Determination of tolerance to physical exertion body reserves in school-age children with obesity and arterial hypertension

Q4 Medicine
Y. Marushko, T. Hyshchak, N.G. Kostynska, O.A. Dmytryshyn
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Abstract

Determining of tolerance to physical exertion (TPE) in children with various diseases is an important diagnostic aspect of modern medicine. This area helps to improve the prognostic capabilities of doctors and improve approaches to therapeutic interventions in patients with various pathologies. In pediatrics, there are limited data on the study of TPE in patients with hypertension and no data at all in children with a combination of hypertension and obesity. Purpose - to assess the level of TPE and body reserves in school-age children with obesity and arterial hypertension. Materials and methods. 112 patients aged 9-18 took part in the study. All patients were divided into four groups. The Group 1 (control) included children with normal blood pressure and normal body weight; the Group 2 included patients with arterial hypertension and normal body weight; the Group 3 - with normal arterial pressure and obesity; the Group 4 - with a combination of arterial hypertension and obesity. Results and conclusions. If patients have hypertension or obesity, a decrease in VO2max is noted, which is more pronounced when these pathologies are comorbid. Obese boys have a tendency to increase maximum systolic blood pressure during bicycle ergometry (158.2±8.4 mmHg) compared to healthy children (149.4±10.5 mmHg). The average values of maximum diastolic blood pressure during bicycle ergometry in all studied groups did not differ significantly from the average values of the control group. Obesity is accompanied by a more pronounced decrease in vascular reserves than arterial hypertension, the comorbidity of these diseases in patients is associated with the deterioration of these reserves in comparison with patients who have only one disease. The obtained results indicate a decrease in cardiac reserves when the patient has comorbidities of arterial hypertension and obesity. At the same time, the presence of only one of the named diseases in the patient is not accompanied by a significant decrease in indicators compared to the control group. In patients with arterial hypertension, a less effective use of myocardial reserves and an increased demand for myocardial oxygen during work compared to healthy children are noted. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
学龄期肥胖和高血压儿童体力消耗耐受性的测定
测定患有各种疾病的儿童对体力消耗的耐受性是现代医学的一个重要诊断方面。这一领域有助于提高医生的预后能力,并改进对各种疾病患者的治疗干预方法。在儿科,关于高血压患者TPE的研究数据有限,而对于患有高血压和肥胖的儿童则完全没有数据。目的:评估学龄期肥胖和动脉高压儿童的TPE和身体储备水平。材料和方法。112名9-18岁的患者参与了这项研究。所有患者被分为四组。第1组(对照组)包括血压和体重正常的儿童;第2组为动脉高压患者,体重正常;第3组-动脉压正常,肥胖;第4组-合并动脉高压和肥胖。结果和结论。如果患者患有高血压或肥胖,则会注意到VO2max的降低,当这些疾病是共病时,这种降低更为明显。与健康儿童(149.4±10.5毫米汞柱)相比,肥胖男孩在自行车测功过程中有增加最大收缩压的趋势(158.2±8.4毫米汞柱。所有研究组在自行车测功过程中的最大舒张压平均值与对照组的平均值没有显著差异。与动脉高血压相比,肥胖伴随着血管储备的更明显减少,与只有一种疾病的患者相比,患者中这些疾病的合并症与这些储备的恶化有关。所获得的结果表明,当患者患有动脉高压和肥胖的合并症时,心脏储备会减少。同时,与对照组相比,患者中仅存在一种命名疾病并不伴随着指标的显著下降。在动脉性高血压患者中,与健康儿童相比,心肌储备的有效利用率较低,工作期间对心肌氧气的需求增加。这项研究是根据《赫尔辛基宣言》的原则进行的。参与机构的地方伦理委员会批准了该研究方案。进行研究获得了患者的知情同意。提交人没有宣布任何利益冲突。
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来源期刊
Suchasna pediatriia Ukrayina
Suchasna pediatriia Ukrayina Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.40
自引率
0.00%
发文量
50
审稿时长
8 weeks
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