切尔诺贝利隔离区附近学童心血管系统适应能力评估

N. Dubovaya, Y. Bandazhevsky
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摘要

本研究的目的是研究居住在切尔诺贝利隔离区附近的学童心血管系统的适应能力。研究方法。人体测量,仪器,数学和统计。结果。这项研究覆盖了1139名6-17岁的学童(579名男孩,560名女孩),他们居住在切尔诺贝利禁区附近的伊万科夫斯基和波利斯基地区的农村居民点。调查包括测定儿童体内137Cs (Bq/kg)的比活度,计算分析组的中位数和四分位数范围;小学生体育成绩与Ruffier指数的关系评估心血管系统的功能水平及其适应潜力。大多数被检查的儿童表现出紧张和心血管系统适应性差。在校学生中有17.38%的病例记录了适应机制的破坏,而在体重增加的女孩组中,这种情况明显高于男孩组。考虑到137Cs在体内的遗传特征和特定活性,造成这种情况的原因可能是动力不足。令人满意的适应,作为儿童身体所有系统健康和稳定平衡的指标,仅在5- 7%的水平上确定。因此,有必要对居住在切尔诺贝利隔离区附近的学龄儿童的心血管系统适应能力进行持续监测,以防止他们今后发生严重疾病。在评估身体发育和心血管系统的状态时,也有必要考虑到放射性核素的掺入水平和叶酸循环的遗传装置的状态。
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Assessment of adaptation capabilities of the cardiovascular system of schoolchildren living near the Chornobyl Exclusion Zone
purpose of the study is to study the adaptive capabilities of the cardiovascular system of schoolchildren living near the Chornobyl Exclusion Zone. Research methods. Anthropometric, instrumental, mathematical and statistical. Results. The study covered 1139 schoolchildren aged 6-17 years (579 boys, 560 girls) who live in rural settlements of Ivankivskyi and Polisskyi districts located near the Chornobyl Exclusion Zone. The survey included the determination of the specific activity of 137Cs (Bq/kg) in the body of children, followed by the calculation of the median and interquartile range in the analyzed groups; physical performance of schoolchildren with the definition of the Ruffier index; assessment of the level of functioning of the cardiovascular system and its adaptive potential. Most of the examined children showed tension and poor adaptation of the cardiovascular system. Disruption of adaptation mechanisms in schoolchildren was recorded in 17.38 % of cases, while in the group of girls with increased body weight it was determined significantly more often than in the group of boys. The reason for this situation, taking into account the genetic characteristics and specific activity of 137Cs in the body, may be hypodynamia. Satisfactory adaptation, as an indicator of health and stable balance of all systems of the child's body, was determined only at the level of 5-7 %. It was concluded that it is necessary to constantly monitor the adaptive capabilities of the cardiovascular system in schoolchildren living near the Chornobyl Exclusion Zone in order to prevent the development of serious diseases in them in the future. When assessing physical development and the state of the cardiovascular system, it is also necessary to take into account the level of incorporated radionuclides and the state of the genetic apparatus of the folate cycle.
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