Individualization of approaches in preventive and clinical medicine requires individualization of normative indexes for the protocols in measurement of dimensions of internal organs. At the same time the constitutional principle for the establishment of personal protocols for supersonic morphometry of liver, gall bladder, spleen, pancreatic and thyroid glands are discussed. At the same time the age quantitative age and gender group differences remain unsufficiently studied. The purpose of the study was the investigation of specific constitutionally-dependent differences in the size of internal organs in concern with their possible somatotypic correlates. 49 female and 52 male 17-years old teenagers were studied during regular prophylactic medical inquiry using somatotypic identification and supersonic morphometry of the pancreatic and thyroid glands, liver, gall bladder, spleen, lenic and portal veins. The study revealed statistically significant larger size of liver and gall bladder in leptosomic and mesosomic males in comparison to the females of corresponding somatic types. In addition, mesososomic males possessed increased lumens of splenic and portal veins together with increased dimensions of pancreas and spleen. The reported data s can be used in clinical practice for prevention of erroneous conclusions about hyper- or hypertrophy of internal organs. The results of the study give opportunities for the establishment of anatomical standards of morphometric measurement of internal organs in concern with constitutional characteristics. The revealed somatotypic correlations can serve as markers of individual morphometric characteristics of internal organs.

The aim of the study was a comparative characteristic of the size of internal organs according to ultrasonography data in subjects with various deviations in stature, determined using international standardized norms. Materials and methods. The stature was measured in 93 adolescents, aged 13 to 17 years. Based on the measurements, the Z-score of body length was calculated according to the WHO Growth Reference, 2007 and three groups were formed for comparing the sizes of internal organs: average, above average, below average. Ultrasonography data of the internal organs dimensions and thyroid gland was performed using a Toshiba Aplio 500 ultrasound scanner. Results. There were statistically significantly lower values of the liver span and the longitudinal size of the gallbladder in the examined subjects from the below average group compared to the rest of the subjects. The length of the spleen and the total volume of the thyroid gland were statistically significantly different in subjects from all three groups, with the highest values in volunteers from the above average group. A weak direct correlation was shown between the Z-score of body length and liver span, the length of the cauda of the pancreas, and the width of the spleen. An average direct statistical relationship was found between the Z-score of stature and the length of the spleen, as well as the total volume of the thyroid gland. Conclusion. To a greater extent, body length is associated with the size of the parenchymal organs with a pronounced connective tissue frame - the liver and spleen, as well as the thyroid gland due to the relationship of its volume with hormones that regulate growth and development. Clinical substantiation of the relationship between the structure of the body and internal organs opens up the possibility of creating anatomical standards that allow ultrasound morphometric assessment of internal organs, taking into account the individual characteristics of the patients body size.

Nowadays there are no decicive descriptions of constitutional features and body mass deviations in a narrow group taking into consideration their sex, age, habitation region, and a concrete type of body mass deficit or excess. The present study focuses at comparative assessment of number and frequency of pronounced deficit, deficit, nominally normal body mass, preobesity and obesity in junior schoolchildren and adolescents with lepto-, meso- and hypersomal somatotype. All in all 274 persons took part in the study, 130 of junior schoolchildren aged 7 to 9 years (64 boys and 66 girls) as well as 142 adolescents 1417 years old (65 boys and 77 girls). Somatotype was determined in all children with the help of I.I. Salivon and V.A. Melniks method, as well as body mass index was calculated. Comparing the number of children with various deviations of body mass in case of lepto- meso- and hypersomal somatotype was accomplished with the help of precise Fishers criterion for conjugated features tables 3 5. In boys and girls of junior school age with leptosomal (boys 62%, girls 81%) somatotype body mass deficit was predominant, while in adolescents with leptosomal somatotype body mass deficit was found in 37% boys and 15% of girls. Hypersomal boys form obesity and excessive body mass when they enter adolescence. On the other hand 40% girls of junior school age with hypersomal somatotype are already obese and 100% of them preserve obesity till puberty. The results of the study may be useful for specifying individual recommendations for children with metabolic pathology at pre-hospital stage for correction of both excess and deficit of body mass should be made prior to entering puberty.

The goal of the study was to assess the correlation between height and body mass deviations measured with the aid of Z-index in teens and cell component of their peripheral blood. Materials and methods. Apical height was measured in 83 adolescent boys in the course of regular prophylactic medical examination. Z-index was calculated according to WHO Growth Reference, 2007. Cell blood composition was studied with the help of automatic hematologic analyzer. The empiric data was processed statistically using Spearmans correlation coefficient. Results. The analysis of hematologic parameters correlation with deviations of height and bodymass by Z-index has yielded relationship as follows: moderate positive correlation of Hb concentration with bodymass index Z-index, hematocrite with bodymass and height Z-index. Besides there is a mild positive correlation of Hb concentration with bodymass Z-index; RBC number with bodymass and height Z-index, MCV with bodymass and height Z-index. There is no correlation of MCH, MCHC, WBC and Plt number with bodymass and height Z-index. Conclusion. The study has demonstrated there is a correlation between RBC number, Hb concentration and height deviations in case of normochromicity. The relationship ascertained may be explained by an assumption that peculiarities of erythropoiezis correlate with body size. Lower RBC number and Hb concentration in children with smaller bodymass index may be due to general plastic deficiency in their organism. The results obtained in the present study may be used to reveal and analyze physical development and the organism morpho-functional peculiarities correlation markers.