DETERMINATION OF THE EFFICIENCY OF THE PROGRAM OF PHYSICAL THERAPY FOR ELDERLY PATIENTS WITH METABOLIC SYNDROME AND FRAILTY ON THE DYNAMICS OF SOMATOMETRIC INDICATORS
The aim. Determining the effectiveness of the physical therapy program for elderly patients with metabolic syndrome and frailty by the dynamics of anthropometric indicators and body composition.
Methods. 106 elderly people were examined. The control group consisted of individuals without metabolic syndrome and in the absence of frailty. The main group 1 consisted of people with metabolic syndrome and frailty with a low level of therapeutic alliance, who did not want to cooperate with a physical therapist and / or actively improve their health on their own. The main group 2 included patients who agreed to undergo a developed program of physical therapy (high level of therapeutic alliance) with the use of kinesiotherapy, massage, nutritional correction, education of the patient and his family, elements of cognitive training and occupational therapy lasting 1 year. The effectiveness of the program was evaluated by the dynamics of anthropometric indicators (height, weight, body mass index, waist and hip circumference and their ratio) and body composition (fat, muscle and water content, visceral fat), determined by bioimpedance.
Results. Elderly people with frailty and metabolic syndrome were diagnosed with abdominal obesity and sarcopenia based on statistically significant deterioration of anthropometric parameters (body weight, body mass index, waist and hip circumference, their ratio) and component body composition - decrease in muscle mass and water (increase in fat mass and visceral fat) relative to their peers (p <0.05), which increases the risk of adverse effects on the cardiovascular system, health, loss of autonomy and death. The use of physical therapy (kinesiotherapy, nutritional correction, massage, education of the patient and his family, elements of occupational therapy and cognitive training) led to a statistically significant improvement of all studied anthropometric and component parameters in the elderly with metabolic syndrome and senile enlargement (muscle mass, reduction of subcutaneous and visceral fat component). Achieving the body mass index of overweight elderly people with sarcopenic obesity against the background of normalization of waist circumference, reducing the degree of abdominal obesity, can be considered an achievement of the goal and long-term goal of rehabilitation. The low level of the therapeutic / rehabilitation alliance has led to unsatisfactory implementation or non-implementation of the recommendations provided to the elderly with frailty and metabolic syndrome and is associated with a lack of improvement in anthropometric and bioimpedance indicators.
Conclusions. Physical therapy should be included in the rehabilitation programs of elderly patients with comorbid pathology - frailty and metabolic syndrome to correct sarcopenia and reduce the risk of cardiovascular complications.
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