21
6.
Мехмонова, С., and Н. Исаханова. "Частота встречаемости хронических и
рецедивирующых
бронхолегочных
заболеваний
у
детей
подросткового
возраста." Научные работы одарённой молодёжи и медицина XXI века 1.1 (2023): 130-
130.
7.
Koshimbetova, G. K. "MAIN CLINICAL MANIFESTATIONS IN PATIENTS WITH
IRRITABLE BOWEL SYNDROME." Colloquium-journal. No. 2-4. Голопристанський
міськрайонний центр зайнятості= Голопристанский районный центр занятости, 2020.
8.
Тиллабаева, Акида Ариповна, and Шахноза Тулкиновна Искандарова. "критерии
раннеГо выЯвЛениЯ артериаЛЬноЙ Гипертонии у детеЙ подроСтковоГо
воЗраСта." FORCIPE 5.S2 (2022): 477-478.
DYNAMICS OF PHYSICAL DEVELOPMENT OF YOUNG CHILDREN AGAINST
THE BACKGROUND OF OBSTRUCTIVE BRONCHITIS
Ganieva D.K., Karimova D.I.
Tashkent Pediatric Medical Institute,
Republic Uzbekistan, Tashkent
Introduction.
Obstructive bronchitis (OB) is one of the most common causes of
hospitalization in young children. Respiratory diseases are one of the important problems of
pediatrics, since so far, despite the successes achieved, they occupy one of the leading places in
the structure of childhood morbidity - according to official statistics, 50-73%. One indicator of
health status is physical development, which is an important indicator of mental and somatic
health. In domestic and foreign practice, it is customary to determine normal physical development
and deviations from it on the basis of two indicators of div length and mass-growth index (BMI).
The identification of deviations from the standard values of the child's div length and weight,
as well as the BMI characteristic of each age period, is the simplest and most accessible method
for a practical doctor to assess early signs of health problems. On the other hand, approaching the
norm of physical development indicators to a certain age period can be, together with other clinical
and laboratory signs, a criterion for reducing the severity of the chronic disease and the
effectiveness of the treatment.
Objective.
To assess the dynamics of the physical development of children with obstructive
bronchitis from birth to 3 years inclusive, to identify features in comparison with a group of
practically healthy children.
Materials and methods.
The study was conducted among 250 children, young. Two groups
of children were formed: group I - children with OB (73 children, of which 70 (63.6%) boys) and
group II almost healthy children, (107 people, of which 54 (50.5%) boys). The inclusion criteria
in group I were: the presence of OB, frequent relapses of ARVI. The criteria for inclusion in control
group II were the absence of chronic diseases, including respiratory diseases. Anthropometry was
carried out according to the standard method using scales and a rostometer. The construction of
individual trajectories (div weight and length, BMI) examined anthropometric indicators at
discrete periods of life (at birth, at 1 and at 3 years). Statistical processing of the material was
carried out using the application package "Statistica7.0" with the calculation of average values
(M), standard deviations (Std). Differences were considered significant at p < 0.05.
Results and discussion.
At birth, the gestational age in group I (children with OB) and II
(control group) did not differ significantly (p > 0.05). However, div weight and length, BMI of
children with OB at birth had a significantly greater value compared to controls. We found that
children who subsequently developed OB were significantly larger than children from the control
group, in weight and height not only during the newborn period. These differences persisted at 1
22
year and 3 years until the end of the early childhood period. It was also revealed that boys from
group I at birth and at 1 year had significantly higher mass and growth indicators than children
from group II. The identified differences in anthropometric indicators at an early age may be
explained by the fact that increased infant birth weight in relation to gestational age of the fetus
and BMI at birth are associated with the level of some biologically active substances in cord blood
that are directly related to adipose tissue, for example, increased leptin and decreased adiponectin.
Conclusions.
1. Children diagnosed with obstructive bronchitis had significantly greater
anthropometric parameters (div weight, div length and BMI) in the newborn period than
children who did not subsequently suffer from chronic diseases of the bronchopulmonary system.
2. According to anthropometric parameters, children with obstructive bronchitis were
ahead of control group children in early childhood (1 and 3 years).
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