关于中学学龄儿童认知和躯体健康参数之间关系的单阶段人群研究

Georgiy A. Karkashadze, Elena V. Kaitukova, T. Gogberashvili, T. Konstantinidi, O. Gordeeva, Aishat M. Gazalieva, M. Soloshenko, S. E. Kondratova, E. Abashidze, Grigorii V. Revunenkov, Elena V. Komarova, M.I. Ivardava, O. Drapkina, R. Shepel, K. Mezhidov, L. S. Namazova-Baranova
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摘要

背景。躯体健康是形成认知功能的四个重要组成部分之一。但迄今为止,还没有任何一项人群研究考虑了大量躯体因素与认知功能和学习成绩的关系,从而使我们能够比较这些因素对认知功能的假定贡献的强度。本研究是一项基于人群的研究的第二部分,其第一部分已在之前的出版物 "中学学龄儿童轻度认知障碍流行率的单阶段人群研究 "中作了介绍。目的--确定俄罗斯儿童(五年级在校学生)群体中认知、学习和躯体因素之间关系的主要模式。研究方法在代表俄罗斯联邦各联邦区城市的俄罗斯五年级学生中,分析了与综合认知成功率、轻度认知障碍水平的子测试次数、单项认知子测试结果、学业成绩和主导因素--以下躯体因素--之间的联系:皮肤病变、支气管哮喘、骨科、眼科疾病、视力、体重指数、外部呼吸功能研究参数、心电图、甲状腺超声波检查、实验室血液检查。结果。对 1036 名参与者(其中 51%为女孩)的调查结果进行了分析。已确定铁含量与综合认知能力的成功和学习成绩直接相关,铁含量高于和低于 26.4 毫摩尔/升的亚组之间的关系尤其密切。与其他因素相比,红细胞的临床水平与综合认知能力的成功和个人认知功能的关系更为密切:红细胞减少症患者的认知参数更差。甲状腺囊肿的存在与一些最差的认知活动参数直接相关。高体重指数和低血红蛋白与较差的学习成绩有关。结论。对俄罗斯学龄儿童队列的研究结果首次表明,包括铁含量在内的一些体质因素与认知活动和学习成绩有关,这需要进一步深入研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Single-Stage Population-Based Study of the Relationship between Cognitive and Somatic Health Parameters in Children of Secondary School Age
Background. One of the four important components of the formation of cognitive functions is somatic health. But to date, there are no population studies that consider the relationship with cognitive functions and school performance of a large range of somatic factors, which allows us to compare the strength of their hypothetical contribution to cognitive functioning with each other. This study is the second part of a population-based study, the first part of which is presented in the previous publication "A Single-Stage Population-Based Study of the Prevalence of Mild Cognitive Impairment in Children of Secondary School Age". Aims — to determine the main patterns in the relationship between cognitive-academic and somatic factors in a cohort of Russian children, 5th grade students at school. Methods. In Russian schoolchildren of the 5th grades of municipalities representing cities of all federal districts of the Russian Federation, the links with integrative cognitive success, the number of subtests performed at the level of mild cognitive impairment, the results of individual cognitive subtests, academic performance and the leading hand factor were analyzed — the following somatic factors: the presence of skin pathology, bronchial asthma, orthopedic, ophthalmological disorders, visual acuity, body mass index, parameters of the study of the function of external respiration, electrocardiography, ultrasound examination of the thyroid gland, laboratory blood tests. Results. The results of the survey of 1036 participants, 51% of them girls, were admitted to the analysis. It has been established that iron content is directly related to integrative cognitive success and school performance, the relationship is especially strong between subgroups of iron content above and below 26.4 mmol/l. Clinical levels of erythrocytes are more strongly associated with integrative cognitive success and individual cognitive functions than other factors: in erythropenia cognitive parameters are worse. The presence of thyroid cysts directly correlates with some of the worst parameters of cognitive activity. High body mass index and low hemoglobin are associated with poorer academic performance. Conclusions. The results of the study for the first time on a cohort of Russian schoolchildren showed a connection with cognitive activity and school performance of a number of somatic factors, including iron content, which requires further in-depth study.
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