G. Yu. PORETSKOVA, D. V. PECHKUROV, M.Yu. GAVRYUSHIN, O.V. SAZONOVA, E.N. VORONINA

Samara State Medical University of the Ministry of Health of the Russian Federation, 89 Chapaevskaya St., Samara, Russian Federation 443099

 Contact details:

Poretskova G.Yu. — Cand. Med. Sc., Associate Professor of the Department of Children’s Diseases, e-mail: [email protected]

Pechkurov D.V. – D. Med. Sc., Professor, Head of the Department of Children’s Diseases, e-mail: [email protected]

Gavryushin M.Yu. — Cand. Med. Sc., Assistant of the Department of Food Hygiene with the course Hygiene of Children and Adolescents, Leading Research Associate, e-mail: [email protected]

Sazonova O.V. — D. Med. Sc., Associate Professor, Director of the Research Institute of Human Hygiene and Ecology, Head of the Department of Food Hygiene with the course Hygiene of Children and Adolescents, tel.+7(846)3322653,

e-mail:[email protected]

Voronina E.N. — Cand. Med. Sc., Assistant of the Department of Children’s Diseases, e-mail: [email protected]

 Received: March 18, 2018, accepted for printing: April 13, 2018

Physical development, specifics of actual nutrition and body composition by the method of bioimpedance analysis (BIA) of school-age children were studied in the city of Samara. There are 2 groups of children: healthy, 1-2 groups of health, and a group of children with inflammatory bowel disease. In a group of schoolchildren suffering from inflammatory bowel disease it was revealed that boys and girls aged 6-8 years 11 months had significantly lower body mass indices (BMI) in comparison with healthy children. Similar differences were noted in the indicators of BIA. In the group of boys of 9–11 years 11 months significant differences were found in body weight and BMI. Herewith, having the lower body weight, the boys with inflammatory bowel disease had a greater proportion of fatty component with equal values of skeletal muscle mass. In the survey it was found that 31 children (68.8 %) with inflammatory bowel disease had dietary restrictions related to the presence of the disease, where 20 % of children felt “special” because of dietary restrictions as compared with healthy peers. Among schoolchildren with eating restrictions, 26 children (57.7 %) violated the diet in the company of friends, which often led to exacerbations of the disease. Thus, in the treatment of children with inflammatory bowel disease, stabilization of physical development parameters or restoration of age parameters is a criterion for the effectiveness of complex therapy.

Key words: school-aged children, physical development, anthropometry, bioimpedansometry, rational nutrition, inflammatory bowel disease.

(For citation: Poretskova G.Yu., Pechkurov D.V., Gavryushin M.Yu., Sazonova O.V., Voronina E. N. Features of physical development of children with chronic inflammatory bowel disease. Practical medicine. 2018)

REFERENCES

1. Zaletova N.K., Chukhlovin A.B., Tretʹyak A.T., Vostokova L.P., Kornienko E.A. Genetic factors affecting the effectiveness of glucocorticoid therapy in chronic inflammatory bowel diseases in children. Pediatr, 2015, vol. 6, no. 3, pp. 91–97 (in Russ.).
2. Fedorova O.V., Fedulova Eh.N., Tutina O.A., Korkotashvili L.V. Endogenous intoxication in inflammatory bowel diseases in children: justification of efferent therapy. Sovremennye tekhnologii v meditsine, 2011, no. 3, pp. 94–97 (in Russ.).
3. Pechkurov D.V., Turti T.V., Belyaeva I.A., Tyazheva A.A. Microbiota of the intestine in children: from prevention of disorders of becoming to the prevention of non-infectious diseases. Pediatricheskaya farmakologiya, 2016, vol. 13, no. 4, pp. 377–383 (in Russ.).
4. Berens B., Buderus Sh., Keller K.-M., fon der Osten-Saken I. Boleznʹ Krona i yazvennyy kolit u detey i podrostkov: prakt. rukovodstvo [Crohn’s disease and ulcerative colitis in children and adolescents: practical. leadership]. DR. FALK PHARMA GmbH, 2006. 48 p.
5. Baranov A.A., Kuchma V.R. Fizicheskoe razvitie detey i podrostkov Rossiyskoy Federatsii: sb. materialov. vyp. VI. [Physical development of children and adolescents of the Russian Federation: a collection of materials no. VI.]. Moscow: Pediatr, 2013. 192 p.
6. Valentin A., Druml W., Steltzer H., Wiedermann C.J. Recommendations on therapy limitation and therapy discontinuation in intensive care units: Consensus Paper of the Austrian Associations of Intensive Care Medicine. 2008, Apr; 34(4):771-6.
7. Widodo A.D., Soelaeman E.J., Dwinanda N., Narendraswari P.P., Purnomo B. Chronic liver disease is a risk factor for malnutrition and growth retardation in children. Asia Pac J Clin Nutr., 2017, Jun, 26 (suppl 1):S57-S60.
8. Gaedeke Norris M.K., Steinhorn D.M. Nutritional management during critical illness in in fants and children. AACN Clin. Issues., 1994, vol. 5, rr. 485–92.
9. Abad-Sinden A., Sutphen J. Enteral Nutrition. In: Waker A., Goulet O., Kleinman R.E. et. al. Pediatric Gastrointestinal Diseases, 4th Ed. Hamilton, London: BC Decker, 2008. Rr. 1981–994.
10. Kim S., Koh H. Nutritional aspect of pediatric inflammatory bowel disease: its clinical importance. Korean J Pediatr., 2015, Oct; 58(10):363-8.
11. Abrams S.H., Shulman R.J. Nutritional Assessment of the Hospitalized Patient. In: Duggan C., Watkins J.B., Walker W.A. (editors). Nutrition in Pediatrics. 4th ed. Hamilton: BCDeckerInc., 2008. Rr. 5–13.
12. Gavryushin M.Yu., Sazonova O.V., Borodina L.M., Frolova O.V. Results of the study of bioimpedanceometric indicators in children of the city of Samara. Sovremennye problemy nauki i obrazovaniya, 2017, no. 7, p. 67 (in Russ.).
13. Zemel B.S., Riley E.M., Stallings V.A. Evaluation of methodology for nutritional assessment in children: anthropome try, body composition, and energy expenditure. Annu Rev Nutr, 1997, vol. 17, rr. 211–35.
14. Poretskova G.Yu. Approbation of the recommendations of the WHO on the evaluation of physical development in the survey of schoolchildren in Samara. Aspirantskiy Vestnik Povolzhʹya, 2012, no. 5–6, pp. 249–251 (in Russ.).
15. Mazankova L.N., Zakharova I.N., Kopeykin V.N., Berezhnaya I.V. Inflammatory bowel disease in children. Detskie infektsii, 2010, no. 9(3), pp. 65–71 (in Russ.).
16. Zakharova I.N., Zaydenvarg G.E., Berezhnaya I.V., Tatarkina O.V. Medicamentous therapy of chronic inflammatory bowel diseases in children. Meditsinskiy sovet, 2011, no. 11–12, pp. 41–47 (in Russ.).
17. Lozovik S.K., Khmylko L.A. Features of the clinic of ulcerative colitis and Crohn’s disease in children living in the Gomel region. Problemy zdorovʹya i ehkologii, 2014, no. 2(40), pp. 57–60 (in Russ.).