Organization of clinicalization in the Armed Forces of the Russian Federation. General List of Medical Contraindications To Sports Sports Program for therapeutic physical culture of servicemen

So-called free exercises are a kind of charging for the military, which we can also use as everyday regular workouts.

Features of execution

The program for military vehicles of free exercises 1 and 2, as and 3, belong to gymnastics and athletic preparation. Each of them is performed on 16 bills. The initial position for any of the complexes serves the heels together, the socks are divorced apart, the belly is selected, the knees are straightened, but not up to the voltage, the body body is served forward.

Complexes differ from each other difficulty performing. For example, complex 3 is more complicated than complexes of free exercises 1 and 2. Photos and descriptions of sequences Below in the article give a quick idea of \u200b\u200bthem.

Complex as a standard

Often complexes of free exercises 1 and 2 are for evaluating as a standard. There are certain criteria for estimating the correctness of their execution. Variants of estimates are similar to school - from "five" to "twos":

  • excellent - all exercises are made correctly, without mistakes, the cadet is confident in his actions;
  • good - there are minor errors;
  • satisfactory wrong technique performing exercises, uncertainty in performance;
  • unsatisfactory - significant errors (the exercise is missed or performed technically incorrectly, elements are added from themselves).

Complex of free exercises 1

We accept the starting position.

  1. Pull your hands forward.
  2. We get up on the socks, raise your hands, stretch to all body upstairs.
  3. Lower your hands, directing down the elbows and wear the blades well.
  4. Raise your hands upstairs, go into a shallow deflection in the chest.
  5. Hands on his knees, cried.
  6. We get up and dramatically take your hands to the side and a little back, opening the chest.
  7. Capped with hands on the knees (repeat the account 5).
  8. From the squat jumping legs put wider shoulders, holding hands on a belt.
  9. Take out left Back, turning the case.
  10. We return to the hand position on the belt, the case directly.
  11. We take the right hand back along with the housing and head, look at hand.
  12. We return to the position with your hands on the belt.
  13. Tilt down, without changing the widespread position.
  14. Raised from tilt and hands through the top sharply dragging to the sides, as at the expense of 6.
  15. We repeat the account of 13 - the slope down.
  16. Jump take the initial position at the fast.

Sequence 2.

Become directly, stretch up from the top of the top to the heels.

  1. Take your hands back.
  2. Climbing on the socks together with the assignment of the hands up.
  3. Elbows lowered down.
  4. With my left foot, we make the left left, the hands are divorced to the sides.
  5. We return to a position with bent elbows and palms listed on the shoulders (as for 3).
  6. We make the fall to the right with the right foot, we will drag your hands to the parties.
  7. We return to a position with bent elbows, palms to the shoulders (as in the account 3 and at the expense of 5).
  8. Jump put legs wider shoulders, hands upstairs in the castle.
  9. We make a slope with straight legs, put your hands behind your feet, try the body to push as far as possible back.
  10. Cropped out of tilt and take the left hand back along with the rotation of the housing. We also turn the head, look at the left palm.
  11. We return back to the tilt, similar to the Regulation 9.
  12. We leave from the tilt and take the right hand back with the rotation of the case, we look at the right hand - we repeat the account 10 on the right side.
  13. We return to the slope again.
  14. We leave out of the tilt immediately in the squat, hands, like the hips, parallel to the floor, stretch your back, do not get round.
  15. Jumping out of a squat: legs wider shoulders, hands upstairs, looking up.
  16. Jump starting position, at a fast.

Sequence 3.

As in previous cases, we accept the standing position.

  1. Hands pull forward.
  2. A jerk take the hands through the top to the side back, we open the chest.
  3. Jump leaving in your hands touch the floor.
  4. Jump out in the bar: the body is straightened, the loin is not failing, the weight is evenly distributed between hands and legs, the heels behind the rear as if the invisible wall is pushing.
  5. From the plank raising left foot Top, pull the sock, turn your head and look to the left, keep the balance.
  6. Return to the bar.
  7. Rise right leg Top and, turning your head, look right.
  8. Return to the bar.
  9. From the plank jump, we return to a deep cried, hands do not tear off from the floor.
  10. Jump leave the squats, legs wider shoulders, hands behind your head, elbows on the sides.
  11. The slope to the left, the left elbow stretch down, right - in the opposite direction, we make movements in the same plane.
  12. The slope is right, we repeat identically movements at the expense of 11 - stretch the right elbow down.
  13. Opening his hands to the sides, slip out of the position while standing in the tilt back, light deflection in the thoracic department, do not strain the lower back, palms are disclosed and stretch back.
  14. From the deflection, the tilt forward, stretch down with straight, widely placed legs.
  15. Jump out from the tilt, bringing hands through the sides back, the case, on the contrary, protruding forward. Legs, too, rented back.
  16. From the jump through the light semi-head with hands, stretched forward, return to its original position.

If you want to perform complexes as regular workouts, then focus on your common sport training. If you are new to - take a complex of free exercises 1, if there is a sports experience - 2 or 3.

Organization of dispensary in the Armed Forces of the Russian Federation

Because Calantarov, Ordinator of the surgical department of the 5th CVKG, Candidate of Medical Sciences; P.I. Gavryushenko, Head of the Department of Military Legislation (Air Force), Candidate of Law, Lieutenant Colonel of Justice

Dispensarization is one of the key components of the medical support system for the personnel of the Armed Forces of the Russian Federation, an important activity of the command and medical service of military units to preserve and strengthen the health of military personnel. It includes medical monitoring of the health of personnel, the active and earlier identification of diseases, the study of the conditions of service and life of military personnel, identifying factors that negatively affect their health, carrying out preventive and medical and health events.

The purpose of the clinicalization is the prevention, active and early detection of diseases, preventing their exacerbations, complications and progression. The dispensarization is carried out in accordance with the methodology for the workshop of the military of the Armed Forces of the Russian Federation, the stock officers (retired). This technique was developed taking into account the requirements established by the Order of the Ministry of Health of Russia and the Federal Fund for Compulsory Medical Insurance (OMS) "On the organization of work on standardization in health care" of January 19, 1998 No. 12/2.

The volume of research and medical and preventive measures in the methodology is defined in accordance with the requirements established by:

- the basis of the legislation of the Russian Federation on the protection of the health of citizens of July 23, 1993 No. 5487-1;

- Law of the Russian Federation "On the social protection of citizens who have been influenced by radiation due to a disaster at the Chernobyl NPP" (as amended by the Law of the Russian Federation of June 18, 1992 No. 306-1 with additions and changes) of May 15, 1991 No. 1244-I ;

- the law of the Russian Federation "On the status of the heroes of the Soviet Union, the heroes of the Russian Federation and the full cavaliers of the Order of Glory" (with subsequent changes and additions) of January 15, 1993 No. 4301-I;

- the charter of the internal service of the Armed Forces of the Russian Federation, approved by the Decree of the President of the Russian Federation of December 14, 1993 No. 2140;

- Guidelines for medical support of the Armed Forces of the Russian Federation for peacetime, approved by order of the head of the Tar of the Armed Forces of the Russian Federation - Deputy Minister of Defense of the Russian Federation 2001 No. 1;

- Directive of the head of the Civil Code of the Russian Federation "Methods of dispensary dynamic observation with the main diseases of military personnel of the Armed Forces of the Russian Federation" 2002 No. DM-1.

On the scale of the scope of persons, the dispensarization may be common when it is conducted by all categories of servicemen and includes measures to identify basic classes and nosological forms of diseases, and targeted. The latter is carried out, as a rule, certain categories of servicemen in order to identify individual (most relevant for the specific category of surveyed) diseases.

The most important components of the dispensary are: in-depth medical examination (UMO), dispensary dynamic observation (DDN) and medical and preventive measures.

Events on the preparation and conduct of the UMO are included in the plan of the main events of the military unit for the year on the submission of the head of the medical service of the part.

To carry out the UMO servicemen undergoing military service under the contract, a dispensary commission is created, the chairman of which is appointed by the head of the medical service of the military unit.

UMO servicemen passing military service on call and under contract not under DDNs conducts a part doctor.

For a qualitative implementation of UMO, the head of the medical service of the military unit in advance (usually for 1.5 - 2 months) is preparing a plan for the preparation and conduct of the UMO of military personnel.

Conducting UMOs in military units and institutions that do not have in the state of the doctor, the decision of the head of the Garrison Medical Service is assigned to the garrison clinic (hospital). The draft of the order of the head of the garrison about the organization of the UMO and the schedule of his holding is the head of the Garrison Medical Service. Extracts from the order are sent to commanders of military units (institutions) and the boss of the Polyclinic (hospital).

In the organization of UMO, three periods are allocated.

1. Preparatory period.This period includes the following events:

- Preparation of the project of the order of the commander of the military unit on the conduct of the UMO and the schedule of passing through its personnel. When developing the schedule, it is taken into account that the survey is carried out only on working days in the bright time of the day, while one doctor with a paramedic (medical sister) can examine no more than 40 people per day;

- Conducting an instructing and methodological lesson on which the head of the medical service of the military unit informs subordinates about the peculiarities of the upcoming survey, distributes functional responsibilities and sets the tasks for the preparation of premises and medical personnel. Before starting UMO, the military service is conducted by the servicemen undergoing military service under the contract for studying subjective assessment health status, service and life conditions, which reduces the time to collect history and information, allows you to fill in certain sections of the medical record and adjust the survey plan;

- Preparation of medical records, during which medical records are being studied, the results of the implementation in the previous period of the treatment-and-prophylactic measures of the military personnel, consisting of DDNs for 200__. This allows the doctor to outline for each soldier, an individual plan of the UMO, in which, in addition to the mandatory complex of research and inspections of specialist doctors, can additionally be included by individual medical testimony of laboratory, functional, endoscopic and other studies, as well as surveys by specialist doctors. The head of the medical service of the military unit develops and coordinates with the head of the Garrison Medical Service (head of the garrison polyclinic, hospital) a consolidated list of diagnostic research and consultation by military personnel of the military unit. Organs fluorography chest, as a rule, must be carried out before the beginning of the UMO;

- preparation of the material base, which involves repairing the premises of the medical office, medical equipment, as well as obtaining the necessary medical property;

- Conducting explanatory work with the personal composition of the value of UMO to preserve the health and prevention of diseases.

2. The period of the in-depth medical examination. The Personal Composition for HMI is submitted to the medical center of the commander of the unit, which informs the doctor information about military personnel who are lagging behind in combat training, having difficulties of military professional adaptation, inclined to use alcohol, narcotic and toxic substances having behavioral features, as well as other servicemen in need of a more careful medical examination.

The doctor, taking into account the information received from the commander of the division, studying the data of the survey and the epicrosis available in the medical book, conducts a survey of a serviceman independently or with the involvement of medical professionals. Servicemen who do not under DDNs, but in which during the UMOs had complaints of health, are sent to a survey and consultation to specialists in the garrison military-medical institution (VLU) established by the established procedure.

The results of the UMO are entered by a doctor in the relevant sections of the medical record. The final records indicate: a diagnosis of basic and related diseases, a health status group, a group for physical training, nutrition status, conclusion about the need for dispensary dynamic observation and conducting specific medical and preventive measures.

The conclusion of the Dispensary Commission on the state of health is certified in the medical record of the chairman of the Commission.

Health Groups of servicemen:

- I group - "Healthy" - military personnel who have no diseases or there are some deviations in health state without a tendency to progression and do not have any influence on performance;

- II group - "practically healthy" - military personnel with chronic diseases without violation or with minor violations of the functions of organs and systems that do not reduce efficiency;

- III Group - military personnel with chronic diseases with a moderate or pronounced violation of organs and systems that reduce their performance.

Servicemen who have deviations in a state of health and classified according to the results of UMOs to III and partly II health care groups, according to a doctor, by order of the commander of the military unit, are included in the LFC Group.

UMOs are released by servicemen who, this year, a medical examination was conducted during an outpatient, inpatient treatment or a medical examination (military medical and medical and flight examinations).

3. The period of summing up in-depth medical examination.After the end of the UMO, the head of the medical service of the military unit analyzes the dynamics of the health of military personnel, the completeness and effectiveness of therapeutic and preventive measures carried out in the past period (in servicemen undergoing military service - for 6 months, for military personnel held by military service under the contract, - For 1 year). The results of the UMO annually reports the commander of the military unit in writing.

At the same time, the Head of Medical Services is developing and presents the commander for approving the draft plan of medical and preventive measures. This plan provides for the timing and amount of medical and preventive measures to each specific serviceman part under DDN.

DDNs are subject to face:

- having chronic diseases;

- having an increased risk of ischemic heart disease, hypertensive disease, ulcerative disease of the stomach and 12-rum, rheumatism, diabetes, malignant neoplasms and other diseases;

- suffering acute diseases (acute tonsillitis, heavy shape of influenza, acute pneumonia, acute glomerulonephritis, infectious hepatitis, acute intestinal infections, etc.);

- working in the conditions of adverse factors of military service.

Persons subject to DDN are provided for the appointment of the following medical and preventive measures:

- control medical examinations for individual plans, as well as consulting medical professionals;

- drug treatment (anti-inflicted, prophylactic), conducted outpatient or in the hospital;

- physiotherapeutic treatment;

- non-drug treatment methods (reflexotherapy, manual therapy, psychotherapy, phytotherapy, etc.);

- Sanation of chronic infection foci;

- planned operational treatment (outpatient, in hospital);

- Spa treatment;

- physical education classes;

- labor and rest mode;

- Refusal to smoking and drinking alcohol, etc.

Documents accounting for DDN, as well as monitoring the execution of the planned diagnostic and medical and preventive measures of the planned diagnostic and medical and preventive measures, the book of accounting patients in the ambulance, the plan of medical and preventive measures and (or) the DDN card. The latter is conducted by the attending physician of the garrison VLU, in which the soldier consists on DDN. The military unit is also allowed to maintain DDN cards in order to ensure continuity in conducting therapeutic and preventive measures between the medical service of the part and military-medical institutions.

Important in improving the quality of clinical examination have hygienic education and training of methods for the prevention of diseases and their complications, propaganda of a healthy lifestyle. This direction of preventive work should be permanent, focused and carried out with each contact of the medical staff with military personnel. The active participation of military personnel in preventive work, a conscious attitude to the recommendations and appointments of the doctor, a sense of responsibility for their health status is a prerequisite for the effectiveness of the dispensarization.

Features of medical monitoring of the health of officers, V / C under the contract, are due to the older age of this category in / s compared with the military-term service, the greater duration of the service in the aircraft, the specifics of the performance of official duties, the nature of war labor, the presence of a larger number Professional, domestic risk factors.

The specified category in / s includes persons aged from 20 to 50 years and older. In / from to 30-35 years of age, the average health and functionality of the body is significantly higher than in / from older age.

In the age of 35 and over the background of age-related changes in various organs and systems of disease and their consequences, chronic, mutually accurate nature acquire, proceed in most cases is sluggish and atypically, with periodic exacerbations and complications of the main process. For officers and in / s under the contract of this age group, a change in social status, content and scope of official duties, an increase in neuropsychic loads, a violation of the power regime, recreation, a decrease in physical exertion, an increase in the number of professional and domestic risk factors for the occurrence of diseases is characterized.

The most common types of pathology among B / C over 40 are diseases of the circulatory system, mainly diseases characterized by increased blood pressure, ischemic heart disease, atherosclerosis, arteries, veins, cerebrovascular diseases; Diseases of the endocrine system, in particular, diabetes, metabolic disorders, thyroid disease, obesity, etc. Views of excessive nutrition; neoplasm; diseases of digestive organs; diseases of the urogenital system; manifestations of the consequences of bad habits, the impact of professional factors, etc.

Officers and in / s under the contract, held by the military service under the age of 40 years undergo in-depth medical examination (UMO) in the medical station of part once a year before in the winter learning. The amount of medical examination:

1. Flavorography of the organs of the chest.

2. Antropometry

3. Curriculum of general practitioner in a medical center.

The individuals of the officer and V / C under a contract for 40 years and over the annual UMO in military hospitals, lazarets and a medical battalion in stationary conditions for a period of 5 days. Mandatory scope:

1.Fogk in two projections.

2. Antropometry

3. General blood and urine tests.

4. Clamping blood sugar, serum lipids.

5.EKG, incl. According to testimony with load samples.

6. Measuring intraocular pressure.

According to the results of a medical examination, officers and a / c under contract are distributed to the following health care groups:

1st group - "Healthy" - persons who do not have diseases or their individual manifestations, the consequences of transferred acute diseases and injuries, as well as in / s, who have some deviations of a functional and morphological nature without a tendency to progression and not affecting performance;

2nd group - "practically healthy" - V / C, who suffered acute diseases, injuries, injuries and having the manifestations of their consequences with minor violations of the functions of organs and systems that do not reduce substantially efficiency;

3rd group - "Having chronic diseases or the consequences of transferred diseases and injuries."This group includes persons with chronic diseases of internal organs with minor disorders of their functions and rare exacerbations, as well as persons with implications of injury, poisoning, surgical interventions and other impacts of external factors. V / C, referred to the 3rd health status group to be dispensary dynamic observation. In an individual, in / s 3 of the state of health, the terms of control medical examinations and the necessary medical and recreational activities are appointed.

At the end of the UMO NMS, the part summarizes the results of the survey of each officer. At the same time, taking into account the main and concomitant diseases, a group of health status is determined and a complex of medical and recreational activities is appointed. UMO results are recorded in the medical record.

Officers and V / C under the contract, newly arrived in the part and not past UMOs in the time established by the order, is examined within a month from the date of arrival in the part.

Officers and V / C under a contract, with the results of UMO contraindications to the passage of military service, are sent by the commander of the part to the medical examination in the military hospitals and Lazarols within 2 weeks.

Medical contraindications for sports. A list of diseases and pathological states of health that impedes admission to physical culture and sports in educational institutions. Approximate terms of resumption of physical education and sports after some diseases and injuries.

List of diseases and pathological conditions impeding tolerance to sports

I. All acute and chronic diseases in the aggravation stage

II. Features of physical development

  1. Sharply pronounced lag in physical Developmentpreventing exercises and standards provided for by curriculum; A sharp imbalance between the length of the limbs and the body.
  2. All types of deformations of the upper extremities that exclude or impede the possibility of performing various sports exercises.
  3. The pronounced deformation of the chest, which makes the functioning of the organs of the chest cavity.
  4. A pronounced deformation of the pelvis that affects the statics of the body or breaking a walking bomechanic.
  5. The shortening of one lower limb is more than 3 cm, even with a full-fledged gait; The pronounced curvature of feet inside (X-shaped curvature) or outward (O-shaped curvature) at a distance between the internal sodes of the femoral bones or internal ankles of the tibial bones over 12 cm.

III. Nervous psychic diseases. Injuries of the central and peripheral nervous system.

  1. Mental and non-psychotic mental disorders due to organic brain damage. Endogenous psychosis: schizophrenia and affective psychosis. Symptomatic psychosis and other mental disorders of exogenous etiology.

    Persons having a light short-term asthenic condition after acute disease are allowed to exercise sports after full cure.

  2. Reactive psychosis and neurotic disorders.

    Persons who had sharp reactions to stress, adaptation disorders and slightly pronounced neurotic disorders, characterized mainly by emotional - volitional and vegetative disorders, allowed by sports after full cure.

    Persons with rare faints are subject to in-depth examination and treatment. The diagnosis of neurocirculatory dystonia is established only in cases where a targeted examination did not reveal other diseases accompanied by violations of the autonomic nervous system. Even in the presence of rare faints, such persons cannot be admitted to martial arts, complex coordination, traumatic and water sports.

  3. Organic diseases of the central nervous system (degenerative, tumors of the head and spinal cord, congenital anomalies and other neuromuscular diseases).
  4. Diseases of the peripheral nervous system (including the presence of objective data without disrupting functions).
  5. Injuries of peripheral nerves and their consequences (including light residual phenomena in the form of slightly pronounced sensitivity disorders or a slight weakening of muscles innervated by damaged nerve).
  6. The consequences of the fractures of the bones of the skull (the cortex, facial bones, including the lower and the upper jaws, other bones) without signs of organic damage to the central nervous system, but in the presence of a foreign body in the cavity of the skull, as well as a substituted or unsubstituted defect of the bones of the skull bone.
  7. Temporary functional disorders after acute diseases and injuries of the central or peripheral nervous system, as well as their surgical treatment.

Persons who have suffered a closed injury of the head and spinal cord, with the instrumentally confirmed absence of signs of lesion of the central nervous system, can be allowed to exercise sports no earlier than 12 months. After complete cure (traumatic sports are not recommended).

IV. Diseases of internal organs

  1. Congenital and acquired heart defects.
  2. Rheumatism, rheumatic heart disease (rheumatic pericarditis, myocarditis, rheumatic valve patterns). Irrematic myocardits, endocardits. Other heart disease: cardiomyopathy, organic disorders heart Rhythm and conductivity, valve prolapse (II degree and above, I degree - in the presence of regurgitation, mixture degeneration of valves, heart rate disorders, changes in ECG), excitation syndromes of ventricles, sinus node weakness syndrome.

    Rare Single Power Extrasystoles and Sine Arrhythmia Functional nature are not contraindicated for sports.

    Persons who have suffered irrematic myocardits without outcome in myocardioosclerosis, in the absence of violations of the rhythm of the heart and conductivity, against the background of high tolerance for physical exertion can be allowed to occupy sports after 12 months. After complete recovery.

  3. Hypertension, symptomatic hypertension.
  4. Coronary artery disease.
  5. Neurocirculatory dystonia (hypertensive, hypotensive, cardiac or mixed types) are allowed conditionally.
  6. Chronic nonspecific diseases of lungs and pleuras, disseminated diseases of the lungs of hubberculse etiology (including diseases accompanied by even minor disorders of the respiratory function).
  7. Bronchial asthma.

    In the absence of attacks for five years or more, but continuously modified reactivity of bronchi, admission to classes of individual sports is possible (sports is not recommended to develop endurance, winter species Sports, as well as sports, classes that are held in the halls and are associated with the use of talca, rosin, etc.).

  8. The ulcer of the stomach and duodenal intestine in the aggravation stage. The ulcerative ulcer of the stomach and duodenal intestine in the remission stage with disorders of the digestive function and frequent exacerbations in history.

    Persons with ulcerative stomach or duodenal disease, which are within 6 years in a state of remission (without disorders of the digestive function), can be allowed to be adopted by sports (no sports are recommended to develop endurance).

  9. Other diseases of the stomach and duodenal intestine, including autoimmune gastritis and special forms of gastritis (granulomatous, eosinophilic, hypertrophic, lymphocytic), diseases of the gallbladder and biliary tract, pancreas, thin and large intestines, with significant and moderate impaired functions and frequent exacerbations.

    Persons with Helicobacter gastritis can be allowed to exercise sports after appropriate treatment.

    Persons with chronic gastritis and gastroduodenites with minor violations of function and rare exacerbations, as well as dyskinesia of biliary tract with rare exacerbations, can be allowed to exercise sports.

  10. Chronic liver diseases (including benign hyperbirubinemia), liver cirrhosis.
  11. The diseases of the esophagus (esophagitis, ulcers - until complete cure; cardiospasm, stenosis, diverticulus - with significant and moderate function disorders).
  12. Chronic kidney diseases (chronic glomerulonephritis, chronic primary pyelonephritis, nephrosclerosis, nephrotic syndrome, primary-wrinkled kidney, amyloidosis of the kidneys, chronic interstitial jade and other nephropathy).
  13. Pyelonephritis (secondary), hydronephrosis, urolithiasis.

    Instrumental removal or self-detection of a single stone from the urinary tract (pelvis, ureter, bladder) without crushing stones of the urinary system, small (up to 0.5 cm) single kidney and ureterals, confirmed only by ultrasound, without pathological changes in the urine, one-sided or double-sided nephroptosis of stage I are not contraindicated to sports.

  14. Systemic communication tissue diseases.
  15. Diseases of the joints - rheumatoid arthritis, arthritis, combined with spondylitrite, ankylosing spondyloarthritis, osteoarthritis, metabolic arthritis, the consequences of infectious arthritis.

    Persons who have suffered reactive arthritis with full reverse development can be allowed to exercise sports after 6 months. After full cure.

  16. System Vasculites.
  17. Diseases of blood and blood-forming Ovgans.

    Persons having temporary functional disorders after non-systemic blood diseases are allowed to exercise sports after full cure.

  18. Resistant changes in the composition of peripheral blood (the number of leukocytes less than 4.0x109 / l or more than 9.0x109 / l, the amount of platelets is less than 180.0x109 / l, the hemoglobin content is less than 120 g / l).
  19. Malignant neoplasms of lymphoid, hematopoietic and related fabrics: lympho-, micield, reticulous-sarcoma, leukemia, lymphosis, lymphogranulomatosis, paraproteinemic hemoblastosis (including states after surgical treatment, radiation and cytostatic therapy).
  20. Acute radiation disease of any degree of severity in history, as well as previously obtained with an accident or random radiation dose, exceeding the annual maximum permissible dose of five times (in accordance with radiation safety standards - 76/87).
  21. Endocrine diseases, nutritional disorders and metabolism (simple goiter, non-toxic nodal goiter, thyrotoxicosis, thyroiditis, hypothyteosis, diabetes mellitus, acromegalia, diseases of the near-shaped glands, adrenal glands, gout, obesity II-III degree).

V. Surgical disease

    The diseases of the spine and their consequences (spondylise and related states, diseases of intervertebral discs, other diseases of the spine, pronounced violations of the spine in the sagittal plane: Rachician kyphoid, cylopholecular kyphosis, Shermann's disease - may, Calve disease; scoliotic disease, phenomena of pronounced instability) .

    Persons with non-fixed spinal curvature in the frontal plane (scoliotic posture) and initial signs of intervertebral osteochondrosis with asymptomatic flow can be allowed to occupy symmetric sports.

  1. The effects of spinal fractures, chest, upper and lower extremities, pelvis, accompanied by violations of functions.
  2. Diseases and consequences of damage to the aorta, main and peripheral arteries and veins, lymphatic vessels: obloring endarteritic, aneurysms, phleets, phlebotrombosis, varicose and post-tombotic disease, elephantia (lymphodium), varicose veins of the seed rope (medium and large degree of severity); Angiotroid element, hemangioma.
  3. Surgical diseases and lesions of large joints, bones and cartilage, osteopathy and acquired bone-muscular deformations (intra-articular lesions, osteomyelitis, periostitis, other bone damage, deforming osteitis and osteopathy, osteochondropathy, persistent contractures of joints, other diseases and lesions of joints, bones and cartilage ).

    In case of Osgood Schlatter, the question of the possibility of admission to sports sports is solved individually.

  4. Soased or familiar dislocations in large joints arising from minor physical exertion.
  5. Defects or lack of fingers of hands that violate the functions of the brush.
  6. Defects or lack of foot fingers that violate the full-fledged opo-proposality, which make it difficult for walking and carrying shoes (ordinary and sports).

    For the lack of finger on the foot, the absence of it at the level of the advantage of the Language joint is considered. Complete reduction or stillness of the finger is considered to be its absence.

  7. Flattep and other foot deformations with significant and moderate impairment of its functions.

    In the presence of flatfoot II degree on one leg and flat-growing, the degree in the other leg, the conclusion is made according to flat-standing degree.

    Faces with flat-growing I degree, as well as II degrees without arthrosis in Trangian-like-shaped joints can be admitted to sports.

  8. Hernia (groove, femoral, umbilical), other hernias of the abdominal cavity. The expansion of one or both inguinal rings with clearly felt at the time of the annular examination by the protrusion of the contents of the abdominal cavity during a straightening - until complete cure.

    A small bustling hernia, preventive firing of a white belly line, as well as the expansion of the inguinal rings without a hernial protrusion during exercise and a fitness is not contraindicated to sports.

  9. Hemorrhoids with frequent exacerbations and secondary anemia, loss of nodes of the II-III stage. Recurrent cracks of the rear pass.

    Persons who have undergone operational interventions over the varicose veins of the lower extremities, the veins of the seed rope, hemorrhoids, the cracks of the rear passage, can be allowed to exercise sports, if after 1 year after surgery there are no signs of recurrence of disease and local blood circulation disorders.

  10. The protrusion of all layers of the wall of the rectum during straightening.
  11. Consequences of skin injuries and subcutaneous fiber, accompanied by impaired motor functions or impellent wearing sportswear, shoes or equipment.

    The rapid scars after operations and damage, in their localization, impede physical exercises; scars inclined to ulceration; Scars, soldered with subjectable tissues and prevent movements in a particular joint when performing exercise.

  12. Diseases of the chest.
  13. Malignant neoplasms of all localization.
  14. Benign neoplasms - until complete cure.

Persons having temporary functional disorders after surgical treatment of benign neoplasms are allowed to exercise sports after full cure.

Vi. Injuries and diseases of the ENT organs

  1. Diseases and damage to the larynx, cervical department Tracheans, accompanied by even minor impaired respiratory and voice functions.
  2. The curvature of the nasal partition with a pronounced violation of the nasal respiration (the operation in such cases is pro-aged under the age of 15 years).
  3. Outdoor ear diseases - until complete cure.
  4. Diseases of the Eustachius Pipe - until complete cure.
  5. Purulent single or double-sided epitimpanitis or merzymentpanite in all forms and stages.
  6. Resistant residual phenomena of transferred otitis (resistant scar changes in the eardrum, the presence of perforation of the eardrum).
  7. Otosclerosis, labirintopathy, cochlear neuritis and other reasons for deafness or resistant decrease in hearing on one or both ears (normally on both ear, the perception of a whisper speech should be at a distance of 6 m, the minimum allowable decrease in this distance to 4 m).
  8. Violation of Eustachius Pipe Pateuries and Ear Barofunction Disorder.
  9. Vestibular-vegetative disorders, even in moderately pronounced degrees.
  10. Diseases of the apparent sinuses of the nose - until complete cure.
  11. Deformation and chronic changes in the state of nose tissues, oral cavity, pharynx, larynx and trachea, accompanied by impaired respiratory function.
  12. Upper respiratory diseases (nasal cavity polyps, adenoids, decompensated shape of chronic tonsillitis) - until complete cure.

    Under chronic decompensated tonsillitis, it is customary to understand the shape of chronic tonsillitis, characterized by frequent exacerbations (2 or more per year), the presence of tonicogenic intoxication (subfebelitis, fast fatigue, lethargy, making, changes on the part of the internal organs), involvement in the inflammatory process of okolomindal tissue, regional lymph nodes (Paratonzillar abscess, regional lymphadenitis).

    The objective features of chronic decompensated tonsillitis include: the release of pus or caseometric plugs from the lacun when pressing the spatula on the almond or when it is sounding, coarse scars in panemonds, hyperemia and the swelling of the sky, and the battle of them with almonds, the presence in the underpatient layer of jointing follicles, increase Lymphatic nodes on the front edge of the sander-curable-bed-like muscles.

  13. Oge
  14. Full absence of smell (anosmia).
  15. Persons having temporary functional disorders after the exacerbation of chronic diseases of the ENT organs, their injuries and surgical treatment are allowed to exercise sports after full cure.

VII. Injury and eye disease

  1. Lagofalm, eyelid eyelids and eyelashes growth towards the eyeball, causing constant eye irritation; Turning a century, breaking the function of the eye, the battle of the eyelids among themselves or with an eyeball, which prevents or limiting the movement of the eyes, a violating function of vision, at least one eye.
  2. Ptosis of the eyelid, disturbing the function of view of one or both eyes.
  3. 3. Abreable incurable tear due to the disease of the tear paths.
  4. Chronic diseases of the conjunctivities, corneas, an involuntary path and retina inflammatory or degenerative nature with frequent exacerbations.
  5. Summary nerve diseases.
  6. Atrophy of the optic nerve.
  7. Severe congenital and acquired (including traumatic)
  8. cataract.
  9. Lounge, destruction of the vitreous body.
  10. Congenital and acquired defects for the development of eye shells that violate the function of view.
  11. Aphakia.
  12. Changes on the eye day.
  13. States after penetrating eye injury.
  14. The foreign body in the eye not shown to remove.
  15. Limiting the field of view of one or both eyes by more than 20 °.
  16. Violations of the engine's motor apparatus.
  17. Nistagm of the Eye Apple with a significant decrease in visual acuity.
  18. Friendly squint is more than 20 ° - the question of admission is solved individually.
  19. Violations of color, the question of admission is solved individually depending on the specifics of the selected sport.
  20. Refraction anomalies: a general version - visual acuity: a) less than 0.6 on both eyes (no correction); b) not less than 0.6 to the best and 0.3 on the worst eye (no correction).

Approximate deadlines for the resumption of physical education and sports after some diseases and injuries
(from the beginning of visiting an educational institution).

Name
Diseases
Timing Note
1 2 3
Angina 2-4 weeks For the resumption of classes, additional medical examination is needed, it is necessary to especially pay attention to the condition of the heart and its reaction to the load. Under any complaints of the heart, exclude endurance exercises and avoid exercises that cause breathing delay at least for six months. Consider cooling (skis, swimming, etc.)
Acute respiratory diseases 1-3 weeks. Avoid cooling. Skiing, skates, swimming can be temporarily excluded. In winter, breathing through the outdoor class.
Acute otitis 3-4 weeks Do not swim. Wear cooling. With vestibular instability, coming more often after the proceedings, such exercises are excluded that can cause dizziness (sharp turns, knuckles, etc.).
Pneumonia 1-2 months. Avoid hypothermia. It is recommended to use wider breathing exercises, as well as swimming, rowing, skis
Pleurisy 1-2 months. Excluded for a period of six months of endurance exercises and associated with outrunning. We recommend swimming, rowing, winter sports. Regular control is needed due to the danger of tuberculosis.
Flu 2-4 weeks It is necessary to observe the reaction to the load during classes, because In this case, one can detect the deviation from the cardiovascular system, not detected during the inspection at rest.
Acute infectious diseases
(Cort, Scarlatina, Diphteria, Dieseneria)
1-2 months. Only with a satisfactory reaction of the cardiovascular system on functional samples. If there were changes from the heart, then excluded to six months of endurance exercises, strength and associated with outling.
Acute jade 2-3 months. Forever prohibited endurance exercises, because In normal kidneys, they cause the appearance of protein and cell elements in the urine. After the start of physical education, regular monitoring of urine creation is needed.
Rheumokard 2-3 months. At least a year are engaged in a special group. Regular control over the reaction of the cardiovascular system for exercise and the activity of the process is necessary.
Hepatitis infectious 8-12 months. Endurance exercises are excluded, regular ultrasound controls are needed for structural parameters, biochemical liver indicators.
Appendicitis
(after operation)
1-2 months. In the first months, it should be avoided, jumping and exercises that give the load with the muscles of the abdomen. In complications after the operation, the periods of resumption of classes are determined individually.
Fracture bones of the limb 3 months Me Meeee 3 months should exclude exercises giving a sharp load on the damaged limb.
Concussion of the brain 2-12 months. In each case, the permission of a neurologist is needed. Exercises should be eliminated with a sharp concussion (jumping, sports games, football, basketball, etc.)
Tensile muscles and tendons 1-2 weeks. An increase in the load and amplitude of movements in the damaged limb should be gradual.
Muscle break and tendons At least six months after
Operational
interventions
Pre-long use of therapeutic gymnastics.

Approximate deadlines for admission to training and competitions after some diseases, injuries and operational interventions in the field of the upper respiratory tract and hearing organs

(V.A. Levando from Avt. 1985)

Diseases The main signs of recovery Admission to the trainers. Admission to the competition. Note
1 Angina (except phlegmonous) Lack of inflammatory phenomena in zea, pain when swallowing. Normal temperature 3 days. General satisfactory condition. Urine, blood is normal. 12-14 days 12-20
Days
For winter and water sports, the timelines are lengthened by 4-5 days.
2 Angina phlegmonous (peritonzilylar abscess) The same, but normalization of temperatures of 7 days 14-20 20-30 Also,
for 7-10 days
3 Abscess Pilot) No inflammatory phenomena in the throat. Satisfactory condition. Urine, blood is normal. 10-12 12-14
4 Pharyngita sharp Also 2-3 4-6
5 ORZ (ORVI) Normal temperature 4-6 days. Urine, blood is normal. 5-8 10-12 Also,
for 4-5 days
6 Acute sinusitis, frontitis, etmoiditis Normal temperature of 7 days. The disappearance of headaches. Watering, blood, the radiograph of the apparent sinuses is normal. 7-8 10-12 Also,
for 7-8 days
7 Acute otitis without perforation Hearing restoration, normal otoscopic picture 5-10 10-14 Special caution in water sports
8 Acute purulent otitis with perforation Termination of the Purge of Purphoration 14-20 20-30
9 Acute mastoite Restoration of hearing. Normal otoscopic picture 15-20 25-30
10 Paris of facial nerve Full recovery 50-60 75-80 Estrand from water sports
11 Perichondrite of ear sink Full disappearance of inflammation phenomena 2-5 7-10 Special care in martial arts
12 Furuncul NOS. Complete disappearance of inflammation phenomena. Urine, blood is normal. 2-5 7-10 In case of water sports, the term is lengthened
13 Acute labyrinthitis The occupation of all sports is prohibited for 1-2 years.
14 Breakpoint breakfast The same as when acute otitis
15 Highland swelling Sports are prohibited to complete recovery. When relapses - suspension from sports
16 Tonsilectomy Postoperative period without complications. No inflammatory phenomena in Zev 25-30 30-40 Special caution in water sports, martial arts, weightlifting
17 Adenotomy Lack of jet phenomena, restoration of nasal breathing 10-12 12-20 Also
18 Galvanokauski, Cryotherapy Sky Almonds Lack of jet phenomena in the throat 5-7 10-12 Also
19 Opening abscess
Nasal partition
Lack of inflammatory phenomena in the nasal partition 7-8 10-14 In case of boxing, struggle, basketball periods are lengthened
20 Treatment of uncomplicated nose injury Also 2-4 2-4
21 Resection
Nasal partition
Lack of jet phenomena 5-7 10-12 Estracted by classes by boxing, struggle, basketball periods are elongated
22 Radical operation on the gaimore cavity Lack of jet phenomena, full healing of postoperative wound 14-18 20-25 Estracted by water and winter sports
23 Radical operation on the frontal sinus Also Also Also Estrand from sports for one year. In the future, depending on the state. It is contraindicated winter I. water species Sports.
24 Radical operation on temporal bone Also Also Also Also

* It is possible to use other disinfectants in accordance with methodical instructions By applying them.

** Only with adenovirus infections.

Appendix 8 to the manual (p. 295)

SCROLL

major diseases to determine the state of health status of servicemen undergoing military service

In the I group (healthy) Military personnel are included who do not have any diseases or have some deviations in health state without a tendency to progress and do not affect their ability to fulfill the duties of military service.

These include:

the consequences of diseases transferred in childhood and traumatic damage without disorder of functions of organs and systems;

limited forms of vitiligo, pigment nevus;

the curvature of the nasal partition that does not comply with breathing;

minor expansion of inguinal and navel rings without protrusion;

availability in light petrifists, Gonovsky focus or limited plots of pneumosclerosis.

This involves military personnel who have chronic diseases without disrupting the functions of organs and systems or with rare exacerbations that do not limit the ability to fulfill the duties of military service.

These include:

moderately pronounced residual phenomena after transferred myocarditic cardiosclerosis, not accompanied by violations of the myocardial function;

moderate pneumosclerosis after transferred inflammatory processes in the lungs without respiratory failure;

chronic bronchitis without respiratory failure in the absence of signs of the activity of the process and exacerbations over the past two to three years;

standingly compensated pulmonary tuberculosis, pleura, lymph nodes in the absence of signs of the activity of the process over the past three years;

dyskinesia of biliary tract and chronic cholecystitis in the absence of complaints and exacerbations for three years;

an alimentary-constitutional obesity of the I degree;

residual phenomena after bone fractures without a pronounced violation of functions;

uncomplicated caries of teeth, periodontalosis of stage I, enamel hypoplasia, wedge-shaped defects of teeth, rhombid glossitis, increased teeth erase;

chronic vasomotor rhinitis that does not require systemati-oust treatment; Chronic adhesive otitis without exacerbations with | minor violations of the hearing function; chronic I pickedly compensated tonsillitis;

myopia and hypermetropia without a tendency to progression, unresolved chronic blepharitis and conjunctivitis, hidden strabismus, one-sided ptosis, a pronounced congenital cataract;

the consequences of the diseases of the nervous system without focal symptoms;

flatfoot 1-11 degrees without osteoarthrosis phenomena;

moderately pronounced hypospadia, Epispadia, Cryptorchism, FMOV.

Military personnel are included who have chronic diseases with moderate violations of the functions of organs and systems, periodic exacerbations and decrease in efficiency.

These include:

neurocirculatory dystonia moderately pronounced;

organic diseases of the muscles of the heart, which are not preventing military service;

residual phenomena of sharp diseases of the joints that are not preventing the service of the service; rheumatism is inactive;

chronic obstructive bronchitis with respiratory failure of the I degree and (or) the presence of exacerbation during the last year;

diseases suspicious on tuberculosis (fllichenes), noded erythema, subfebelitis of unclear etiology, contact with patients with an active form of tuberculosis; hypergic reactions to tuberculin and transferred in the past dry pleurisy;

power failure;

chronic gastritis, gastroduodenitis, chronic colitis, helminthoses, giardiasis;

chronic cholecystitis, pancreatitis without disrupting the function of digestion and with rare exacerbations;

neuropsychotic instability, neurotic or psychotic reaction, neurosis, abuse of drugs or other substances without drug addiction, toxicizing or alcoholism;

transferred closed injuries of head and spinnogomoz fromastenization phenomena;

chronic diseases and the consequences of acute diseases of peripheral nerves with minor sensitivity and reflex disorders;

the consequences of the injuries of peripheral nerves, persistent unprocessing disorders of sensitivity and reflexes;

other diseases of the central and peripheral nervous system and their consequences that are not preventing the passage of military service; *

expansion of subcutaneous veins and veins of a seed rope that does not hinder the passage of military service;

chronic rhinosinusitis, nasal polyposis, condition after surgery at the apparent sinuses of the nose, chronic decompensated tonsillitis, chronic atrophic or hypertrophic laryngitis;

progressive myopia and hypermetropium, chronic recurrent uveitis, keratitis, iridocyclites with rare exacerbations that do not interfere with the passage of the service;

slightly pronounced trichiasis, twist of the eyelids, Lagofalm;

recurrent aphodous stomatitis, heylitis, leukoplakia;

chronic inflammatory diseases of the urogenital system that are not preventing the passage of military service;

limited forms of eczema in the rescue, chronic furunculosis; primary seronegative and seropositive, secondary fresh syphilis (after a specific treatment) that are not preventing military service passing;

chronic forms of streptodermia, rarely recurrent, which are not preventing the passage of military service.

Appendix 9 to the manual (p. 295)

SCROLL

the main diseases for determining the health status group of servicemen undergoing military service under the contract

In the I group (healthy) It includes persons who do not have any diseases or have some deviations in a state of health, without a tendency to progression and do not affect their ability to fulfill the responsibilities of military service.

These include:

consequences of traumatic damage without disorder of functions of organs and systems;

limited forms of vitiligo, pigment nevus.

In II group (practically healthy) Persons who have chronic diseases without disrupting the functions of organs and systems or with rare exacerbations that do not limit the ability to perform the duties of military service.

These include:

spinal defense defects (lumbalization, sacralization), moderately pronounced, without a function disorder and in the absence of pain syndrome;

weakly pronounced expansion of subcutaneous veins and veins of the seed rope;

resistant residual phenomena after acute diseases of the peripheral nervous system (without inclinations to exacerbations) or the consequences of traumatic damage to the nerve trunks without pain syndrome and without a significant impairment of the motor function;

moderately pronounced neurocirculatory dystonia;

initial forms of atherosclerosis aorta;

chronic bronchitis without phenomena of pulmonary failure in the absence of exacerbations over the past two years;

the consequences of adhesive pleurisites without disorders of the lung function;

chronic standing compensated tonsillitis;

standing compensated pulmonary tuberculosis, pleura, lymph nodes without a decline of nutrition and functional disorders, in the absence of aggravation of the process over the past two years;

functional disorders of the stomach;

chronic gastritis, chronic colitis, moderately pronounced, without dyeing power, in the absence of exacerbations over the past two years;

chronic non-calculous cholecystitis in the absence of complaints and exacerbations over the past five years;

ulcerative ulcer of the stomach and duodenal intestine in the absence of exacerbations over the past five years;

initial forms of hemorrhoids without bleeding and infringement;

latent form of diabetes;

obesity I degree;

local forms of scaly losing and eczema without signs of progression and exacerbations over the past year;

weak definite forms of ichthyosis without signs of progression.

In the III group (having chronic diseases) Turns on servicemen who have chronic diseases with moderate impaired functions of organs and systems, with periodic exacerbations and reduced performance.

These include:

atherosclerosis of the brain artery accompanied by neurasthenic syndrome or phenomena of chronic insufficiency of cerebral circulation;

residual phenomena after impairment of cerebral circulation;

residual phenomena after transferred to the brain injuries and neuroinfection;

chronic diseases of the peripheral nervous system (radiculitis, plexitis, neuritis, polyneurite, neuralgia of trigeminal nerve, etc.) in the presence of exacerbations over the past two years;

epilepsy;

neurosis and asthenic states (with a protracted flow);

pronounced and persistent forms of neurocirculatory dystonia;

hypertonic disease;

chronic ischemic heart disease;

diseases of peripheral vessels (obliterating atherosclerosis, thrombandugit, thrombophlebitis);

rheumatism, rheumatic patterns of the heart, residual phenomena after rheumatic myocarditis;

heart defects congenital;

polyarthritis (infectious-nonspecific and exchange-dystrophic);

chronic bronchitis in the presence of exacerbations over the past two years; chronic asthmatic bronchitis;

chronic pneumonia; bronchiectase; pneumosclerosis;

bronchial asthma;

compensated forms of pulmonary tuberculosis (sinking and inactive forms);

power failure;

chronic gastritis with secretory insufficiency;

chronic gastritis with preserved and increased decree in the presence of exacerbations over the past two years;

ulcerative ulcerness of the stomach and duodenum in the presence of exacerbations over the past five years;

chronic gastroduodenitis, duodenit;

ulcerative ulcer and duodenal ulcer with exacerbations over the past five years;

chronic colitis (enterocolit) in the presence of exacerbations over the past two years;

chronic dysentery;

chronic cholecystitis, cholangitis in the presence of exacerbations over the past five years;

cholelithiasis;

chronic pancreatitis;

chronic hepatitis;

polyps (polyposis) of the stomach and intestines;

chronic diffuse glomerulonephritis (orchronic nephritis);

chronic pyelonephritis;

urolithiasis (kidney and ureter stones);

tumors of the genitourinary system;

chronic prostatites, vesiculites, epididimitis;

diabetes;

diffuse toxic goiter;

obesity 11-111 degree;

blood disease and hematopoietic organs (anemia, chronic leukemia, eritremia);

varicose veins of the lower extremities with venous insufficiency phenomena;

hemorrhoids with recurrent flow;

spondilitrite and spondyltarrosis with moderately pronounced pain syndrome;

chronic osteomyelitis in the presence of periodically opening fistulas;

chronic diseases of the vascular and mesh eye shell;

glaucoma;

chronic diseases of the edges of the age, cornea and tear paths;

maculodystrophy;

cataract; turbidity of the vitreous body;

chronic purulent mesotympanite and epitimpane;

chronic rhinosinusitis (allergic, purulent polyposny);

cochlear neuritis, otosclerosis and other diseases leading to a resistant progressive reduction of hearing;

chronic decompensated tonsillitis;

leukoplakia mucous membrane lip and oral cavity; hyperkeratosis; rhombid glossitis;

chronic sharply pronounced stomatitis;

sclerodermia;

red lupus, expressed form of ichthyosis, scaly deprivation, neurodermita, eczema;

reticulosis of the skin; mushroom micaosis; Angioretical Caposhi;

vasculitis of the skin; skin horn; bove disease; Pedge's disease;

basaloma;

malignant tumors of any localization.

Appendix 10 to the manual (p. 296)

Methodik

individual assessment of the service state of military personnel

1. Individual assessment of the state of the servicemen is carried out on the basis of anthropometric measurement data and determination of the body mass index (BMI) (Tables 1-2).

BMI \u003d. Body mass. kg

Square of growth values, m 2.

3. The state of nutrition in military personnel is estimated at the body mass index depending on age.

Power state

Body mass index

Normal

Increased (including obesity)

23 or more

26 or more

Reduced (including insufficient

food*)

19.4 and less

19.9 and less

* When aiming less than 18.5 for the age group of 18-25 years and at the ages of less than 19.0 for age troupe 26-45 years, nutrition is estimated as insufficient.

Table 1

The ratio of growth and body weight in military personnel is normal and in power impairment

A. At the age of 18-25 years

m. 2

Body mass

CMT less

18.5 (under

against

Body mass

(low

Body mass

(Normal

Body mass

(increased

nutrition)

Body mass

(obesity

Body mass

(obesity

Body mass

(obesity

Body mass

more (

Square of growth values, m 2

Body weight (kg) with damage less than 18.5 (insufficient food)

Body mass (kg) with damage 18.5-19.4 (reduced food)

Body mass (kg) with damage 19,5-22,9 (normal nutrition)

Body mass (kg) with BMI 23,0-27.4 (Increased food)

Body weight (kg) with damage 27,5-29.9 (obesity 1st.)

Body weight (kg) with damage 30.0-34.9 (obesity II Art.)

iroool.

Body weight (kg) with damage 35.0-39.9 (obesity III Art.)

knee table. one

Body weight (kg) with damage 40.0 or more (obesity IV Art.)

Ending table. one

Body mass

CMT less

18.5 (under

against

Body mass

(low

Body mass

(Normal

Body mass

(Equipped meals)

Body mass

(obesity

Body mass

(obesity

Body mass

(obesity

Body mass

more (

104,7-122,1