Abstract
Purpose: to investigate the characteristics of carbohydrate metabolism indicators in patients with metabolic syndrome before the beginning of rehabilitation effects as well as to trace the dynamics of indicators in the process of application of our physical therapy comprehensive program. Material and methods. The survey involved 70 women with metabolic syndrome, who were divided into the main (MG) (35 women) and control (CG) (35 women) groups with the average age in the MG 31.49±0.71-year-olds, in the CG – 31,06±0,57 -year-old. In the main group, a physical therapy program was applied for patients with metabolic syndrome, which includes a hypo caloric diet with a hypolipidemic focus; therapeutic massage according to the method of P.B. Efimenko for patients alimentary-constitutional obesity; medical gymnastics using elements of sports-oriented aerobics and special physical exercises based on Pilates gymnastics using fitballs and expanders; morning hygienic gymnastics; limited walking in combination with breathing exercises, taking into account the activity of the autonomic nervous system. Result. As a result of a comprehensive and developed physical therapy program that was justified and applied for 4 months for patients with metabolic syndrome, the studied carbohydrate metabolism parameters changed significantly. Main group women showed significantly improved indicators of glycemia on empty stomach: from 8,85±1,54 to 5,98±0,81mmol / l, glycemia after eating: from 11,47±1,85 to 7,68±0,86mmol / l and reached the target levels of diabetes compensation and diagnostic criteria for the metabolic syndrome. Conclusions: physical exercises contribute to the improvement and normalization of carbohydrate metabolism. They restore adaptation to physical exertion and normalize the function of the cardiovascular system, motor activity and psychoemotional state as well.
Highlights
Metabolic syndrome is a significant clinical and epidemiological problem in the population of industrialized countries
Patients of the main group underwent rehabilitation measures according to the author's program of physical therapy, to patients of the control group according to the program, they are used for metabolic syndrome in the specified medical institution
The main criteria for the diagnosis of metabolic syndrome is to determine the level of glycemia in capillary blood on an empty stomach and 2 hours after a meal, the level of glycated hemoglobin [46,47]
Summary
Metabolic syndrome is a significant clinical and epidemiological problem in the population of industrialized countries. It is characterized by the presence of abdominal obesity, insulin resistance, type 2 diabetes mellitus, dyslipidemia, arterial hypertension. Epidemiological data on metabolic syndrome is not optimistic. Observations by scientists and clinicians around the world confirm that today there is a growing epidemic of metabolic syndrome. Its frequency in populations depends on ethnicity, age and gender [1]. Epidemiological data indicate a fairly high prevalence of metabolic syndrome, which averages about 24% and exceeds 40% in the age group after
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