Background. Chronic obstructive pulmonary disease (COPD) is often associated with musculoskeletal dysfunction, including skeletal muscle dysfunction, sarcopenia, osteoporosis, and obesity. The purpose was to assess skeletal muscle status and determine the prevalence of sarcopenia and sarcopenic obesity in patients with COPD. Materials and methods. 66 patients with COPD and 35 healthy subjects had been examined. Sarcopenia was established using EWGSOP2 criteria, and sarcopenic obesity was defined in the presence of sarcopenia with a body mass index > 25 kg/m2. Results. In 59.1 % of the patients with COPD, a decrease in skele­tal muscle strength was found, in particular, by 28.2 % in women and by 39.1 % in men at GOLD 4 in comparison with GOLD 1 and by 40.7 % and 54.3 %, respectively, compared to the control. A decrease in leg circumference (by 16.3 % in women and by 20.8 % in men) was determined at GOLD 4 compared to GOLD 1. A decrease in wal­king speed by 20 % in women and by 27.3 % in men was determined at GOLD 4 in comparison with GOLD 1 and a reliable correlation inverse connection between age and wal­king speed (r = –0.72 — in women and r = –0.61 — in men). A significant decrease in the lean mass of the limbs was established in COPD patients over 45 years old and with GOLD 2, lean and fat mass indices — with GOLD 3, appendicular lean mass — with GOLD 4 and over 60 years old. A direct correlation link was established between the severity of COPD and android type of obesity (r = 0.41; p < 0.05). Conclusions. Sarcopenia was diagnosed in 66.7 % of the patients with COPD and 5.7 % of the control group, and sarcopenic obesity was diagnosed in 27.3 % of the patients with COPD. An increase in the share of sarcopenia was observed with age (from 50 % among young people to 91.7 % among subjects over 60 years old) and sarcopenic obesity (from 25 % of subjects under 45 years old to 55.6 % over 60 years old) and with increasing severity of COPD (from 20 % with GOLD 1 to 100 % with GOLD 4 and from 42.9 % with GOLD 1 to 50 % with GOLD 4, respectively).

Annotation. Sexuality is closely related to a person's personality, determines his behavior, affects self-esteem and psycho-emotional state. The criteria of sexual norm are based on the concept of mental health, based on the tendency to development and self-realization, the ability to manage their actions and deeds in accordance with personal values, the ability to adequately perceive themselves and others, as well as learning based on personal experience. The aim of the research is to study the sexual education and the main problems associated with it among 4th year students of National Pirogov Memorial Medical University, Vinnytsya (NPMMU, V). We conducted an anonymous survey of 308 medical students of the fourth year of NPMMU, V with the help of a questionnaire created by the authors and included 20 questions about various aspects of the respondents' sexual life. The analysis of the obtained results of the study was carried out on the basis of the computer program Statistica 6.1 using nonparametric methods for assessing the results obtained. It was found that among medical students there is a rather low level of education in terms of sexual topics, the age of sexual debut in the overwhelming number is 18-20 years; but the percentage of virgins is also quite high (22.2%).