The structure of morbidity of secondary school children

Sotnikova–Meleshkina, Zh. V.

doi:10.31393/morphology-journal-2020-26(4)-05

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…За даними досліджень українських фахівців, 36,4 % учнів загальноосвітніх шкіл мають низький рівень фізичного здоров'я [9,10]. З одного боку, за останні 20 років виявлено зменшення показників маси тіла у школярів усіх вікових груп, особливо у віці становлення статевих функцій, як серед дівчаток, так і серед хлопчиків [11][12][13].…”

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Features of physical and sexual development in school-aged children with psychosomatic disorders

Lebets¹,

Турчина

Matkovska

et al. 2022

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Background. Monitoring of physical and sexual development indicators using standards appropriate to age and sex, especially in children with chronic diseases is the most important element of management of children and adolescents with various pathologies because it allows managing the treatment process and improving it timely. Unfortunately, these issues have not been studied enough today. The purpose of the work is to determine the influence of somatic and mental diseases on the physical and sexual development impairments in school-age children. Materials and methods. Nine hundred and thirty-five patients aged 10–17 years (boys — 441, girls — 494) with the following pathology were examined: diabetes mellitus type 1, diffuse nontoxic goiter (DNG) with various menstrual disorders (girls with abnormal uterine bleeding), and girls with hypomenorrhea syndrome (HMS), mental disorders (functional and organic), systemic connective tissue dysplasia, secondary cardiomyopathy, juvenile idiopathic arthritis (JIA), systemic lupus erythematosus (SLE). The comparison group enrolled healthy children of the same age. Results. The presence of type 1 diabetes mellitus, diffuse nontoxic goiter were proved to negatively affect the somatosexual development of school-age children and contribute to the formation of disharmonious physical development (in 32.4 % of patients with diabetes mellitus 1 and 56.6 % of adolescents with DNG) and sexual maturation. It was established that 52.4 % of girls with gynecological pathology presented with harmonious physical development. Against the background of disharmony of physical development, girls are more likely to develop menstrual irregularities such as HMS. Harmonious physical development is registered in 50.8 % of patients with JIA. 67.25 % of people with JIA have normal growth rates. Exceedance of normal and lower values are observed in girls (p < 0.05). At the stages of puberty, the most common deviations in growth and body weight were observed in early puberty (100 %), the least often — in late puberty (42.8 %). In 56.8 % of patients with SLE, harmonious physical development was registered. The most common were as follows: overweight (33.3 %), decreased growth rate (17.6 %), and weight deficit (11.7 %). Based on the frequency of SLE, it was determined that the most vulnerable were puberty (91.0 %) and prepuberty (87.5 %). The onset of SLE in late puberty occurred in 26.3 % of cases. In patients with secondary cardiomyopathies and systemic connective tissue dysplasia, no significant statistical differences in age-related parameters were found. Most patients with mental disorders had a harmonious physical development (93.6 %). Among the violations of the latter, the deficit of body weight was most often determined (19.5 %).

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Features of physical and sexual development in school-aged children with psychosomatic disorders

Lebets¹,

Турчина

Matkovska

et al. 2022

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Comparative analysis of the health status of middle-school age when studying in different educational programs

Sotnikova–Meleshkina

Danylenko

Ponomaryova

2021

Actual Problems of Modern Medicine

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Summary. Research shows negative trends in health of schoolchildren: increasing morphofunctional disorders, mental and behavioral disorders, acute and chronic somatic morbidity, maladaptation syndrome, as well as negative health dynamics and the highest morbidity among middle school students. The aim of the study was to determine the state of health of students during basic school stage, under the conditions of using traditional and meritocratic education systems. Materials and Methods. The study involved 266 students of general secondary education institutions aged 10-14 years. Results. Analysis of the level of pathological lesions in different educational programs established the highest level for diseases of the endocrine system with an increase in pathology in the dynamics of learning by 220.8 ‰ in traditional education and 172.8 ‰ in meritocratic education. Pathology of the eye and adnexa was more common among students throughout the meritocratic program with its significant increase in both education systems, while the number of digestive diseases increased more significantly in traditional education (p <0.01). The decrease in pathological lesions occurred only in diseases of the respiratory system with meritocratic education. There was a significant increase in the percentage of the second group of health (from 62.3 ± 5.5% to 77.9 ± 4.7%) in education on the meritocratic system, and insignificant increase in traditional education due to reduced proportion of healthy children. Under the conditions of the traditional education system, the number of cases of acute diseases was higher (p <0.05-0.01) and a significant increase in their total duration was determined at the end of the 5th and 6th grades (p <0.05). At the same time, all indicators of acute morbidity decreased during years of study 7 to 9, regardless of gender, educational program and type of general secondary education institution. Conclusions. Studying under the conditions of the meritocratic system was accompanied by a more intensive increase in the prevalence of diseases of the eye and adnexa, but a decrease in pathological lesions of the respiratory system. During the implementation of the traditional educational program, a more significant increase in the prevalence of digestive diseases was registered, as well as the number of cases and the total duration of acute diseases at the end of the 1st and 2nd year of basic school. Comparative analysis of morbidity indicators revealed a significant impact of intensification of the educational process on the progression of ophthalmic pathology, chronic diseases, against the enduring general trend as to the dynamics of acute morbidity and the overall structure of pathological lesions.

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The structure of morbidity of secondary school children

Cited by 2 publications

References 27 publications

Features of physical and sexual development in school-aged children with psychosomatic disorders

Features of physical and sexual development in school-aged children with psychosomatic disorders

Comparative analysis of the health status of middle-school age when studying in different educational programs

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