The purpose of the study: to evaluate the effectiveness of various methods of shock wave therapy in the complex treatment of athletes with lateral epicondylitis.

Materials and methods: the study involved 122 people. with a diagnosis of Lateral epicondylitis, aged 20 to 45 years, of which 55 (45.1 %) women and 67 (54.9 %) men. All patients were divided into 4 groups: a control group, which included 28 people who underwent standard treatment, and 3 groups, a total of 94 people, who underwent shock wave procedures using various methods against the background of standard treatment. The examination included the collection of complaints, anamnesis, physical examination, assessment of the function of the upper limb using the QuickDASH questionnaire, assessment of tennis elbow using the PRTEE questionnaire, carpal dynamometry was performed on a MEGEON-34090 dynamometer, and statistical methods. All studies were conducted before, after treatment, as well as after 3 weeks and 1 month. after treatment.

Results: shockwave therapy applied to tendons, flexors of the hand, and triceps brachii outperformed shockwaves to tendons or tendons and flexors of the hand in terms of Upper Limb Functional Activity (DASH) (p < 0,05) and score tennis elbow (PRTEE) (p < 0,05) after 3 weeks and after 1 month after treatment.

Conclusion: reducing the severity of pain syndrome and functional disorders of the upper limb when performing various types of activities, when conducting shock wave therapy on the area of the tendons, flexor muscles of the hand and the triceps muscle of the shoulder indicates a faster recovery of the functions of the upper limb, which is especially important for athletes.  

Objective: analysis of the effectiveness of combating doping in sports in the process of medical and biological support of athletes forming the national teams of the Russian Federation, and determining its ways.

Materials and methods: based on the reports of anti-doping organizations for 2017–2022, sociological studies of the prevalence of doping in sports and therapeutic use structures, a retrospective analysis of the dynamics of the main indicators reflecting the directions of various doping encounters was carried out.

Results: a significant discrepancy was revealed between the assessment of the prevalence of anti-doping rule violations based on the results of sociological surveys and the results of laboratory anti-doping studies.

A significant positive dynamic of approval of therapeutic use exemptions, which allowed doubling the share of positive decisions of anti-doping organizations is shown.

The main directions of improving anti-doping work in the process of carrying out medical and biological support measures are determined.

Accurate resting metabolic rate readings are essential for dietary planning and body composition monitoring not only for healthy individuals but also for athletes. A number of factors can alter resting metabolic rate during its measurement by indirect calorimetry. The methodology used may affect the results of the study. A clear standardisation of this procedure is needed to obtain the most accurate results.

Purpose: To review the literature to determine the optimal subject condition and methodology for the resting metabolism measurement procedure using indirect calorimetry.

Materials and methods: A literature search was conducted in PubMed, MEDLINE and Cochrane Library databases. The query included key words and logical phrases: “calorimetry”, “indirect calorimetry”, “resting metabolic rate”, “energy metabolism”, “basal metabolism”, “standards”. Only Englishlanguage studies and human studies were considered. Additional information was identified because of the review and included in the review.

Results: the parameters of standardization during the resting metabolism measurement procedure are described: consumption of food, ethanol, caffeine, nicotine; daily activities and physical activity; body position in space and environmental conditions during the measurement; actions of the specialist performing the procedure, etc. The article outlines effective methods for measuring resting metabolism to obtain the most accurate results in both athletes and non-athletes.

Conclusion: an attempt has been made to formulate precise methodological rules for standardization and recommendations for measuring resting metabolism by indirect calorimetry.  

Purpose: physiological substantiation of the physical activity selection based on the differences in the functional state of schoolchildren with different types of cardiovascular system autonomic regulation.

Methods: 60 schoolchildren, 12 years old, were examined. The experimental group consisted of schoolchildren who were engaged in physical exercises for 6 months according to the developed individual typological program. Students in the control group followed the school programm. The assessment of the functional state was carried out by the method of “Express assessment of the physical health of schoolchildren” and the method of diagnosing indicators of heart rate variability.

Results: at the beginning of the survey, the indicators in the experimental group and the control group were determined by the characteristics of 4 types of autonomic regulation: I, II, III, IV. Of these, I, II corresponded to the predominance of sympathetic-tonic destabilizing influences on the cardiovascular system, in IV parasympathetic influences prevailed, manifested in the asthenia of the functional state of students. Whereas type III refers to the physiological norm and manifested itself in the form of a balance of regulatory influences of the parts of the autonomic nervous system.

Conclusions: at the control examination, the indicators of adaptation and health improved in all types of schoolchildren, while in the control group there was no positive dynamics of indicators of adaptation and health. This testifies to the effectiveness of individually typologically oriented classes at a physical education lesson as having a health-improving effect on schoolchildren.

Objective: to study the indicators of carnitine metabolism in young athletes of various specializations.

Materials and methods: This study involved 46 people with different levels of physical activity aged 15 to 18 years. The first group consisted of 18 girls professionally involved in field hockey (mean age, 16.17 ± 0.31 years). The second group included 21 swimmers (10 girls and 11 boys, mean age 17.00 ± 0.26 years). The control group included 7 young men with a standard mode of motor activity, not involved in sports (the age of the subjects was 16 years). In the course of the study, the method of liquid tandem chromatography-mass spectrometry with ionization in an electrospray was used. The material for research is capillary blood. As a result of the analysis of the material, the concentrations of bound carnitine (acylcarnitines) and free carnitine were determined in µmol/l.

Results: Comparative blood analysis between the three groups showed differences in free carnitine levels. It was shown that the concentration of free carnitine in the blood plasma of field hockey athletes was significantly lower than in the groups of swimmers and non-athletes (p < 0.001). At the same time, the values of indicators of bound carnitine did not differ significantly between all subjects. We also studied that the values of the carnitine coefficient were significantly higher in the group of hockey players compared to other groups (p < 0.001).

Conclusion: The decrease in free carnitine levels in the group of hockey players is probably the result of long-term adaptation of the body to conditions in which glucose is the main energy substrate for working muscles. Further studies are needed to clarify the exact mechanisms of development of this phenomenon.

This paper presents data from the literature and own results on the study of blood fluidity (or rheological properties) when performing physical exercises. It is shown that the rheology of blood depends on the functional state of the haemostasis system. It has been established that in the physiological state of the organism, physical exertion of any strength can lead to changes in the reactions of primary and plasma haemostasis and, accordingly, the rheological properties of blood. The review describes the study of factors related to blood flow in humans and animals before and after physical exercise (running, swimming, etc.) in the normal physiological state of the organism, with overstrain and with certain types of pathology (cardiovascular and metabolic diseases). Data on blood flow in conditions of physical activity restriction are presented. Special attention is paid to the corrective role of physical exercises on the rheology (fluidity) of blood in violation of homeostasis of the organism. Possible mechanisms of action of physical exertion on blood flow are considered.

NGS is becoming an integral part of medical practice, including in cardiology. The role of genes in the formation of diseases of the cardiovascular system has been actively studied for the last 20 years. Currently, heart diseases with a hereditary component are usually divided into two large groups: monogenic syndromes that lead to an unfavorable outcome, including sudden cardiac death at a young age, and polygenic conditions that manifest after 35 years and are accompanied by deterioration in the quality of life. In professional sports, changes in the myocardium are almost inevitable, however, the first phenotypic signs of hereditary myocardial disease may be hidden behind adaptive changes, which are commonly called “athlete’s heart”. The carriage of causative genes radically changes the approach to the management of an athlete: his admission to training and competitive activities is reviewed, the volume of permissible load and the frequency of visits to a cardiologist are discussed. In this paper, we tried to identify clinical markers — «red flags» that would indicate the need for genetic testing on the example of athletes who underwent an in-depth medical examination in 2021–2022.

The object of the study: to study the dynamics of erythrocyte parameters in 2nd and 3rd year students with different levels of physical activity.

Materials and methods: the venous blood of 56 students served as the material: 29 girls and 27 boys aged 18 to 22 years. With the help of a questionnaire, all the subjects were divided into 3 groups depending on the level of physical fitness (LPF). The red blood cells (RBC) and mean corpuscular volume (MCV), the concentration of hemoglobin (HGB), hematocrit (HCT), the mean cell hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), the red cell distribution of width (RDW) were determined.

Results: the highest values of indicators HGB, RBC and HCT were observed in students with high LPF. The highest values were recorded of the MCV, MCH, MCHC and RDW With an average LPF. High values of HGB, RBC and HCT with high LPF and indicators of the MCV, MCHC and RDW with average LPF prevailed in the 2nd year. Young men had an increase in the values of HGB, RBC, HCT, MCH with low LPF and an increase in MCV and RDW at an average level in the 3rd year. Statistically significant differences were found between the 2nd and 3rd year girls in terms of RDW with an average LPF.

Conclusion: with an increase in LPF, there is an increase in erythrocyte parameters. The dynamics of erythrocyte parameters depends on the level of physical activity, gender and the course of study.

Background: Controversial approaches to studying the effect of proteins of various origins on the functional parameters of human skeletal muscles have led to the erroneous opinion that plant-based protein is a lesser stimulator of muscle mass growth and muscle strength than animal protein. Therefore, the purpose of this systematic review was to actually evaluate the effects of plant and animal protein intake on muscle mass and strength through studies comparing protein supplements.

Methods: Literature search was carried out in the databases PubMed, Research Gate and the database of the Russian State Library. Studies were considered both in English and in Russian, over the past 20 years, filtered by date: from July 2002 to July 2022. Inclusion Criteria: Participants are healthy men and women over 18 years of age; taking protein supplements from plant products (soy, wheat, pea, rice, etc.); comparison with a group taking protein supplements from animal products (whey, beef, egg, etc.); studies assessed lean and/or muscle mass and assessed participants' muscle strength before and after supplementation; randomized controlled trial.

Results: A total of 970 studies were found. After initial screening for title and abstract, 938 studies were excluded. Of the 32 publications selected, 5 duplicates were excluded, and after a secondary selection, 18 studies that did not meet the PICOS criteria were excluded. As a result of the search and selection, the review included 9 publications.

Conclusions: Athletes and active individuals who prefer to consume plant-based protein products may not be inferior in terms of muscle strength and muscle mass to those athletes who prefer animal-based protein products. To further explore this topic, more randomized controlled trials should be conducted, taking into account the requirements for standardization and with a large number of participants.

Registration: PROSPERO 2022 CRD42022345245

Objective: to assess the psychophysiological and functional state of the body of basketball students in the pre-competition period.

Materials and methods: the study involved female basketball students with a sports category (girls, n = 18) in the pre-competition period. The article presents an analysis of the results of the psychophysiological and functional state of the body of the examined, obtained through the use of complex control using psychodiagnostic and functional research methods.

Results: indicators of psychodiagnostic techniques characterize the insufficient development of the studied properties of attention for those engaged in playing sports and the fitness of the functional abilities of the leading hand of basketball players. The revealed data of the tapping test correspond to the criterion of the lower limit of optimal performance, which causes insufficient physical readiness for competitive activity. The obtained results of temporal and spectral indicators of heart rate variability were not typical for students engaged in playing sports, which causes an increase in the degree of tension of regulatory systems and characterizes the development of fatigue in the pre-competition period of the surveyed athletes. The use of the spirometric method determined the discrepancy between the results obtained and the proper values characteristic of the weight and height parameters of the subjects, which indicates violations of the ventilatory function of the lungs and reduced respiratory musculature capabilities of basketball students.

Conclusion: the analysis of the obtained data on the psychophysiological and functional state of the body of basketball students in the pre-competition period determines the need to build a training process with the inclusion of psychological and pedagogical training aimed at expanding the physiological reserves of functional systems, improving the psychomotor properties of the body that determine the success of competitive activity and increasing the share of training effects aimed at improving the quality of strength endurance.