Criteria for evaluating the effectiveness of preventive care in a fitness center
Aim - to formulate the criteria for evaluating the effectiveness of prevention of non-communicable socially significant diseases on the basis of fitness centers. Material and methods. The longitudinal retrospective study included 370 visitors of fitness centers who attended wellness programs. The adaptation potential (AP) formula according to R.M. Baevsky served the basic method for research. According to the results of screening, the visitors were divided in three groups. Hemodynamics and trophological status were measured in each group. Results. The hemodynamics and trophological status differed depending on the adaptation potential. In the group with the AP score less than 2.6, the SBP at rest was 113±11.1 mmHg, DBP 68.1±7.4 mmHg. In the second group, the SBP was 126±11.2 mmHg, DBP = 77.5±10 mmHg, heart rate = 75±10 bpm, BMI = 26.7±3 kg/m2 and waist/hip ratio= 0.84±0.17. In the third group: SBP = 142.8±11.2 mmHg, DBP = 85.7±10 mmHg, heart rate = 79±10 bpm. BMI = 29.8±4.8 kg/m2, waist/hip ratio =0.90±0.16. The level of SBP in all three groups after the functional test was 119.5 [95% CI 115-123], 125.0 [95% CI 116-155] and 144.5 [95% CI 133-172] mmHg (H = 52.1227, p = 0.00199), respectively. During the study period, in the first group, the AP score remained at the same level in all age groups. In the second group, there was a decrease of AP score from 2.81±0.13 to 2.66±0.21 points. In the third group, we observed the decrease from 3.3 ± 0.14 to 3.13 ±0.28 points with a sufficient number of visits (101 or more per year) in all age groups. Conclusion. The use of such criterion as adaptation potential makes it possible to assess the effectiveness of mass preventive measures due to more precise differentiation of visitors and the use of homogeneous impact methods.