Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School Types
Arterial hypertension in children is a serious socially important problem, because it holds a position within the top of cardiovascular diseases, beginning from the adolescent age. A timely start of preventive measures based on appropriate forecast assessment in children from risk groups will make i...
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| Language: | Russian |
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Union of pediatricians of Russia
2015-11-01
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| Series: | Педиатрическая фармакология |
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| Online Access: | https://www.pedpharma.ru/jour/article/view/510 |
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| author | I. N. Zakharova T. M. Tvorogova I. I. Pshenichnikova M. A. Shkolnikova |
| author_facet | I. N. Zakharova T. M. Tvorogova I. I. Pshenichnikova M. A. Shkolnikova |
| author_sort | I. N. Zakharova |
| collection | DOAJ |
| description | Arterial hypertension in children is a serious socially important problem, because it holds a position within the top of cardiovascular diseases, beginning from the adolescent age. A timely start of preventive measures based on appropriate forecast assessment in children from risk groups will make it possible to reduce the disease burden in elder age groups. Research purpose. Based on comprehensive assessment of clinic-anamnestic, genealogic, psychologic data, peculiarities of daily profile of arterial tension in the course of adaptation to education in educational institutions, to characterize the markers and single out the factors associated with AT increase in children that are considered relatively healthy.Patients. On a voluntary basis, 199 children of 1–2 health groups were included in the research at the age of 10–12 years (11.3 ± 0.02 years) who had just started their education at a cadet educational institution or middle school. The children did not have any complaints by the time of the research, nor did they have the necessity of taking medicines which could have an effect on the cardiovascular system and acute infectious diseases during the previous month.Methods. The research was carried out during the period from September 2013 until May 2014 in 2 successive stages corresponding to the first and second academic terms. The examination included clinic-anamnestic and genealogic methods, anthropometry, three-fold measuring of arterial pressure by Korotkoff’s method, 24-hour ECG and AP monitoring, monitoring of motion activity volume, study of general and school levels of anxiety and psychic tension, assessment of the vegetative nervous system condition, nature of exercise tolerance and volume of additional sports load, volume of additional academic load.Results. The most important predictors of AH development and elevated AP persistence in children aged 10–12 years of 1 and 2 health groups are: values of SAP and/or DAP 90 and 95 percentile taking into account sex, age and height at one-shot measurements, the presence of AH in relatives within the immediate family, excessive (over 75 percent for this age and height) body weight and high (over 96 bpm) values of average day-time heart rate following results of HM. The previous data concerning a quick enough adaptation of children to increased daily loads was confirmed, including an authentic increase of motion activity volume within educational programs of cadet educational institutions. |
| format | Article |
| id | doaj-art-6e8a4cd52e334d56b6ecc0d6882b0da7 |
| institution | Matheson Library |
| issn | 1727-5776 2500-3089 |
| language | Russian |
| publishDate | 2015-11-01 |
| publisher | Union of pediatricians of Russia |
| record_format | Article |
| series | Педиатрическая фармакология |
| spelling | doaj-art-6e8a4cd52e334d56b6ecc0d6882b0da72025-08-03T19:21:18ZrusUnion of pediatricians of RussiaПедиатрическая фармакология1727-57762500-30892015-11-0112441442110.15690/pf.v12i4.1422506Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School TypesI. N. Zakharova0T. M. Tvorogova1I. I. Pshenichnikova2M. A. Shkolnikova3Russian Health Ministry Post-graduate Academy, Moscow, RussiaRussian Health Ministry Post-graduate Academy, Moscow, RussiaRussian Health Ministry Post-graduate Academy, Moscow, RussiaPirogov National Medical University, Special Structural Unit «U.E. Veltishev Scientific Research Clinical Institute of Paediatrics»Arterial hypertension in children is a serious socially important problem, because it holds a position within the top of cardiovascular diseases, beginning from the adolescent age. A timely start of preventive measures based on appropriate forecast assessment in children from risk groups will make it possible to reduce the disease burden in elder age groups. Research purpose. Based on comprehensive assessment of clinic-anamnestic, genealogic, psychologic data, peculiarities of daily profile of arterial tension in the course of adaptation to education in educational institutions, to characterize the markers and single out the factors associated with AT increase in children that are considered relatively healthy.Patients. On a voluntary basis, 199 children of 1–2 health groups were included in the research at the age of 10–12 years (11.3 ± 0.02 years) who had just started their education at a cadet educational institution or middle school. The children did not have any complaints by the time of the research, nor did they have the necessity of taking medicines which could have an effect on the cardiovascular system and acute infectious diseases during the previous month.Methods. The research was carried out during the period from September 2013 until May 2014 in 2 successive stages corresponding to the first and second academic terms. The examination included clinic-anamnestic and genealogic methods, anthropometry, three-fold measuring of arterial pressure by Korotkoff’s method, 24-hour ECG and AP monitoring, monitoring of motion activity volume, study of general and school levels of anxiety and psychic tension, assessment of the vegetative nervous system condition, nature of exercise tolerance and volume of additional sports load, volume of additional academic load.Results. The most important predictors of AH development and elevated AP persistence in children aged 10–12 years of 1 and 2 health groups are: values of SAP and/or DAP 90 and 95 percentile taking into account sex, age and height at one-shot measurements, the presence of AH in relatives within the immediate family, excessive (over 75 percent for this age and height) body weight and high (over 96 bpm) values of average day-time heart rate following results of HM. The previous data concerning a quick enough adaptation of children to increased daily loads was confirmed, including an authentic increase of motion activity volume within educational programs of cadet educational institutions.https://www.pedpharma.ru/jour/article/view/510arterial hypertensionrisk factorschildrencadet education |
| spellingShingle | I. N. Zakharova T. M. Tvorogova I. I. Pshenichnikova M. A. Shkolnikova Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School Types Педиатрическая фармакология arterial hypertension risk factors children cadet education |
| title | Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School Types |
| title_full | Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School Types |
| title_fullStr | Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School Types |
| title_full_unstemmed | Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School Types |
| title_short | Special Features of a 24-hour Arterial Blood Pressure Profile in Healthy Children During the Period of Adaptation to Studying at Different School Types |
| title_sort | special features of a 24 hour arterial blood pressure profile in healthy children during the period of adaptation to studying at different school types |
| topic | arterial hypertension risk factors children cadet education |
| url | https://www.pedpharma.ru/jour/article/view/510 |
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