Shaykhelislamova M V, Dikopol’skaya N B, Bilalova G A, Zefirov T L
Gig Sanit. 2016;95(7):661-5.
A comprehensive study of the functional state of the sympathoadrenal system (SAS) and adrenal cortex (AC) in boys aged of 11-15 years, was carried out depending on their age, puberty stage and academic year period, on the basis of indices of the daily adrenaline (A), noradrenaline (NA), 17-ketosteroids (17-KS) and 17-oxyketosteroids (17-OKS) excretion. A certain synchronism of the manifestation offunctional activity of the SAS mediator level, glucocorticoid and androgen AC function is determined as boys grow older and during their pubertal changes. At the same time the different dynamics of the studied indices in boys aged of from 14 to 15 years and by the V puberty stage is marked. During the academic year changes of hormone and hormonal metabolite excretion, having a different focus and intensity in the age groups were observed: a significant decrease of age NA excretion and androgen metabolite indices (at 15) of 14 and 15 year-old teenagers at the end of the academic year is found out, against the backdrop of a substantial and long-term increase of glucocorticoids (February, April), with their dangerous catabolic effect on a child’s body and their depressing effect on the immune response.
根据11至15岁男孩每日肾上腺素(A)、去甲肾上腺素(NA)、17-酮类固醇(17-KS)和17-氧代类固醇(17-OKS)排泄指标,对其交感肾上腺系统(SAS)和肾上腺皮质(AC)的功能状态进行了一项综合研究,该研究基于他们的年龄、青春期阶段和学年时期。随着男孩年龄增长及其青春期变化,确定了SAS介质水平、糖皮质激素和雄激素AC功能的功能活动表现存在一定同步性。同时,14至15岁男孩以及青春期第五阶段研究指标呈现出不同的动态变化。在学年期间,观察到各年龄组激素和激素代谢产物排泄变化具有不同的重点和强度:在学年末,发现14岁和15岁青少年的年龄NA排泄以及雄激素代谢产物指标(15岁时)显著下降,而此时糖皮质激素大幅且长期增加(2月、4月),其对儿童身体具有危险的分解代谢作用,并对免疫反应产生抑制作用。