Nedelska Y. Sanogenetic effects of exercise on a stationary bike in adolescents with primary arterial hypertension

Dissertation is devoted to the optimization approaches to the prophylaxis of the primary arterial hypertension in adolescents, that is based on the study of the clinical course and sanogenic effects of the systematical exercises on a stationary bike. Each exercise execution leads to the systolic blood pressure decrease on the 5th minute in average after start of the rest period, depending on the course of the arterial hypertension. It was proved that set of the exercises has influences on the increase of the physical efficacy measured by PWC170 test, adaptive abilities of the cardiovascular system - by Robinson test, circadian rhythm of the blood pressure, especially increase of the "dipper" type quantity. After exercises completion further progression of the arterial hypertension occurs, that leads to the structural remodeling of the left ventricle in the 45,4% of males and 14 % of females. The best results of the systematical exercises on a stationary bike should be expected in adolescents with average systolic blood pressure not more than 131 mm Hg, with variability heart rhythm index pNN50 more than 16,6% and body mass index less than 26 kg/m2, in those who has got blood pressure normalization and has no internal target organs affection.