ASSESSMENT OF PHYSICAL DEVELOPMENT OF CHILDREN WITH CHRONIC BRONCHOLEGENIC DISEASES
DOI:
https://doi.org/10.11603/1811-2471.2023.v.i3.13867Keywords:
children, physical development, chronic bronchopulmonary diseases, bronchial asthma, recurrent bronchitis, cystic fibrosisAbstract
SUMMARY. Despite the significant achievements of medicine in the world and in Ukraine, chronic and recurrent respiratory diseases in children continue to occupy a leading place in the structure of their morbidity. The interdependence between the state of physical development and the peculiarities of the course of various chronic and relapsing bronchopulmonary diseases has not yet been fully studied, although it has been proven that the delay in physical development in cystic fibrosis is determined by many factors, including chronic intoxication, hypoxia, and pancreatic insufficiency.
The aim – to study of the relationship between the features of the course of chronic and relapsing bronchopulmonary diseases and the state of physical development in these children.
Material and Methods. 180 children (116 boys and 64 girls) aged from 1 year 9 months to 16 years were under our supervision. The first group consisted of 82 children with recurrent bronchitis. The second group – 88 children with bronchial asthma. The third group consisted of 10 children with the pulmonary form of cystic fibrosis. The physical development of children was assessed based on the study of anthropometric indicators (height, body weight, breast circumference) and somatoscopy. A spirometric study was conducted for children older than 6 years according to the generally accepted methodology with the determination of standard indicators of respiratory function.
Results. The state of physical development of children with bronchial asthma, recurrent bronchitis, and cystic fibrosis was studied and its relationship with the course of the disease in patients of different ages was determined. In total, among children with chronic and relapsing bronchopulmonary pathology, 88 children had disorders of physical development, in that case, 42 had disharmonious physical development, 42 children had microsomatic somatotype and 32 children had macrosomatic somatotype.
Conclusions. The existence of the influence of chronic bronchopulmonary pathology on the state of physical development of children has been proven, which in turn complicates the course of the disease. The importance of the use of effective methods of prevention of physical development disorders (physical therapy, hardening, adherence to the daily routine, rational nutrition) that are economically beneficial and can be used at the outpatient stage of providing medical care is substantiated.
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