The influence of psycho-emotional stress in children of primary school age on the incidence of recurrent upper respiratory tract infections and the functional state of the myocardium

L.S. Ovcharenko, D.N. Sheludko, A.A. Vertegel


Background. Scientific and technical progress, intensification of educational process and information overload have a negative effect on unformed central nervous system of primary schoolchildren, causing stress, which affects the increase in the incidence of recurrent upper respiratory tract infections (URTI) and the functional state of the myocardium. In view of this, we analyzed a functional state of myocardium in children with recurrent URTI. The critical duration of the work of primary school child with electronic means of communication, which affects the quality of nighttime sleep and the nature of awakening in the morning, was established. We have studied the relationship of the above mentioned with the incidence of URTI, the level of school anxiety and functional reserve of the myocardium. The purpose of the study was to evaluate the functional reserve of the myocardium in children of primary school age, depending on the incidence of URTI and the level of psycho-emotional activity. Materials and me­thods. 239 children aged 6 to 9 years were examined. The analysis of the functional reserve of the myocardium was carried out in pupils with different incidence of the URTI, depending on the age. The influence of electronic communications on the quality of nighttime sleep and morning awakening was stu­died, and the level of school anxiety was evaluated. During the study, children were divided into two groups. Group 1 — children with recurrent acute respiratory diseases (n = 143). Group 2 — children who occasionally have URTI (n = 96). Results. Out of 239 children with recurrent acute respiratory infections, we have identified 173 children with reduced functional reserve of the myocardium (72.4 %). Among children with recurrent URTI, the incidence of reduced functional reserve of the myocardium was 76.2 %, and in occasionally ill children — 66.7 %. Children with recurrent URTI use electronic means of communication more often than occasionally ill children: a direct strong positive relationship was revealed between the decrease in the functional reserve of the myocardium and the time spent on gadgets as compared to children occasionally suffering from URTI. Conclusions. Children with recurrent URTI spend more time on electronic communication means than occasionally ill children. Among children with recurrent URTI, disturbances of night sleep and morning awakening are revealed most often. Children with recurrent URTI more often than occasionally ill children have high school anxiety. Prolonged use of electronic communication means, disturbances of night sleep and mor­ning awakening are accompanied by a decrease of functional reserve of the myocardium.


children; functional reserve of the myocardium; recurrent upper respiratory tract infections; Ruffier test; an­xiety


Al'bickij VJu, Baranov AA. Chasto bolejushhie deti. Kliniko-social'nye aspekty, puti ozdorovlenija [Frequently ill children. Clinical and social aspects, the way of healing]. Perm; 2006. 86 p.

Vladimirova EV. Chasto bolejushhie deti: kliniko-psihologicheskie osobennosti, mehanizmy adaptacii, reabilitacija. Diss. Kand. med. nauk. [Frequently ill children: clinical and psychological characteristics, coping mechanisms, rehabilitation]. Saratov; 2012. 22 p. (in Russian).

Golovanova EG. Characteristics of interpersonal relations somatically impaired children of primary school age in a classy team. Scientific Notes: the online academic journal of Kursk State University. 2015;1(33):254-260. (in Russian).

Goryacheva TG, Kofanova EB. The attitude to the disease and psychological characteristics of children prone to respiratory infections. Klinicheskaia i spetsial'naia psikhologiia. 2016; 1(5):45-60. (in Russian).

Zanevskyy IP, Zanevska LH. Ruffier test model taking into account an age of the patient. Teorija ta metodyka fizychnogo vyhovannja. 2013;2:17-27. doi: 10.17309/tmfv.2013.2.1013 (in Ukrainian).

Kazakova LM, Stroj OA, Vasjukova MM. Evaluation of schoolchildren of the functional reserves of the cardiovascular system with the help of the index Ruffier. Pediatrija, akusherstvo ta ginekologija. 2011;73(4):64-65. (in Ukrainian).

Kaziukova TV, Koval' G S, Samsygina GA, et al. Frequently ill children: modern possibilities of reducing respiratory morbidity. Pediatria. Journal named after G.N. Speransky. 2012; 91(5):42-48. (in Russian).

Kalosha AI, Rudin MV. Building a culture of health younger students as pedagogically organized process. The Bryansk State University Herald. 2015;1:27-32. (in Russian).

Kvashnina LV, Ignatova TB, Rodionov VP, Makovkina Yu.A. Approaches to the treatment of children with vegetative dysfunction occurring with lipid metabolism disorders and endothelial disfunction. Sovremennaya Pediatriya. 2013;8(56):102-108. (in Ukrainian).

Marushko UV, Gishhak TV. Diagnostic and correction problem of reduced exercise tolerance in school age children. Sovremennaya Pediatriya. 2014;7(63):34-40. (in Ukrainian).

Mashіka VJu. Immune protection and comprehensive treatment of often and long ill children. Problemy klinichnoi' pediatrii'. 2014;3:72-76. (in Ukrainian).

Ovcharenko LS, Shamray IV, Vertegel AA. Neuroimmune mechanisms genesis of reccurent bronchitis in children. Perinatologiya i Pediatriya. 2013;3:118-125. (in Ukrainian).

Ministry of health of Ukraine. Ministry of education of Ukraine. Order № 518/674 dated July 20, 2009. The regulations on medico-pedagogical control of physical training of pupils in general educational establishments. Available from: Accessed: July 20, 2009. (In Ukrainian).

Polunina NV, Polunina VV, Avsadzhanishvili VN. The Role of Medical Activity of Family in Formation of the Health of Children with Respiratory Diseases. Vestnik Rossiiskogo gosudarstvennogo meditsinskogo universiteta. 2013;1:70-74. (in Russian).

Rechkina EA. Often ill children and role of immunocorrection in their treatment. Astma ta alergija. 2013;1:44-47. (in Russian).

Senatorova AS, Gonchar MA, Chaychenko TV, et al. An epidemiologic study of cardiovascular system in schoolchildren of Kharkiv region (first stage). Sovremennaya Pediatriya. 2011;6(40):87-90. (in Ukrainian).

Sidorkina TYu, Domaneckaya LV. Psychological-pedagogical support of the adaptation process of frequently sick children of preschool age to early childhood educational institution. Bulletin of Krasnoyarsk State Pedagogical University. 2011; 3(1):263-267. (in Russian).

Sytnik O. The characteristics of the junior schoolpupil’s cardiovascular system condition. Pedagogichni nauky: teorija, istorija, innovacijni tehnologii'. 2013;6(32):111-119. (in Ukrainian).

Sokolova II, Volchenko NV. The impact of different education load on the health of schoolchildren. Medycyna s'ogodni i zavtra. 2014;1:194-198. (in Ukrainian).

Chernaja NL, Shubina EV, Ganuzina GS, Plishkan' IV, Skrobin JuD. Experience of using aromatherapy for improving children in the conditions of a preschool institution. Сonsilium Medicum. Pediatrija. 2012; 3:84-90. (in Russian).

Shamraj IV. Osoblyvosti likuvannja i profilaktyky rekurentnyh form gostrogo bronhitu u ditej z perynatal'nymy urazhennjamy central'noi' nervovoi' systemy Diss. Кand. med. Nauk [Features the treatment and prevention of recurrent forms of acute bronchitis in children with perinatal lesions of the Central nervous system]. Zaporizhzhja: Zaporiz'kyj derzhavnyj medychnyj universytet;2013. 200 p. (in Ukrainian).

Shhepljagina LA. Often ill children: can iodine help? – Consilium Medicum. Pediatrija. 2012;1:26-28. (in Russian).



  • There are currently no refbacks.

Copyright (c) 2017 Zdorov'ye Rebenka - Child`s Health

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2018


 Яндекс.МетрикаSeo анализ сайта Рейтинг