Personalized approach in sports medicine and training program planning

The WHO has declared physical activity as one of the priorities in improving people’s health. Physically active people decrease the risk of death by 20–30% compared to inactive people. The WHO recommendations for physical activity are too general: definite minutes per week, and often do not reach the target audience. The significant tool is the Pre-competition examination with using Complex cardiopulmonary exercise testing and Sports medicine doctors’ experience and knowledge. The goal of the study is to evaluate the sports medicine doctor’s consultation value with individually suitable training program influence to the athletes’ health and functional status. 1600 adult amateur athletes (1050 male, 550 female), who have done regular training program with high intensity dynamic load and high or medium intensity statistic load sports were tested twice with Complex cardiopulmonary exercise testing and consulted by Sports medicine doctors for necessary treatment and individually suitable training program. The protocol was approved by the Riga Stradins University Ethics Committee and was drafted according to the Declaration of Helsinki. The physical working capacity, aerobic capacity and anaerobic capacity, functionality of the cardiovascular and respiratory systems were significantly better after Sports medicine doctors’ consultation for necessary treatment and recommendations for individually suitable training program (p<0.05). The WHO recommendations for physical activity should be clarified and explained by the Sports medicine doctor. Individual suitable training program recommendations should be made in close cooperation between athlete, sports medicine doctor and sports trainer. It is essential for the improvement of the health condition, fitness level and physical exercise tolerance and physical overload avoidance.