RU2313274C1 - Method of estimation of sanitary-training program's efficiency - Google Patents

Abstract

FIELD: sports medicine.

SUBSTANCE: dynamics of more informative factors is determined: percentage of adipose and muscle bulk, vital and power index, physical wok ability according to PWC170 test, normalization of reaction type and reduction of restoration time after Martine stress testing, improvement in state of health, realization of assigned target and will of going on with training. Point is assigned to any factor and total efficiency point is determined. Method can be used as dynamic doctor's check not only in fitness centers but also in medical exercises dispensary and in departments of medical rehabilitation and rehabilitation centers.

EFFECT: improved efficiency.

3 ex, 5 tbl

Description

The invention relates to medicine, namely to sports medicine, and can be used for prompt medical monitoring of those engaged in physical fitness training in a modern health (fitness) center to quantify the effectiveness of individual health-improving training programs.

A known method for the quantitative assessment of somatic health according to G.L. Apanasenko (On the possibility of a quantitative assessment of human health // Hygiene and sanitation. - 1985. - No. 6. - p.55-57), which is successfully used in many domestic methods of rapid assessment physical health. The author has developed a rating scale for somatic health, which is a scoring of the level of health according to the simplest physiological indicators. The formalized diagnostic scale for physical health is based on the calculation of the following parameters, reflecting not only the anthropometric characteristics of the body, but also the work of the external respiration and cardiovascular systems: 1. Body weight / length. 2. Vital lung capacity / body weight. 3. Heart rate × systolic blood pressure / 100. 4. Dynamometry / body weight. 5. The recovery time of the pulse after exercise.

The advantage of the method is the ease of use, the minimum amount of measurements and the necessary diagnostic equipment, the ability to conduct an examination by paramedical personnel, the minimum testing time, which ensures high throughput during mass examinations of the population.

The disadvantage of this method is the lack of a qualitative component in the assessment of weight and height, when the percentage of fat and muscle mass is not taken into account. When conducting a stress test, blood pressure (BP) is not recorded, only the recovery time after exercise is estimated, and such an important characteristic as the type of reaction of the cardiovascular system to physical activity is not determined. In addition, the minimum amount of examination reduces the diagnostic value of the method and does not allow an objective assessment of the functional state of the body.

The well-known "Method for assessing the impact of physical training on the human body", Khamin E.N. Russian patent No. 2157088, АВВ 5/02 dated 2000.10.10. The author proposes to determine the functional, motor-power, anthropometric ratings, figure ratings, health and overall rating. The functional rating is determined using the breath holding time on inhalation and exhalation, pulse, blood pressure before and after physical activity, standing, lying, and recovery pulse. The motor-strength rating is determined, taking into account the obtained distance from the wall to the calf of the leg with the tight pressing of one knee to the chest, the height of the maximum lift of the leg, the number of push-ups, and the holding time of the body. The anthropometric rating is determined using data on the amount of fat and muscle tissue in the body, height and body weight. The rating of the figure is determined using the deviation data on the amount of subcutaneous fat and circumferential size. The health rating and overall rating are determined using the above ratings. And the impact of physical training on the body is assessed by increasing the indicators of the health rating and the overall rating relative to the initial level.

The advantages of this method lie in an integrated approach to assessing overall health reserves, including many diagnostic tests. The rating system proposed by the author allows you to fairly objectively assess the impact of physical training on the human body. The advantage of this method is the determination of the percentage of fat in body weight, which allows you to take into account the ratio of fat and muscle component in determining the anthropometric rating.

However, in the proposed method, despite the large number of diagnostic tests used, such an important indicator of the functional state of the body as general physical performance, which comprehensively characterizes the reserve capabilities of the cardiovascular and respiratory systems, is not determined. The testing procedure is quite lengthy and burdensome for the subject, and complex mathematical calculations are necessary to analyze the results (determine the ratings).

Closest to the proposed method for assessing the effectiveness of wellness programs and selected as a prototype is the work of O. V. Romashin, V. P. Bezborodov and V. F. Chudimov “Evaluation criteria for the effectiveness of human recovery in the process of rehabilitation”, M .: Center for physical therapy and SM Roszdrav, 2005.

The basis of the proposed methodology is the test system of G.L. Apanasenko, which consists in a scoring of indicators of physical development (growth-weight Kegle index, life index, power index), functional state (double product and recovery time after a Martine test), and the submaximal PWC test -170 to assess overall physical performance (Aulik I.V. Definition of physical performance in the clinic and sports. M: Medicine, 1990).

The proposed criteria: “deterioration”, “no change”, “improvement”, “significant improvement” are determined by the dynamics of the total points (Apanasenko test) and the change in the PWC-170 indicator.

So, for example, the criterion of “improvement” is determined if the patient had a total score of less than 10 during the initial test (according to Apanasenko) before the start of recovery, then during the final test the increase in the total score was from 3 to 5 (it was 4 points, it became 9 points) .

In a similar way, dynamics is determined when assessing physical performance - “improvement” corresponds to an increase in the PWC-170 from 51 to 125 kgm / kg (it was 690 kgm / kg to 810 kgm / kg).

After an isolated assessment of somatic health according to Apanasenko and physical performance according to the PWC-170 test using the criteria of "deterioration", "no change", "improvement", "significant improvement" - an integrative conclusion is formed on the effectiveness of health-improving and rehabilitation measures. The conclusion "effectively" is given if:

Group A - For patients with an initial level of somatic health below 10 points and low physical performance:

- the dynamics of the growth of the sum of points is more than 2 points and the dynamics of the growth of physical performance is more than 50 kgm / kg;

- the dynamics of the growth of the sum of points from 0 to 2 points and the dynamics of the growth of physical performance more than 50 kgm / kg;

- the dynamics of the growth of the sum of points is more than 2 points and the dynamics of the growth of physical performance does not exceed 50 kgm / kg;

Group "B" - For patients with an initial level of somatic health above 10 points, as well as medium and high physical performance:

- the dynamics of the growth of the sum of points is greater than 0 points and the dynamics of the growth of physical performance is greater than 0 kgm / kg;

- there is no dynamics in the total points, or a decrease of 1 point is observed, and the dynamics of the increase in physical performance is more than 0 kgm / kg;

- the dynamics of the increase in the sum of points is more than 0 points, physical performance has remained at the same level.

The conclusion is "ineffective":

Group "A" - For patients with an initial level of somatic health below 10 points, if the dynamics of the increase in the sum of points does not exceed 2 and the dynamics of the increase in physical performance does not exceed 50 kgm / kg;

Group - “B” for patients with an initial level of somatic health of 10 or more points, if there is no increase in the sum of points, either negative dynamics are noted, and there is no dynamics of growth in physical performance, or it has a negative value.

The advantages of the method:

- widespread and well-proven diagnostic tests are used (assessment of somatic health according to Apanasenko and physical performance according to the PWC-170 test);

- does not require complex diagnostic equipment;

- takes about 30-35 minutes per patient;

- allows for dynamic control in the process of implementing a health-rehabilitation program;

- allows you to evaluate the effectiveness of rehabilitation measures;

The prototype has common drawbacks with analogues, which consist in the fact that the choice of only 2 diagnostic tests, even well-established and widely used, does not allow a comprehensive assessment of the general health reserves and does not allow an objective assessment of the effectiveness of rehabilitation and rehabilitation programs. During the testing process, the type of reaction to physical activity is not determined by the Martine test, which is a very important indicator of the functional state of the body and its adaptive capabilities. The disadvantage of this method is the use of parameters characterizing only the functional state of the body without taking into account the peculiarities of its structural characteristics, so when evaluating anthropometric data the body composition is not analyzed, which does not allow us to assess the dynamics of the percentage of muscle and fat mass, normalization of the ratio of which is an integral part of increasing physical performance, improving health and body shape. The presented method does not take into account the subjective assessment of the results of classes, which is very important when testing visitors to modern health-improving (fitness) centers that have special motivational attitudes regarding familiarization with a healthy lifestyle. So, according to the literature (Polyaev B.A., Runenko S.D. Medical monitoring in fitness. Sports and Medicine, No. 3, Moscow, 2005; Alekseeva O.V., Didur M.D., Mitina O.F. Actual issues medical support for fitness, Mater II of the National Scientific and Practical Conference with the International University “Theory and Practice of Improving the Population of Russia.” - M. 2005) about 80% of the clients of fitness clubs call the desire to change their body shape the main goal of their classes: most women want to lose weight, and men want to lose weight and increase muscle mass. Improving well-being, improving health, and preventing diseases associated with hypokinesia are much less often (from 20 to 30% of cases) called by clients among the priority tasks. Such a focus primarily on external changes in body shape, of course, should be taken into account when evaluating the results of training, since the implementation of this particular task can be a decisive argument in favor of the continuation or termination of regular fitness classes.

Due to the fact that at present, against the backdrop of the popularization of a healthy lifestyle and mass visits to modern health centers by the population, the role of medical monitoring of those involved in physical education is increasing, an objective assessment of the effectiveness of health-improving measures is becoming an urgent task of medical support for fitness and sports.

The objective of the present invention is to provide a comprehensive method for assessing the effectiveness of health-improving training programs, which would combine objective methods for assessing physical development, a functional state, as well as subjective criteria for the effectiveness of classes: assessing well-being and progress in training by the student himself.

This problem is solved by a method of evaluating the effectiveness of a health-improving training program, which consists in conducting an initial medical examination, which includes, in addition to standard tests, determining the percentage of fat and muscle mass, as well as determining the type of reaction to the load during a Martine test, selecting the most informative indicators of physical development, functional states that are accepted as initial data and are compared during repeated testing with similar indicators. The dynamics of these indicators is presented in the form of a score scale, which allows to quantify the effectiveness of the health-improving training program.

At the first stage, a classic primary medical examination is carried out (in the form of 061 / at medical physical education clinics). This examination includes a medical history, anthropometric measurements - the length of the body while standing, sitting; girths of the chest at rest, on inhalation and exhalation; measurement of vital lung capacity (VC) and brush dynamometry.

When conducting anthropometric measurements, the percentage of fat and muscle in the body is additionally determined, for which various methods are used:

- caliperometry (measurement of skin-fat folds) using a mechanical or electronic caliper;

- with the help of scales, fat analyzers (TANITA, OMRON - Japan);

- the most objective way is the use of a bio-impedance analyzer of body composition “Medass” ABC-01 (Scientific and Technical Center “Medass”, Moscow).

If the determination of the percentage of adipose and muscle tissue is not automatically provided by the method used, then it is calculated by the formulas after measuring the girth and skin-fat folds at 14 points: Girth (mm): neck; shoulder; chest (at the level of the sternum handle); breast (at the level of the nipples); waist; buttocks; hip; shin.

Subcutaneous fat folds (mm): forearm; shoulder in front; press on top; press from below; shoulder back; back on top; back from below; waist on the side; thigh behind; hip on the side; thigh inside; thigh in front.

The percentage of fat in the body is calculated by the formula:

W = 0.9S (d ₁ + d ₂ + d ₃ + d ₄ + d ₅ + d ₆ + d ₇ ): m, where W is the amount of fat (%), S is the surface area of the body (cm ² ), m - body weight (kg), d ₁ , d ₂ , d ₃ , d ₄ , d ₅ , d ₆ , d ₇ - the values of skin-fat folds (KZHS) on the shoulder in front, shoulder in the back, forearm, back, stomach, thigh , tibia, respectively (mm).

The percentage of muscle tissue in the body is determined by the formula: M = 650L: m ((a ₁ + a ₂ + a ₃ + a ₄ ): 25,12- (d ₁ + d ₂ + d ₃ + d ₄ + d ₅ ) : 100) ² , where M is the amount of muscle tissue in the body (%), L is the body length (cm), m is body weight (kg), a ₁ , a ₂ , a ₃ , and ₄ are the girths of the shoulder, forearm, hips, tibia, respectively (cm), d ₁ , d ₂ , d ₃ , d ₄ , d ₅ - the values of KZHS on the forearm, shoulder in front, shoulder in back, thigh, lower leg, respectively. (Martirosov E.G. Research Methods in Sports Anthropology. - M.: Physical Education and Sports, 1982, p. 39).

In the initial medical examination, a Martine stress test is performed (20 squats in 30 seconds), and a prerequisite is to measure in the recovery period not only heart rate (heart rate), as suggested in the Apanasenko’s technique and prototype, but also blood pressure (BP), which allows you to determine the response of the cardiovascular system to physical activity.

According to the nature of changes in systolic and diastolic blood pressure, heart rate after exercise and the time of restoration of these parameters to the initial values at rest, there are 5 types of body reaction to the load:

- Normotonic, characterized by an adequate load, an increase in heart rate (by 60-80%), an increase in blood pressure of the syst. (By 15-30%), a decrease in blood pressure of diast. (By 10-35%), and a recovery period of 3 minutes;

- Hypotonic or asthenic, characterized by a significant increase in heart rate (120-150%), in the absence of significant changes in blood pressure and pulse pressure, prolonged recovery period of heart rate;

- Hypertensive, characterized by a sharp increase in systolic pressure (more than 50%, even without a diastolic rise), or an isolated increase in diastolic blood pressure (more than 10 mm Hg). prolonged recovery period of heart rate and blood pressure;

- Dystonic, characterized by a moderate increase in heart rate, a moderate increase in systolic pressure (less than 50%) and a drop after stopping the load of diastolic blood pressure, which can sharply decrease, sometimes to 0.

- Stepwise, characterized by a stepwise rise in systolic pressure at the 2nd and 3rd minutes of the recovery period, which reflects the functional inferiority of the regulatory circulatory system, and a prolonged recovery period.

The physiological (favorable) type of reaction is normotonic. The hypotonic type of reaction is regarded as borderline (relatively unfavorable). Other types of reactions to the load (hypertonic, stepwise, dystonic) are regarded as pathological (unfavorable). (Dembo A.G. Medical control in sports. M: Medicine, 1988; Graevskaya N.D., Dolmatova T.I. Sports medicine: Lecture course and practical exercises. - M.: Soviet Sport. 2004; Epifanov V. A., Apanasenko GL “Therapeutic physical education and medical control.” M .: Medicine, 1990; Makarova GA Sports medicine. M: Soviet Sport, 2004).

To determine the functional state of the body, in addition to the Martine test, an assessment of physical performance is carried out.

For mass examinations, the PWC ₁₇₀ submaximal test is most often used, (the abbreviation PWC stands for Physical Working Capacity). Physical performance is expressed in terms of the load power at which the heart rate could reach an indicator of 170 bpm. In this range of heart rates, there is a linear relationship between an increase in load power and heart rate, which suggests the possibility of linear extrapolation when calculating the indicator for two relatively small loads. The test is carried out using a bicycle ergometer or steps of different heights, after which PWC ₁₇₀ is determined either graphically, taking into account the linear relationship, or by the formula:

where f ₁ - heart rate at the 1st load;

f ₂ - heart rate at the 2nd load;

N ₁ - power of the 1st load (kgm / min);

N ₂ - power of the 2nd load (kgm / min).

Subsequently, the absolute indicator of PWC _{170 is} calculated per kilogram of body weight of the subject (kgm / min / kg) (Dembo A.G. Medical control in sports. M: Medicine, 1988; Graevskaya I.D., Dolmatova T.I. Sports medicine : Lecture course and practical classes. - M.: Soviet Sport. 2004; Epifanov V.A., Apanasenko G.L. Physiotherapy exercises and medical control. M .: Medicine, 1990; Karpman V.L., Belotserkovsky Z.B. ., Gudkov I.A. Testing in sports medicine.M.: Physical education and sports. - 1988; Makarova G.A. Sports medicine. M.: Soviet sport, 2004).

An initial medical examination by a standard method is a sequential analysis of: the goals of upcoming trainings; health conditions; sports history; physical development; functional state of the body (carrying out the above functional stress tests).

The result of the initial medical examination is an individual training program that includes recommendations on: the nature of the load (specific types of training - aerobics, gym, water aerobics, running, swimming, cardiovascular equipment, etc.); the intensity of upcoming classes (determination of the target zone of heart rate); the duration of the training session; frequency of training per week; the possibility of combining several workouts in one day.

At present, for the initial medical examination of visitors to the health center, the Fitness Test hardware and software complex has been proposed, designed to assess physical health and fitness level in order to select and justify an individual lesson plan for each client (Certificate of Rospatent No. 20055610220 dated 2005.01.24.)

The following indicators were selected as the initial data obtained during the standard initial examination for the subsequent analysis and determination of the criteria for the effectiveness of the health training:

Anthropometric indicators:

1. percentage of fat mass *.

2. percentage of muscle mass *.

* Frequently used indicators in anthropometry for assessing body weight:

и

не являются информативными для фитнес-тестирований. Масса тела (фактическая, рекомендуемая) в кг и кг/см не показательна для определения состава тела, гораздо информативнее показатели содержания жира и мышц в организме.

and

are not informative for fitness testing. Body weight (actual, recommended) in kg and kg / cm is not indicative of determining body composition; indicators of fat and muscle content in the body are much more informative.

Functional indicators:

3. The type of reaction to the load according to the Martine test.

4. recovery time after the Martine test (sec).

5. the value of PWC ₁₇₀ (kgm / min).

6. life index * (ml / kg).

7. power index *.

* The vital index is determined after measuring the vital capacity of the lungs (VC) using a spirometer (water or mechanical). The calculation is carried out by dividing the value of VC in milliliters by body weight in kilograms.

* The force index is determined after measuring the strength of the muscles of the flexors of the strongest hand with a spring hand dynamometer. The calculation is carried out by dividing the dynamometry indicator (kg) by body weight (kg).

Subjective indicators *:

8. Realization of the goal.

9. Improving well-being.

10. The desire to continue training.

* When assessing the effectiveness of a training program, it is necessary to take these subjective indicators into account, since very often the main motivation for starting, resuming or continuing training with fitness center clients is the desire to achieve a “result” rather than improve health and improve functional reserves.

The next stage of the proposed method for evaluating the effectiveness of the health-improving training program is to analyze the dynamics of anthropometric, functional and subjective indicators, determined during initial testing as initial data.

The criteria for the effectiveness of training, expressed in points, are:

1. the dynamics of the percentage of fat mass:

1 point (ΔF * from 1 to 5%).

2 points (ΔF * from 6 to 10%).

3 points (ΔF * more than 10%).

2. The dynamics of the percentage of muscle mass (only taken into account in men)

1 point (ΔM * from 1 to 5%).

2 points (ΔM * from 6 to 10%.

3 points (ΔM * more than 10%).

3. Normalization of the type of reaction to the load (if the non-physiological (non-normotonic) type of reaction was determined during the initial testing): preservation of the normotonic (physiological) type of reaction +1 point; change in the borderline (hypotonic) type of reaction to normotonic +2 points; change of pathological (hypertonic and stepwise) types of reaction to normotonic +3 points, preservation of any of the non-physiological types of reaction “-” 1 point

4. The dynamics of the recovery of the pulse (reduction in recovery time by (sec):

1 point (ΔР * - 10-30 (sec)

2 points (ΔР * - 31-60 (sec)

3 points (ΔР * more than 60 (sec).

5. the dynamics of PWC ₁₇₀ (increase in baseline by (kgm / min)

1 point (ΔPWC ₁₇₀ * 50-99 (kgm / min)

2 points (ΔPWC ₁₇₀ 100-150 (kgm / min)

3 points (ΔPWC ₁₇₀ > 150 (kgm / min)

6.Dynamics of the life index (increase in baseline by (ml / kg)

1 point (ΔLI * 5-9 (ml / kg)

2 points (Δ ЖИ * 10-15 (ml / kg)

3 points (Δ ЖИ * more than 15 (ml / kg

7. dynamics of the power index (increase in the initial indicator by%)

1 point (ΔSI * 5-9%)

2 points (ΔSI 10-15%)

3 points (ΔSI more than 15%)

8. Realization of the goal

+1 point

9. Improving well-being

+1 point

10. The desire to continue training

1 point

ΔF * is the difference between the initial value of the percentage of fat content and repeated.

ΔM * - the difference between the initial value of the percentage of muscle content and repeated (only taken into account in men).

ΔР * - reduction in recovery time by (sec).

ΔPWC ₁₇₀ * - increase in indicator (kgm / min).

Δ ЖИ * - increase in the indicator by (ml / kg).

ΔSI * - increase in the indicator by (%).

negative dynamics of any of the indicators - “-” 1 point.

Table 1
Performance criteria for health training in points. -1 point Baseline: 0 points +1 point +2 points +3 points % Increase in body fat ΔF * from 1 to 5% from 6 to 10% more than 10% % Decrease in muscle mass ΔM * from 1 to 5% from 6 to 10% more than 10% Normotonic to any other or nonphysiological preservation. type of reaction Reaction type dynamics Preservation of normotonic type of reaction change in the borderline type of reaction to normotonic change in the pathological type of reaction to normotonic Slowdown recovery ΔP * 10-30 (sec) 31-60 (sec) more than 60 (sec). PWC ₁₇₀ Reduction * ΔPWC ₁₇₀ * 50-99 (kgm / min) 100-150 (kgm / min) > 150 (kgm / min) LI reduction ΔL * 5-9 (ml / kg) 10-15 (ml / kg) more than 15 (ml / kg) SI reduction ΔSI * 5-9% 10-15% more than 15% "no" Goal implementation "Yes" - - "no" Well-being "Yes" - - "no" Continued training "Yes" - - -10 Total points +10 +14 +21

Conclusion on the effectiveness of the health-improving training program:

Conclusion "ineffective program" - with a negative amount of points. Conclusion “without dynamics” - with a slight change in indicators (in the range of values before the assessment of 1 point) Example: an increase in PWC ₁₇₀ by 25 (kgm / min) with repeated testing.

Conclusion "positive dynamics" - with a total score of 1 to 5.

Conclusion "Effective program" with a total score of 6 to 14.

Conclusion "Highly effective program" with a total score of 15 or more.

The obtained amount of points can be used to quantify the progress in training under dynamic medical supervision (repeated testing).

When observing the negative dynamics of indicators, load correction is possible and necessary, taking into account the identified "weak link".

Example 1:

Client R. fitness center, 42 years old, the goal of the training is to reduce body weight. The result of the initial testing: Health status - revealed VRV (varicose veins of the lower extremities). Anthropometric data: height 168 cm, body weight 78 kg, percentage of fat content 28%, VC 2800 ml. Life index is 36 (ml / kg), brush dynamometry is 30 kg, power index is 38%. Functional indicators: a hypotonic type of reaction was detected during the Martine test, recovery 180 sec, PWC ₁₇₀ - 650 (kgm / min). An individual training program was recommended for the client, consisting of 3 single lessons per week with swimming or medium-intensity aqua aerobics (the presence of BPH makes this type of fitness preferable) for 45 minutes, the intensity of the load is 60-80% of the maximum age-specific heart rate. Heart rate max 178 bpm = 220-42 (age in years). Heart rate training range is from 105 to 140 bpm.

After 3 months, repeated testing was carried out, the result of which is presented in table 2.

table 2
Evaluation of the effectiveness of the wellness and training program of client R. Indicator Initial data Retesting Dynamics of indicators Points 1. Body weight (kg) 78 72 four - 2.% fat 28 24 four one 3. Type of load response hypotonic normotonic there is 2 4. Recovery time 180 sec 150 sec 30 sec one 5. PWC ₁₇₀ 650 (kgm / min) 680 (kgm / min) 30 (kgm / min) 0 6. ZHEL. LI 2800 ml, 36 ml / c 3100 ml, 43 ml / kg 7 ml / kg one 7. Dean. kg, SI,% 30 kg, 38% 32 kg, 44% 6% one 8. Realization of the goal no 0 9. Improving well-being Yes one 10. Continuation of training Yes one The sum of 8 points.

Conclusion: The training program is effective (total score 8), it is recommended that classes be continued and a nutritionist consulted to optimize an individual diet.

Six months after the start of regular training (3 months after the previous examination), additional testing was carried out. The total amount of points compared to the 8 initial ones increased to 11 (due to the implementation of the goal +1 point, reducing the percentage of fat 1 extra point, increasing PWC ₁₇₀ +1 point).

Example 2

Client K. fitness center, 35 years old, the goal of the training is to reduce body weight, increase muscle mass, increase physical performance. The result of the initial test: Health status - almost healthy. Anthropometric data: height 185 cm, body weight 102 kg, percentage of fat content 26%, percentage of muscle mass 40%, VC 4800 ml, vital index - 47 (ml / kg), brush dynamometry 60 kg, power index - 58%. Functional indicators: revealed the normotonic type of reaction when performing the Martine test, recovery of 150 seconds, PWC ₁₇₀ - 960 (kgm / min). An individual training program was recommended for the client, consisting of 4 one-time classes per week: 2 times a week swimming for 1 hour and training in the gym 2 times a week for 1.5 hours; load intensity 60-80% of heart rate maximum age. Heart rate max. 185 bpm. = 220-35 (age in years). Heart rate training range - from 110 to 150 bpm.

After 4 months, repeated testing was carried out, the result of which is presented in table 3.

Table 3
Evaluation of the effectiveness of the wellness and training program of client K. Indicator Initial data Retesting Dynamics of indicators Points 1. Body weight (kg) 102 95 7 - 2.% fat 26 twenty 6 2 3.% muscle 40 46 6 2 4. Type of load response normotonic normotonic one 5. Recovery time 150 sec 110 sec 40 sec 2 6. PWC ₁₇₀ 960 (kgm / min) 1080 (kgm / min) 120 (kgm / min) 2 7. ZHEL, ZHI 4800 ml, 47 ml / c 5100 ml, 54 ml / kg 7 ml / kg one 8. Dean. kg, SI,% 60 kg, 58% 65 kg, 68% 10 2 9. Realization of the goal Yes one 10. Improving well-being Yes one 11. Continuation of training Yes one Amount 15 points

Conclusion: The training program is highly effective (15 points), the continuation of classes is recommended.

Example 3

A client of L. fitness center, 28 years old, the goal of the training is a general strengthening effect. The result of initial testing: Health status - revealed NDC (neurocirculatory dystonia). Anthropometric data: height 165 cm, body weight 62 kg, percentage of fat content 18%, VC 2500 ml. Life index - 40 (ml / kg), brush dynamometry 28 kg, power index - 45%. Functional indicators: a hypotonic type of reaction was detected during the Martine test, recovery 180 sec, PWC ₁₇₀ - 620 (kgm / min). An individual training program was recommended for the client, consisting of 3 single lessons per week: 2 aqua aerobics classes for 45 minutes of average intensity and 1 Pilates training for 1 hour, load intensity 50-70% of the maximum age-specific heart rate. Heart rate max. 192 bpm. = 220-28 (age in years). Heart rate training range - from 95 to 135 bpm.

After 2 months, repeated testing was carried out, the result of which is presented in table 4.

Table 4
Evaluation of the effectiveness of the wellness and training program of client L. Indicator Initial data Retesting Dynamics of indicators Points 1. Body weight (kg) 62 63 7 - 2.% fat eighteen twenty 2 0 3. Type of load response hypotonic hypotonic - -one 4. Recovery time 180 sec 210 sec 30 sec increase -one 5. PWC ₁₇₀ 620 (kgm / min) 600 (kgm / min) -20 (kgm / min) -one 6. JELLY 2500 ml, 40 ml / c 2600 ml, 41 ml / kg 1 ml / kg 0 7 din kg, SI,% 28 kg, 45% 30 kg, 47% 2 0 8. Realization of the goal no 0 9. Improving well-being Yes one 10. Continuation of training no 0 The amount of "-" 2 points

Conclusion: The training program is “ineffective” (-2 points), it was found that the client did not adhere to the proposed program, but was engaged in the gym, performing physical activity inadequate to her functional state, as evidenced by the negative dynamics of functional indicators (preservation of the hypotonic type of reaction, increase recovery time after exercise, decreased physical performance). The client L. is recommended to continue classes in accordance with the individual program developed at the initial testing.

A method for assessing the effectiveness of a health-improving training program has been tested on 350 clients of the Moscow Aquaclub, has proved its objectivity, information content and ease of use.

The advantages of the proposed method:

1. A comprehensive system for quantifying the effectiveness of health-improving training programs has been proposed, which makes it possible to objectively assess the effect of physical training on the human body.

2. It is proposed to evaluate the effectiveness of health-improving training programs based on a combination of anthropometric, functional, and subjective indicators.

3. The proposed evaluation criteria are determined in the process of conducting standard examination techniques that do not require complex diagnostic equipment.

4. To study the dynamics of indicators in the training process, a point system was used to quantify progress in the implementation of the wellness program.

5. Taking into account the observation that the main goal of training in fitness centers is often the desire of clients to improve their body shape, it is proposed to take into account subjective factors such as the realization of a goal and the desire to continue training as performance criteria.

6. The percentage of adipose and muscle tissue, objectively reflecting the structural composition of the body, is used as the main anthropometric indicator.

7. The proposed method can be used as a dynamic (stage) medical control with the possibility of making adjustments to the training process, taking into account the identification of the "weak link" of the health program.

8. The results of stage testing on the proposed efficiency monitoring system allow us to evaluate the optimality of the performed loads and identify signs of physical overstrain.

9. The proposed method allows us to evaluate not only the result of the trainings of the practitioner, but also the effectiveness of the staff - sports doctors and trainers involved in the implementation of the wellness program.

10. The developed system for quantifying the effectiveness of wellness programs can be used not only in fitness centers, but also in health rooms, medical and physical dispensaries, as well as in rehabilitation treatment departments and rehabilitation centers.

11. The proposed method is simple to use, based on the use of classical methods of medical monitoring, does not require complex diagnostic equipment.

Comparative characteristics of the prototype and the proposed method are presented in table 5.

Table 5
Comparative characteristics of the prototype and the proposed method. Compare feature The prototype "Evaluation criteria for the effectiveness of human recovery in the rehabilitation process", O.V. Romashin, et al. M .: TsentrLFKiSM Roszdrav, 2005. The proposed method 1. A comprehensive system for evaluating the effectiveness of a health-improving training program absent set of anthropometric, functional and subjective indicators 2. The number of defined parameters. 1. Physical health scores according to G.L. Apanasenko
2. Physical performance. 1. The percentage of fat mass 2. The percentage of muscle mass
3. Type of load response
4. Recovery time
5. PWC ₁₇₀
6. JELL, life index
7. Hand dynamometry 3. Functional tests PWC ₁₇₀ test,
Martine test without registration of blood pressure and without determining the type of reaction to physical activity PWC ₁₇₀ test
Martine test with registration of blood pressure and determining the type of reaction to physical activity 4. Use of subjective indicators Not used Self-esteem is taken into account: implementation of the goal, improvement of well-being, desire to continue training. 5. The study of body composition Not carried out The percentage of fat and muscle mass is determined 6. Availability of a quantitative indicator of effectiveness No, only a verbal conclusion: “effective”, “ineffective” Evaluation of effectiveness in points and in the form of verbal conclusion.

The method provides an increase in the quality of assessing the dynamics of the functional-structural state of the body under the influence of physical training and the possibility of quantitative assessment of the effectiveness of the selected individual health-improving training programs.

The method can be used for mass screening examinations and monitoring the health reserves of people involved in modern health (fitness) centers. The presented invention will allow to determine the optimality of the selected workout, to identify signs of physical overstrain in a timely manner, to correct the load and objectively evaluate the result of the health-improving training program. In the field of regenerative medicine, the method allows testing of general health reserves, the functional state of the cardiovascular and respiratory systems in order to select means of healing and to objectively evaluate the results of rehabilitation and rehabilitation programs.

Claims (1)

A method for evaluating the effectiveness of a health-improving training program, including initial medical examination, retesting after a health-improving program, analysis of anthropometric and functional indicators in points, characterized in that they additionally determine the fat and muscle mass, such as the reaction of the cardiovascular system to physical activity, accept the most informative indicators of initial testing as initial data for the subsequent determination of criteria for effective activity, prescribe an individual health-improving training program, during repeated testing quantitatively determine the dynamics of the percentage ratio of fat and muscle mass, taking the difference between the initial value of the percentage of fat and muscle and repeated from 1 to 5% for 1 point, from 6 to 10% for 2 point, more than 10% for 3 points, maintaining the normotonic type of reaction during repeated testing for 1 point, changing the hypotonic type of reaction to normotonic for 2 points, changing the hypertonic and stepwise types of reaction to normotonic for 3 points, the dynamics of pulse recovery, taking a reduction in recovery time by 10-30 s for 1 point, by 31-60 s for 2 points, more than 60 s for 3 points, the dynamics of physical performance according to the PWC ₁₇₀ test, taking an increase from 50 to 99 kgm / min for 1 point, from 100 to 150 kgm / min for 2 points, more than 150 kgm / min for 3 points; the dynamics of the life index, taking an increase in the indicator from 5 to 9 ml / kg for 1 point, from 10 to 15 ml / kg for 2 points, more than 15 ml / kg for 3 points, the dynamics of the power index, taking the increase in the indicator from 5 to 9% for 1 point, from 10 to 15% for 2 points, more than 15% for 3 points, one point assesses the subjective improvement in well-being, the achievement of the goal and the desire to continue training, after which the total score of the effectiveness of the health-improving training program is determined, moreover, with a negative the total score of the program is defined as "ineffective yu ", with the total score of 1 to 5, noted" positive dynamics ", with the total score of 6 to 14, the program is defined as" effective ", while the total score of more than 15 program is defined as" highly effective. "