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Assessment of the health status of junior athletes in relation to environmental and behavioral risk factors

Author: Cebanu Serghei
Degree:doctor habilitat of medicine
Speciality: 14.00.07 - Hygiene
Scientific adviser: Grigore Friptuleac
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Scientific consultant: Unt Eve
doctor habilitat, profesor universitar, Tartu, Estonia
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova


The thesis was presented on the 20 April, 2022
Approved by NCAA on the 1 July, 2022


Adobe PDF document2.51 Mb / in romanian


CZU 613.72:796.071

Adobe PDF document 7.83 Mb / in romanian
261 pages


young athletes, status of health, risk factors, preventive measures, health promotion


Structure of the thesis: introduction, six chapters, general conclusions and recommendations, bibliography of 342 sources, 18 annexes, 205 pages of the main text, 46 figures, 50 tables. The results of the thesis have been published in 58 scientific and scientific methodological papers.

Field of the research: hygiene, occupational health

The purpose of the research: studying the influence of environmental and behavioral factors on the capacity of physical activity and health of junior athletes practicing ball games and arguing a complex of appropriate prophylactic measures. Objectives of the study: (1) Assessment of the health status particularities among junior athletes; (2) Hygienic assessment of the conditions and training process among junior athletes; (3) Lifestyle assessment and identification of the behavioral risk factors influencing junior athlete’s health; (4) Assessment of the conditions and training process on the functional status and work capacity of junior athletes; (5) Identification of the specific features influencing sports activities on the health and level of adaptation of junior athletes. (6) Analysis and evaluation of the national system for monitoring the health of junior athletes, appreciation of its role in early diagnosis of adverse functional changes and premorbid conditions; (7) development of a hygienic model in improving the health status monitoring among athletes and identification of prophylactic measures in reducing risks, improving and strengthening health status among young athletes

Scientific novelty and originality: For the first time, a complex study was performed on the health of junior athletes in relation to the determining factors, conducted according to the principles of environmental medicine and occupational medicine which highlighted the pathological conditions, noncommunicable diseases and trauma characteristic of this category of population dependent on the degree of influence of unfavorable factors, adaptation to them, sports performance. The hygienic model was developed for predicting possible changes in health, proposed recommendations for optimizing the monitoring of athletes' health and preventing premorbid conditions.

A significant applied scientific problem solved in the research: scientific and methodological substantiation of the connection between the determining factors and the health status of junior athletes, which contributes to the development of recommendations and practical proposals for the development of a quality service of sports medicine in the Republic of Moldova. This will allow the improvement of the risk management system in the activity of junior athletes and the validation of a relevant model for the efficiency of public health surveillance in order to diagnose unfavorable functional changes and premorbid conditions.

The theoretical relevance and practical value: the results of the research carried out supplement the scientific chapters on health and risk factors at junior athletes and will be used in the activity of specialists in sports medicine and public health. They were the basis for the elaboration of the monitoring system of the health condition of junior athletes and the concept of development of sports medicine in the Republic of Moldova.

Implementation of the results: The research results were used to develop the hygienic model for monitoring the health of junior athletes, focusing on the screening program for premorbid conditions, improving the health care system of athletes and arguing prophylactic measures to reduce risk factors. The Practical Guide on the Systematization and Operation of Physical Education and Sports Buildings was also developed. The research results were implemented within the National Center for Sports Medicine "Atletmed" and the National Agency for Public Health.