Репозиторий Университета

© 2020, The Author(s). This narrative review was conducted to synthesize and summarize available up-to-date evidence on current health status, including both non-communicable diseases and infectious diseases, of migrants and refugees from the former Soviet Union countries in the Russian Federation. Epidemiological and sociological studies with one or more determinants of the health, as well as relevant qualitative studies characterizing risk factors, well-being indicators, and lifestyles of migrants and refugees from the former Soviet Union countries in Russia published from 2004 to 2019 in Russian and English languages were included in the review. Despite significant limitations of the available research literature in the field, some patterns in migrants’ health in Russia and issues that need to be addressed were identified. In particular, the syndemic epidemics of communicable and non-communicable diseases, additively increasing negative health consequences, including cardiovascular diseases and chronic digestive system diseases, high rates of sexually transmitted infections and HIV, respiratory diseases and a growing percentage of new tuberculosis cases among migrants from the former Soviet Union countries are all of great concern. Possibly, the burden of these co-occurring morbidities is linked to commonly reported issues among this population group, such as poor nutrition and living conditions, high prevalence of unskilled manual labour, non-compliance with sanitary norms, lack of basic vaccinations, lack of basic knowledge about safe sexual practices and risky sexual behaviour, low healthcare seeking behaviour and limited access to health care. Importantly, these findings may urge the government to increase efforts and promote international collaboration in combating the threat of infectious diseases. Additionally, it was found that migrants had higher levels of anxiety and post-traumatic stress disorder, and those who stayed in the receiving country 5 years or more had a higher level of somatic pathology than those whose stay was less than 5 years. In order to ensure an adequate health system response and fulfil the main Universal Health Coverage principle of “leaving no one behind”, a robust monitoring system of the health status of refugees and migrants and an integrated legal framework for the standardized and more inclusive routine care for this population in Russia is urgently needed.

BACKGROUND: The high level of physical activity is known to contribute to the harmonious development of children and adolescents: moreover; it is a factor promoting prevention of hypodynamia. The low level of physical activity is a risk factor for the development of many non-communicable diseases. However, physical education is not considered by many students as an attractive subject. AIM: The objective of the present study was the enhancement of the motivational aspects of physical activity for the prevention of hypodynamia among students. MATERIAL AND METHODS: Physical education of the students was carried out with the use of the standard and modified methods. A total of 206 students (including 133 girls and 73 boys) at the mean age of 17.5±1.5 years were available for the examination. The study was conducted before the intervention (1st year) after the termination of the physical culture lessons envisaged by the academic curriculum (3rd year). The evaluation of the physical conditions and fitness of the students was conducted on the basis of the Russian Physical Culture and Sport Complex (GTO), bioimpedance analysis making use of the 'Medass' ABC-01 device; the functional reserves of the organism were assessed by means of hardware-software programs; the changes in food preferences were estimated on the basis of the FLLANK, questionnaire preliminarily adapted to the specific conditions of this country, and the characteristics of the metabolic processes were evaluated by laser correlation spectroscopy. RESULTS: Dynamics of the successful performance of the GTO normatives in the girls manifested itself in the in reduction of time they spent to run the 100 meter distance; the same was true for the boys who had to overcome the distance of 3000 meters. The students of both sexes became capable of increasing the number of repetitions of crunch and jumping rope exercises. The basal metabolism in the girls was increased within one year after the start of classes, and in the boys two years after the onset of the exercises; simultaneously, the positive changes in the metabolic profile were documented in the students of either sex. No adverse events related to the application of the modified training methods were recorded. CONCLUSION: An important aspect of the present study was the impact of new methods of teaching physical education on the composite body composition. The modified methods were found to shift dietary preferences and metabolic processes in the body of the students after the termination of the educational program.