Obesity is a disease characterized by excessive deposition of fat in the body. There are two forms of obesity; exogenous and endogenous. Exogenous (alimentary) obesity is the result of excessive supply with limited physical mobility. Endogenous (endocrine-cerebral) obesity is caused by dysfunction of endocrine glands or regulation of lipid metabolism of the nervous centres (hypothalamus).
There are 4 the degree of obesity: I (light)- the body weight exceeds the physiological norm by 10-30%, II (medium)- 30-45%, III (heavy)- 50-100%, IV (very heavy) - more than 100%.
Patients obesity complain about poor health, the changeability of moods, fatigue, sleepiness, pain in the heart, shortness of breath, swelling.
Obesity all organs work with incremental load, resulting in dystrophic degeneration them. This particularly applies to the heart muscle. Patients often develop angina, degenerative changes in the myocardium, circulation failure of the I-II degree.
Suffer and other systems. Broken external breathing, reduced VC, there diarrhoeal disorders, arthritis and diseases of the nervous system. Complex treatment of obesity involves diet therapy, water therapy, hormonal drugs, rational impellent mode, massage.
The special tasks of medical physical culture in obesity are: improvement of metabolism, activation of oxidative processes, strengthening of processes of splitting of fat, reduce excess body weight. It is established, that under influence of long-moderate loads can achieve more favourable changes of the fat metabolism, than with short-term intensive loads. Particularly suitable for this approach in the first period of occupation, when the possibilities of the cardiovascular system is still limited.
In this age of the patient adapt to increasing physical activity, restore his motor skills and physical performance, using a morning hygienic gymnastics, therapeutic gymnastics, dosed walking, massage.
In the II period in addition to these funds actively involve in the training exercises cyclical nature at a moderate pace: walking, Hiking trips, running, skiing, swimming, rowing. General developmental exercises and exercises applied nature in the form of walking, running, jumping particularly indicated in patients young and middle age who do not have diseases of the cardiovascular system. Recommended breathing exercises, exercises for the abdominal muscles, corrective exercises, outdoor games. This applies all the ways to increase load: involvement in motor activity of large and medium muscle groups and increase range of motion and duration of lessons, exercises with weights and resistance.
Especially effective such a burden when exogenous (alimentary) obesity. Patients with this form of obesity recommended morning hygienic gymnastics (duration 20-30 min) with elements of walking and running and the subsequent water treatment, medical gymnastics (duration 30 to 60 minutes) with multiple exercises for the major muscle groups, the inclusion of exercises with a deep breath, with objects on shells and outdoor games. In the evening appropriate sports and walking.
In endogenous (endocrine-cerebral form of obesity total load in practice reduced. During physiotherapy sessions are recommended breathing exercises and exercises for secondary muscle groups. The pace of their implementation is slow and average. Duration of training 25-30 minutes