EUROMEDICA  Hanover 23-24  Mai 2011	Advanced methods of diagnosis, treatment and prophylactics
	European Academy of Natural Sciences, Hanover European Scientific Society, Hanover

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Urgency. Preventive maintenance of infringements of cardiovascular system posesses the important role among actions for preservation of health of the population. The major condition of preservation and health improvement is the healthy way of life which formation makes a basis of primary preventive maintenance of diseases. Comprehensive planning of improving actions, correction of negative influence of risk factors are possible only after studying of prevalence of these factors among students, an estimation of a way of life of youth taking into account a functional condition of cardiovascular system.

Research objective: to estimate the contribution of various risk factors of a cardiovascular pathology to a deviation of a state of health and processes of adaptation at students of VSMA of N.N.Burdenko.

Materials and methods. The research program included complex anthopometrical, physiological and psychological inspection of students of 1-6 courses in number of 80 persons. Among them, 38 students of the 1 course (18 young men and 20 girls) and 42 students of the 6 course (13 young men and 29 girls). For revealing of behavioural risk factors for chronic noninfectious diseases the questionnaire defining prevalence of smoking, the alcohol use, food habits, level of physical activity was used. The express estimation of a functional condition of heart with the subsequent dispersive analysis is made with application of computerised system “Cardiovizor-06С”. Statistical processing of the received results is made with the use of classical methods of parametrical and nonparametric statistics.

Results of research. At an estimation of behavioural risk factors it is revealed, that 75 % of students are smokers. Low physical activity and high indicators of prevalence of superfluous weight of a body and adiposity is noted. The superfluous weight of a body is more frequent for young men (27,5 %), than for girls (7,2 %) . At girls in 11,8 % of cases deficiency of weight of a body, and at young men of 2,89 % has been revealed, their weight of a body and the index of weight of a body were authentically more low in comparison with age and sexual specifications. Adiposity of I degree 2,6 % of students of young men and 1,45 % of students of girls suffer.

Knowledge of respondents of figures of the arterial pressure makes 58 %. 34 % know, that they have propensity to labile arterial pressure. Thus overwhelming majority of respondents are not treated and do not focus the attention on a “wrong” way of life and presence at their life the risk factors to health.

At the indicator analysis “a myocardium Index” it has been established, that it authentically did not differ in groups of the 1 and the 6 courses (р <0,05). Average values of an indicator “Myocardium” for students of the1 course have made 11,81±2,11 %, for students the 6 course 13±1,65 %. The majority of students both the 1 course, and the 6 course had values of an index of a myocardium <15 % that corresponds to absence of pathological changes. Meanwhile at the overwhelming majority of students values of the indicator “Myocardium”, were grouped around the top border of norm, and average values of an indicator in group healthy “Myocardium” have made 9,07±4,11 %, for students of the 1 course and 7,25±1,12 % for students the 6 course accordingly. Prethreshold infringements in heart work (an indicator “Myocardium” from 15 % to 27 %) were observed at 12 students of the 1 course that has made 32 % from the general number of the surveyed and 16 students the 6 course - 52 % accordingly. According to screening of a pathology of cardiovascular system the 8 % already have the expressed forms of a pathology. So for the 3 students of the 1 course the indicator of “Myocardium” more than 27 %, testifying to a pathology of heart with characteristic “a heart portrait” with prevalence of red tones has been noted.

The most interesting data we have received at the analysis of correlation communications between level of glucose and internal environments of an organism. So the fat maintenance in an organism did not render essential influence on level of glucose and only with indicator increase AG (by data of bioimpendencemetria) there were weak positive correlations (r=0,48,> 0,05). At the same time, glucose level in direct ratio increased in process of increase of weight of bones.

Thus, screening on revealing of the pathology of cardiovascular systems in the youth environment allows to allocate group which for the purpose of correction of metabolic infringements and the prevention of development of a metabolic syndrome need to go through the standard clinic inspection in the future.