The structure of morbidity of secondary school children


  • Zh.V. Sotnikova-Meleshkina V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
Keywords: morbidity, structure of diseases, students, secondary school age, adolescent boys, girls.

Abstract

Intensification of the educational process is one of the risk factors for increasing the prevalence of morphofunctional disorders, acute and chronic somatic morbidity, mental and behavioral disorders, maladaptation syndrome. Many researchers have found a negative chronological dynamics of school health and a high incidence among secondary school students. The purpose of the study is a comparative analysis of the structure and dynamics of morbidity of children during secondary school. The study involved more than 266 students of secondary schools aged 10 to 14 years. The state of health was assessed according to preventive medical examinations conducted by specialists of the Institute of Child and Adolescent Health of the National Academy of Medical Sciences of Ukraine with the informed consent of parents and according to the bioethical norms of the Helsinki Declaration (as amended in 2013). Statistical data processing was performed using the licensed package SPSS Statistic v.20 using Student’s t test. The highest level of morbidity was found in diseases of the endocrine system (468.4±39.7‰), the organ of vision and the appendix (322.8±37.2‰), the circulatory system (310.1±36.8‰) and respiration (303.8±36.6‰). Among girls, endocrine (520.7±57.7‰) and ophthalmological pathology (386.7±56.2‰) were more often registered, and among boys – mental and behavioral disorders (168.7±39.9‰; p<0.05). During the training, negative dynamics was determined for diseases of the endocrine system (due to a probable increase in their number among boys, at p<0.05), diseases of the digestive system, eye and appendages due to decreased visual acuity (p<0.01). In the structure of endocrine pathology, 60% were thyroid diseases in both sexes, and the prevalence of grade 1 obesity was higher among boys (p<0.05). Mental and behavioral disorders were mainly represented by disorders of activity and attention in adolescent boys, sleep disorders – in girls; hyperkinetic behavioral disorders – in both sex groups. Gender features in the structure and dynamics of morbidity of secondary school students to a greater extent in diseases of the endocrine system, eye and appendix with a general negative tendency to increase the prevalence of these groups of diseases.

References

[1] Adekola, S. A., Charles-Davies, M. A., Onifade, A. A., & Okoli, S. U. (2016). Oxidative Stress Biomarkers and Their Relationship with Testosterone in Male Auto Mechanics in Ibadan, Nigeria. Brit. J. Med. Res., 12(9), 1-11. doi: 10.9734/BJMMR/2016/22350

[2] Alabi, A. S., Aribaba, O. T., Alabi, A. O., Ilo, O., Onakoya, A. O., & Akinsola, F. B. (2018). Visual impairment and ocular morbidities among schoolchildren in Southwest, Nigeria. Niger. Postgrad. Med. J., 25(3), 166-171. doi: 10.4103/npmj.npmj_85_18. https://pubmed.ncbi.nlm.nih.gov/30264768/

[3] Antipkin, Yu. G., Volosovets, О. P., Maidannik, V. G., Berezenko, V. S., Moiseenko, R. О., Vygovska O.V. … Mozyrskaya, O. V. (2018). Status of child population health – the future of the country (part 1). Child health, 13(1), 1-11. doi: 10.22141/2224-0551.13.1.2018.127059

[4] Ayala-Moreno, M. R., Guerrero-Hernández, J., Vergara-Castañeda, A., Salazar-Aceves, G., & Cruz-Mercado D. E. (2018). Thyroid function in pediatric population with different nutritional status. Bol. Med. Hosp. Infantil Mexico, 75(5), 279-286. doi: 10.24875/BMHIM.M18000036

[5] Baceviciene, M., Jankauskiene, R., & Emeljanovas, A. (2019). Self-perception of physical activity and fitness is related to lower psychosomatic health symptoms in adolescents with unhealthy lifest. BMC Public Health, 19, 980. doi: 10.1186/s12889-019-7311-2.

[6] Bielikova, I. V., Pluzhnikova, T. V., Krasnovа, O. I., Zviagolska, I. N., & Derev’yanko, T. V. (2020). Аnalysis of morbidity and disability among children in the city of Poltava, Wiad. Lek., 73(6), 1296-1298. https://pubmed.ncbi.nlm.nih.gov/32723972/

[7] Bodnar, I. R., & Kindzera, A. B. (2016). Leisure of ukrainian schoolchildren and place of motor functioning in it. Pedagogy, Psychology and Medical and Biological Problems of Physical Education and Sports, 5, 10-18. doi: 10.15561/18189172.2016.0502.

[8] Cheserek, M. J., Wu, G. R., Ntazinda, A., Yong-Hui, Sh., Li-Ye, Sh., & Guo-Wei, Le. (2015). Association Between Thyroid Hormones, Lipids and Oxidative Stress Markers in Subclinical Hypothyroidism. J. Med. Biochem., 34(3), 323-331. doi: 10.2478/jomb-2014-0044

[9] Darivemula, S. B., Nagoor, K., John, K. R., Kahn, P. S., & Chittooru, C. S. (2020). Morbidity profile of children from birth to 18 years of age referred for intervention to the district early intervention centre in a District Hospital, Andhra Pradesh. Indian J. Public Health, 64(1), 55-59. doi: 10.4103/ijph.IJPH_11_19

[10] Giloyan A., Harutyunyan T., & Petrosyan V. (2017). Risk Factors for Developing Myopia among Schoolchildren in Yerevan and Gegharkunik Province, Armenia. Ophthalmic Epidemiol., 24(2), 97-103. doi: 10.1080/09286586.2016.1257028

[11] Grzybowski, A., Kanclerz, P., Tsubota, K., Lanca, C., & Saw, S.-M. (2020). A review on the epidemiology of myopia in school children worldwide. BMC Ophthalmol., 20(1), 27. doi: 10.1186/s12886-019-1220-0

[12] Guo, Y., Duan, J. L., Liu, L. J., Sun, Y., Tang, P., Lv, Y. Y. … Jonas, J. B. (2017). High myopia in Greater Beijing School Children in 2016. PLoS One, 12(11), e0187396. doi: 10.1371/journal.pone.0187396

[13] Harrington, S. C., Stack, J., Saunders, K., & O’Dwyer, V. (2019). Refractive error and visual impairment in Ireland schoolchildren. Br. J. Ophthalmol., 103(8), 1112-1118. doi: 10.1136/bjophthalmol-2018-312573

[14] Jansen, E. C., Zhou, L., Perng, W., Song, P. X., Rojo, M. M T., Mercado, A. … Cantoral, A. (2018). Vegetables and lean proteins-based and processed meats and refined grains -based dietary patterns in early childhood are associated with pubertal timing in a sex-specific manner: a prospective study of children from Mexico City. Nutr. Res., 56, 41-50. doi: 10.1016/j.nutres.2018.04.021

[15] Johnstone, J. M., Roake, C., Sheikh, I., Mole, A., Nigg, J. T., & Oken, B. (2016). School-based mindfulness intervention for stress reduction in adolescents: Design and methodology of an open-label, parallel group, randomized controlled trial. Contemporary Clinical Trials Communications, 4, 99-104. https://doi.org/10.1016/j.conctc.2016.07.001

[16] Kashkalda, D. A., Kosovtsova, G. V., Turchina, S. I., Sukhova, L. L., & Sotnikova-Meleshkina, Zh. V. (2020). Features of free radical oxidation and antioxidant protection in adolescent boys with hypoandrogenism depending on the functional condition of the thyroid gland. Problems of Endocrine Pathology, 1, 30-35. doi: 10.21856/j-PEP.2020.1.04

[17] Kumar, A., Shekhar, S., & Dhole, B. (2014) Thyroid and male reproduction. Indian J. Endocrinol. Metab., 18(1), 23-31. doi: 10.4103/2230-8210.126523

[18] Martin, A., Saunders, D. H., Shenkin, S. D., & Sproule, J. (2014). Lifestyle intervention for improving school achievement in overweight or obese children and adolescents. Cochrane Database Syst Rev., 14(3), CD009728. doi: 10.1002/14651858.CD009728.pub2

[19] Morgan, I. G., French, A. N., Ashby, R. S., Guo, X., Ding, X., He, M., & Rose, K. A. (2018). The epidemics of myopia: Aetiology and prevention. Prog. Retin. Eye Res., 62, 134-149. doi: 10.1016/j.preteyeres.2017.09.004

[20] Pärssinen, O., & Kauppinen, M. (2016). Associations of reading posture, gaze angle and reading distance with myopia and myopic progression. Acta Ophthalmol., 94(8), 775-779. doi: 10.1111/aos.13148

[21] Polka, N. S., & Gozak, S. V. (2018). Mental capacity, educational load and way of life of modern schoolchildren: hygienic aspects: monograph. Kyiv: NAMN of Ukraine, State Institution “Institute of Public Health named after OM Marzeev”: Medinform.

[22] Ponomarova, L. I., & Kindruk, M. O. (2018). Health of schoolchildren in the conditions of intensification of educational activity. Current issues of public health and environmental safety of Ukraine (fourteenth Marzeyev readings). Conference materials. Kharkiv, 18, 155-157.

[23] Redko, I., & Chakmazova, E. (2020). The role of the secondary doctor in the early diagnosis of endocrine diseases in children. Georgian Med. News, 298, 57-61. https://pubmed.ncbi.nlm.nih.gov/32141850/

[24] Remenyakina, E. I., Pavluchenko, I. I., Ohremenko, O. S., & Panasenkova, Y. S. (2014). Comparative analysis of pro-/antioxidant protection in patients with thyroid dysfunction. Modern Problems of Science and Education. Аvailable from: https://www.science-education.ru/ru/article/view?id=12596

[25] Singh, N. K., James, R. M., Yadav, A., Kumar, R., Asthana, S., & Labani, S. (2019). Prevalence of Myopia and Associated Risk Factors in Schoolchildren in North India. Optom. Vis. Sci., 96(3), 200-205. doi: 10.1097/OPX.0000000000001344

[26] Sripongwiwata, S., Bunterma, T., & Tangb, K. N. (2018) An investigation of learning stressors among secondary school students: A case study in northeast Thailand. Kasetsart Journal of Social Sciences, 39(2), 197-206 https://doi.org/10.1016/j.kjss.2017.06.002

[27] Sotnikova-Meleshkina, Zh. V. (2020). Screening diagnostics of schoolchildren as a tool for determining the risk of non-communicable diseases in the educational group. Problems of Uninterrupted Medical Training and Science, 40(4), 55-60. https://doi.org/10.31071/promedosvity2020.04.055

[28] Sotnikova-Meleshkina, Zh. V. (2020). Comparative characteristics of influence of risk factors on subjective assessment of schoolchildren’s health. International Medical Journal, 26(4), 89-93. https://doi.org/10.37436/2308-5274-2020-4-16

[29] Stroud, L. R, Foster, E., & Niaura, R. (2009) Stress response and the adolescent transition: Performance versus peer rejection stressors. Development and Psychopathology, 21, 47-68. https://doi.org/10.1017/S0954579409000042

[30] Svetlova, O. D. (2015). Prognostication of morbid affection dynamics in the children: the first results. Environment & Health, 3, 61-63.

[31] Wei, C., & Crowne, E. C. (2016). Recent advances in the understanding and management of delayed puberty. Arch. Dis. Child., 101(5), 481-488. doi: 10.1136/archdischild-2014-307963

[32] Wu, P.-C., Chen, C.-T., Lin, K.-K., Sun, C.-C., Kuo, C.-N., Huang, H.-M. … Yang, Y.-H. (2018). Myopia Prevention and Outdoor Light Intensity in a School-Based Cluster Randomized Trial. Ophthalmology, 125(8), 1239-1250. doi: 10.1016/j.ophtha.2017.12.011
Published
2020-12-28
How to Cite
Sotnikova-Meleshkina, Z. (2020). The structure of morbidity of secondary school children. Reports of Morphology, 26(4), 30-35. https://doi.org/https://doi.org/10.31393/morphology-journal-2020-26(4)-05