The influence of leisure sports activities on social health in adults

Objective The objective of this article is to present a methodology based on a questionnaire focused on social health, our study aims at highlighting, in a declarative and comparative manner, the development of social relationships between individuals, more or less for both adults who perform leisure sports activities and for those who do not practice. Methods The study was conducted between October 2012, March 2013 on a sample of 500 adults, who responded to a survey questionnaire, of whom 318 individuals perform leisure sports activities and 182 do not perform this kind of activities. We mention that the age range of our subjects undergoing our research is 25–49 years. Results In statements, from the pool of persons who practice sports activities, the age categories with a high percentage of people enjoying a good health, are: 25–29 years (88.6 %) and 45–49 years (83.3 %). For the other age categories, a decreasing percentage of persons with a good social health is noted, with aging. On the persons who do not practice leisure sports activities we note instead, an increasing percentage of the persons with an unsatisfactory social health, from 43.3 up to 76 %, that comes with aging. Conclusions The results suggest that constant and continuous practice of various physical exercises represents a significant factor, which leads to the improvement of social health.


Background
A good health is an essential element of human wellbeing, which is a value in itself (Alber and Köhler 2004).
Health is a fundamental resource for individuals, communities and societies overall. For an individual, enjoying a good health is crucial. At the same time, a generally good level of health of the population is essential to the economic growth and social development.
OMS defines health not only as a simple absence of disease and infirmity, but also as a general "wellbeing": physical, mental, social (World Health Organization 2012).
Health can be measured objectively (e.g.: the collection and analysis of some biological and clinical parameters, encompassed in a research/evaluation sheet, for each individual of a population), as well as subjectively.
The most frequent method of subjective measurement of health is self-evaluation. Satisfaction questionnaires and/ or evaluation questionnaires of one's health are quite frequently used, usually together with an objective method of evaluation of health (Vladescu et al. 2010). Maintaining an optimal physical health is rather a delicate matter nowadays, which each society should acknowledge and be responsible for, in order to cope with the daily demands. Through the level of effort, man can diminish or increase his physical capacity and strength.
The ideal way to come in contact with other peers, to establish new relationships, to consume energy, is sport, as leisure activity, which leads to relaxation etc., but it can also lead to another aesthetic sense (Brîndescu 2010).
In terms of sport, one can state that social health plays or should play an important role, in the sense that practicing physical activities lead to the development of social relationships between individuals. It is well known how enjoyable are aerobic exercises when performed together with colleagues, group jogging, rides on bicycles and ski, sports games etc.
Sports activities, performed in group a stimulating and refreshing, and develop verbal and non verbal communication. Thus, this type of social health translates into a socialization and satisfaction increase (Epuran 2011).
Included in the syllabuses, massively present in massmedia and assiduously performed by some, sport is a contemporary phenomenon, that cannot be ignored, because more and more people are aware that performing physical activities ensures a high quality of life. A society that promotes sport and understands its value in life, is a society that ensures a solid component for social wellbeing and optimism (Rusu 2008).
In terms of social health (Esterson and Finke 1994) present the physical and mental, as well as the social benefits of sport, of which the most important are: playing a sport or physical leisure involve, most of the time, the enrollment in different organized sports activities; we meet persons who have common interests and we make new friends; we build a team work spirit and develop a sense of cooperation, that is also useful in extra sportive activity.
It is believed that social health represents the way a person behaves with others and the way others respond to this behavior, the way a person behaves towards the social institutions, and social rules. Based on the interaction between individual and his environment, social health can, in fact, be interpreted in different ways. For example, within the "Health inquiry", in Belgium, in 2004, social health translates, particulary, into social support terms (the availability of others persons an individual trusts, that he can count on and make him feel appreciated and respected as a person).
Social health refers to one's capacity of achieving his lifetime purpose, such as being a son or daughter, a parent, a husband, a friend or a citizen, in an effective and comfortable way, without disturbing the social and secure ecological climate of others. Each of this purposes comes with different responsibilities and risks. All purposes require an effective communication, the "give and receive" kind, since healthy relations are never accomplished in an unilateral way. The fulfillment of human needs for love, intimacy, collective belonging, represent an important factor in achieving social health. The persons who are deprived of these needs may develop behaviors that can threaten their health and wellbeing, and thus fall under the incidence of anomy, deviance and social pathology (Rusu 2008).
As for the social wellbeing, it means: an optimal habitat, proper nutrition, adequate socialization (acquaintances, school, friends, family). Currently, many health problems are caused by socio-economic factors, that, however, can be changed through a beneficial collective activity and work. The purpose of health education is to make people understand how their behavior and environment may affect their health. Health education has no age boundaries. Its purpose is to naturally promote "human wellbeing" and to offer practical means of disease prevention, through proper nutrition and a healthy lifestyle, which enables modern man to successfully get over stressful situations, which can lead to a potential bodily offbalancing (European Union Agencies 2012).
Different research programmes have shown a significant link between subjective health and each of the social health (wellbeing) indicators, whatever these may be. People who assess their health as poor have a greater tendency of being dissatisfied with their social contacts, have little contact with their entourage, have a limited social network and declare poor social and functional support (Enquête de Santé-Belgique 2001). The same study shows that the deficiency of social contacts (once a month, once a year, never) is reported by 8 % of the population of over the age of 35 (above the average of population); people over the age of 75 have a limited social network. Interestingly enough, this situation is also encountered at the age 15-24.

Methods
The study was conducted between October 2012, March 2013 on a sample of 500 adults, of whom 318 individuals perform leisure sports activities and 182 do not perform this kind of activities. We mention that the age range of our subjects undergoing our research, is 25-49 years. The subjects are distributed as follows: aged between 25 and 29 y/o N = 65 (25 males; 40 females); aged between 30 and 34 y/o, N = 120 subjects (55 males and 65 females); for those aged between 35 and 39 y/o, we have N = 65 (males 39; females 26), subjects aged between 40 and 44 y/o, N = 175 (70 males and 105 females); 45-49 y/o, N = 75 (40 males and 35 females).
In this research, we have applied a questionnaire, focused on the main component of the quality of life-health, and on the subcomponent, social health. The questionnaire comprised 20 questions, with values of result interpretation between 1 and 60 points. The margins for the questionnaires they were: a-1 b-2 c-3 (points) and the final results for the 20 items are: from 1 to 20 "not satisfactory social health"; from 21 to 40 "average social health/satisfactory social health"; from 41 to 60 "good social health". Every participant has checked one variant response.
This questionnaire was applied both at the beginning or at the end of the process of performing different leisure sports activities in Brasov town, and on the street, for all categories of adults, from the target group.
The questionnaire was administered to adult subjects who declared they performed leisure sports activities rather constantly (participants to various sports activities: cross, hiking, jogging, mountain running, running through parks, sports games, fitness, cycling, swimming, ski etc.), to persons to mentioned they did not perform sports activities (interviewed on the street), as well as to those who took part in different collective activities, organized by regional/local institutions, sports associations, non profit organizations etc. This questionnaire contained closed, open and anticipated answers.
After collecting and processing the results of the questionnaire, we used the SPSS software to calculate the alpha Cronbach index, the average, the standard deviation and other statistical analysis.

Interpretation of data collected from the questionnaire that was applied Validation of the questionnaire focused on social health (SPSS 20 2012)
For the social health questionnaire, Cronbach's Alpha coefficient of validity scale with 20 items, has the value 0.790, which proves a good level of fidelity (Table 1).
Also, we calculated the average and the standard deviation for the 500 interviewed subjects (Table 2).

Social health, depending on the pool of subjects, in adults who practice leisure sports activities
By analyzing the pool of persons who practice leisure sports activities, we found that the average result for social health is 53.31, at N = 318 (SPSS 20 2012).
Variable values deviate from the average value, plus/ minus, by 8.36.
Modular value shows us that value 59 is the most encountered on the interviewed subjects.
Kurtosis, of −1.191, indicates a platykurtic distribution. Asymmetry coefficient equal to −0.835 shows a negative asymmetric curve, tilted to the right, and multiple values to the left (Table 3; Fig. 1).
Kolmogorov-Smirnov test, through shows us that the variable that was analyzed its result, is not distributed normally (Table 4).
We mention that 69.8 % (N = 222) of the participants in leisure sports activities (N = 318) have a good social health (Table 5   The subjects (N = 96) who obtained a score that corresponds to a satisfactory rating, following the declarations from the questionnaire (for the self-perception of the level of social health), represent a percentage of 30.2 out of the subjects who undergo sports activities, namely N = 318 (Table 5; Fig. 2) and 44 of them are males (29.5 %) and 52 females (30.8 %). As far as the male gender is concerned, the distribution on age categories is as follows: 25-29 y/o, n = 2, i.e

Social health, depending on the pool of subjects, in adults who do not practice leisure sports activities
The average score in terms of social health on persons who do not practice leisure sports activities, (N = 182) is around 29.55, the most common value being 21 (SPSS 20 2012).
By analyzing the values distribution, it is noticed that theses values deviate from the average, plus or minus, by 9.47.
The asymmetry coefficient (0.802) indicates a distribution tilted to the left, with multiple extreme values tilted    Fig. 3). The variable is not distributed normally (Table 7). Of the 182 persons whose level of social health was assessed and who do not perform sports activities, the majority (59.9 %) have an unsatisfactory social health, 37.9 % have an average social health, whereas only 2.2 % have a good social health (Table 8; Fig. 4).
We note that 59.9 % ( The subjects (N = 69) who, following the declarations from the questionnaire, obtained a score corresponding to a satisfactory rating (for the self-perception of the level of social health), represent a percentage of 37.9 out of the subjects who do no practice sports activities, namely N = 182 (Table 8 In the case of the subjects (N = 4) who, following the declarations from the questionnaire, came under a good social health, we state that these represent a percentage of 2.2 of the subjects who do not perform leisure sports activities, namely N = 182 (Table 8; Fig. 4) and none of them are males (0 %) and 4 females (4 %).

Discussion
The main evaluative component of the quality of life is health, and health depends on the level of physical, mental and social health, these three factors influencing each other.  Practicing physical exercises is the way most within our grasps to really influence in a beneficial way the health condition. Thus, effects are highlighted in regards to: body and segments harmony, maintaining the optimal parameters of the body vital functions, ensuring the necessary physical support for achieving the professional and social tasks, the development of a movement range necessary for professional, social and leisure activities, the development of some qualities in terms of personality (perseverance, self-government, self-control, sociability), the changement of mentality related to effort and practicing physical exercises as a part of lifestyle, obtaining/maintaining a physical condition, maintaining the health condition at an optimal level, inducing a general wellbeing and increasing the satisfaction level (Leonte 2012).
In terms of sport, Epuran (2011) says that, social health plays or should play an important role, in the sense that practicing physical activities lead to the development of social relationships between individuals. It is well known how enjoyable are aerobic exercises when performed together with colleagues, group jogging, rides on bicycles and ski, sports games etc. Sports activities, performed in group are stimulating and refreshing, and develop verbal and non verbal communication. Thus, this type of social health translates into a socialization and satisfaction increase.
There is a trend of growth of social dissatisfaction manifested with aging on both categories of subjects (the ones who practice/do not practice leisure sport). This trend is found to be more pronounced in passive persons/not participating in organized sports activities.

Conclusions
Health is a fundamental resource for individuals, communities and societies overall. For individuals, enjoying a good health is essentially important. Also, a good health of the population overall, is essential to the economic growth and the development of the society (Alber and Köhler 2004).
An improved physical health/maintained through various exercises, represents a determinant factor for mental health, as well as for social health, and for the quality of life of each individual by default.
The research data show that the persons who practice leisure sports activities on a regular basis, have a higher social health index, unlike the persons who do not participate in this type of dynamic activities.  In statements, from the pool of persons who practice sports activities, the age categories with a high percentage of people enjoying a good health, are: 25-29 years (88.6 %) and 45-49 years (83.3 %). For the other age categories, a decreasing percentage of persons with a good social health is noted, with aging.
On the persons who do not practice leisure sports activities we note instead, an increasing percentage of the persons with an unsatisfactory social health, from 43.3 up to 76 %, that comes with aging.