Features of physical development of children with metabolic and inflammatory diseases of the biliary tract

Abstract

Objective — to study the nature of the physical development of children and adolescents with metabolic inflammatory diseases of the biliary tract. Materials and methods. A comprehensive survey of 198 children and adolescents 2—17 years of age (97 boys and 101 girls) with metabolic and inflammatory diseases of the biliary tract (MIDBT) was done. Physical development (PD) was assessed in all patientsby comparing the basic anthropometric parameters (height and weight) with age norms. Results and discussion. Individual analysis of anthropometric parameters of patients with MIDBT allowed to diagnose disharmonic PD (DPD) in 42.4 % of the surveyed. Most often, is were body mass deficiency (18.2 %), overweight (6.5 %) and obesity (8.1 %), and low height (7.1 %). Also,it was found that DPD is almost twice as often diagnosed in boys than in girls (62.6 vs. 32.7 %; p < 0.05). Regardless of the age of onset significant number of children were underweight. Overweight was diagnosed with approximately equal frequency. It is found that among patients with DPD, 81.8 % of girls and 62.7 % of boys had relapsing gallstone disease. Dynamic observation of patients allowed to determine the nature of gender­specific risk factors in children with different disease duration. Conclusions . Metabolic and inflammatory diseases of the hepatobiliary system is the important problem of рediatrics, because it affects the formation of the child’s health and development. Individual analysis of anthropometric parameters in patients with metabolic and inflammatory diseases of the biliary tract helped DPD in 42.4 % of patients. It was found that DPD is almost twice as often diagnosed in boys than in girls (62.6 vs. 32.7 %; p < 0.05), which was due to greater frequency of patients with short stature and excessive body weight. It was found that among patients with DPD, regardless of gender, there were more children with cholelithiasis (81.8 % of girls and 62.7 % of boys), who had a relapsing course of disease. Regardless of the duration of disease, in the structure of physical development disorders among girls, deficiency and excess body weightprevail.