CORRECTION OF HYPODINAMY AS A FACTOR OF THE RISK OF OBESITY DEVELOPMENT IN FIRE-RESCUERS

Aim. To evaluate the effectiveness of the developed special sports complex in the prevention of hypodynamia and obesity among firefighters-rescuers.
Materials and methods. A survey of 490 men with no history of chronic infectious and non-infectious diseases aged 20-59 was conducted. 328 people were the main group, 162 people were the control group. The baseline data included anthropometric development indicators, bioimpedance test results, the extraction of biochemical blood test results; the body mass index (BMI) and the ratio of waist and hip circumference were determined. A questionnaire was conducted to identify hypodynamia (according to the IPAQ questionnaire) and the nutrition structure (according to the questionnaire on the food label literacy questionnaire, past). Both questionnaires were adapted to the Russian Federation. Statistica for Windows 8.0 was used for statistical processing. We used a comparison of the means of the Student method. To compare the values expressed in percent, the method of inverse trigonometric Fisher transformations was used.
Results. We have developed and proposed for firefighters-rescuers, included in the main group, special sports complexes, which were used for 6 months. These complexes represent additional physical training by the developed method. There are two of them: one with an emphasis on the prevention and rehabilitation of people with osteochondrosis of the lumbar spine, and the other for cervical and thoracic localization, including with a syndrome of shoulder-scapular periarthritis.
Classes were held 3 times a week, the duration of 1 session was 45-50 minutes. The choice of the complex was carried out at the request of firefighters-rescuers. The first complex was selected by 52 people. Based on the results of the study, against the background of the use of sports complexes, there was a 2-fold decrease in the incidence of obesity. Such a high efficiency is due to the fact that obesity of the I degree prevailed among the firefighters-rescuers. In addition, the frequency of occurrence of dyslipidemia, hyperglycemia, and hypodynamia decreased.
Conclusion. The use of this sports complex can reduce the risk factors for development of disability among rescue firefighters by preventing hypodynamia and reducing the incidence of hyperglycemia and dyslipidemia, as factors in the development of obesity.

1. Yushchuk N.D., Maev I.V., Gurevich K.G. Healthy lifestyle and disease prevention. Moscow: Praktika; 2015. 416 с. (In Russ.).

2. Gurevich K.G, Poston W.S., Anders B., Ivkina M.A., Arkhangelskaia A.N., Jitnarin N., Starodubov V.I. Obesity prevalence and accuracy of BMI-defined obesity in Russian firefighters. Occup. Med. 2017; 67(1): 61-63. (In Russ.). DOI: 10.1093/occmed/kqw136

3. Arkhangelskaya A.N, Ivkina M.V, Gurevich K.G. Overweight and obesity as an actual health problem for people in hazardous occupations. Emergency Medicine. 2015; 3(91). 34-36. (In Russ.).

4. Ivkina M.V., Arkhangelskaya A.N., Rogoznaya E.V., Ignatov N.G., Gurevich K.G., Samusenkov O.I., Osadchenko I.V. Risk factors for the development of diseases in firefighters. Vestnik Smolenskoj gosudarstvennoj medicinskoj akademii. 2016; 15(2). 126-131. (In Russ., English abstract).

5. Federal Law 28.12.2013 N 426-FL, «About the special assessment of working conditions» article 14 «Classification of working conditions». (In Russ.).

6. Resolution of the RF Government 16.07.2014 N 665 «On the lists of works, industries, professions, positions, specialties and institutions (organizations), taking into account which the old-age insurance pension is early appointed, and the rules for calculating the periods of work (activity) giving the right to early retirement provision» ( In Russ.).

7. Arkhangelskaya A.N., Samusenkov V.O., Samusenkova E.I., Samusenkov O.I., Rogoznaya E.V., Ignatov N.G., Gurevich K.G. The influence of various factors on the prevalence of overweight and obesity among people in hazardous occupations. Journal of New Medical Technologies. Electronic journal. 2016; 4. (In Russ.). DOI: 12737/23042.

8. Ivkina M.V., Arkhangelskaya A.N., Rogoznaya E.V., Ignatov N.G., Gurevich K.G., Samusenkov O.I., Osadchenko I.V. Some features of morbidity in people of dangerous occupations. Kursk Scientific and Practical Bulletin “Man and His Health”. 2016; 4: 5-8. (In Russ., English abstract). DOI: 10.21626/vestnik/2016-4/01.

9. Arkhangelskaya A.N., Babushkina A.I., Gurevich K.G., Dmitrieva E.A., Osadchenko I.V., Samusenkov O.I. Journal of New Medical Technologies. 2017; 24(4). 110-116. (In Russ., English abstract).

10. Order of the Ministry of Emergency Situations of the Russian Federation from October 2015 №569. "On approval of the regulations on the physical training of rescuers and citizens becoming the rescuer status" (In Russ.).

11. Nikolaev D.V., Smirnov A.V., Bobrinskaya I.G., Rudnev S.G. Bioimpedance analysis of the composition of the human body. М.: The science; 2009. 392 p. (In Russ., English abstract).

12. Gurevich K.G., Reynolds J., Bifulco L., Doughty K., Njike, Katz D.L. An evaluation of the reliability of the food label literacy questionnaire in Russian. Health Educat J. 2015; 1: 1-8.