"Human Health Passport", developed at the Institute of Gerontology for remote monitoring of health of the population, automatic assessment and determine the need for maintaining health and developed preventive measures necessary for health and labour activity of the population. The state of health is the basis of the general working capacity and functional age of the pensioners and the employee. In the world are exists basic scales for the definition and assessment of frailty, intrinsic capacity, assessment of cognitive abilities. We have created a method named "Human Health Passport" online for round-the-clock monitoring of public health online. The objective self-assessment or estimation by a medical specialist for individual and public health, physician, rehabilitator or geriatricians gets results of functional test state and questionnaire answers and computers assessment in the cloud. The content of the passport includes the research results of the Institute of Gerontology, worldwide gerontologists scales and WHO’s recommendations that have been adopted for the local communities (for Ukraine’s actual three languages: Ukrainian, Russian and English). The results of the test “Human Health Passport” help a person to get attention to the state of their health and workability and evaluate the possibility of the diseases. Detailed information on diseases and treatment is available after physician investigation. Meanwhile, the total individual data based can be used for monitoring aims in local professional populations. Using traditional methods such as systematization of research results, multivariate analysis of data, correlation and Cronbach's alpha analysis determined the degree of reliability on the basic parameters that make up the initial assessment, especially for remote monitoring of public health-based for all age groups. The results of monitoring randomized sample study have been shown high informativeness of the method regarding health state in persons with full employment status within age 31-85 years by all regions and administrative units in Ukraine. The results of the online monitoring "Human Health Passport" has been shown that the determination coefficients of the education parameters and occupational status, vision, hearing, metabolism, physical ability, cognition (mainly attention) and functional activity, mostly in the working population respondents determine a significant impact on health (p < 0.05 - 0.001) according to the total and scale assessment. Assessment of reliability, informativeness and analysis of correlation relationship between monitoring indicators are demonstrated as a favourable criterion of compliance of parameters to the scale of individual Human Health Passport. Similar patterns have been found on the population level mainly in working subjects as online users of mobile applications with remote automated health monitoring. Keywords: Human Health Passport; automatic assessment; the criterion of compliance of parameters; health and labour activity.
This investigation is dedicated to clarifying of physiological mechanisms of labor activity in subjects of a different gender and age with the purpose of a theoretical background of rational usage of human residual performance and rehabilitation of his health. When analyzing the tightness of the relationships, there is a stronger relationship between the residual performance and the calendar age than the rate of functional aging and calendar age. The study of concomitant influencing factors throughout life has been shown that the presence of labor or family migration within the region, within and between states; as well as indicators of the length of service, year, age, and reasons for retirement do not have reliable correlation with the rate of aging. Reliable correlation associations were found with continued retirement at the time of the study; with the year of termination of work; and the size of the total income of the examined individuals -associations in comparison with the relationship with the calendar age have a weaker connection with the rate of aging. With indicators of the class of tension and severity, type of work, class of intensity, class for differentiation of labor according to the ILO classification. Muscle strength and endurance in the women have expressed age dynamics. The muscle strength of the women is significantly slashed at 30-35 of years, and the muscle endurance remains stable up to 55-year’s age. For the men the dynamics of the muscle strength and endurance have no obvious age trend, and mostly depend from lifestyle, physical and labor activity. In functionally young subjects the working physical work capacity is 15-20% higher, compared to an average level, observed when the functional and calendar ages coincide. The age-related decline the physical working capacity in the older workers is decelerated owing to the selection of those who are functionally young and the elimination of those who age prematurely. The physiological capabilities that determine 47.54% of the actual performance of people aged 60 -89 years are reliably due to accelerated aging. Studies have shown high information content of using the indicator of residual performance in people over 60 years of age. A study of residual performance in people over 60 years of age showed that close to 57% of elderly people and 96.7% of senile people need ergonomic innovations in work and life to increase physical independence from outside help and compensate for age-related decline of working capacity.
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