Pathophysiological justification for admission of athletes who underwent community­acquired pneumonia to training loads.

Abstract

Objective: to study the power supply of veloergometric loading in athletes who underwent community-acquired pneumonia to justify the renewal term of physical activity as well as its volume and intensity. Material and methods: 80 athletes aged from 17 to 26 years who were engaged in cyclic sports with I qualification grade and higherwere examined. They were divided into 2 groups: 43 athletes with community-acquired pneumonia (group I) and 37 healthy athletes (group II). The group I included subgroup IA (n=28) withgenerally accepted standard medical treatment of community-acquired pneumonia and subgroup IB (n=15) with additional complex of therapeutic gymnastics, massage, physiotherapeutic procedures. All participants underwent complex general clinical, radiologic and laboratory examinations and alsosome special tests asspirography and spiroergometry, electrocardiography, veloergometric exercise. Results: Athletes with community-acquired pneumonia at the time of clinical recovery showed significant violations of the functional state of the cardiorespiratory system both after exercise and during the recovery period. However amongthe sportsmen with community-acquiredpneumonia all studiedparameters restored more quickly in the subgroup IB, where remedial gymnastics, massage and physiotherapy were used in complex treatment. It was shown that the most informativeparameters for dynamic monitoring of the functional condition of athletes who underwent community-acquired pneumoniawererespiratory minute volume(RMV), heart rate (HR), oxygen pulse of work (peak O pulse), oxygen-utilization coefficient (OUC). Conclusions: athletes who underwentcommunity-acquired pneumoniacan be admitted to training and competitive loads in terms of not earlier than one month after clinical recovery. Admission to training and competitive loads should be conducted after a comparative analysis of the functional parameters of the external respiration system at rest, veloergometric loading and in the recovery period.