Modeling of appropriate spirometric indicators in practically healthy young women from Podillia with ectomorphic somatotype

L. A. Sarafyniuk, Yu. V. Kyrychenko
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Abstract

Many researchers emphasize the practical importance of using mathematical modeling to determine the reference values of spirographic parameters, but unfortunately, there are no works that study the complex influence of anthropometric and somatotypological indicators on spirometric parameters in healthy young people. The purpose of the work was to build regression models to determine the proper indicators of external breathing in practically healthy young women (YW) ectomorphs and to establish the total influence of the constitutional characteristics of the body on spirographic parameters. We conducted a spirographic examination of 109 practically healthy YW (from 16 to 20 years inclusive) according to the American Pulmonology Association and the European Respiratory Society (2019) method on the Medgraphics Pulmonary Function System 1070 series. The anthropometric examination was carried out according to the method of Bunak V. V. as modified by Shaparenko P. P. (2000). The component composition of body weight was assessed according to Matiegka method (1921), muscle mass according to the method of the American Institute of Nutrition (1991). Somatotypological research was carried out according to the Heath-Carter (1990) method. After somatotyping, it was found that 31 YW had an ectomorphic type of constitution. For them, we conducted a direct step-by-step regression analysis in the “STATISTICA 5.5” package. On the basis of multivariate regression analysis, the total influence of anthropometric, somatotypological and dynamometric indicators on the variability of spirographic parameters of the body was determined. Mathematical modeling was carried out to determine the appropriate individual spirographic indicators in practically healthy YW of the Podillia ectomorphic somatotype. 11 reliable regression linear models were built with the accuracy of the description of the feature in the range of 57.63–94.44 %. To the greatest extent, the value of the spirometric parameters was determined by the girth of the body (most often the girth of the hand), the diameters of the pelvis (most often the external conjugate and intercristal distance), the width of the distal epiphyses (most often the shins), the skinfold thickness (most often under the shoulder blade).
在实际健康的波迪利亚年轻女性中建立适当的肺量指标模型
许多研究者强调使用数学建模来确定肺活量参数参考值的实际重要性,但遗憾的是,目前还没有研究健康青少年人体测量学和躯体型指标对肺活量参数的复杂影响的作品。这项工作的目的是建立回归模型,以确定实际健康的年轻畸形妇女(YW)的适当外部呼吸指标,并确定身体体质特征对肺活量测量参数的总体影响。我们根据美国肺科学会和欧洲呼吸学会(2019)在Medgraphics肺功能系统1070系列上的方法,对109名实际健康的女性(包括16至20岁)进行了肺活学检查。根据Shaparenko P. P.(2000)修改的Bunak V. V.的方法进行人体测量。体重成分组成参照Matiegka法(1921),肌肉质量参照美国营养学会法(1991)。躯体类型学研究根据Heath-Carter(1990)方法进行。经体质分型后,发现31株YW具有生态型体质。对于它们,我们在“STATISTICA 5.5”包中进行了直接的逐步回归分析。在多元回归分析的基础上,确定了人体测量学、体型学和动力学指标对人体肺活量参数变异性的总影响。采用数学建模的方法,确定了在实际健康的水仙型中适宜的个体肺活量指标。建立了11个可靠的回归线性模型,对特征的描述准确率在57.63 ~ 94.44%之间。在很大程度上,肺活量测量参数的值由身体的周长(最常见的是手的周长)、骨盆的直径(最常见的是外关节和嵴间距离)、远端骨骺的宽度(最常见的是胫骨)、皮褶的厚度(最常见的是肩胛骨下)决定。
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