{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T11:53:34Z","timestamp":1782820414195,"version":"3.54.5"},"reference-count":22,"publisher":"Practical Medicine Publishing House","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prob. Balneo. Physio. Exer. Therapy"],"published-print":{"date-parts":[[2024,1,31]]},"abstract":"<jats:p>Atherosclerosis is the main cause of mortality and disability in the adult population. One of the reasons for the high mortality from atherosclerosis is the lack of effective measures to prevent cardiovascular complications that ensure timely detection and correction of risk factors for the development of atherosclerosis, primarily lipid metabolism disorders with high values of proatherogenic lipids. In the restorative correction of dyslipidemia, the most promising is the use of health programs based on therapeutic physical factors, the combined use of natural (mineral waters, kumiss, climate) with physical training, training in health schools, with their implementation in sanatorium-resort conditions. Objective. Development and evaluation of the effectiveness of health programs of varying intensity based on therapeutic physical factors in the correction of risk factors for the development of atherosclerosis in a sanatorium. Material and methods. The study included 75 men aged 38 to 48 years with risk factors for atherosclerosis and atherogenic cardiovascular diseases. In compliance with the principles of randomization, the patients were divided into groups. The health program for the 1st group (n=25) included drinking mineral water, kumiss from mare\u2019s milk, a hypolipidemic diet with limited animal fats, terrain cure, therapeutic exercises, and climatotherapy. The health program for patients in the 2nd group (n=25) in addition to the program for the 1st group included hydrogen sulphide baths and Nordic walking, with further continuation for 3 months. For patients in the 3rd group (n=25), the health program included, in addition to the program for the 2nd group, physical training on an exercise bike, with further continuation for 3 months. Results. The effectiveness of the health program is most pronounced in patients of the 3rd group: after the course of health improvement in the sanatorium, an improvement in the blood lipid profile is noted with a decrease in the level of total cholesterol by 8.22% (p&lt;0.05), triglycerides by 7.61% (p&lt;0.05), low-density lipoprotein cholesterol by 9.94% (p&lt;0.05), an increase in high-density lipoprotein cholesterol by 6.66% (p&lt;0.05) from the initial values. Improvement of peroxide metabolism and antioxidant system with decrease of malonic dialdehyde, catalase and superoxide dismutase activity was revealed. Against the background of prolongation of physical training for 3 months, enhancement of hypolipidemic and antioxidant effects with increase of physical performance and adaptation potential was noted. Conclusion. To correct risk factors for the development of atherosclerosis and atherogenic cardiovascular diseases, it is advisable to use health programs based on therapeutic physical factors: drinking mineral water, kumiss, therapeutic gymnastics, climatotherapy, hydrogen sulphide baths, physical training on a stationary bike, Nordic walking in a sanatorium, with continued physical training on an outpatient basis for at least 3 months.<\/jats:p>","DOI":"10.17116\/kurort2024101062102","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T02:08:31Z","timestamp":1738548511000},"page":"102","source":"Crossref","is-referenced-by-count":0,"special_numbering":"Vyp. 2","title":["The effectiveness of wellness programs in correcting risk factors for atherosclerosis in a sanatorium"],"prefix":"10.21320","volume":"101","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3420-8400","authenticated-orcid":false,"given":"L.T.","family":"Gilmutdinova","sequence":"first","affiliation":[{"name":"Bashkir State Medical University, Scientific Research Institute of Restorative Medicine and Balneology","place":["Ufa, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0665-1360","authenticated-orcid":false,"given":"A.M.","family":"Ivanov","sequence":"additional","affiliation":[{"name":"Bashkir State Medical University, Scientific Research Institute of Restorative Medicine and Balneology","place":["Ufa, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2119-1737","authenticated-orcid":false,"given":"B.R.","family":"Gilmutdinov","sequence":"additional","affiliation":[{"name":"Bashkir State Medical University, Scientific Research Institute of Restorative Medicine and Balneology","place":["Ufa, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2609-2057","authenticated-orcid":false,"given":"R.R.","family":"Kudayarova","sequence":"additional","affiliation":[{"name":"Bashkir State Medical University, Scientific Research Institute of Restorative Medicine and Balneology","place":["Ufa, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7922-8240","authenticated-orcid":false,"given":"E.N.","family":"Galimulina","sequence":"additional","affiliation":[{"name":"Bashkir State Medical University, Scientific Research Institute of Restorative Medicine and Balneology","place":["Ufa, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0872-6124","authenticated-orcid":false,"given":"A.R.","family":"Gilmutdinov","sequence":"additional","affiliation":[{"name":"Bashkir State Medical University, Scientific Research Institute of Restorative Medicine and Balneology","place":["Ufa, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6416-7836","authenticated-orcid":false,"given":"V.E.","family":"Illarionov","sequence":"additional","affiliation":[{"name":"B.V Petrovsky Russian research center of surgery","place":["Moscow, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3021-1808","authenticated-orcid":false,"given":"E.R.","family":"Faizova","sequence":"additional","affiliation":[{"name":"Bashkir State Medical University, Scientific Research Institute of Restorative Medicine and Balneology","place":["Ufa, Russia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8834","reference":[{"key":"key-10.17116\/kurort2024101062102-1","unstructured":"Oganov RG. Preventive cardiology: hopes and reality. Healthcare. 2012;9:60-67. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-2","unstructured":"Latfullin IA. Atherosclerosis (brief information on the history of development, causes, pathogenesis of the disease, risk factors, principles of prevention). Kazan: Kazan Publishing House. un-ta; 2015. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-3","unstructured":"Arabidze GG, Tebloev KI. Atherosclerosis and risk factors. Moscow: LitTerra; 2008. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-4","unstructured":"Lipovetsky BM. Clinical lipidology. St. Petersburg: Nauka; 2011. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-5","unstructured":"Dyslipidemia and atherosclerosis. Ed. by Oganov RG. Moscow: GEOTAR-Media; 2009. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-6","unstructured":"Arutyunov GP. Therapy of risk factors for cardiovascular diseases. Moscow: GEOTAR-Media; 2010. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-7","unstructured":"Cardiorehabilitation and secondary prevention. Ed. by Aronov DM. Moscow: GEOTAR-Media; 2021. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-8","unstructured":"Lebedeva OD, Yakovlev MYu, Nikiforova TI, Usmonzoda DU. Development of targeted wellness programs for the rehabilitation of patients with cardiovascular diseases. Questions. Hypotheses. Answers. Science of the XXI century. Krasnodar: Scientific Publishing Center Apriori; 2013. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-9","unstructured":"Razumov AN, Pogonchenkova IV, Adilov VB, Lvova NV, Rassulova MA, Turova EA, Articulova IN, Tupitsyna YuYu, Uyanaeva AI, Morozova EYu. Drinking mineral waters in treatment and rehabilitation: methodological recommendations. Moscow; 2020. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-10","unstructured":"Frolkov VK, Mikhailyuk OV, Gilmutdinova LT, Puzyreva GA, Yanturina NH, Kiseleva AV. Combined use of drinking mineral waters and physical activity in the correction of metabolism in patients with metabolic syndrome. Medical Bulletin of Bashkortostan. 2013;6:137-142. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-11","unstructured":"Gilmutdinova LT, Yanturina NH. Physiobalneotherapy for metabolic syndrome. Ufa: USNTU Publishing House; 2017. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-12","unstructured":"Aronov DM, Persiyanova-Dubrova AL. The effect of non-drug treatment methods in coronary atherosclerosis. In the book: Cardiorehabilitation and secondary prevention. Ed. by Aronov DM. Moscow: GEOTAR-Media; 2021. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-13","unstructured":"Gilmutdinova LT, Kudayarova RR. Basics of koumiss treatment and koumiss production. Ufa: USNTU Publishing House; 2017. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-14","unstructured":"Razumov AN, Adilov VB, Povazhnaya EL. Mineral waters of Russia: problems and prospects of application in preventive medicine in the domestic and international market of therapeutic and wellness technologies. Problems of Balneology, Physiotherapy and Exercise Therapy. 2017;94(S-2):5-8. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-15","unstructured":"Agasarov LG, Yakovlev MYu, Zhernov VA, Frolkov VK. Innovative methods of physical influence for therapeutic, preventive and rehabilitative purposes. The attending physician. 2020. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-16","unstructured":"Uyba VV, Kotenko KV, Orlova GV. Application of non-drug programs for correction of metabolic syndrome. Physiotherapy, balneology and rehabilitation. 2011;1:40-42. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-17","unstructured":"Petrova MS, Ruzova TK, Kotenko KV, Korchazhkina NB. Dynamics of metabolic exchange indices and blood circulation in the lower extremities after traction in patients with lumbosacral dorsopathies. Physiotherapist. 2013;6:25-30. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-18","unstructured":"Korchazhkina NB. Current state of health resort service in the Russian Federation and possible ways of its development. Bulletin of Restorative Medicine. 2013;5(57):14-21. (In Russ.)"},{"key":"key-10.17116\/kurort2024101062102-19","doi-asserted-by":"publisher","DOI":"10.17816\/1681-3456-2019-18-3-191-194"},{"key":"key-10.17116\/kurort2024101062102-20","unstructured":"Lopatkina LV, Kotenko KV, Korchazhkina NB. Complex non-drug programs in the correction of vegetative and psychoemotional disorders in metabolic syndrome. Physiotherapy, balneology and rehabilitation. 2014;13(4):4-6. 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