Background: The physical education of students who have a deviation in their state of health requires a joint effort from teachers and doctors. Aim: The aim of the study was to substantiate the necessity of swimming classes as an effective means of physical rehabilitation in students with health disorders within the physical education curriculum classes. Methods: Students with low-level somatic health (54 students) were grouped into the Basic Group (BG, 27 students) and the Control Group (CG, 27 students). The Basic Group students were offered special swimming classes aimed at their physical rehabilitation. At the beginning of the study and after 24 training classes the authors assessed the somatic health, physical and mental endurance, and adaptation abilities of the autonomic nervous system. Results: Implementation of the method into the curriculum of the BG students resulted in a significant improvement (by 48.1%) of their somatic health. A reliable re-distribution of the students with “poor” and “lower than average” somatic health to the “average” and “higher than average” health group was noted (p < 0.05). The students’ physical characteristics improved by 36.4%. Conclusion: The conducted research proved the necessity of using sectional swimming activities as a means of physical rehabilitation of students with low health.

Background and Study Aim. The aim of this research was assessment and correction of highly skilled swimmers’ operative status during competitions. Material and Methods. The authors carried out complex assessment of 46 high-skilled swimmers during competition period. The body impedance analysis and functional status express diagnosis were conducted before and after competitions. Results. The components limiting the operational state of swimmers were determined: “component composition of the body” (44.83% of the total load), “functional” (19.97%).  Correlation relationships were established between the main indicators that determine the level of the operational state of athletes.  The multiple regression equation was calculated, which made it possible to determine the influence of individual significant parameters on the level of the operational state of athletes and the confidence interval.  A group of athletes with operational status indicators below the confidence interval received sport supplementation. Conclusion. The main characteristics of the athletes’ operative status are cellular biomarker phase, fat free mass, extracellular water, intracellular water, strength index. These characteristics should be used in assessment of both operative status and complex functional diagnosis of highly-skilled swimmers during competitions.

Serum levels of testosterone (ST) and high-density lipoprotein (HDL) are generally associated with atherosclerosis in male patients over 50 years with critic iliac stenosis (TASC II A and B) and cardiovascular disease with significant changes in HDL and low-density lipoprotein (LDL). In addition to the standard therapy, combined medicamentous therapy and adequate model of exercise are also important factors as medicines can improve HDL levels and primary bypass and endovascular potency impacting positively on improvement of ST or it can be the following testosterone replacement therapy (TRT) comprising cardiovascular disease prevention and vascular treatment as adjunct therapy options after endovascular and vascular surgical procedures. The aim of the study is to identify the association between HDL and ST after surgical and endovascular intervention on the iliac segment (TASCII A and B), as well as cardiovascular risk factors with modified medium activity (MET) <6 with short interval increase over >6 (MET), with total duration of 30–60 minutes. It also attempts to remodel a patient behavioral pattern, optimize ST levels and link them to outcomes and patency of vascular procedures on the iliac segment. Materials and methods. 108 selected male patients with cardiovascular disease combined with metabolic syndrome and critical iliac artery stenosis (TASC II A and B) were examined during 2014–2018, 4 years after invasive and minimal invasive treatment (54 patients were treated with surgical Dacron reconstruction and 54 patients – with endovascular treatment on short segment of critical iliac artery stenosis (TASC II A and B). Results. In the total population, no difference was observed in changes of constraint-induced movement therapy between the standard exercise group and the control one after 4 years from baseline. However, there was no significant interaction between the effect of exercise trainings and primary bypass potency within 4 years. Conclusions. Primary effects of endovascular procedure and Dacron bypass revascularization raise the risk of elevated testosterone levels after 4 years of group training but does not provide adequate answers to questions as to whether higher levels of ST have any major influence on primary bypass potency preventing further progression of cardiovascular disease and general symptomatic and asymptomatic atherosclerosis. However, exercise and TRT can be potential adjunctive therapeutic options for a future supporting postsurgical and endovascular illiac treatment in cardiovascular patients with low testosterone levels.

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Purpose.To determine the main components of the functional state of masters athletes and its dynamics in training and competitive activities.Materials and methods. The work is based on the results of a comprehensive functional examination of 19 athletes at mean age of 42.2 ± 7.8 years specializing in Ironman 70.3 triathlon for a period of 1 to 4 years. Functional diagnostics of the cardiovascular, respiratory and autonomous nervous system as well as biochemical studies were performed, the level of physical performance was determined.Національний медичний університет імені О. О. Богомольця, м. Київ, Україна A -концепція та дизайн дослідження; B -збір даних; C -аналіз та інтерпретація даних; D -написання статті; E -редагування статті; F -остаточне затвердження статті Мета роботи -визначити основні складові функціонального стану спортсменів Masters і його динаміку в умовах тренувальної та змагальної діяльності.Матеріали та методи. В основі роботи -результати комплексного функціонального обстеження 19 спортсменів (42,2 ± 7,8 роки), які спеціалізуються в тріатлоні Ironman 70.3, стаж занять -від 1 до 4 років. Здійснили функціональну діагностику серцево-судинної та дихальної систем, вегетативної нервової системи, біохімічні дослідження, визначили рівень фізичної працездатності.Результати. Визначили основні складові, що лімітують функціональний стан спортсменів Masters: метаболічна активність (32,1 % загального навантаження), ферментативна активність (24,84 %), вегетативний чинник (16,2 %). Встановили основні кореляційні взаємозв'язки між основними показниками функціонального стану провідних систем організму спортсменів Masters. Розрахували рівняння множинної регресії, що дало можливість визначити вплив окремих значущих параметрів на рівень функціонального стану спортсменів Masters. На підставі порівняльного аналізу функціонального стану спортсменів Masters визначили динаміку змін у показниках функціонального стану в умовах тренувальної та змагальної діяльності.Висновки. Одними з основних показників, які дають відомості щодо комплексної діагностики та показують рівень функціонального стану спортсменів Masters, є АЛТ, АСТ, КФК, ЛДГ, ЖЄЛ, резервні можливості, загальна метаболічна ємність, коефіцієнт економічності кровообігу. У зв'язку з високою вірогідністю результатів, ці показники повинні бути використані під час комплексної та оперативної функціональної діагностики спортсменів Masters.Results. The main factors limiting the functional state level of the masters athletes were revealed: "metabolic activity" (32.1 % of the total load) "enzymatic activity" (24.84 %), "autonomic" (16.2 %). The main correlations between the indicators of basic body systems functional state in masters athletes were established. The multiple regression equation was calculated, which allowed determining the influence of certain significant parameters on the functional state level in the masters athletes. Based on a comparative analysis of the functional state of the masters athletes, the dynamics of changes in the functional state indicators in t...