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Main arrow Archive of previous Issues arrow 6 2014 (40) arrow Results of regular health examination of schoolchildren as basis for developing customized prevention programs in the framework of medical support for educational process
Results of regular health examination of schoolchildren as basis for developing customized prevention programs in the framework of medical support for educational process Print
Wednesday, 25 February 2015

Poretskova G. Yu.
Samara State Medical University, Samara.

Abstract. Background. Recent studies show increase in children morbidity especially related to diseases of the circulatory system, diseases of the blood and blood-forming organs, diseases of the digestive system, diseases of the nervous system and diseases of the endocrine system.

Such increase suggests that mass preventive measures in schoolchildren are inadequate and necessitates improvement of quality of regular health examination, identification of risk groups among schoolchildren, development of prevention programs and follow-up of this group of patients.

The purpose of the study was to increase effect of programs aimed at prevention of school-related pathologies based on regular health examination among schoolchildren.

Study objectives: to analyze dynamics of prevalence and disease structure in schoolchildren in the city of Samara, to identify school-related pathologies, risk groups and predictors, to develop basis for customized prevention programs.

Methods and data: retrospective study in schoolchildren from 2001/02 to 2008/09 school years and prospective observation over schoolchildren from several secondary schools from 2005/2006 to 2011/2012 school years including health examination. In total, 7086 children aged 6-17 were recruited to the study.

Results. During the first four years at school, the share of children with functional pathology dynamically increases up to 65 %, while the share of healthy children drops to 9%, also the share of children with chronic conditions increases up to 25%. Among the junior schoolchildren the maximum growth is registered in diseases of the musculoskeletal system (up to 49.1% C.I. 44.4-53.8%), eye diseases (up to 32.4% C.I. 28-36.8%), digestive system diseases (up to 24.5% C.I. 20.5-28.5%). 13.2% of children have vegetative-vascular dystonia (C.I. 10-16.4%), while 5% - arterial hypertension (C.I. 3.5-8.4%).

Regular health examination of children aged 14 revealed high prevalence of somatic pathology: diseases of the musculoskeletal system and connective tissue were diagnosed in 54.6% of adolescents (rank 1), diseases of eye and adnexa - in 25% of the examined (rank 2), and cardiovascular diseases in 8-10% children (rank 3), and diseases of the endocrine system in 7.4% of the examined .

In-depth examination of 14 year adolescents detected obesity in 10.5% boys and 5.8% girls, and malnutrition in 8.5% and 4.9% respectively. Therefore, by the age of adolescence the prevalence of diseases of the musculoskeletal system, cardiovascular diseases and eye disorders increases. All those school-related disorders are rooted in junior school age.

Conclusions. The detected dynamics in morbidity signifies the need to identify risk factors and risk groups of school- related disorders among schoolchildren and elaborate customized prevention programs.

Keywords: schoolchildren; adolescents; risk factors; school-related pathology; prevention.

 

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