International Union for Circumpolar Health Ministry of Public Health and Social Development of RF Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Medical Sciences Siberian Branch of Russian Academy of Sciences Medical Polar Fund “Science” The Northern Forum

Abstracts

Child health. Women`s health

In recent years in some works of Russian and foreign scientists there has been discussed a question of the advantage to make regional standards that characterize health state of children. In recommendations on diagnosis, treatment and prevention of arterial hypertension in children and adolescents it was recommended to use the standards of centile distribution (developed in 1996 in Philadelphia for evaluation of centile of growth) and the results of USA National program on study of arterial hypertension in children and adolescents for evaluation of BP centile.

Material and methods: We performed screening-diagnosis of 4015 children and adolescents in an age range between 4 and16 yrs (9.8±3.67) living in Eastern Siberia. Height of the children was measured with standard metre measure ruler in upright position with shoes off (to within 1 cm). Body mass was measured singly on beam balance (to within 100gr). Body mass index (index Ketle) was calculated on the grounds of anthropometric data (kg/m2). Body mass more than 25kg/m2 was considered to be excessive according to criteria of WHO 1999.

Results: At evaluation of centile of growth it was found that considerable number of children aged 4-6 yrs (girls -15% and boys – 24.8%) has height parameters exceeded the values of the 95th centile. With age the number of children exceeded in height for their age group decreases. Eleven percents of junior schoolchildren has height exceeding 95 centile.

The described picture shows that offered scale of evaluation does not reflect real distribution of the studied parameter in population.

Conclusion: Our findings substantiate expedience and necessity of developing regional standards of physical development according to which the standards of blood pressure may be revised. It will promote more precise diagnosis of AH in children exceeded in height. If to use existed scales, when the fifth part of all schoolchlidren enter to the group of children exceeded in height, then we inevitably will have overdiagnosis of arterial hypertension that in this situation often leads to unneeded examination and treatment.

Note. Abstracts are published in author's edition

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Last update: 06-Jul-2012 (11:52:05)