THE STUDY OF THE ENERGY STATUS OF A PERSON AS AN IMPORTANT STAGE IN THE TRANSITION TO 4P-MEDICINE. PART I: CONCEPTUAL ANALYTICAL REVIEW
DOI:
https://doi.org/10.11603/mie.1996-1960.2020.2.11179Keywords:
ontology, Energy Status, Chronic Fatigue Syndrome, Noncommunicable DiseasesAbstract
Background. Further progress in medicine and the solution of the problem of NCDs may be associated with an ontological rethinking and with the globalization of modern scientific knowledge from the perspective of systemic medicine. The purpose of the work is a conceptual substantiation of the concept of «energy status of an organism» and possible methods for its assessment on the basis of an ontological generalization of scientific physical and biological representations of the present from the standpoint of systemic medicine.
Materials and methods. The analysis of literature data was carried out in the course of conducting a search study of methods for express assessment of valeological status. This is a fragment of the initiative research work «Development of algorithms and technology for introducing a healthy lifestyle in patients with NCDs based on the study of psycho-emotional status» (state registration No. 0116U007798).
Results. The logical chain of substantiation of the concept is constructed by the authors in the article. Ontological and methodological factors of the methods of possible examination are described and explained by the authors in the work as well. The results can help achieve the requirements of the 4P medicine model.
Conclusions. The authors propose for the first time: 1) the introduction of the concept of the patient's energy status; 2) a shift in the focus of clinical attention to the indicator of muscle content in the body, as another new, early predictor of the occurrence of NCDs and metabolic disorders of the body; 3) the use in practical health care of a personified method for determining the direction of correction of a patient's life style, the formula of which provides for the implementation of a complex of instrumental diagnostics: instrumental bioimpendanceometry, spectral analysis of heart rate variability and variational pulsometry, skin galvanic rapid testing, EPI method with subsequent analysis of the results from physiological position assessment of the energy status of the body; 4) an ontological model of the etiopathogenesis of CFS as a state of energy deficiency of the body due to the failure of the physiological adaptation mechanism at the level of central regulatory mechanisms of hypothalamic structures and methods of possible instrumental verification of CFS.
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