Faculty of Physical Education, Sport and Health

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Red blood cell variables in children and adolescents regarding the age and sex
(Iranian Journal of Public Health, 2019)
Pluncević Gligoroska J.,
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Gontarev S.,
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Dejanova B.,
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Todorovska L.,
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Shukova Stojmanovska D.,
Background: This study aimed to assess the basic red blood cell variables and hematological indices in chil- dren and adolescents and analyze the differences regarding age and sex. Methods: Overall, 320 young participants, age 8 to 18 yr, were enrolled at Laboratory of Sport’s Medicine, Medical Faculty, Skopje, Macedonia in 2016. Capillary blood samples were drawn and following hematologic parameters were measured: the red blood cell count (RBC), hemoglobin concentration (Hb), hematocrit level (Hct) and hematological indexes: mean corpuscular volume (MCV), mean hemoglobin concentration (MCH), mean corpuscular hemoglobin concentration (MCHC) and red cell distribution width (RDW). Results: RBC variables in male group showed high statistical level of significance between age different groups (P=0.001) for all studied parameters except MCHC (P=0.423) and RDW (P=0.174). ANOVA test and multi- variate tests in female group showed that there was no significant difference for all hematological parameters between age different groups. Regarding the sex differences, male participants had significantly higher red blood count (P<0.001), hemoglobin content (P<0.001) and hematocrit (P<0.001). Conclusion: Hematological parameters in adolescent as inhomogeneous population are not quantified suffi- ciently, especially hematological indices. RBC variables, regardless of the age, differ very much between male and female examinees, in favor of the male examinees. Hematological indices were insignificantly higher in males. Regarding the age of examinees, RBC variables showed significant inter-groups differences only within male adolescents. While with girls, ages span 8 to 18 yr, we did not find significant differences for most of the hematological variables.
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Health-related physical fitness of normal, stunted and overweight children 6–14 years in Macedonia
(Hospital nutrition, 2018)
Gontarev S.,
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Kalač R.,
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Aleksovska Veličkovska L.,
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Shukova-Stojmanovska D.,
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Misovski A.,
Objective: the objective of this study is to compare the growth and health-related physical fitness of normal, overweight/obese and stunted Macedonian children aged 6-14 years. Methods: this cross-sectional study included 9,241 children of Macedonian nationality, from 19 primary schools from the central and east part of the Republic, out of which eight are in a rural setting and eleven are in urban environment. In order to carry out the objectives of the research, four anthropometric measurements, two derived anthropometric measurements, two measurements for assessing body composition and seven fitness tests were applied. Normal-not stunted, not owt/ob; stunted-not owt/ob; and owt/ob-not stunted were compared with multivariate analysis of covariance controlling for socioeconomic status, residence status (urban or rural), sex, age and age squared. Results: statistically significant differences were found in all anthropometric measurements, and measurements for assessing body composition among the groups of subjects classified as normal, stunted and overweight/obese (p ˂ 0.000). Children who belong to the normal weight group achieve better results in all fitness tests (p < 0.001), except for the handgrip and bent arm hang tests. Overweight/obese children achieve better results in the handgrip fitness test compared to normal and stunted children. Stunted children achieve better results in the bent arm hang fitness test compared to normal and overweight/obese children. Intergroup differences were found in the sit and reach fitness test. Conclusion: when compared to normal weight children, both under- and over-nourished children performed poorer on some, but not all, health-related fitness tests.
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Physical fitness and body composition in correlation with body weight of pupils in primary schools on the territory of the city of Skopje
(Faculty of physical education, sport and health, 2020-06)
Kodzoman К.,
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Gontarev S.,
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Shukova Stojmanovska D.
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Krstevski B.
The paper presents one segment of a research carried out in 2019 in 19 primary schools that was aimed to determine the fitness level of Macedonian adolescents of both genders with different values of body mass index (ИТМ). The paper focuses on the correlation between the physical fitness and body composition compared to the body weight of pupils from primary schools on the territory of the City of Skopje. The research was conducted on a sample of 4,051 adolescents, 2,078 boys and 1,973 girls. The respondents were divided in 4 categories: underweight, normal weight, overweight and obese. Total of 7 test of EUROFIT battery were applied and 5 anthropometric measurements were taken into consideration in accordance to the IBP methodology. The results obtained were statistically processed by SPSS, v. 16.0 for WINDOWS (variance analysis, covariance analysis, and χ2 test). The conclusion based on the obtained results is that young adolescents of both genders with moderate or high BMI have higher blood pressure; lower percentage of muscle mass; achieve poorer results in the relative strength, explosive strength, agility, and coordination tests; and have lower aerobic capacity.
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Significance of the early rehabilitation in lumbar sindrome
(Faculty of physical education, sport and health, 2019-12)
Lazarevska S.,
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Gontarev S.,
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Aleksovska Velichkovska L.,
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Shukova Stojmanovska D.
Introduction: Disability associated with chronic lumbar pain is one of the most common painful states of the modern human being and represents a benign condition with highest costs in the healthcare system. Objective: To detect the differences between the results from the treatment of patients with low lumbar pain, depending on the type of the applied methods of treatment: physical therapy or medical treatment. Materials and methods: This study has enrolled 200 patients with low lumbar pain, treated with medical and physical therapy that, according to the given therapy, were divided into two groups and examined before and after completion of the treatment. Oswestry Index was used for assessment of disability associated with lumbar pain. Results: The respondents were with an average age of 53.8 years, most of who were female patients (62 %) and had normal body weight, (BMI=22.6). 34% of the respondents had a job position that mostly involves seating, whilst 48% of them had a job which does not require physical activity. T-test indicated nearly two times bigger drop of the disability index in patients who had received physical therapy (28.8) in comparison with the drop of the disability index in patients who had received medical therapy (15.72), (p<0.05). Conclusion: The early practice of physical therapy and reduction of the longer period spent for resting bring better and quicker results for reduction of the disability associated with lumbar pain.
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Spinal column deformities in patients with lumbar pain.
(Faculty of physical education, sport and health, 2019-12)
Lazarevska S.,
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Gontarev S.,
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Aleksovska Velichkovska L.,
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Shukova Stojmanovska D.
Introduction: Lumbar pain is one of the most frequent painful conditions of the modern human being and becomes a serious healthy, social and economic issue. Objective: To demonstrate the distribution of frequency of the deformities of the spinal column as well as to establish the difference in terms of the outcome of the therapy treatment given to the patients with low lumbar pain. Methods: The study has covered 200 patients with low lumbar pain, treated with medical and physical therapy that, according to the given therapy, were divided into two groups and examined before and after completion of the treatment. Oswestry Index was used for assessment of disability caused by lumbar pain. As for assessment of the deformity, visual approach for identifying the functional status of sagittal and frontal plane was used, as well as X-ray images. Results: The patients were with an average age of 53.8 years, most of whom were females (62 %). About 43.5 % of them had job that does not require physical activity; 29 % of them having a job position that mostly involves seating, 20 % of them physical activity and 7.5 % of them had job that requires standing, whereby they have normal body weight, BMI (22.6). 72 % of the patients had deformity of the spinal column, to whom the applied physical therapy gives 3.5 times better results in comparison with the results of medical therapy X2 = 14.286 (p<0.05). Conclusion: The high percentage of presence of deformities indicates that they represent risk factor for occurrence of the lumbar syndrome, requiring special attention during prevention and timely medical treatment of the same, by introduction of special physiotherapy programme at schools and work post.

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