ASSESSMENT OF THE LEVEL OF HEALTH AND PHYSICAL PERFORMANCE IN PEOPLE WITH ALIMENTARY OBESITY AND HIGH CARDIOVASCULAR RISK

Аннотация

Purpose: to evaluate indicators of psychological status, health level and physical performance in individuals with alimentary obesity (AO) and high cardiovascular risk (CVR). Material and methods. 99 individuals with high and very high cardiovascular risk according to SCORE2 with a body mass index (BMI) of more than 25 kg/m2 aged 40-70 years were examined. All underwent measurement of body weight, height, waist (WT) and hips (WB), WB/WB, BMI, hemodynamic parameters, bioimpedance analysis with evaluation of metabolic parameters using Tanita analyzer weights. The assessment of physical performance (PhP) was carried out using: a six-minute walk test (SMWT), the Borg scale for assessing the intensity of dyspnea, a test with Rufier squats, a mass test for determining the physical condition of E.A. Pirogov (1984). The Reeder L. questionnaire was used to determine the level of stress; assessment of health and quality of life was carried out using the EQ-5D questionnaire. Research results. Evaluation of exercise tolerance indicators depending on the degree of obesity in the group of patients with high and very high cardiovascular risk showed a significant decrease in PhP with a decreasein the distance of the SMWT, an increase in the Rufier-Dixon test, which reflects the heart rate after relatively small physical exertion, and a decrease in the level of physical condition according to the test of E.A. Pirogov, an increase in the Borg scale, which reflects the degree of shortness of breath that he experiences after performing physical activity. The data obtained indicate a decrease in exercise tolerance and an increase in the degree of dyspnea on physical activity with an increase in the degree of obesity. An analysis of the stress indicators of the Reeder L. questionnaire and health indicators according to the EQ–5D questionnaire showed that there was an increase in the stress index and a deterioration in the health indicator in the group with high and very high CVR.