Analysis of physical development in children and adolescents is an integral to the monitoring of child population. Health status of children and adolescents is an essential criterion of societal welfare. Numerous studies of physical development in children indicate the heterogenous nature of growth and develpmental processes in children living in various regions of Russia. The study was aimed to perform the comparative analysis of physical development between children aged 15–17 living in Samara (a total of 714 children were examined, among them 368 boys and 346 girls) and children of the same age group living in Nizhny Novgorod (a total of 689 children, among them 351 boys and 338 girls). In school students aged 16–17, significant differences in the mean height were revealed: adolescents living in Samara were taller than those living in Nizhny Novgorod (p = 0.001). The same trend was observed in girls of the same age group. Comparative analysis showed that girls aged 15–17 living in Samara were significantly taller (p < 0.001) than girls who lived in Nizhny Novgorod. Assessment of body weight showed that the weight of boys aged 15–16 who lived in Samara was significantly higher compared to boys living in Nizhny Novgorod (p = 0.009). No significant differences were revealed between the groups of 17‑year‑old boys and the groups of girls aged 15–17 (р = 0.7). The findings on the differences in the anthropometric indicators of children living in Samara and Nizhny Novgorod justify the need for periodic development and use in healthcare practice of the regional standards for assessment of physical development in children and adolescents.
VIEWS 974
Social factors such as bad living conditions, harmful labor conditions, low quality of medicine, loss of social contacts, etc., and lifestyle factors such as mal- and over-nutrition, hypodynamia, bad habits, etc. are the main issues of premature ageing. In this article, the alimentary factor such as the risk of premature ageing has been considered from the point of view of over- and malnutrition (protein-e nergy undernutrition) and its influence on the rate of ageing. The effect of overnutrition has been examined in the literature review of Russian and foreign investigators. Scientific publications show that one alimentary factor can be used to produce a significant influence on life span and frequency of some degenerative diseases. The relationship between malnutrition in the older population and biological age has been evaluated. 408 those surveyed from the city of Voronezh aged 55 to 70 were included into the study. The examination was nonrecurrent. The biological age of those surveyed was determined using the method by V. P. Voitenko. Malnutrition was assessed with the MNA (Mini Nutritional Assessment) tool. Malnutrition is observed among 2.2% of elderly patients, 58.8% of those surveyed are at risk for malnutrition, whereas 39% of them have a normal alimentary status. It is established that the biological age is correlated with the alimentary status. Statistically significant differences are found in the mean group values of the biological age in the subgroup of people with a normal alimentary status in relation to the subgroup of people with a risk for malnutrition (p<0.05): the values were 56±1.7 and 64±1.4, respectively. The publication shows a direct and indirect influence of the alimentary status (both overnutrition, and malnutrition) on the rate of senescence.
VIEWS 1033
Despite considerable progress in prevention and treatment of atopic dermatitis made in recent years, the issue remains topical, since in recent decades a significant increase in the prevalence of atopic disorders is observed all over the world. The increased incidence of atopic dermatitis results from the human body exposure to the wide range of factors, as well as from the factors’ specificity and mutual activation. Atopic dermatitis is a multifactorial disorder associated with genetic predisposition to atopy, realized under the influence of environmental factors. The risk factors of pediatric atopic dermatitis are divided into endogenous and exogenous factors, which are also affected by genetic susceptibility. It is worth paying attention to the fact that the factors are enhanced by triggers, which both directly and indirectly influence the body in children and adolescents. A combination of multiple factors plays a key role in chronic pediatric atopic dermatitis. Also do not forget about the impact of sanitation, hygiene, environmental factors, urbanization of the area of residence, and the presence of industrial enterprises in the residential area on the health of children and adolescents. Atopic dermatitis has a negative impact on the quality of life of children and their families. There is a clear need for further research. Currently, monitoring the effects of atopic dermatitis becomes relevant, it is aimed at addressing the issues of prevention. For its part, timely identification of the risk factors and concomitant disorders are of inestimable value for the course of the disorder.
VIEWS 1037
The article reviews the issues of career counseling for adolescents with health problems. Goal. Show the possibilities and share the experience of providing career advice with focus on health to adolescents with health problems in the settings of primary health care establishments. Patients and methods. Nine hundred forty schoolchildren were counseled in the career advice room. The participants were divided into 3 groups: group 1 — participants with disabilities since early childhood, group 2 — children with chronic diseases, group 3 — children at risk of developing chronic diseases. The inclusion criteria were: status of a schoolchild, signed and submitted informed consent form, lack of exposure to occupational hazards. The conducted study does not endanger the participants and complies with the biomedical ethics requirements. Statistica 10.0 software was used for statistical processing of the data collected. Based on the results of this work and review of the relevant publications, authors of the study suggest a structure of the health- centric career advice service. Conclusions Career advice that factors in health aspects is an important link in medical and psychological rehabilitation aimed at helping the teenager to adapt to current socio-e conomic conditions and realize his/her physical and intellectual capabilities.
VIEWS 988