I Конгресс детских врачей Республики Узбекистан
с международным участием
«Актуальные вопросы практической педиатрии»
303
STUDIES OF CHILDREN WITH OBESITY DEPENDING ON THE
PRESENCE OF CONCOMITANT DISEASES
N.K. Isakhanova, G.K. Koshimbetova, M.A. Mannapova
Tashkent Pediatric Medical Institute. Tashkent, Uzbekistan
RELEVANCE
Adherence to regular exercise is an important component in the treatment
of obesity, as well as many other chronic diseases
–
diabetes, asthma, obesity, etc.
However, the presence of a chronic disease in a child can significantly limit his
physical activity, due to the resulting discomfort and psychological resistance,
lack of motivation, and appropriate traditions in the family. Obesity is a highly
comorbid pathology, which further modifies the lifestyle of patients, affecting
adherence to a healthy lifestyle.
PURPOSE OF THE RESEARCH
To study the effect of combined pathology on the physical activity of obese
children.
MATERIALS AND METHODS
82 children aged 7
–
15 years with constitutional-exogenous obesity of the
1st degree were examined. The main group included 58 children in whom obesity
was combined with two or more chronic diseases (bronchial asthma, pathology
of the digestive, urinary, nervous system, musculoskeletal systems, and ENT
organs). The control group consisted of 24 children who did not have concomitant
pathology. The groups were comparable in terms of age and gender composition.
Adherence to physical activity was studied by the method of questioning
according to the following characteristics: physical inactivity, physical education
at school, participation in sports sections, physical activity in free time, as well as
physical activity of family members and active joint pastime. Each item was
evaluated on a 5-point system, the maximum number of points is 25.
RESULTS
The average score of physical activity in the main group was lower than in
the control group (15.2 and 19.0 points; p<0.01). The decrease in physical activity
in children of the main group affects all the studied items, but the most
pronounced differences were noted in physical education at school (3.0 and
4.4 points), participation in sports sections (2.9 and 3.8 points), and family active
time conducting (3.0 and 4.2 points). If the first two points are logically associated
with an increased likelihood of limiting physical education and sports in the
presence of several diseases, then the low physical activity of family members
reflects more complex influences. Of the 58 children in the main group, 16 were
exempted from physical education at school due to concomitant diseases,
and 28 more had restrictions. Parents of 38 children in this group initiated or
supported restrictions on physical education.
I Конгресс детских врачей Республики Узбекистан
с международным участием
«Актуальные вопросы практической педиатрии»
304
CONCLUSIONS
Comorbidity leads to a decrease in adherence of obese children to all forms
of physical activity. This negative impact, among other things, reflects the
insufficiently adequate attitude of the family and doctors to the role of physical
activity in the treatment of chronic diseases. The presence of even mild forms of
obesity should aim both the pediatrician and the medical specialist for more
active and differentiated recommendations for physical activity, and not its
restriction.
