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BACKGROUND:The importance of studying the growth and development processes of the child population is due to the significance of the pre-clinical approach aimed at primary disease prevention. AIM:To provide the constituent entities of the Russian Federation with standards for the physical development of children and adolescents aged 7–17years. MATERIAL AND METHODS:An analytical study was conducted, big data from the database “Physical Development of Children, Adolescents, and Youth of the Russian Federation in 2000–2021” were analyzed, containing 395,956observations of physical development (length and body weight indicators) of children, adolescents, and young people living in 49constituent entities of the Russian Federation. Priority was given to research in the constituent entities for which regional standards had never been developed or for which they were developed 15–20years or more ago. As a result, at least 2constituent entities were analyzed in each federal district. Big data processing using machine learning was carried out on the basis of the PostgreSQL database. A web application was created that implemented the functions of tabular display of data, construction of histograms with the ability to select parameters and subsequent data publication on the map of the Russian Federation. RESULTS:In Russia at the beginning of the 21st century, the characteristics of physical development of students living in different constituent entities of the Russian Federation were established, which allowed us to talk about the presence of “regional scenarios” that must be taken into account when developing standards. At the age of 15, the range of average values of growth indicators for boys in the constituent entities ranged from 161.70±0.20cm in the Kursk Region to 174.55±0.40cm in the Krasnodar Territory (the difference was 12.85cm, p=0.001), for girls— from 154.60±0.50cm in the Republic of Tyva to 165.69±0.55cm in St.Petersburg (the difference was 11.09cm, p=0.001). The range of body weight of 15-year-old boys in the regions was from 50.17±0.70kg in the Kursk region to 66.00±0.80kg in the Khabarovsk region (difference 15.83kg, p=0.001), girls— from 46.90±0.60kg in the Chelyabinsk region to 58.40±0.70kg in the Khabarovsk region (difference 8.50kg, p=0.001). CONCLUSION:40regional standards for the physical development of the child population have been developed in a standardized manner, which allows taking into account regional characteristics and makes it possible to use them in practical healthcare in the constituent entities of the Russian Federation.
BACKGROUND:The importance of studying the growth and development processes of the child population is due to the significance of the pre-clinical approach aimed at primary disease prevention. AIM:To provide the constituent entities of the Russian Federation with standards for the physical development of children and adolescents aged 7–17years. MATERIAL AND METHODS:An analytical study was conducted, big data from the database “Physical Development of Children, Adolescents, and Youth of the Russian Federation in 2000–2021” were analyzed, containing 395,956observations of physical development (length and body weight indicators) of children, adolescents, and young people living in 49constituent entities of the Russian Federation. Priority was given to research in the constituent entities for which regional standards had never been developed or for which they were developed 15–20years or more ago. As a result, at least 2constituent entities were analyzed in each federal district. Big data processing using machine learning was carried out on the basis of the PostgreSQL database. A web application was created that implemented the functions of tabular display of data, construction of histograms with the ability to select parameters and subsequent data publication on the map of the Russian Federation. RESULTS:In Russia at the beginning of the 21st century, the characteristics of physical development of students living in different constituent entities of the Russian Federation were established, which allowed us to talk about the presence of “regional scenarios” that must be taken into account when developing standards. At the age of 15, the range of average values of growth indicators for boys in the constituent entities ranged from 161.70±0.20cm in the Kursk Region to 174.55±0.40cm in the Krasnodar Territory (the difference was 12.85cm, p=0.001), for girls— from 154.60±0.50cm in the Republic of Tyva to 165.69±0.55cm in St.Petersburg (the difference was 11.09cm, p=0.001). The range of body weight of 15-year-old boys in the regions was from 50.17±0.70kg in the Kursk region to 66.00±0.80kg in the Khabarovsk region (difference 15.83kg, p=0.001), girls— from 46.90±0.60kg in the Chelyabinsk region to 58.40±0.70kg in the Khabarovsk region (difference 8.50kg, p=0.001). CONCLUSION:40regional standards for the physical development of the child population have been developed in a standardized manner, which allows taking into account regional characteristics and makes it possible to use them in practical healthcare in the constituent entities of the Russian Federation.
BACKGROUND. The study of the health status of the younger generation, and the dynamics of the schoolchildren physical and biological development remains an urgent scientific problem both in our country and around the world. Changes in the lifestyle of modern children and adolescents require regular revision and updating of regional standards for physical and biological development. AIM. Analysis of the dynamics of puberty in modern schoolchildren depending on their health status, with subsequent updating of schoolchildren biological development standards in the Moscow region. MATERIALS AND METHODS. In the 2020s, an observational single-center cross-sectional sample study of the schoolchildren health status, physical and biological development in the Moscow region aged 12-16 years was carried out. Assessment of physical and biological development was conducted in each age and sex group according to standard methods using certified anthropometric instruments with measurements of body length and weight. RESULTS: The study involved 508 schoolchildren with different levels of health: first health group – 107 (21.1%), second – 208 (58.7%), third – 103 (20.2%). Among the functional abnormalities in the study sample, the leading ones were diseases of the eye and its adnexal apparatus (24%), and in the structure of chronic diseases, diseases of the musculoskeletal system and connective tissue (20%). The level of biological development in schoolchildren assigned to the first and to the second health groups in comparison with schoolchildren from the third health group did not differ significantly (p 0.05), however, there was a tendency towards to a later development of secondary sexual characteristics in schoolchildren with chronic diseases. Significant (p=0.038) differences in the age at menarche in girls were found depending on the level of physical development. The data indicate that when developing standards for biological development, it is necessary to take into account the data of only schoolchildren who have 1 and 2 health groups. CONCLUSIONS: The results of this study clearly demonstrated the prevalence of functional abnormalities and chronic diseases of various nosologies among modern schoolchildren in the Moscow region. The results of the study formed the basis of updated standards for the schoolchildren biological development in the Moscow region.
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