Physical activity of adolescents in wartime conditions, ways to optimize it

Authors

DOI:

https://doi.org/10.15574/SP.2024.7(143).5361

Keywords:

children, adolescents, conditions of war (wartime), stress, social restrictions, physical activity, motivation, sports training, physical education

Abstract

The war had a particularly adverse effect on adolescent children, who are going through a period of intensive growth, puberty and personality formation. Physical activity (PA) can reduce the impact of stress, so maintaining it can be considered as a therapeutic anti-stress method.

Aim - to determine the level of PA of adolescents in wartime conditions and the ways to increase it, to evaluate the attitude and motivation of teenagers to physical activity.

Materials and methods. During December 2022 - June 2023 103 adolescents aged 11-17 living in the city of Kharkiv and the Kharkiv region were interviewed about their PA. 88 of them indicated their attitude towards FA and what affects its level. Statistical processing of the results was carried out using the Fisher and Mann-Whitney tests. Differences were considered statistically significant at a probability of 95% or higher (p<0.05).

Results. The PA of teenagers significantly decreased during the war compared to the quarantine period: 70.9% of teenagers had a low level of PA, 16.5% had an average level of PA, and 12.6% had a high level of PA. The main type of activity was walking, most of the children began to exercise in the morning. Adolescents with a high level of PA had a longer duration of outdoor sports games. 77.0% of respondents had a positive attitude towards PA, but motivation to increase exercising was often low. The opinions of adolescents regarding the causes of insufficient physical activity and the consequences of its increase have been analyzed. Own desire has been pointed out as the main factor by 87% of children with low PA and 93% of children with high PA. The steps to ensure a sufficient level of PA for children during a period of social crisis have been determined.

Conclusions. During the war in Ukraine, the number of sedentary children increased significantly and the number of children with high motor activity decreased significantly. A sufficient level of PA in wartime conditions can be ensured by a combination of daily walks (40-60 minutes) with morning exercise and maintenance of physical education activities. Adding games and sports activities at least three times a week will allow to achieve a high level of activity. Increasing the motivation of teenagers to increase PA is an important task for parents, teachers, doctors, psychologists, and the public.

The study was carried out in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Сommittee on bioethics and deontology of these institutions. The informed consent of the children's parents was obtained for the research.

No conflict of interests was declared by the authors.

Author Biographies

V.L. Kashina-Yarmak, SI “Institute for Children and Adolescents Health Care at the National Academy of Medical Science of Ukraine”, Kharkiv

V.N. Karazin Kharkiv National University, Ukraine

A.V. Eshenko, SI “Institute for Children and Adolescents Health Care at the National Academy of Medical Science of Ukraine”, Kharkiv

Kharkiv National Medical University, Ukraine

References

Ahmed MdD, Ho WKY, Van Niekerk RL, Morris T, Elayaraja M, Lee KC, Randles E. (2017). The self-esteem, goal orientation, and health-related physical fitness of active and inactive adolescent students. Cogent Psychology. 4(1). https://doi.org/10.1080/23311908.2017.1331602

Calam R. (2017). Public health implications and risks for children and families resettled after exposure to armed conflict and displacement. Scand J Public Health. 45(3): 209-211. https://doi.org/10.1177/1403494816675776; PMid:27799420

Catani C, Wittmann J, Schmidt TL et al. (2023). School-based mental health screenings with Ukrainian adolescent refugees in Germany: Results from a pilot study. Front Psychol. 14: 1146282. https://doi.org/10.3389/fpsyg.2023.1146282; PMid:37143592 PMCid:PMC10151552

Collins NM, Cromartie F, Butler S, Bae J. (2018). Effects of Early Sport Participation on Self-esteem and Happiness. The sport journal. 20: 1-20. URL: https://thesportjournal.org/article/effects-of-early-sport-participation-on-self-esteem-and-happiness/.

Dyrla-Mularczyk К, Giemza-Urbanowicz W. (2019). The influence of physical activity on the functioning of the nervous system and cognitive processes - research review. Neuropsychiatria i Neuropsychologia. 14(3-4): 84-91. https://doi.org/10.5114/nan.2019.89792

McElroy E, Hyland Ph, Shevlin M et al. (2024). Change in child mental health during the Ukraine war: evidence from a large sample of parents. Eur Child Adolesc Psychiatry. 33: 1495-1502. https://doi.org/10.1007/s00787-023-02255-z; PMid:37421462 PMCid:PMC11098962

Gul O, Caglayan HS. (2017). The relation between the self-esteem levels and decisionmaking styles of the students doing sports and the students not doing sports in high schools. Turkish Journal of Sport and Exercise. 19(2): 228-233. https://doi.org/10.15314/tsed.331997

Frost J, McKelvie SJ. (2004). Self-Esteem and Body Satisfaction in Male and Female Elementary School, High School, and University Students. Sex Roles. 51: 45-54. https://doi.org/10.1023/B:SERS.0000032308.90104.c6

Hozak SV, Yelizarova OT, Stankevych TV, Parats AM, Lynchak OV. (2023). Substantiation of volume of health-enhancing physical activity for school-age children on the quarantine. Environment & Health. 2(107): 66-72. https://doi.org/10.32402/dovkil2023.02.066

Kadir A, Shenoda Sh, Goldhagen J, Pitterman Sh. (2018). The Effects of Armed Conflict on Children. Pediatrics. 142(6): e20182586. https://doi.org/10.1542/peds.2018-2586; PMid:30397168

Kashkalda DA, Rak LI, Kamarchuk LV, Sukhova LL, Volkova YuV. (2023). Changes in indicators of stress-regulating systems in adolescents of Ukraine during the period of military actions. Modern Pediatrics. Ukraine. 8(136): 61-66. https://doi.org/10.15574/SP.2023.136.61

Mahindru A, Patil P, Agrawal V. (2023) Role of Physical Activity on Mental Health and Well-Being: A Review. Cureus. 15(1): e33475. https://doi.org/10.7759/cureus.33475; PMid:36756008 PMCid:PMC9902068

Elvevag B, DeLisi LE. (2022). The mental health consequences on children of the war in Ukraine: a commentary. Psychiatry Res. 317: 114798. https://doi.org/10.1016/j.psychres.2022.114798; PMid:36057188

Moon I, Frost AK, Kim M. (2020). The role of physical activity on psychological distress and health-related quality of life for people with comorbid mental illness and health conditions. Social Work in Mental Health. 18(4): 410-428. https://doi.org/10.1080/15332985.2020.1776808

Morozov AV, Budreyko EA. (2013). Assessment of physical activity in healthy and diabetic children and adolescents (review and own results). Problems of Endocrine Pathology. 4: 79-87. https://doi.org/10.21856/j-PEP.2013.4.09

Peluso MAM, Andrade LHSG. (2005). Physical activity and mental health: the association between exercise and mood. Clinics. 60(1): 61-70. https://doi.org/10.1590/S1807-59322005000100012; PMid:15838583

Petrakaki Е, Karakasidou Е. (2017). The Effect of Physical Activity and Gender on Well Being and Body Image of Adolescents. Psychology. 8(11): 1840-1856. https://doi.org/10.4236/psych.2017.811120

Rak LI, Kashina-Yarmak VL, Yeshchenko AV. (2023). Physical activity of teenagers in conditions of social restriction. Modern Pediatrics. Ukraine. 5(133): 39-46. https://doi.org/10.15574/SP.2023.133.39

UNICEF. (2024). Life for children during the war Ukraine - February 2024. URL: https://www.unicef.org/ukraine/media/43321/file/The%20summary%20report%20of%20the%20Survey%20of%20Ukrainian%20parents_ua.pdf.pdf.

Yatsyna OF. (2022). Impact of war on mental health: signs of psychological trauma of children and adolescents. Scientific perspectives. 7(25): 554-567. https://doi.org/10.52058/2708-7530-2022-7(25)-554-567

Published

2024-11-28

Issue

Section

Original articles