G.Sh. MANSUROVA¹, S.V. MALTSEV²

¹Kazan (Volga) Federal University, Kazan

²Russian Medical Academy of Continuous Professional Education, Moscow

 Mansurova G.Sh. — PhD (medicine), Associate Professor of the Department of Emergency Medical Care and Simulation Medicine, Institute for Fundamental Medicine and Biology

Address: 18 Kremlevskaya Str., 420012, Kazan, Russian Federation, tel. +7-917-390-79-20, e-mail: [email protected]

Matsev S.V. — Honored Researcher of the Russian Federation, MD, Professor of the Department of Pediatrics named after Acad. G.N. Speranskiy,  tel. (843) 239-82-41, e-mail: [email protected]

The article presents the results of retrospective analysis of anamnestic data and nutritive status of 67 children aged 6 to 18 with low-energy bone fractures due to inadequate trauma under physiologically normal activity of a child. Questioning was performed to reveal low provision of calcium in daily rations of children. It is found that the maximal frequency of fractures occurs in the age of 9-14, and upper extremity fractures are more frequent. It was shown that prophylaxis of vitamin D deficit in most patients was only carried out in the 1^st year of life. In later years, vitamin D was not prescribed. It was found that in the 1^st year of life 53.7% of children had atopic dermatitis, in most case related to intolerance of cow milk protein. Due to this, elimination hypoallergenic diet was prescribed. In the 1^st year of life 26.8% of children had manifestations of rickets. Examining the state of health at the moment of fracture showed that among 12-14 y.o. children, the 3^rd group of health prevailed (52.2%), while there were no children referred to the 1^st group of health, as well as among the 15-18 y.o. children. In general, the prevailing health disorder was gastrointestinal tract pathology with maximal frequency in the 3^rd group of health (92%). Among the children of the 2^nd group of health, lesions of the bone- musculoskeletal system prevailed (64%). When estimating calcium provision it was found that only 46.2% of children received sufficient amount of calcium with milk ration, while 29.8% of children received not more than 489±12.3 mg of calcium with milk ration, 10.4% of children — not mare than 96±7 mg, and 13.4% of children did not consume dairy products at all.

Key words: children, fractures, risk factors.

REFERENCES

1. Krukovich E.V., Dogadina N.A., Kablukov D.A., Plekhova N.G. Causes of formation and risk factors for pathology of the musculoskeletal system in children and adolescents. Sovremennye problemy nauki i obrazovaniya, 2017, no. 5 (in Russ.).
2. Gordon C.M., Leonard M.B., Zemel B.S. 2013 Pediatric Position Development Conference: executive summary and reflections. J. Clin. Densitom, 2014, no. 17, pp. 219-224.
3. Mirskaya N.B., Kolomenskaya A.N., Sinyakina A.D. The medical and social significance of disorders and diseases of the musculoskeletal system of children and adolescents (literature review) . Gigiena i sanitariya, 2015, no. 1, pp. 26-33 (in Russ.).
4. Kuchma V.R., Sukhareva L.M., Rapoport I. K., Shubochkina E.I., Skoblina N.A., Milushkina O.Yu. Population health of children, health risks and sanitary and epidemiological well-being of students: problems, solutions, technology activities. Gigiena i sanitariya, 2017, no. 10, pp. 5-13 (in Russ.).
5. Mansurova G.Sh., Mal’tsev S.V., Ryabchikov I.V. Secondary osteoporosis in children. Prakticheskaya meditsina, 2018, no. 8, pp. 10-15 (in Russ.).