A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №2 2025 год

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A.I. Burnasyan  FMBC clinical bulletin. 2022 № 4

A.S. Samoylov1, A.V. Zholinskiy2, N.V. Rylova1, I.V. Bolshakov1

Diagnosis of Autonomic Dysfunction Syndrome in Young Atheletes

1Burnasyan State Research Center – Federal Medical Biophysical Center of Federal Medical Biological Agency
2Federal scientific and clinical center for sports medicine and rehabilitation of the FMBA of Russia, Moscow

Contact person: Rylova Nataliya Victorovna: rilovanv@mail.ru

Abstract
Purpose: A review of the most common and effective from the point of view of evidence-based medicine methods for diagnosing autonomic dysfunction syndrome in young athletes.
Material and methods: The data of domestic and foreign literature on the diagnosis of autonomic dysfunction syndrome were analyzed. The search was carried out using electronic databases MEDLINE, Embase, Scopus, Web of Science, eLIBRARY and Google Academy for the period from 2017 to 2022. For the search, we used keywords and their combinations: “vegetative dysfunction syndrome”, “athletes”, “diagnostics”, “functional tests”. A total of 28 sources analyzed
Results: The autonomic dysfunction syndrome (ADS) is characterized by a significant polymorphism of clinical manifestations and is characterized by functional disorders of the activity of the cardiovascular, endocrine and other systems of the body. Diagnosis of this condition is associated with great difficulties associated with the nonspecificity of symptoms, their bright emotional color and the absence of morphological changes in organs. The frequent manifestation of ADS in childhood and adolescence, the proven relationship of symptoms with exercise and mental stress, determines the importance of early and effective diagnosis of this syndrome in young athletes. The key research methods for suspected autonomic dysfunction syndrome include taking anamnesis using special questionnaires and scales and conducting functional tests with registration of the parameters of the cardiovascular system (heart rate, blood pressure, HRV). The most common and informative functional tests: deep controlled breathing test, orthostatic test (active and passive), Valsalva test. Promising methods for diagnosing ADS include accelerometric tremorography and the study of baroreflex sensitivity. Also, for a deeper examination of a young athlete, it is recommended to use laboratory diagnostic methods to identify violations of the endocrine system, detect changes in lipid and carbohydrate metabolism, etc. Conclusions: At the moment, further research is needed to study the autonomic dysfunction syndrome and methods for its diagnosis.

Keywords: autonomic dysfunction syndrome, athletes, diagnostics, functional tests

For citation:  Samoylov AS, Zholinskiy AV, Rylova NV, Bolshakov IV. Diagnosis of Autonomic Dysfunction Syndrome in Young Atheletes. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2022.4:5-11. (In Russian) DOI: 10.33266/2782-6430-2022-4-5-11


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Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 01.08.2022. Accepted for publication: 28.08.2022

© 2025 Scientific journal - "Clinical Bulletin of the FMBС im. A.I. Burnasyan"
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