rospedРоссийский педиатрический журнал имени М.Я. СтуденикинаM.Ya. Studenikin Russian Pediatric JournalФГАУ «НМИЦ здоровья детей» Минздрава России10.46563/1560-9561-2022-25-3-193-198mynhnwrosped-330Research ArticleСОЦИАЛЬНАЯ ПЕДИАТРИЯSOCIAL PEDIATRICSКачество жизни детей школьного возраста с ожирениемQuality of life in obese schoolchildrenhttps://orcid.org/0000-0002-0014-2581ЛатышевДмитрий ЮрьевичLatyshevDmitry Y.

Канд. мед. наук, доцент каф. пропедевтики детских болезней ФГБОУ ВО «Алтайский государственный медицинский университет» Минздрава России.

e-mail: ldy2014@mail.ru

MD, PhD, Associate Professor, Department of Propaedeutics of Children’s Diseases, Altai State Medical University, Barnaul, 656038, Russian Federation.

e-mail: ldy2014@mail.ru

ldy2014@mail.ruhttps://orcid.org/0000-0001-6284-1604ЛобановЮрий ФедоровичLobanovYuri F.

Доктор мед. наук, проф., зав. каф. пропедевтики детских болезней ФГБОУ ВО АГМУ Минздрава России.

e-mail: ped2@agmu.ru

ped2@agmu.ruhttps://orcid.org/0000-0003-1878-7502ТекутьеваНадежда АнатольевнаTekutyevaNadezhda A.

Канд. мед. наук, доцент каф. пропедевтики детских болезней ФГБОУ ВО АГМУ Минздрава России.

e-mail: tekuteva.n@mail.ru

tekuteva.n@mail.ruhttps://orcid.org/0000-0002-8586-1330СтрозенкоЛюдмила АнатольевнаStrozenkoLudmila A.

Доктор мед. наук, проф. каф. пропедевтики детских болезней, директор Института педиатрии ФГБОУ ВО АГМУ Минздрава России.

e-mail: strozen@mail.ru

strozen@mail.ruФГБОУ ВО «Алтайский государственный медицинский университет»Altai State Medical University202227092023253193198Copyright © Латышев Д.Ю., Лобанов Ю.Ф., Текутьева Н.А., Строзенко Л.А., 20232023Латышев Д.Ю., Лобанов Ю.Ф., Текутьева Н.А., Строзенко Л.А.Latyshev D.Y., Lobanov Y.F., Tekutyeva N.A., Strozenko L.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rosped.ru/jour/article/view/330Введение

Введение. Во всем мире более 43 млн детей в возрасте до 5 лет имеют избыточный вес, более 340 млн детей и подростков в возрасте 5–19 лет страдают ожирением. Качество жизни, связанное со здоровьем, — перспективный инструмент, позволяющий включать субъективную характеристику своего состояния самим пациентом наряду с лабораторными, инструментальными и другими данными для полной оценки его клинического статуса.

Цель работы — установить влияние степени выраженности ожирения и отдельных компонентов метаболического синдрома на показатели качества жизни детей школьного возраста.

Материалы и методы

Материалы и методы. Обследовано 28 детей с ожирением (SDS ИМТ ≥ 2), 17 (60,7%) мальчиков и 11 (39,3%) девочек, средний возраст 12,2 ± 1,9 года. Ожирение Ι степени (SDS ИМТ 2,0–2,5) диагностировано у 13 детей, ΙΙ степени (SDS ИМТ ≥ 2,6–3,0) — у 7, ΙΙΙ степени (SDS ИМТ 3,1–3,9) — у 8. При постановке диагноза «метаболический синдром» применяли стандартные критерии метаболического синдрома для детей старше 10 лет. Группу сравнения составили 30 условно здоровых детей, сопоставимых по возрасту. Оценку качества жизни проводили с помощью русской версии опросника Pediatric Quality of Life Pediatric Quality of Life Inventory.

Результаты

Результаты. Дети, страдающие ожирением, низко оценивали уровень эмоционального благополучия (62,4; 95% ДИ 54,5–70,3 балла) и школьного функционирования (61,1; 95% ДИ 54,6–67,5 балла) по сравнению с ответами здоровых детей (79,1; 95% ДИ 77,3–80,8 балла и 85,7; 95% ДИ 82,7–88,7 балла; р < 0,001). Выявлена отрицательная корреляция между степенью ожирения и шкалой физического функционирования. Установлено, что самое выраженное негативное влияние на качество жизни детей с ожирением оказывает артериальная гипертензия, при этом особенно изменяются показатели физического и психосоциального функционирования. Определено, что выявленные нарушения липидного и углеводного обмена не оказывают значимого влияния на параметры качества жизни.

Заключение

Заключение. У детей с ожирением отмечается значимое снижение показателей качества жизни по всем исследуемым параметрам, исключая уровень социального функционирования (р = 0,249). Значимое негативное влияние на показатели физического и психосоциального функционирования детей с ожирением оказывает артериальная гипертензия.

Участие авторов

Участие авторов:Латышев Д.Ю. — концепция и дизайн исследования, сбор и обработка материала, написание текста, статистическая обработка материала;Лобанов Ю.Ф. — написание текста, редактирование;Текутьева Н.А. — концепция и дизайн исследования, статистическая обработка материала;Строзенко Л.А. — статистическая обработка материала, редактирование.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело финансовой поддержки.

Конфликт интересов

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов. 

Поступила 20

Поступила 20.05.2022Принята к печати 10.06.2022 Опубликована 14.07.2022

Introduction

Introduction. According to the latest data, about forty-three million children under 5 years of age are overweight worldwide and more than 340 million children and adolescents aged 5 to 19 years are overweight or obese. Health-related quality of life is a promising tool that allows including a subjective description of the condition by the patient himself, along with laboratory, instrumental and other examinations, for a more complete assessment of his clinical status.

Aim

Aim. To study the influence of the severity of obesity and individual components of the metabolic syndrome on the indicators of the quality of life in schoolchildren.

Materials and methods

Materials and methods. The study included twenty-eight obese children (SDS BMI ≥+2), 17 boys (60.7%), 11 girls (39.3%), mean age 12.2 ± 1.9 years. Obesity Ι degree (SDS BMI 2–2.5) was diagnosed in 13 cases, ΙΙ degree (SDS BMI ≥ 2.6–3.0) — in 7, ΙΙΙ degree (SDS BMI 3.1–3.9) — in 8 children. When establishing the diagnosis of metabolic syndrome, the standard criteria for me­tabolic syndrome in patients over 10 years were used. The comparison group consisted of 30 conditionally healthy children of comparable age. The quality of life was assessed using the Russian version of the Pediatric Quality of Life Inventory — PedsQLTM4.0.

Results

Results. Obese children scored lowest on emotional well-being (62.4; 95% CI 54.5–70.3) and school functioning (61.1; 95% CI 54.6–67.5) in relation to the responses of healthy children (EF — 79.1; 95% CI 77.3–80.8 points; FFS — 85.7; 95% CI 82.7–88.7 points; p < 0.001). A negative correlation was found between the severity of obesity (SDS BMI) and the scale of physical functioning. Arterial hypertension has the most pronounced negative impact on the quality of life, and on indicators of physical and psychosocial functioning. The identified disorders of lipid and carbohydrate metabolism were determined  have no any significant impact on the quality of life parameters.

Conclusion

Conclusion. In obese children, there is a significant decrease in quality of life indicators for all studied parameters (p < 0.001), excluding the indicator of social functioning (p = 0.249). Among the components of the metabolic syndrome, arterial hypertension has a significant negative impact on the indicators of physical and psychosocial functioning.

Contributions

Contributions: Latyshev D.Yu. — concept and design of the study, collection and processing of material, writing the text, statistical processing of the material;Lobanov Yu.F. — text writing, editing;Tekutyeva N.A. — concept and design of the study, statistical processing of the material;Strozenko L.A. — statistical processing of the material, editing.All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment

Acknowledgment. The work was not supported financially.

Conflict of interests

Conflict of interests. The authors declare no conflict of interest.

Received

Received: May 20, 2022 Accepted: June 10, 2022 Published: July 14, 2022

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The authors declare that there are no conflicts of interest present.