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[青年身体发育的长期变化作为心血管疾病的风险因素]

[The secular variability of physical development of the youth as risk factor of cardiovascular diseases].

作者信息

Zimina S N, Negasheva M A, Hafizova A A

机构信息

The M. V. Lomonosov Moscow State University, 119991, Moscow, Russia,

The M. V. Lomonosov Moscow State University, 119991, Moscow, Russia.

出版信息

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2020 Nov;28(6):1314-1319. doi: 10.32687/0869-866X-2020-28-6-1314-1319.

DOI:10.32687/0869-866X-2020-28-6-1314-1319
PMID:33338345
Abstract

The article discusses results of complex cross-sectional and anthropometric medical check up in the M. V. Lomonosov Moscow State University in 2002-2003 and 2013. The sampling covered 494 students aged 18-23 years. The check up included basic anthropometric measurements and cardiovascular parameters. The pulse pressure and Bayevsky adaptation potential were calculated. Results. The secular trend in body mass increasing was established. So, decade variations was +3.3 kg in young men (p=0.021) and +1.8 kg in girls (p=0.098). The cardiovascular system parameters degraded over ten years: occurrence of bradycardia and tachycardia increased significantly for both genders. In most observed participants in 2002-2003 the sufficient adaptation according Bayevsky was established (75.1% in young men and 71.6% in girls). Over ten years, this proportion decreased to 44.1% in young men (p=0.0000) and to 51.7% in girls (p=0.034). The percentage of adaptation failure cases increased. Conclusions. The analysis of decade dynamics demonstrated deterioration of physical development and somatic health parameters of modern youth. The established trends should be considered in planning health improving programs targeted to early prevention of cardiovascular diseases and development of adaptive capabilities of modern youth.

摘要

本文讨论了2002 - 2003年和2013年在莫斯科国立罗蒙诺索夫大学进行的综合横断面和人体测量医学检查结果。抽样涵盖了494名年龄在18 - 23岁的学生。检查包括基本人体测量和心血管参数。计算了脉压和巴耶夫斯基适应潜能。结果:确定了体重增加的长期趋势。因此,十年间年轻男性体重变化为+3.3千克(p = 0.021),女孩为+1.8千克(p = 0.098)。心血管系统参数在十年间有所退化:男女心动过缓和心动过速的发生率均显著增加。在2002 - 2003年观察的大多数参与者中,根据巴耶夫斯基标准确定为充分适应(年轻男性为75.1%,女孩为71.6%)。十年间,这一比例在年轻男性中降至44.1%(p = 0.0000),在女孩中降至51.7%(p = 0.034)。适应失败病例的百分比增加。结论:对十年动态的分析表明,现代青年的身体发育和身体健康参数有所恶化。在规划旨在早期预防心血管疾病和发展现代青年适应能力的健康改善计划时,应考虑已确定的趋势。

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