Daily Blood Pressure Indicators іn Athletes and Persons with Obesity, Hypertension, Type 2 Diabetes іn the Context оf Physical Rehabilitation

It has been proven that disorders of autonomic regulation of the cardiovascular system are characteristic of two opposite cohorts: professional athletes and patients with metabolic and cardiovascular pathologies (obesity, arterial hypertension, diabetes mellitus). If in athletes autonomic dysfunction is a consequence of chronic physical overstrain, exceeding the adaptation reserve, then in patients with metabolic syndrome damage to autonomic nerves is due to the direct influence of pathogenetic factors of the disease. For individuals with metabolic disorders, an individualized rehabilitation program was developed, which combined aerobic and strength training to normalize metabolism, cardiac function and body weight. Daily blood pressure monitoring was performed for all participants on a day free from training, according to a standardized protocol using the Heaco ABPM50 device. The obtained data revealed a fundamental difference in the hemodynamic profile between the adapted organism of athletes and patients with comorbid pathology. The identified pathophysiological patterns are the basis for the development of differentiated physical rehabilitation programs.