Physiological Peculiarities of Puberty Period of Adolescents Whose Mothers Were Under High Risk of Terroristic Attack

Kepiya T. Temirkhanova, L. Deryagina, E. D. Pyatibrat, A. O. Pyatibrat
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Abstract

INTRODUCTION: The importance of the study is determined by increasing instability of the society and involvement of civilian population in military conflicts. AIM: To determine peculiarities of sexual development of adolescents whose mothers experienced life-threatening stress in the period preceding pregnancy. MATERIALS AND METHODS: To evaluate the evidence of the secondary sexual signs, hormonal status, anthropometric data and immunity parameters, 2,980 medical records and data of preventive examinations of schoolchildren of the Republic of Dagestan were analyzed. The observation group included 1,416 schoolchildren whose mothers experienced a life-threatening mental trauma, and the control group included 1,564 adolescents whose mothers did not face life-threatening situations. RESULTS: The data of a comparative analysis of the regulation of physiological development of sons of women who suffered a life-threatening mental trauma, show multidirectional changes in the concentration of gonadotropic hormones with higher concentrations of estrogens, low levels of androgens, manifested by retardation of the formation of secondary sexual signs, reduced physical strength and endurance in puberty in comparison with boys of the control group. Daughters of mothers who experienced a life-threatening stress, in contrast to girls of the control group, were characterized in puberty by higher levels of luteinizing, follicle-stimulating hormones, earlier development of mammary glands and growth of pubic hair. At the same time, in transition from the prepubertal to pubertal period, these girls were characterized by earlier reduction of the activity of adrenal cortex in these girls, early menarche in the pubertal period and retardation of stabilization of the menstrual cycle rhythm. CONCLUSION: The adolescents being the offspring of women, who experienced a psychogenic life-threatening trauma, are characterized by disorders in physiologic maturation: boys by retardation, girls by acceleration and disharmony of the pubertal development.
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母亲遭受恐怖袭击高风险的青少年青春期生理特征
引言:这项研究的重要性是由社会日益不稳定和平民人口参与军事冲突决定的。目的:确定母亲在怀孕前经历过威胁生命的压力的青少年性发展的特点。材料与方法:对2980份达吉斯坦共和国学龄儿童的医疗记录和预防检查数据进行分析,以评价第二性征、激素状况、人体测量数据和免疫参数的证据。观察组包括1416名母亲经历过威胁生命的精神创伤的学童,对照组包括1564名母亲没有面临威胁生命的情况的青少年。结果:对遭受危及生命的精神创伤的妇女的儿子进行生理发育调控的对比分析数据显示,与对照组男孩相比,促性腺激素浓度多向变化,雌激素浓度较高,雄激素水平较低,表现为第二性征形成迟缓,青春期体力和耐力下降。与对照组的女孩相比,经历过威胁生命压力的母亲的女儿在青春期的特点是黄体生成素和促卵泡激素水平较高,乳腺发育较早,阴毛生长也较早。同时,在青春期前向青春期过渡的过程中,这些女孩的特点是肾上腺皮质活性降低较早,青春期月经初潮较早,月经周期节奏稳定较慢。结论:女性经历过心因性威胁生命的创伤后所生的青少年,其生理发育具有发育障碍的特点:男孩发育迟缓,女孩发育加速,青春期发育不协调。
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