Fesyun Anatoliy D, Grishechkina Irina A, Lobanov Andrey A, Andronov Sergei V, Popov Andrey I, Eremushkin Michail A, Terentev Kirill V, Bogdanov Rinat R, Sanina Natalia P, Reverchuk Igor V
National Medical Research Center for Rehabilitation and Balneology, Moscow.
Federal State Budgetary Institution "National Medical and Surgical Center named after N.I. Pirogov" of the Ministry of Health of the Russian Federation.
Eur J Transl Myol. 2023 Aug 8;33(3):11495. doi: 10.4081/ejtm.2023.11495.
Overweight and obesity is a multifactorial, multisystem disease declared a global epidemic by the World Health Organization (WHO) as early as in 1997. At least 30% of the working-age population in Russia is overweight. Only the use of physical activity as an integral (basic) part of obesity treatment and maintenance of the body weight achieved in the course of treatment can achieve durable and long-lasting treatment results as well as significant changes in the body structure (fat/non-fat body weight ratio). Terrainkur (therapeutic walking) is a method of spa treatment that combines climatotherapy and physical therapy. One of the problems in physical activity in obese people is the difficulty they experience in exercising due to the impaired walking pattern caused by imbalances in the muscle chains, including pelvic region, cervical region, which reduces endurance and commitment to physical activity. The study found that the exposure group (Terrainkur) showed lower values of "total fat", "metabolic age", "basic caloric value" compared to initial results and the control group; the exposure group (Terrainkur) showed a decrease in the deviation of the centre of body axis projection from the proper axis, the percentage of non-compliance with the proper fluctuations of the foot underextension. These changes contributed to the elimination of terrainkur restrictions and, as a result, improved the patient compliance during the terrainkur exercises.
超重和肥胖是一种多因素、多系统疾病,早在1997年世界卫生组织(WHO)就宣布其为全球流行病。俄罗斯至少30%的劳动年龄人口超重。只有将体育活动作为肥胖治疗以及维持治疗过程中所达到的体重的一个不可或缺(基本)部分,才能取得持久的治疗效果以及身体结构(脂肪/非脂肪体重比)的显著变化。地形疗法(治疗性步行)是一种将气候疗法和物理疗法相结合的温泉治疗方法。肥胖人群体育活动中的一个问题是,由于包括骨盆区域、颈部区域在内的肌肉链失衡导致步行模式受损,他们在锻炼时会遇到困难,这降低了耐力和对体育活动的投入度。研究发现,与初始结果和对照组相比,暴露组(地形疗法)的“总脂肪”、“代谢年龄”、“基础卡路里值”较低;暴露组(地形疗法)身体轴投影中心与正常轴的偏差、足部伸展不足正常波动的不达标百分比有所降低。这些变化有助于消除地形疗法的限制,从而提高了患者在地形疗法锻炼期间的依从性。