The health of children and adolescents in school ontogenesis as a basis for improving the system of school health care and sanitary-epidemiological wellbeing of students
- Authors: Kuchma V.R.1,2, Rapoport I.K.1, Sukhareva L.M.3, Skoblina N.A.4, Sedova A.S.1, Chubarovsky V.V.1,2, Sokolova S.B.1
-
Affiliations:
- Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Mytishchi, Moscow Region
- First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University)
- Russian society of school and university health and medicine»
- Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation
- Issue: Vol 65, No 4 (2021)
- Pages: 325-333
- Section: CHILDREN AND ADOLESCENTS’ HEALTH
- Submitted: 25.10.2024
- URL: https://hum-ecol.ru/0044-197X/article/view/637710
- DOI: https://doi.org/10.47470/0044-197X-2021-65-4-325-333
- ID: 637710
Cite item
Full Text
Abstract
Introduction. Against the background of socio-economic transformations and the digitalization of education, the health indicators of students are changing, which requires in-depth research.
Aim of the study: based on the longitudinal observation of the health of schoolchildren, to identify the patterns of its formation for the scientific justification of improving the medical care of students.
Material and methods. From the 1st to the 11a grade (2005–2015), the same students (199 boys and 227 girls) of 4 Moscow schools were examined annually with the performance of anthropometry, electrocardiography, functional tests, and questionnaire to identify complaints and anamnesis; specialist doctors carried out 25,298 examinations. In addition to the analysis of morbidity, a qualitative analysis of the course of pathological processes in students was carried out to determine positive and negative dynamics.
Results. Over 11 years, the prevalence of functional disorders increased by 14.7%, chronic diseases by 52.8%, the frequency of visual disturbances, diseases of the musculoskeletal system, digestive organs, neurotic reactions increased; new forms of risk behaviour and information dependence appeared. An unfavourable period of development of pathological processes in schoolchildren is training in grades 9–11. Compared with the 1990 morbidity rates obtained by similar methods, there was an increase in the prevalence of functional disorders among adolescents by 2–3 times and chronic diseases by 20–70%. When comparing physical development with peers of the second half of the XX century, the observed schoolchildren increased the average values of body length and weight with a decrease in functional indicators. Distance learning during the first wave of COVID-19 in spring 2020 has increased the prevalence of computer vision, carpal tunnel syndromes, and neurotic reactions.
Discussion. The main patterns of health formation in school ontogenesis, coinciding with the change of generations and the transition to the digitalization of education, are revealed.
Conclusion. The study results allow predicting an increase in the prevalence of neuropsychiatric disorders, myopia, scoliosis, computer-visual and carpal tunnel syndromes. To preserve students’ health, to counteract COVID-19, a modern model of school health care is proposed.
About the authors
Vladislav R. Kuchma
Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Mytishchi, Moscow Region; First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University)
Author for correspondence.
Email: vrkuchma@mail.ru
ORCID iD: 0000-0002-1410-5546
MD, PhD, DSci., Professor, Corresponding Member of the Russian Academy of Sciences, Scientific Director of the Institute of Complex Problems of Hygiene of the Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Mytishchi, 141014, Russian Federation; Head of the Department of Hygiene of Children and Adolescents of the First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University).
e-mail: vrkuchma@mail.ru
Russian FederationIrina K. Rapoport
Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Mytishchi, Moscow Region
Email: noemail@neicon.ru
ORCID iD: 0000-0002-9989-4491
Russian Federation
Lyudmila M. Sukhareva
Russian society of school and university health and medicine»
Email: noemail@neicon.ru
ORCID iD: 0000-0003-2278-8380
Russian Federation
Natalia A. Skoblina
Russian National Research Medical University named after N.I. Pirogov of the Ministry of Health of the Russian Federation
Email: noemail@neicon.ru
ORCID iD: 0000-0001-7348-9984
Russian Federation
Anna S. Sedova
Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Mytishchi, Moscow Region
Email: noemail@neicon.ru
ORCID iD: 0000-0003-0079-240X
Russian Federation
Vladimir V. Chubarovsky
Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Mytishchi, Moscow Region; First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University)
Email: noemail@neicon.ru
ORCID iD: 0000-0002-4108-6969
Russian Federation
Svetlana B. Sokolova
Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Mytishchi, Moscow Region
Email: noemail@neicon.ru
ORCID iD: 0000-0001-5895-4577
Russian Federation
References
- Setko A.G., Bulycheva E.V., Setko N.P. Peculiarities of prenosological changes in mental and physical health of students from generation Z. Analiz riska zdorov’yu. 2019; (4): 158–64. https://doi.org/10.21668/health.risk/2019.4.17 (in Russian)
- Ursova N.I., Gurov A.N. The analysis of morbidity, hospitalizations, lethality and mortality among pediatric population of the Moscow region in 2014 and upgrading of the system of medical care for children. Al’manakh klinicheskoy meditsiny. 2015; (42): 6–11. https://doi.org/10.18786/2072-0505-2015-42-6-11 (in Russian)
- Efimova N.V., Myl’nikova I.V. Health risk assessment for adolescents depending on environmental factors and lifestyle. Kazanskiy meditsinskiy zhurnal. 2016; 97(5): 771–7. https://doi.org/10.17750/KMJ2016-771 (in Russian)
- Kuchma V.R., Sukhareva L.M., Rapoport I.K., Shubochkina E.I., Skoblina N.A., Milushkina O.Yu. Population health of children, risks to health and sanitary and epidemiological wellbeing of students: problems, ways of solution and technology of the activity. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2017; 96(10): 990–5. https://doi.org/10.18821/0016-9900-2017-96-10-990-995 (in Russian)
- Rapoport I.K., Sukhareva L.M. Eleven-year longitudinal observation: the prevalence and course of functional disorders and chronic disease among Moscow schoolchildren. Voprosy shkol’noy i universitetskoy meditsiny i zdorov’ya. 2019; (1): 19–27. (in Russian)
- Cattaneo A., Cogoy L., Macaluso A., Tamburlini G. Child health in the European Union. Luxemburg: European Commission; 2012. https://doi.org/10.13140/2.1.2186.5924
- Busch V., Van Stel H.F., Schrijvers A.J., de Leeuw J.R. Clustering of health-related behaviors, health outcomes and demographics in Dutch adolescents: a cross-sectional study. BMC Public Health. 2013; 13: 1118. https://doi.org/10.1186/1471-2458-13-1118
- Amann G., Leal P. Health and wellbeing for Portuguese youth: contribution of the national school health program. In: Materials the 19-th EUSUHM Congress Youth Health Care in Europe «Mind the gap! Building bridges to better health for all young people». Leuven; 2017.
- Healthcare in Russia – 2019: Statistical Compendium [Zdravookhranenie v Rossii – 2019: Statisticheskiy sbornik]. Moscow: Rosstat; 2019. (in Russian)
- Baranov A.A., Al’bitskiy V.Yu., Vaganov N.N., Orel V.I., Polunina N.V., Starodubov V.I., et al. The State of Health of Children of Modern Russia [Sostoyanie zdorov’ya detey sovremennoy Rossii]. Moscow: Pediatr; 2020. (in Russian)
- Kuchma V.R., Milushkina O.Yu., Skoblina N.A. Morphofunctional Development of Modern Schoolchildren [Morfofunktsional’noe razvitie sovremennykh shkol’nikov]. Moscow: GEOTAR-Media; 2018. (in Russian)
- Kuchma V.R., Rapoport I.K., eds. Physical Development and Health Status of Children and Adolescents in School Ontogene-sis (Longitudinal Study): Monograph [Fizicheskoe razvitie i sostoyanie zdorov’ya detey i podrostkov v shkol’nom ontogeneze (longitudinal’noe issledovanie): monografiya]. Moscow: Nauchnaya kniga; 2021. (in Russian)
- Kuchma V.R., Sedova A.S., Stepanova M.I., Rapoport I.K., Polenova M.A., Sokolova S.B., et al. Life and wellbeing of children and adolescents studying remotely during the epidemic of a new coronavirus infection (Covid-19). Voprosy shkol’noy i universitetskoy meditsiny i zdorov’ya. 2020; (2): 4–23. (in Russian)
- Milushkina O.Yu., Popov V.I., Skoblina N.A., Markelo-va S.V., Sokolova N.V. The use of electronic devices by students, parents and teachers before and after the transition to distance learning. Vestnik Rossiyskogo gosudarstvennogo meditsinskogo universiteta. 2020; (3): 77–82. https://doi.org/10.24075/brsmu.2020.037 (in Russian)
- Bogomolova E.S., Badeeva T.V., Kotova N.V., Maksimenko E.O., Olyushina E.A., Languev K.A. Hygienic aspects of distance education. Voprosy shkol’noy i universitetskoy meditsiny i zdorov’ya. 2020; (3): 35–9. (in Russian)
- Korotkikh S.A., Nikiforova A.A., Andreeva M.S. Epidemiology and risk factors of computer vision syndrome. Sovremennaya optometriya. 2017; (2): 30–4. (in Russian)
- Gil’veg A.S., Parfenov V.A., Evzikov G.Yu. Carpal tunnel syndrome: issues of diagnosis and treatment. Nevrologiya, neyropsikhiatriya, psikhosomatika. 2019; 11(S1): 46–51. https://doi.org/10.14412/2074-2711-2019-2S-46-51 (in Russian)
Supplementary files
