. 1931;2(3698):939–41.10.1136/bmj.2.3698.939[Crossref], [PubMed] [Google Scholar] Vaughan also observed that traditional Indian women, who covered their entire body with garments, were at risk of medical dangers including osteopenia due to sunlight deprivation.28 Vaughan KO. The purdah system and its effect on motherhood. Cambridge: W. Heffer & Sons Limited; 1928. [Google Scholar]
One remedy for the exercise doldrums is to keep exploring new types of movement, even if you’re already committed to a particular form of exercise. Novel activities — dance, martial arts, outdoor exercise — can work wonders for your brain, your mood, and your fascia. Massage, Rolfing, Feldenkrais, foam rolling, and other bodywork modalities can keep these tissues supple, too, so you can continue to move well, and without pain, for decades to come.
Recruiting lasted 6 months starting from September 2013. Participants were recruited by means of family doctors to whom the goal of the study was explained. The recruitment flow chart is shown in Figure 1. Three hundred and fifty people aged ≥ 65 were invited to participate. Of these, 51.4% agreed to be included in the screening list while 48.6% refused to participate, mainly for family reasons such as illness/hospitalization/old age of a family member. Forty people were found eligible to participate in the research protocol. Randomly, twenty were assigned to VE and twenty to the control group. The latter were instructed not to take part in any physical activity throughout the study period. All the selected participants signed an informed consent. The study was performed according to the Declaration of Helsinki and approved by the local ethics committee on September 23, 2013.
The European Commission - DG EAC - Directorate General for Education and Culture - has dedicated programs and funds for HEPA - Health Enhancing Physical Activity projects within its Horizon 2020 and Erasmus+ program, as research showed that too many Europeans are not physically active enough. Financing is available for increased collaboration between players active in this field across the EU and around the world, the promotion of HEPA in the EU and its partner countries and the European Sports Week. The DG EAC regularly publishes a Eurobarometer on sport and physical activity.
Publications, establishment recognition, and public support followed the success. In 1932, Fairbairn was elected President of the Royal College of Obstetricians and Gynecologists.31 Fairbairn JS. Obituary. BJOG: An International Journal of Obstetrics and Gynaecology. 1944;51:152–6.10.1111/bjo.1944.51.issue-2[Crossref] [Google Scholar] In 1936, Morris (in collaboration with Randell) published ‘Maternity and Post-Operative Exercises,’ that illustrated exercises for pregnant and puerperal women and those who had been operated on. The book emphasized breathing, relaxation, conscious training of the pelvic floor muscles, and re-establishing good posture.32 Morris M. Maternity and post-operative exercises. London: Heinemann; 1936. [Google Scholar] A year later, Morris published ‘Basic Physical Training’ for the general public, dedicated to ‘all those who, realising the inter-dependence of mental and physical well-being, are working to raise the standard of health.’33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar] In 1939, Randell published her seminal textbook ‘Training for Childbirth - From the Mothers Point of View’ which described her philosophy in detail with related anatomy and pathology and exercise descriptions and instructions.25 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949. [Google Scholar] This was followed up in 1949 with ‘Fearless Childbirth’, a practical manual for mothers-to-be.34 Randell M. Fearless childhood. London: J. & A. Churchill Ltd.; 1953. [Google Scholar]
Exclusion criteria included major diseases or conditions such as severe heart disease, uncontrolled hypertension, obesity, osteoarticular pathology, and neurological disease. Criteria were evaluated on the basis of clinical history, resting ECG, and physical examination. Participants maintained their lifestyles and were instructed not to take part in any other physical programs throughout the study. At the time of the initial design, the study consisted of a 12-week randomized controlled trial with a frequency of 3 times a week, 36 sessions in all, ending with a new assessment of their wellness and the potential persistence of the results on functional/physical capacities.