ВОЗРАСТНЫЕ И ГЕНДЕРНЫЕ ОСОБЕННОСТИ КАРДИОРЕСПИРАТОРНОЙ ВЫНОСЛИВОСТИ ЧЕЛОВЕКА В УСЛОВИЯХ УРБАНИЗИРОВАННОГО СИБИРСКОГО СЕВЕРА
Ключевые слова:
Кардиореспираторная выносливость, скорость ходьбы, мужчины и женщины, возраст 18–75 лет, потребление кислорода, легочная вентиляция, урбанизированный Сибирский Север, ХМАО-Югра.
Аннотация
Цель. Установить закономерности реакции кардиореспираторной системы человека на ходьбу с разной скоростью в зависимости от пола и возраста в условиях урбанизированного Сибирского Севера. Организация и методы. Три группы здоровых добровольцев: группа молодых (ГМ, 22,1 ± 2,6 лет, n = 25: 12 мужчин и 13 женщин), группа людей среднего возраста (ГС, 42,7 ± 9,3 лет, n = 25: 12; 13) и группа пожилых (ГП, 66,2 ± 5,1 лет, n = 24: 11; 13) выполнили ходьбу на тредмиле со скоростью 2–7 км/ч по 5 мин на каждой скорости. С помощью анализатора FitMetPRO (COSMED, Италия) измеряли частоту дыхания (ЧД, раз/мин), вентиляцию легких (ВЛ, л/мин), потребление кислорода (ПO2, мл/мин и относительное ОПО2, мл/мин/кг), частоту сердечных сокращений (ЧСС, уд/мин), концентрацию кислорода в выдыхаемом воздухе (КвыдO2, %). Кроме того, измеряли длину ноги (м), длину и массу тела (м, кг). Результаты. По мере увеличения скорости ходьбы с 2 до 7 км/ч величина относительного потребления кислорода закономерно повышалась в группе молодых испытуемых на 14,6 мл/кг/мин (2,46 раза), в группе лиц среднего возраста на 17 мл/кг/мин (2,72 раза) и в группе пожилых индивидов на 13,9 мл/кг/мин (2,53 раза). Отмечено снижение наклона кривых зависимостей относительного потребления кислорода от частоты сердечных сокращений у молодых и пожилых женщин по сравнению с молодыми людьми и индивидами среднего и пожилого возраста. Регрессионные уравнения зависимости относительного потребления кислорода от величины легочной вентиляции (VО2 = –12,9 + 40,3 Ve (r = 0,98; p = 0,0000) у юношей и VО2 = 116,3 + 34,7 Ve у девушек (r = 0,97; p = 0,0000)) позволяют определять потребление кислорода в группе студентов на занятиях с использованием спирометра. Заключение. Полученные данные свидетельствуют об адекватности реакции кардиореспираторной системы лиц разного возраста в ответ на ходьбу со ступенчато повышающейся скоростью. Снижение наклона кривых зависимостей относительного потребления кислорода от ЧСС у молодых и пожилых женщин по сравнению с молодыми людьми, индивидами среднего и пожилого возраста свидетельствует о возможном снижении кардиореспираторной выносливости женщин данной выборки.Литература
1. Ватутин, Н.Т. Роль кардиореспираторной выносливости в клинической практике / Н.Т. Ватутин, А.С. Смирнова // Медични аспекты здоров‘я чоловiка. – 2017. – Т. 1, № 24. – C. 53–60.
2. Влияние ходьбы с разной скоростью на показатели кардиореспираторной системы студентов в условиях Югры / С.И. Логинов, А.С. Кинтюхин, М.Н. Мальков, С.Г. Сагадеева // Теория и практика физ. культуры. – 2016. – № 9. – С. 86–89.
3. Определение анаэробного порога по скорости вентиляции и вариабельности кардиоинтервалов. / В.Н. Селуянов, Е.М. Калинин, Г.Д. Пак и др. // Физиология человека. – 2011. – Т. 37, № 6. – С. 106–110.
4. Реброва, О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA / О.Ю. Реброва. – М.: МедиаСфера, 2000. – 312 с.
5. Astrand, P.-O. Maximal oxygen uptake and heart rate in various types of muscular activity / P.-O. Astrand, B. Saltin // J. Appl. Physiol. – 1961. – Vol. 16. – P. 977–981.
6. Astrand, P-O. Measurement of maximal aerobic capacity / P-O. Astrand // Can. Med. Assoc. J. – 1967. – Vol. 25, nо. 96 (12). – P. 732–735.
7. Blair, S.N. Physical inactivity: the biggest public health problem of the 21st century / S.N. Blair // Br. J. Sports Med. – 2009. – Vol. 43, no. 1. – P. 1–2.
8. Cardiorespiratory fitness, body mass index, and cancer mortality: a cohort study of Japanese men. / S.S. Sawada, I.M. Lee, H. Naito et al. // BMC Public Health. – 2014. – Vol. 14. – P. 1012. DOI: 10.1186/1471-2458-14-1012
9. Comparison between Ventilation and Heart Rate as Indicator of Oxygen Uptake during Different Intensities of Exercise / S. Gastinger, A. Sorel, G. Nicolas et al. // J. Sports Sci. Med. – 2010. – Vol. 9, no. 1. – P. 110–118.
10. Darter, B.J. Test–Retest Reliability and Minimum Detectable Change Using the K4b2: Oxygen Consumption, Gait Efficiency, and Heart Rate for Healthy Adults During Submaximal Walking / B.J. Darter, K.M. Rodriguez, J.M. Wilken // Res. Q. Exerc. Sport. – 2013. – Vol. 84, no. 2. – P. 223–231. DOI: 10.1080/02701367. 2013.784720
11. Familial resemblance for VO2max in the sedentary state: the HERITAGE family study / C. Bouchard, E.W. Daw, T. Rice et al. // Med. Sci. Sports. Exerc. – 1998. – Vol. 30, no. 2. – P. 252–258.
12. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association / R. Ross, S.N. Blair, R. Arena et al. // Circulation. – 2016. – Vol. 134, no. 24. – P. e653–e699. DOI: 10.1161/CIR.0000000000000461
13. Jacobs, R.A. Mitochondria express enhanced quality as well as quantity in association with aerobic fitness across recreationally active individuals up to elite athletes / R.A. Jacobs, C. Lundby // J. Appl. Physiol. – 2013. – Vol. 114, no. 3. – P. 344–350. DOI: 10.1152/japplphysiol.01081.2012
14. Locomotion Mode Affects the Physiological Strain during Exercise at Walk-Run Transition Speed in Elderly Men / R. Freire, P. Farinatti, F. Cunha et al. // Int. J. Sports Med. – 2017. – Vol. 38, no. 7. – P. 515–520. DOI: 10.1055/s-0043-101913
15. Longitudinal cardiorespiratory fitness algorithms for clinical settings / A.S. Jackson, X. Sui, D.P. O’Connor et al. // Am. J. Prev. Med. – 2012. Vol. 43, no. 5. – P. 512–519. DOI: 10.1016/j.amepre
16. Nonexercise cardiorespiratory fitness and mortality in older adults / DG-CP. Martinez-Gomez, P.C. Hallal, E. Lopez-Garcia et al. // Med. Sci. Sports Exerc. – 2014. – Vol. 47, no. 3. – P. 568–574.
17. Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status / J. Myers, P. McAuley, C. J. Lavie et al. // Prog. Cardiovasc. Dis. – 2015. Vol. 57, no. 4. – P. 306–314. DOI: 10.1016/j.pcad.2014.09.011
18. Prediction of maximal or peak oxygen uptake from ratings of perceived exertion / J.B. Coquart, M. Garcin, G. Parfitt et al. // Sports Med. 2014. – Vol. 44, no. 5. – P. 563–578. DOI: 10.1007/s40279-013-0139-5
19. Submaximal, Perceptually Regulated Exercise Testing Predicts Maximal Oxygen Uptake: A Meta-Analysis Study / J.B. Coquart, M. Tabben, A. Farooq et al. // Sports Med. – 2016. – Vol. 46, no. 6. – P. 885–897. DOI: 10.1007/s40279-015-0465-x
20. Sui, X. Cardiorespiratory fitness as a predictor of nonfatal cardiovascular events in asymptomatic women and men / X. Sui, M.J. La Monte, S.N. Blair // Am. J. Epidemiol. – 2007. – Vol. 165, no. 12. – P. 1413–1423. DOI: 10.1093/aje/kwm031
2. Loginov S.I., Kintyukhin A.S., Mal'kov M.N., Sagadeeva S.G. [Influence of Walking at Different Rates on Indicators of Cardiorespiratory System of Students in Yugra Conditions]. Teoriya i praktika fizicheskoy kul'tury [Theory and Practice of Physical Culture], 2016, no. 9, pp. 86–89. (in Russ.)
3. Seluyanov V.N., Kalinin E.M., Pak G.D. [Determination of Anaerobic Threshold for Ventilation Rate and Variability of Cardio Intervals]. Fiziologiya cheloveka [Physiology of Human], 2011, vol. 37, no. 6, pp. 106–110. (in Russ.)
4. Rebrova O.Yu. Statisticheskiy analiz meditsinskikh dannykh. Primenenie paketa prikladnykh programm STATISTICA [Statistical Analysis of Medical Data. Application of the STATISTICA Software Package]. Moscow, MediaSphere Publ., 2000. 312 p.
5. Astrand P.O., Saltin B. Maximal Oxygen Uptake and Heart Rate in Various Types of Muscular Activity. J. Appl. Physiol., 1961, vol. 16, pp. 977–981.
6. Astrand P.O. Measurement of Maximal Aerobic Capacity. Can. Med. Assoc. J., 1967, vol. 25, no. 96(12), pp. 732–735.
7. Blair S.N. Physical Inactivity. The Biggest Public Health Problem of the 21st Century. Br. J. Sports Med., 2009, vol. 43, no. 1, pp. 1–2.
8. Sawada S.S., Lee I.M., Naito H. Cardiorespiratory Fitness, Body Mass Index, and Cancer Mortality. A Cohort Study of Japanese Men. BMC Public Health, 2014, vol. 14, pp. 1012. DOI: 10.1186/1471-2458-14-1012
9. Gastinger S., Sorel A., Nicolas G. Comparison Between Ventilation and Heart Rate as Indicator of Oxygen Uptake during Different Intensities of Exercise. J. Sports Sci. Med., 2010, vol. 9, no. 1, pp. 110–118. (in Russ.)
10. Darter B.J., Rodriguez K.M., Wilken J.M. Test-Retest Reliability and Minimum Detectable Change Using the K4b2: Oxygen Consumption, Gait Efficiency, and Heart Rate for Healthy Adults During Submaximal Walking. Res. Q. Exerc. Sport, 2013, vol. 84, no. 2, pp. 223–231. DOI: 10.1080/02701367. 2013.784720
11. Bouchard C., Daw E.W., Riceet T. Familial Resemblance for VO2max in the Sedentary State: the HERITAGE Family Study. Med. Sci. Sports. Exerc., 1998, vol. 30, no. 2, pp. 252–258. DOI: 10.1097/00005768-199802000-00013
12. Ross R., Blair S.N., Arena R. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Circulation. 2016, vol. 134, no. 24, pp. 653–699. DOI: 10.1161/CIR.0000000000000461
13. Jacobs R.A., Lundby C. Mitochondria Express Enhanced Quality as well as Quantity in Association with Aerobic Fitness Across Recreationally Active Individuals Up to Elite Athletes. J. Appl. Physiol., 2013, vol. 114, no. 3, pp. 344–350. DOI: 10.1152/japplphysiol.01081.2012
14. Freire R., Farinatti P., Cunha F. Locomotion Mode Affects the Physiological Strain during Exercise at Walk-Run Transition Speed in Elderly Men. Int. J. Sports Med., 2017, vol. 38, no. 7, pp. 515–520. DOI: 10.1055/s-0043-101913
15. Jackson A.S., Sui X., O’Connor D.P. Longitudinal Cardiorespiratory Fitness Algorithms for Clinical Settings. Am. J. Prev. Med., 2012, vol. 43, no. 5, pp. 512–519. DOI: 10.1016/j.amepre
16. Martinez-Gomez DG-CP., Hallal P.C., Lopez-Garcia E. Nonexercise Cardiorespiratory Fitness and Mortality in Older Adults. Med. Sci. Sports Exerc., 2014, vol. 47, no. 3, pp. 568–574. DOI: 10.1249/MSS.0000000000000435
17. Myers J., McAuley P., Lavie C.J. Physical Activity and Cardiorespiratory Fitness as Major Markers of Cardiovascular Risk: Their Independent and Interwoven Importance to Health Status. Prog. Cardiovasc. Dis., 2015, vol. 57, no. 4, pp. 306–314. DOI: 10.1016/j.pcad.2014.09.011
18. Coquart J.B., Garcin M., Parfitt G. Prediction of Maximal or Peak Oxygen Uptake from Ratings of Perceived Exertion. Sports Med., 2014, vol. 44, no. 5, pp. 563–578. DOI: 10.1007/s40279-013-0139-5
19. Coquart J.B., Tabben M., Farooq A. Submaximal, Perceptually Regulated Exercise Testing Predicts Maximal Oxygen Uptake: A Meta-Analysis Study. Sports Med., 2016, vol. 46, no. 6, pp. 885–897. DOI: 10.1007/s40279-015-0465-x
20. Sui X., La Monte M.J., Blair S.N. Cardiorespiratory Fitness as a Predictor of Nonfatal Cardiovascular Events in Asymptomatic Women and Men. Am. J. Epidemiol., 2007, vol. 165, no. 12, pp. 1413–1423. DOI: 10.1093/aje/kwm031
2. Влияние ходьбы с разной скоростью на показатели кардиореспираторной системы студентов в условиях Югры / С.И. Логинов, А.С. Кинтюхин, М.Н. Мальков, С.Г. Сагадеева // Теория и практика физ. культуры. – 2016. – № 9. – С. 86–89.
3. Определение анаэробного порога по скорости вентиляции и вариабельности кардиоинтервалов. / В.Н. Селуянов, Е.М. Калинин, Г.Д. Пак и др. // Физиология человека. – 2011. – Т. 37, № 6. – С. 106–110.
4. Реброва, О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA / О.Ю. Реброва. – М.: МедиаСфера, 2000. – 312 с.
5. Astrand, P.-O. Maximal oxygen uptake and heart rate in various types of muscular activity / P.-O. Astrand, B. Saltin // J. Appl. Physiol. – 1961. – Vol. 16. – P. 977–981.
6. Astrand, P-O. Measurement of maximal aerobic capacity / P-O. Astrand // Can. Med. Assoc. J. – 1967. – Vol. 25, nо. 96 (12). – P. 732–735.
7. Blair, S.N. Physical inactivity: the biggest public health problem of the 21st century / S.N. Blair // Br. J. Sports Med. – 2009. – Vol. 43, no. 1. – P. 1–2.
8. Cardiorespiratory fitness, body mass index, and cancer mortality: a cohort study of Japanese men. / S.S. Sawada, I.M. Lee, H. Naito et al. // BMC Public Health. – 2014. – Vol. 14. – P. 1012. DOI: 10.1186/1471-2458-14-1012
9. Comparison between Ventilation and Heart Rate as Indicator of Oxygen Uptake during Different Intensities of Exercise / S. Gastinger, A. Sorel, G. Nicolas et al. // J. Sports Sci. Med. – 2010. – Vol. 9, no. 1. – P. 110–118.
10. Darter, B.J. Test–Retest Reliability and Minimum Detectable Change Using the K4b2: Oxygen Consumption, Gait Efficiency, and Heart Rate for Healthy Adults During Submaximal Walking / B.J. Darter, K.M. Rodriguez, J.M. Wilken // Res. Q. Exerc. Sport. – 2013. – Vol. 84, no. 2. – P. 223–231. DOI: 10.1080/02701367. 2013.784720
11. Familial resemblance for VO2max in the sedentary state: the HERITAGE family study / C. Bouchard, E.W. Daw, T. Rice et al. // Med. Sci. Sports. Exerc. – 1998. – Vol. 30, no. 2. – P. 252–258.
12. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association / R. Ross, S.N. Blair, R. Arena et al. // Circulation. – 2016. – Vol. 134, no. 24. – P. e653–e699. DOI: 10.1161/CIR.0000000000000461
13. Jacobs, R.A. Mitochondria express enhanced quality as well as quantity in association with aerobic fitness across recreationally active individuals up to elite athletes / R.A. Jacobs, C. Lundby // J. Appl. Physiol. – 2013. – Vol. 114, no. 3. – P. 344–350. DOI: 10.1152/japplphysiol.01081.2012
14. Locomotion Mode Affects the Physiological Strain during Exercise at Walk-Run Transition Speed in Elderly Men / R. Freire, P. Farinatti, F. Cunha et al. // Int. J. Sports Med. – 2017. – Vol. 38, no. 7. – P. 515–520. DOI: 10.1055/s-0043-101913
15. Longitudinal cardiorespiratory fitness algorithms for clinical settings / A.S. Jackson, X. Sui, D.P. O’Connor et al. // Am. J. Prev. Med. – 2012. Vol. 43, no. 5. – P. 512–519. DOI: 10.1016/j.amepre
16. Nonexercise cardiorespiratory fitness and mortality in older adults / DG-CP. Martinez-Gomez, P.C. Hallal, E. Lopez-Garcia et al. // Med. Sci. Sports Exerc. – 2014. – Vol. 47, no. 3. – P. 568–574.
17. Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status / J. Myers, P. McAuley, C. J. Lavie et al. // Prog. Cardiovasc. Dis. – 2015. Vol. 57, no. 4. – P. 306–314. DOI: 10.1016/j.pcad.2014.09.011
18. Prediction of maximal or peak oxygen uptake from ratings of perceived exertion / J.B. Coquart, M. Garcin, G. Parfitt et al. // Sports Med. 2014. – Vol. 44, no. 5. – P. 563–578. DOI: 10.1007/s40279-013-0139-5
19. Submaximal, Perceptually Regulated Exercise Testing Predicts Maximal Oxygen Uptake: A Meta-Analysis Study / J.B. Coquart, M. Tabben, A. Farooq et al. // Sports Med. – 2016. – Vol. 46, no. 6. – P. 885–897. DOI: 10.1007/s40279-015-0465-x
20. Sui, X. Cardiorespiratory fitness as a predictor of nonfatal cardiovascular events in asymptomatic women and men / X. Sui, M.J. La Monte, S.N. Blair // Am. J. Epidemiol. – 2007. – Vol. 165, no. 12. – P. 1413–1423. DOI: 10.1093/aje/kwm031
References
1. Vatutin N.T., Smirnova A.S. [Role of Cardiorespiratory Endurance in Clinical Practice]. Medychny aspektы zdorov‘ja cholovika [Medical Aspects of Human Health], 2017, no. 1, pp. 53–60. (in Russ.)2. Loginov S.I., Kintyukhin A.S., Mal'kov M.N., Sagadeeva S.G. [Influence of Walking at Different Rates on Indicators of Cardiorespiratory System of Students in Yugra Conditions]. Teoriya i praktika fizicheskoy kul'tury [Theory and Practice of Physical Culture], 2016, no. 9, pp. 86–89. (in Russ.)
3. Seluyanov V.N., Kalinin E.M., Pak G.D. [Determination of Anaerobic Threshold for Ventilation Rate and Variability of Cardio Intervals]. Fiziologiya cheloveka [Physiology of Human], 2011, vol. 37, no. 6, pp. 106–110. (in Russ.)
4. Rebrova O.Yu. Statisticheskiy analiz meditsinskikh dannykh. Primenenie paketa prikladnykh programm STATISTICA [Statistical Analysis of Medical Data. Application of the STATISTICA Software Package]. Moscow, MediaSphere Publ., 2000. 312 p.
5. Astrand P.O., Saltin B. Maximal Oxygen Uptake and Heart Rate in Various Types of Muscular Activity. J. Appl. Physiol., 1961, vol. 16, pp. 977–981.
6. Astrand P.O. Measurement of Maximal Aerobic Capacity. Can. Med. Assoc. J., 1967, vol. 25, no. 96(12), pp. 732–735.
7. Blair S.N. Physical Inactivity. The Biggest Public Health Problem of the 21st Century. Br. J. Sports Med., 2009, vol. 43, no. 1, pp. 1–2.
8. Sawada S.S., Lee I.M., Naito H. Cardiorespiratory Fitness, Body Mass Index, and Cancer Mortality. A Cohort Study of Japanese Men. BMC Public Health, 2014, vol. 14, pp. 1012. DOI: 10.1186/1471-2458-14-1012
9. Gastinger S., Sorel A., Nicolas G. Comparison Between Ventilation and Heart Rate as Indicator of Oxygen Uptake during Different Intensities of Exercise. J. Sports Sci. Med., 2010, vol. 9, no. 1, pp. 110–118. (in Russ.)
10. Darter B.J., Rodriguez K.M., Wilken J.M. Test-Retest Reliability and Minimum Detectable Change Using the K4b2: Oxygen Consumption, Gait Efficiency, and Heart Rate for Healthy Adults During Submaximal Walking. Res. Q. Exerc. Sport, 2013, vol. 84, no. 2, pp. 223–231. DOI: 10.1080/02701367. 2013.784720
11. Bouchard C., Daw E.W., Riceet T. Familial Resemblance for VO2max in the Sedentary State: the HERITAGE Family Study. Med. Sci. Sports. Exerc., 1998, vol. 30, no. 2, pp. 252–258. DOI: 10.1097/00005768-199802000-00013
12. Ross R., Blair S.N., Arena R. Importance of Assessing Cardiorespiratory Fitness in Clinical Practice: A Case for Fitness as a Clinical Vital Sign: A Scientific Statement From the American Heart Association. Circulation. 2016, vol. 134, no. 24, pp. 653–699. DOI: 10.1161/CIR.0000000000000461
13. Jacobs R.A., Lundby C. Mitochondria Express Enhanced Quality as well as Quantity in Association with Aerobic Fitness Across Recreationally Active Individuals Up to Elite Athletes. J. Appl. Physiol., 2013, vol. 114, no. 3, pp. 344–350. DOI: 10.1152/japplphysiol.01081.2012
14. Freire R., Farinatti P., Cunha F. Locomotion Mode Affects the Physiological Strain during Exercise at Walk-Run Transition Speed in Elderly Men. Int. J. Sports Med., 2017, vol. 38, no. 7, pp. 515–520. DOI: 10.1055/s-0043-101913
15. Jackson A.S., Sui X., O’Connor D.P. Longitudinal Cardiorespiratory Fitness Algorithms for Clinical Settings. Am. J. Prev. Med., 2012, vol. 43, no. 5, pp. 512–519. DOI: 10.1016/j.amepre
16. Martinez-Gomez DG-CP., Hallal P.C., Lopez-Garcia E. Nonexercise Cardiorespiratory Fitness and Mortality in Older Adults. Med. Sci. Sports Exerc., 2014, vol. 47, no. 3, pp. 568–574. DOI: 10.1249/MSS.0000000000000435
17. Myers J., McAuley P., Lavie C.J. Physical Activity and Cardiorespiratory Fitness as Major Markers of Cardiovascular Risk: Their Independent and Interwoven Importance to Health Status. Prog. Cardiovasc. Dis., 2015, vol. 57, no. 4, pp. 306–314. DOI: 10.1016/j.pcad.2014.09.011
18. Coquart J.B., Garcin M., Parfitt G. Prediction of Maximal or Peak Oxygen Uptake from Ratings of Perceived Exertion. Sports Med., 2014, vol. 44, no. 5, pp. 563–578. DOI: 10.1007/s40279-013-0139-5
19. Coquart J.B., Tabben M., Farooq A. Submaximal, Perceptually Regulated Exercise Testing Predicts Maximal Oxygen Uptake: A Meta-Analysis Study. Sports Med., 2016, vol. 46, no. 6, pp. 885–897. DOI: 10.1007/s40279-015-0465-x
20. Sui X., La Monte M.J., Blair S.N. Cardiorespiratory Fitness as a Predictor of Nonfatal Cardiovascular Events in Asymptomatic Women and Men. Am. J. Epidemiol., 2007, vol. 165, no. 12, pp. 1413–1423. DOI: 10.1093/aje/kwm031
Опубликован
2017-12-01
Как цитировать
Логинов, С., Кинтюхин, А., & Логвинова, С. (2017). ВОЗРАСТНЫЕ И ГЕНДЕРНЫЕ ОСОБЕННОСТИ КАРДИОРЕСПИРАТОРНОЙ ВЫНОСЛИВОСТИ ЧЕЛОВЕКА В УСЛОВИЯХ УРБАНИЗИРОВАННОГО СИБИРСКОГО СЕВЕРА. Человек. Спорт. Медицина, 17(S), 12-24. https://doi.org/10.14529/hsm17s02
Выпуск
Раздел
Физиология
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