DOI: 10.21045/2071-5021-2016-51-5-7
1Modestov A. A., 1Terletskaya R. N., 2Nevolin Yu. S., 1V. I. Bondar
1Scientific Center of Children`s Health of the Russian Ministry of Health, Moscow
2Krasnoturyinsk City Hospital, Sverdlovsk region
Contacts: Prof. Arseny A. Modestov,
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Abstract. Background. Preventive medicine based
on innovative technologies is expected to become basis of the modern
system of pediatric care. Health centers are one of such technologies.
Purpose – to assess health status of schoolchildren according to data provided by the mobile interregional health center.
Materials and methods. "Information on health center
performance" Form #68 for the period 2011-2014 – a total of 32316
children, and "Pediatric Record on Healthy lifestyle" Form # 002 –
TSZ/u-2 for 2014 – a total of 7321 schoolchildren aged 7-17 years, have
been analyzed.
Results. Among general pediatric population attending
health centers, schoolchildren aged 7 to 17 years accounted for over
95%. Assessment of their health status identified reduction in the
number of healthy children along with age, increased incidence of risk
factors, functional disorders and children with registered chronic
diseases. “Imbalanced diet” turned out to be the most prevailing risk
factor across all age group. Along with age incidence of smoking,
physical inactivity, high blood pressure, and imbalanced diet increases.
Moving to adulthood increases frequency of smoking, physical
inactivity, increased blood pressure and imbalanced diet. Along with age
the number of cases of functional disorders increases as well: abnormal
blood pressure without diagnosis ever made, symptoms and signs related
to diseases of skin and subcutaneous tissue, digestive system and the
abdominal cavity, musculoskeletal system and functional disorders of the
heart.
Conclusions. Preventive medical examination in health
centers helps to identify risk factors and functional disorders and
tailor preventive activities including development of health schools of
the relevant profile.
Scope of application. Health care organization, school medicine, pediatrics, specialists of health centers.
Keywords: prevention; health; preventive medical examination; pediatric health centers; school children; pediatric population.
References
- Al'bitskiy V.Yu., Modestov A.A., Kosova S.A., Terletskaya R.N.,
Ivanova A.A., Nevolin Yu.S., et al. Innovative technologies in
preventive activity of health centers for children. Rossiyskiy pediatricheskiy zhurnal 2014; 17(4): 43-48. (In Russian).
- Al'bitskiy V.Yu. Actual problems of social pediatrics. Selected
essays. Moscow: Soyuz pediatrov Rossii; 2012. 344 p. (In Russian).
- Al'bitskiy V.Yu., Modestov A.A., Kosova S.A, Bondar' V.I., Volkov
I.M., Terletskaya R.N., et al. Health centers for children: the first
results of activity and prospects for development. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2015; 1: 41-45. (In Russian).
- Baranov A.A., Namazova-Baranova L.S., Al'bitskiy V.Yu., Terletskaya
R.N., Antonova E.V. The current state and problems of adolescents’
health in Russia. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny 2014; 6: 10-14. (In Russian).
- Baranov A.A, Namazova-Baranova L.S., Al'bitskiy V.Yu. Prophylactic pediatrics – new challenges. Voprosy sovremennoy pediatrii 2012; 11(2): 7-10. (In Russian).
- Kuchma V.R., Sukhareva L.M., Zvezdina I.V. The main directions of
interaction between educational institutions and health centers for
children to promote healthy lifestyle. Voprosy shkol'noy i universitetskoy meditsiny 2012; (1): 5-12. (In Russian).
- Modestov A.A., Kosova S.A., Bondar' V.I., Nevolin Yu.S., Fedotkina
S.A., Farrakhov A.Z. Modernization of preventive pediatrics: problem
areas and opportunities. Profilakticheskaya meditsina 2013; 6 (3):14-21. (In Russian)
- Modestov A.A., Kosova S.A., Ivanova A.A., Fedotkina S.A.
Health-preserving behavior of adolescents and youth as a basis for the
health of future parents. Rossiyskiy pediatricheskiy zhurnal 2012; (3): 46-50. (In Russian)
- On mandatory health insurance in the Russian Federation.
Federal'nyy zakon ot 29.11. 2010 g. N 326-FZ. Sobranie zakonodatel'stva
RF 2010, ¹49, Art.6422. (In Russian)
- On the basis of population health protection in the Russian
Federation. Federal'nyy zakon ot 21.11.2011g. ¹323-FZ (red. ot
26.04.2016). Sobranie zakonodatel'stva RF 2011, ¹48, Art.6724. (In
Russian)
- On the nation action strategy for children for 2012-2017. Ukaz Prezidenta RF ot 01.06.2012 g. ¹761. [Online]. Available from: http://www.kremlin.ru/acts/bank/35418 (In Russian)
- On organization of health centers activity to promote healthy
lifestyle among the citizens of the Russian Federation including
reduction in alcohol and tobacco consumption. Prikaz
Minzdravsotsrazvitiya Rossii ot 19 avgusta 2009 goda ¹597n. [Online]
[cited 2016 Jun 10]. Available from:
https://www.rosminzdrav.ru/documents/7619-prikaz-minzdravsotsrazvitiya-rossii-597n-ot-19-avgusta-2009-g.
(In Russian)
- On amendment to the Order of the Ministry of health and social
development of the Russian Federation of August 19, 2009 ¹597n “On
organization of activity of health centers to form healthy lifestyle
among the citizens of the Russian Federation including reduction in
alcohol and tobacco consumption” of June 08, 2010 ¹430n. Appendix 7 “Map
of healthy lifestyle of a child” ¹ 002 – TsZ/u-2]. [Online] [cited 2014
Jun 27]. Available from:
http://www.consultant.ru/document/cons_doc_LAW_102627/. (In Russian)
- Shishova A.V., Zhdanova L.A. Perspective direction of developing
school healthcare within the frameworks of health centers to promote
schoolchildren’ health. Obshchestvennoe zdorov'e i zdravookhranenie 2011; 4: 25-27. (In Russian).
- Yakovleva T.V., Ivanova A.A., Modestov A.A. The main directions of
modernization of health promotion system for children and adolescents. Rossiyskiy pediatricheskiy zhurnal. (In Russian).
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