Pathogenic specifics of development of vegetative dysfunction in adolescents in relation to their morphological status
AbstractExploring the mechanisms of vegetative regulation in children and adolescents of different somatotypes has a prognostic value in regard to the character of adaptive reactions of the organism, as it facilitates the identification of the risk factors of pathological processes and states of vegetative systems, which may cause chronic illness in adulthood. The author defines the pathogenic specifics of development of vegetative dysfunction in adolescents in relation to their morphological status. Cardiointervalography and anthropometric, mathematical and statistical methods of research were used. Based on the results of cardiointervalography, the structure of initial vegetative tonus was established, which was characterized by prevalence of eutonia (38.4 ± 4.9%). The specific weight with background eutonia of adolescent boys and girls tended to be higher among the representatives of the thoracic and muscular somatotypes, compared to adolescents of the alimentive and osseous somatotypes (Р < 0.001–0.05). The established specifics indicate that thoracic and muscular somatotypes ensure optimal adaptation of organisms to the environment. Sympathicotonia was measured among the majority of boys of extreme constitutional variants (alimentive and osseous somatotypes) (36.3% and 30.0% respectively), which demonstrates the activation of adaptive mechanisms in the abovementioned category of examined adolescents, while among girls this phenomenon was evident among the representatives of the osseous and thoracic somatotypes (38.5% and 30.8% respectively). We found that the majority of examined adolescents (53.4%) had a normal vegetative reactivity. Gender differences in the structure of vegetative reactivity of adolescents could well be explained by the higher number of girls of asympaticotonic type (19.2%) compared to boys (7.3%, Р < 0.05). Furthermore, we found that hypersympathicotonic and asympathicotonic types of vegetative reactivity were characteristic of the majority of representatives of the alimentive and osseous somatotypes irrespective of the gender, which indicates activation of functioning of the cardiovascular system, decreased adaptive capacity of the organism among the examined group. The research shows that the group at risk of developing functional deviations in vegetative systems is formed by the representatives of the alimentive and osseous somatotypes.
Angelovski, A., Sattel, H., Henningsen, P., & Sack, M. (2016). Heart rate variability predicts therapy outcome in pain-predominant multisomato¬form disorder. Journal of Psychosomatic Research, 83, 16–21. >> doi.org/10.1016/j.jpsychores.2016.02.003
Bartczak, D., Szymański, L., Bodera, P., & Stankiewicz, W. (2016). Psycho¬neuroimmunological aspects of cardiovascular diseases: A preliminary report. Central European Journal of Immunology, 41(2), 209–216. >> doi.org/10.5114/ceji.2016.60996
Brandão, G. S., Urbano, J. J., Fonsêca, N. T., Apostólico, N., Oliveira, E. F., Perez, E. A., Almeida, R. G., Dias, I. S., Santos, I. R., Nacif, S. R., & Oliveira, L. V. (2014). Analysis of heart rate variability in the measure¬ment of the activity of the autonomic nervous system: Technical note. Manual Therapy, Posturology & Rehabilitation Journal, 12, 243–251. >> doi.org/10.17784/mtprehabjournal.2014.12.197
Campos, R. R. (2015). Autonomic dysfunction in renovascular hypertension. Autonomic Neuroscience: Basic and Clinical, 192, 40. >> doi.org/10.1016/j.autneu.2015.07.377
Chernyavskikh, S.D., Rzhevskaya, S. A., Goldayeva, K. A., & Ponomarchuk, N. V. (2015). Functional capabilities of cardiovascular system of adolescents. Nauchnyj Rezul'tat. Serija Fiziologija, 6, 12–17. >> doi.org/10.18413/2409-0298-2015-1-4-12-17
Denefil, O. V. (2013). Pokaznyky kardiointervalografii' u studentiv z riznym vyhidnym typom vegetatyvnoi' reguljacii'. Visnyk Problem Biologii' ta Medycyny, 99, 324–328.
Esler, M. (2010). The 2009 Carl Ludwig lecture: Pathophysiology of the human sympathetic nervous system in cardiovascular diseases: The transition from mechanisms to medical management. Journal of Applied Physiology, 108(2), 227–237. >> doi.org/10.1152/japplphysiol.00832.2009
Fedorowski, A., & Melander, O. (2013). Syndromes of orthostatic intolerance: A hidden danger. Journal of Internal Medicine, 273(4), 322–335. >> doi.org/10.1111/joim.12021
Grosu, V. (2014). The research of parameters of cardiac rhythm variability of arterial hypertension in children and adolescents. Romanian Journal of Medical Practice, 9(4), 264–271.
Huang, W. L., Liao, S. C., Yang, C. C., Kuo, T. B., Chen, T. T., Chen, I. M., & Gau, S. S. (2016). Measures of heart rate variability in individuals with somatic symptom disorder. Psychosomatic Medicine, 79(1), 34–42. >> doi.org/10.1097/PSY.0000000000000362
Kazakova, T. V., Fefelova, V. V., Nikolaev, V. G., & Ermoshkyna, A. J. (2009). Sravnitel'nyj analiz pokazatelej dejatel'nosti vegetativnoj nerv¬noj sistemy v zavisimosti ot pola i tipa teloslozhenija. Bjulleten' SO RAMN, 140, 54–60.
Koenig, J., Jarczok, M. N., Warth, M., Ellis, R. J., Bach, C., Hillecke, T. K., & Thayer, J. F. (2014). Body mass index is related to autonomic nervo¬us system activity as measured byheart rate variability – a replication using short term measurements. The Journal of Nutrition, Health and Aging, 18(3), 300–302. >> doi.org/10.1007/s12603-013-0386-z
Kraus, U., Schneider, A., Breitner, S., Hampel, R., Rückerl, R., Pitz, M., Gerus¬chkat, U., Belcredi, P., Radon, K., & Peters, A. (2013). Individual daytime noise exposure during routine activities and heart rate varia¬bility in adults: A repeated measures study. Environ Health Perspect, 121(2), 607–612. >> doi.org/10.1289/ehp.1205606
Majdannyk, V. G., Smijan, O. I., Bynda, T. P., & Savel'jeva-Kulyk, N. O. (2014). Vegetatyvni dysfunkcii' u ditej. Sums'kyj Derzhavnyj Universytet, Sumy (in Ukrainian).
Marongiu, E., & Crisafulli, A. (2015). Gender differences in cardiovascular functions during exercise: A brief review. Sport Sciences for Health, 11(3), 235–241. >> doi.org/10.1007/s11332-015-0237-x
Messina, G., Luca, V., Viggiano, An., Ascione, A., Iannaccone, T., Chieffi, S., & Monda, M. (2013). Autonomic nervous system in the control of energy balance and body weight: Personal contributions. Neurology Research International, 2013, 1–5. >> doi.org/10.1155/2013/639280
Miculic, P. (2008). Anthropometric and physiological profiles of rowers of varying ages and ranks. Kinesiology, 40 (1), 80–88.
Nalyotov, A. V. (2014). Vegetative dysfunction and way of its correction in chil¬dren with chronic gastroduodenal pathology. Zdorov'e Rebenka, 54, 56–60. >> doi.org/10.22141/2224-05220.127.116.114.76000
Nóbrega, A. C. L., O’Leary, D. S., Silva, B. M., Marongiu, E, Piepoli, M. F., & Crisafulli, A. (2014). Neural regulation of cardiovascular response to exercise: Role of central command and peripheral afferents. BioMed Research International, 2014, 1–20. >> doi.org/10.1155/2014/478965
Petković, D., & Ćojbašić, Z. (2012). Adaptive neuro-fuzzy estimation of autonomic nervous system parameters effect on heart rate variability. Neural Computing and Applications, 21(8), 2065–2070. >> doi.org/10.1007/s00521-011-0629-z
Reeva, S. V. (2015). Ocenka vegetativnoj reguljacii u lic molodogo vozrasta. Pediatr, 7(3), 70–75. >> doi.org/10.17816/PED7370-75
Regitz-Zagrosek, V., & Kararigas, G. (2017). Mechanistic pathways of sex differences in cardiovascular disease. Physiological Reviews, 97(1), 1–37. >> doi.org/10.1152/physrev.00021.2015
Schoen, F. J. (2016). Morphology, clinicopathologic correlations, and mecha¬nisms in heart valve health and disease. Cardiovascular Engineering and Technology, 2016, 1–15. >> doi.org/10.1007/s13239-016-0277-7
Serdjuk, A. M., Kobljans'ka, A. V., & Skljarenko, K. A. (2016). Derzhavni cil'ovi programy jak instrument deravnoi' polityky z ohorony zdorov’ja v Ukrajini. Dovkillja ta Zdorov’ja, 78, 4–8.
Shtefko, V. G., & Ostrovskyj, A. D. (1929). Shema klynycheskoj dyagnos¬tyky konstytucyonal'nyh typov. Gosmedyzdat, Moscow (in Rassian).
Sladek, C. D., Michelini, L. C., Stachenfeld, N. S., Stern, J. E., & Urban, J. H. (2015). Endocrine-autonomic linkages. Comprehensive Physiology, 5(3), 1281–1323. >> doi.org/10.1002/cphy.c140028
Thayer, J. F., Yamamoto, S. S., & Brosschot, J. F. (2010). The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. International Journal of Cardiology, 141(2), 122–131. >> doi.org/10.1016/j.ijcard.2009.09.543
Ubrich, R., Barthel, P., Berkefeld, A., Hnatkova, K., Huster, K. M., Dom¬masch, M., Sinnecker, D., Steger, A., Schmidt, G., & Malik, M. (2016). Electrocardiographic and cardiac autonomic indices – implications of sex-specific risk stratification in women after acute myocardial infarction. Current Pharmaceutical Design, 22(25), 3817–3828. >> doi.org/10.2174/1381612822666160311115605
Vejn, A. M. (2003). Vegetativnye rasstroystva: Klinika, diagnostika, leche¬nie [Autonomic dysfunction: Clinical features, diagnosis, treatment]. Meditsinskoe Informatsionnoe Agentstvo, Moscow (in Rassian).
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