Features of physical and sexual development in school-aged children with psychosomatic disorders

Authors

  • I.S. Lebets ДУ «Інститут охорони здоров’я дітей та підлітків НАМН України», м. Харків, Україна https://orcid.org/0000-0001-5243-6031
  • S.I. Turchina State Institution “Institute for Children and Adolescents Health Care of the NAMS of Ukraine”, Kharkiv, Ukraine; V.N. Karazin Kharkiv National University, Kharkiv, Ukraine https://orcid.org/0000-0002-0744-1242
  • T.M. Matkovska State Institution “Institute for Children and Adolescents Health Care of the NAMS of Ukraine”, Kharkiv, Ukraine https://orcid.org/0000-0002-2349-3632
  • S.V. Novokhatska State Institution “Institute for Children and Adolescents Health Care of the NAMS of Ukraine”, Kharkiv, Ukraine https://orcid.org/0000-0003-1623-973X
  • V.V. Nikonova State Institution “Institute for Children and Adolescents Health Care of the NAMS of Ukraine”, Kharkiv, Ukraine https://orcid.org/0000-0001-8269-6176
  • T.O. Kostenko State Institution “Institute for Children and Adolescents Health Care of the NAMS of Ukraine”, Kharkiv, Ukraine
  • O.V. Shushlyapina State Institution “Institute for Children and Adolescents Health Care of the NAMS of Ukraine”, Kharkiv, Ukraine https://orcid.org/0000-0002-8684-6706

DOI:

https://doi.org/10.22141/2224-0551.16.5.2021.239711

Keywords:

physical, sexual development, school-age children with somatic and mental disorders

Abstract

Background. Monitoring of physical and sexual development indicators using standards appropriate to age and sex, especially in children with chronic diseases is the most important element of management of children and adolescents with various pathologies because it allows managing the treatment process and improving it timely. Unfortunately, these issues have not been stu­died enough today. The purpose of the work is to determine the influence of somatic and mental diseases on the physical and sexual development impairments in school-age children. Materials and methods. Nine hundred and thirty-five patients aged 10–17 years (boys — 441, girls — 494) with the following pathology were exa­mined: diabetes mellitus type 1, diffuse nontoxic goiter (DNG) with various menstrual disorders (girls with abnormal uterine bleeding), and girls with hypomenorrhea syndrome (HMS), mental disorders (functional and organic), systemic connective tissue dysplasia, secondary cardiomyopathy, juvenile idiopathic arthritis (JIA), systemic lupus erythematosus (SLE). The comparison group enrolled healthy children of the same age. Results. The presence of type 1 diabetes mellitus, diffuse nontoxic goiter were proved to ne­gatively affect the somatosexual development of school-age children and contribute to the formation of disharmonious physical development (in 32.4 % of patients with diabetes mellitus 1 and 56.6 % of adolescents with DNG) and sexual maturation. It was established that 52.4 % of girls with gynecological pathology presen­ted with harmonious physical development. Against the background of disharmony of physical development, girls are more likely to develop menstrual irregularities such as HMS. Harmonious physical development is registered in 50.8 % of patients with JIA. 67.25 % of people with JIA have normal growth rates. Exceedance of normal and lower values are observed in girls (p < 0.05). At the stages of puberty, the most common deviations in growth and body weight were observed in early puberty (100 %), the least often — in late puberty (42.8 %). In 56.8 % of patients with SLE, harmonious physical development was registered. The most common were as follows: overweight (33.3 %), decreased growth rate (17.6 %), and weight deficit (11.7 %). Based on the frequency of SLE, it was determined that the most vulnerable were puberty (91.0 %) and prepuberty (87.5 %). The onset of SLE in late puberty occurred in 26.3 % of cases. In patients with secondary cardiomyopathies and systemic connective tissue dysplasia, no significant statistical differences in age-related parameters were found. Most patients with mental disorders had a harmonious physical development (93.6 %). Among the violations of the latter, the deficit of body weight was most often determined (19.5 %).

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References

Dudina OO, Slabkyj GO, Mokijenko RO, et al. Situational analysis of the state of health care for children and adolescents in Ukraine. Part II. Ensuring the principle of social justice in relation to the health of children and adolescents. Bulletin of Social Hygiene and Health Protection Organization of Ukraine. 2008;(2):8-16. (in Ukrainian).

Friedman LS, Lukyanova EM, Serdiuk A, et al. Social-environmental factors associated with elevated body mass index in a Ukrainian cohort of children. Int J Pediatr Obes. 2009;4(2):81-90. doi:10.1080/17477160802449264.

Bujoreanu S, Randall E, Thomson K, Ibeziako P. Characteristics of medically hospitalized pediatric patients with somatoform diagnoses. Hosp Pediatr. 2014 Sep;4(5):283-290. doi:10.1542/hpeds.2014-0023.

Barkmann C, Otto C, Schön G, et al. Modelling trajectories of psychosomatic health complaints in children and adolescents: results of the BELLA study. Eur Child Adolesc Psychiatry. 2015 Jun;24(6):685-694. doi:10.1007/s00787-014-0656-2.

Robles A, Gjelsvik A, Hirway P, Vivier PM, High P. Adverse Childhood Experiences and Protective Factors With School Engagement. Pediatrics. 2019 Aug;144(2):e20182945. doi:10.1542/peds.2018-2945.

Iutkina OS. The physical development and psychosomatic status of schoolchildren. Problems of modern science and education. 2017;(85):104 -106. (in Russian).

Piko BF, Varga S, Mellor D. Are adolescents with high self-esteem protected from psychosomatic symptomatology? Eur J Pediatr. 2016 Jun;175(6):785-792. doi:10.1007/s00431-016-2709-7.

Martinez EE, Smallwood CD, Quinn NL, et al. Body Composition in Children with Chronic Illness: Accuracy of Bedside Assessment Techniques. J Pediatr. 2017 Nov;190:56-62. doi:10.1016/j.jpeds.2017.07.045.

Sotnikova-Meleshkina ZhV. The structure of morbidity of secondary school children. Reports of Morphology. 2020;2(4):30-35. doi:10.31393/morphology-journal-2020-26(4)-05.

Kvashnina LV. Assessment of the child's physical development. Mystectvo likuvannja. 2006;(12):74-76. (in Russian).

Brewer CJ, Balen AH. The adverse effects of obesity on conception and implantation. Reproduction. 2010 Sep;140(3):347-364. doi:10.1530/REP-09-0568.

Pereira KC, Pugliese BS, Guimarães MM, Gama MP. Pubertal development in children diagnosed with diabetes mellitus type 1 before puberty. J Pediatr Adolesc Gynecol. 2015 Feb;28(1):66-71. doi:10.1016/j.jpag.2014.08.009.

Grigoryan OR, Okhotnikova AA, Andreeva EN. Specific features of the establishment of puberty in girls with type 1 diabetes mellitus and related disturbances of menstrualand ovarian functions. Diabetes mellitus. 2009;12(4):10-14. doi:10.14341/2072-0351-5696. (in Russian).

Veropotvelyan PN, Veropotvelyan NP, Polonets IA, Tsekhmistrenko IS, Guzhevskaya IV. Menstrual and reproductive disorders in obese patients. Health of Woman. 2014;(91):130-135. (in Russian).

Published

2022-01-05

How to Cite

Lebets, I., Turchina, S., Matkovska, T., Novokhatska, S., Nikonova, V., Kostenko, T., & Shushlyapina, O. (2022). Features of physical and sexual development in school-aged children with psychosomatic disorders. CHILD`S HEALTH, 16(5), 331–337. https://doi.org/10.22141/2224-0551.16.5.2021.239711

Issue

Section

Clinical Pediatrics