Aim to formulate the criteria for evaluating the effectiveness of prevention of non-communicable socially significant diseases on the basis of fitness centers. Material and methods. The longitudinal retrospective study included 370 visitors of fitness centers who attended wellness programs. The adaptation potential (AP) formula according to R.M. Baevsky served the basic method for research. According to the results of screening, the visitors were divided in three groups. Hemodynamics and trophological status were measured in each group. Results. The hemodynamics and trophological status differed depending on the adaptation potential. In the group with the AP score less than 2.6, the SBP at rest was 11311.1 mmHg, DBP 68.17.4 mmHg. In the second group, the SBP was 12611.2 mmHg, DBP = 77.510 mmHg, heart rate = 7510 bpm, BMI = 26.73 kg/m2 and waist/hip ratio= 0.840.17. In the third group: SBP = 142.811.2 mmHg, DBP = 85.710 mmHg, heart rate = 7910 bpm. BMI = 29.84.8 kg/m2, waist/hip ratio =0.900.16. The level of SBP in all three groups after the functional test was 119.5 [95% CI 115123], 125.0 [95% CI 116155] and 144.5 [95% CI 133172] mmHg (H = 52.1227, p = 0.00199), respectively. During the study period, in the first group, the AP score remained at the same level in all age groups. In the second group, there was a decrease of AP score from 2.810.13 to 2.660.21 points. In the third group, we observed the decrease from 3.3 0.14 to 3.13 0.28 points with a sufficient number of visits (101 or more per year) in all age groups. Conclusion. The use of such criterion as adaptation potential makes it possible to assess the effectiveness of mass preventive measures due to more precise differentiation of visitors and the use of homogeneous impact methods.
Objectives to evaluate the possibility of organizing a preventive care service in a modern fitness center through the analysis of visitor's motivation to attend the center. Material and methods. The visitors of three large fitness centers filled in a questionnaire, the results of the survey were further processed using cluster analysis. Results. In 43.11.6% of cases, the main motive for visiting a fitness center was improving health. The goal of "prevention and treatment of diseases" was chosen by 23.41.4% of visitors. A motive for weight reduction was registered in 29.41.5% of cases. Visitors' ranking of the goals to attend a fitness center showed that in most cases they consider improving health (5.79 points) to be the most important task, in second place keeping fit (5.69 points). Cluster analysis allowed us to divide visitors into 8 groups, the three largest groups can be the target audience for the prevention of noncommunicable socially significant diseases. Conclusion. Some categories of fitness center visitors can be the essential target segment for emphasizing preventive activities against non-infectious socially significant diseases.
The COVID-19 pandemic has introduced massive and drastic changes into healthcare. A significant part of the population has suffered a new coronavirus infection of varying severity and they need attention and follow-up at the outpatient level. Assessment and monitoring over functional status of the COVID-19 survivors is one of the important objectives of organizing medical rehabilitation in primary health and developing preventive measures. The purpose of the study is to analyze changes in functional status and assess rehabilitation potential of the COVID-19 survivors. Material and methods used include questionnaire survey, analytical and statistical analysis. Results. Based on the questionnaire, assessment of functional status of the COVID-19 survivors was carried out using a special scale, presence and degree of functional limitations were determined. According to the survey, 65.5% of the COVID-19 survivors did not feel any limitations in everyday life. Minor functional limitations were reported by 26.5% of the respondents, while an equal number of the respondents, 4% each, noted mild and moderate limitations of body functions. The COVID-19 survivors indicated the following symptoms: easy fatiguability - 33.3%, fatigue - 26%, shortness of breath on exertion (unusual) - 15%, “smell disorder” - 13%, and headache and joint pain - 12.4%; however, 36.7% of the respondents did not report any symptoms. After the disease, 50.8% of the respondents returned to their usual state, while 35% of the respondents chose the answer “rather yes than no”. 14.2% did not return to their usual state, choosing the answer “rather not” (8.5%) and “no” (5.7%). Rehabilitation measures in the first three months after the disease were carried out by 49.2% of the respondents (327 patients). Conclusion. Functional status of the COVID-19 survivors is largely determined by the initial state of somatic health, peculiar features of the biological and psychophysiological characteristics of a person, and a complex of external factors that allow the person to realize potential abilities to compensate for the existing functional limitations. Compliance with rehabilitation measures requires active participation of medical specialists in terms of quality control and correctness of their implementation. The data obtained can be used to organize primary care delivery both at the stage of rehabilitation and development of rehabilitation programs, as well as for the purpose of timely prevention of post-COVID conditions.
Introduction.A new coronavirus infection COVID-19 is the cause of exacerbation of chronic diseases, increasing number of referrals for diseases of the digestive and circulatory systems. The urgent task in the post-co-infection period becomes the planning of health care resources and organization of timely accessible medical care, including the rehabilitation of patients after COVID-19.The aim of the workwas to study specific features of manifestations of chronic noninfectious diseases in persons after COVID-19 coronavirus infection to substantiate preventive and rehabilitative measures.Materials and Methods.The retrospective analysis of the outpatient charts (form N 025/u) of patients who underwent COVID-19 was carried out.Results.In the group with mild course of COVID-19 the frequency of cases of digestive organs diseases increased from 13.7 % to 22.7 %. In the group of patients with a moderate course of COVID-19 the share of appeals for circulatory system diseases increased from 14,8 % to 21,6 %, for digestive organs diseases from 16,7 to 21,6 %.Discussion.The peculiarity of the postcoid period is the increase in the incidence of chronic non-infectious diseases of the population. Cardiovascular, pulmonary, gastrointestinal, neurological and psychosocial symptoms of postvoid syndrome are revealed. The high prevalence of disease in the working-age population requires special attention to the organization of primary health care in a prolonged pandemic.Conclusion.In the structure of nosological forms of diseases in the postcoid period in patients with mild COVID-19 the highest frequency of cases is associated with diseases of the digestive organs, their proportion increased almost twofold. In patients with the moderate form of COVID-19 the reason for visiting the polyclinic is diseases of the circulatory system and digestive organs (21,6 %). Peculiarities of manifestations of chronic diseases after COVID-19 coronavirus infection can be taken into account when conducting clinical examination of the population and implementing rehabilitation measures.
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