Purpose. The assessment of the state of health of population using positive indices is crucial for health promotion. The following study focuses on the levels of somatic growth and physical fitness of adult women living in small towns and on their dependence on physical activity. Basic procedures. The research sample consisted of two groups of women: one consisting of women taking part in health-related training and a control group. All in all, 421 subjects participated in the study aged 20-59 years, divided into age ‘decade’ cohorts. The procedures applied included measurements of the main somatic parameters and physical fitness tests. Main findings. More favorable somatic parameters and a higher level of physical fitness were noted in the training women than in women from the control group. Conclusions. Systematic physical activity of two 50-min training units per week is an essential stimulation of women in productive age.