DOI: https://doi.org/10.22141/2224-0551.13.7.2018.148918

Dynamics of neurovegetative regulation in children with recurrent upper respiratory tract infections and reduced myocardial functional reserve after the rehabilitation program

D.N. Sheludko, L.S. Ovcharenko

Abstract


Background. Recently, problems with the level of children’s health cause fears from both the medical and pedagogical community. The intensive school curriculum, the high infectious burden on the younger schoolchild’s organism and increased interest to gadgets all lead to a strain on the functio­ning of the autonomic nervous system (ANS) and, consequently, to a reduced myocardial functional reserve. In connection with this, it was proposed to conduct recreational summer activities, the purpose of which was to have a restorative effect on the functioning of the ANS and the state of the myocardial functional reserve in the younger schoolchild. The objective was to analyze the clinical effectiveness of the medical rehabilitation program in children with recurrent upper respiratory tract infection (URTI) and with a reduced myocardial functional reserve. Materials and methods. Thirty younger schoolchildren were rehabilitated during a month. The clinical effectiveness of the rehabilitation program was evaluated according to the state of the ANS, parameters of regulatory system activity (PRSA), levels of neurotransmitters in the blood serum. The myocardial functional reserve was assessed. Results. Based on the results of the rehabilitation program, reliable results of improved ANS functioning were obtained: manifestations of sympathicotonia decreased, as well as the incidence of impaired PRSA and fai­lure of adaptation processes (p < 0.05). A statistically significant decrease in the serum concentration of substance P, final stable nitric oxide metabolites and an increase in serum concentration of vasoactive intestinal peptide are noteworthy. This positive dynamics was accompanied by a significant decrease in the incidence of sympathicotonia, a rigid rhythm, disturbed PRSA, failure of adaptation processes (p < 0.05). The rehabilitation program led to an improvement in the results of the Ruffier test by 4 points compared to the indicators at the end of the school year. Conclusions. Carrying out a rehabilitation program in children with recurrent URTI and reduced myocardial functional reserve improved the indicators of the functional state of ANS and PRSA. Improvement of the functional state of the ANS and PRSA was accompanied by normalization (decrease or increase) of substance P, final stable nitric oxide metabolites, vasoactive intestinal peptide. Conducting the health-improving course in children with recurrent URTI and reduced myocardial functional reserve allowed decreasing the Ruffier test score by 4 points, which indicates an increase in the myocardial functional reserve.


Keywords


children; myocardial functional reserve; recurrent upper respiratory tract infections; Ruffier test; neurotransmitters

References


Antipkin YuG, Volosovets OP, Maidannik VG, et al. Status of child population health - the future of the country (part 1). Zdorov'e rebenka. 2018;13(1):1-11. doi: 10.22141/2224-0551.13.1.2018.127059. (in Ukrainian).

Antipkin YuG, Volosovets OP, Maidannik VG, et al. Status of child population health - the future of the country (part 2). Zdorov'e rebenka. 2018;13(2):142-152. doi: 10.22141/2224-0551.13.2.2018.129546. (in Ukrainian).

Yezersky VI. Assessment of physical education model in summer health-improving camp, aimed at cultivating interest to physical exercises in teenagers. Pedagogics, psychology, medical-biological problems of physical training and sports. 2010;(3):25-28. (in Ukrainian).

Zaytseva OV. Recurrent respiratory infections: is it possible to prevent them? Pediatria. 2015;94(2):185-192. (in Russian).

KaziukovaTV, Koval' GS, SamsyginaGA, et al. Often ill children: modern possibilities of reducing respiratory morbidity. Pediatria. 2012;91(5):42-48. (in Russian).

Kerimova MKK. The study of immune system state, substance P, hemostasis and interrelation between these systems in respiratory diseases in frequently ill children. Kazan medical journal. 2016;97(2):229-235. doi: 10.17750/KMJ2016-229. (in Russian).

Leshhak OM. Korekcija fizychnogo stanu i somatychnogo zdorov'ja shkoljariv v umovah litn'ogo dytjachogo ozdorovchogo zakladu. Diss. kand. nauk z fiz. vyhovannja ta sportu [Correction of physical condition and somatic health of schoolchildren in conditions of summer children's health improving institution. PhD diss.]. Ivano-Frankivsk; 2012. 20 p. (in Ukrainian).

Marushko YV, Hyshchak TV. Diagnostic and correction problem of reduced exercise tolerance in school age children. Sovremennaya pediatriya. 2014;(63):34-40. (in Ukrainian).

Nedil'ko VP, Kamins'ka TM, Rudenko SA, Pinchuk LP. The state of health of children of senior school age. Zdorovʹe rebenka. 2011;(29):21-24. (in Ukrainian).

Okhotnikova EN, Rudenko SN, Kolomiets EN. Recurrent respiratory tract infections in children and their immunoprophylaxis in the terms of the modern ideas about the immunomodulatory activity of immunotropic preparations. Sovremennaya pediatriya. 2013;(49):42-50. (in Russian).

Plyasunova EV. The ways of improving work on ensuring children’s rest in a summer camp. Sotsial'nye otnosheniia. 2015;(12):11-14. (in Russian).

Ministry of Нealth 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: http://zakon3.rada.gov.ua/laws/show/z0772-09. Accessed: July 20, 2009. (in Ukrainian).

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

Smyjan OI, Mozgovaja JuA, Reznichenko YuH, authors; Smijanov VA, Moshhych OP, editors. Stan sercevo-sudynnoi' systemy ta vegetatyvnoi' reguljacii' u ditej, hvoryh na hronichnyj tonzylit: monografija [The state of the cardiovascular system and vegetative regulation in children with chronic tonsillitis: monograph]. Sumy: SumDU; 2016. 93 p. (in Ukrainian).

Green LC, Wagner DA, Glogowski J, Skipper PL, Wishnok JS, Tannenbaum SR. Analysis of nitrate, nitrite, and [15N]nitrate in biological fluids. Anal Biochem. 1982 Oct;126(1):131-8.




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