Ìåòîþ äàíîãî äîñë³äæåííÿ áóëî ñòâîðåííÿ ìåòîäèêè ïðîãíîçóâàííÿ ð³âíÿ çäîðîâ’ÿ ï³äë³òê³â íà îñíîâ³ ïîêàçíèê³â ãåìîäèíàì³êè òà òðèâàëîñò³ ðóõîâî¿ àêòèâíîñò³ ïîì³ðíî-âèñîêîãî ð³âíÿ.
Ìàòåð³àë ³ ìåòîäè äîñë³äæåíü Ó äîñë³äæåííÿ âêëþ÷åí³ ðåçóëüòàòè îáñòåæåííÿ 98 ó÷í³â òðüîõ êè¿âñüêèõ øê³ë â³êîì 12-15 ðîê³â, áàòüêè ÿêèõ äàëè ³íôîðìîâàíó çãîäó íà ïðîâå-äåííÿ äîñë³äæåííÿ. Äëÿ âñòàíîâëåííÿ òðèâàëîñò³ ðóõîâî¿ àêòèâíîñò³ ïîì³ðíî-âèñîêîãî òè-ïó âèêîðèñòîâóâàëè àäàïòîâàíèé îïèòóâàëüíèê «Quantification de L’Active Physique en Altitude Chez le Enfants». Çàõâîðþâàí³ñòü âèâ÷àëè øëÿõîì âèêîï³þâàííÿ äàíèõ ìåäè÷íèõ êàð-òîê. Âåãåòàòèâíèé ñòàòóñ âèçíà÷àëè çà ²íäåêñîì Êåðäî. Äëÿ ðîçðàõóíêó êëàñèô³êàö³éíèõ ôóíêö³é ç ìåòîþ âèçíà÷åííÿ øàíñ³â çíèæåííÿ çäîðîâ’ÿ âèêîðèñòîâóâàëè äèñêðèì³íàíòíèé àíàë³ç.
Ðåçóëüòàòè òà ¿õ îáãîâîðåííÿ Ó äèñêðèì³íàíòíó ìîäåëü áóëè âêëþ÷åí³ îêðåì³ òà êîìïëåêñí³ ïîêàçíèêè ôóíêö³îíàëüíîãî òà ô³çè÷íîãî ñòàíó îðãàí³çìó (ïóëüñ, ñèñòîë³÷íèé òà ä³àñòîë³÷íèé àðòåð³àëüíèé òèñê, âàãà, çð³ñò, ³íäåêñ ìàñè ò³ëà, âåãåòàòèâíèé ³íäåêñ Êåðäî), à òàêîæ òðèâàëîñò³ òèæíåâî¿ ðóõîâî¿ àêòèâíîñò³ ëåãêîãî òà ïîì³ðíî-âèñîêîãî òèïó. Ðîç-ðàõóíîê ìîäåë³ ïðîâîäèëè çà äîïîìîãîþ ìåòîäèêè forward stepwise ç óðàõóâàííÿì âèçíà÷åíèõ ïîêàçíèê³â. ϳäòâåðäæåííÿ åôåêòèâíîñò³ ðîçðàõîâàíèõ ôóíêö³é ïðîâîäèëè øëÿõîì êðîñ-ïåðåâ³ðêè.
Âèñíîâêè. Ðîçðîáëåíà ìåòîäèêà îö³íêè ðèçèêó äëÿ çäîðîâ’ÿ ï³äë³òê³â ç óðàõóâàííÿì îö³íêè ôóíêö³¿ âåãåòàòèâíî¿ íåðâîâî¿ ñèñòåìè òà òðèâàëîñò³ ô³çè÷íîãî íàâàíòàæåííÿ ïî-ì³ðíî-âèñîêîãî ð³âíÿ. Ñòàòèñòè÷íà äîñòîâ³ðí³ñòü ìåòîäó ï³äòâåðäæåíà çà êðèòåð³ÿìè äîêàçîâî¿ ìåäèöèíè (÷óòëèâ³ñòü – 76,0%, ñïåöèô³÷í³ñòü – 90,2%, ïðîãíîç ïîçèòèâíîãî ðå-çóëüòàòó – 90,5%, ïðîãíîç íåãàòèâíîãî ðåçóëüòàòó – 79,3%). Äàíà ìåòîäèêà ðåêîìåíäóºòü-ñÿ, ÿê ³íñòðóìåíò ïåðâèííî¿ ïðîô³ëàêòèêè ó çàõîäàõ ïîïåðåäæåííÿ ðîçâèòêó íå³íôåêö³éíèõ õðîí³÷íèõ çàõâîðþâàíü. Çàñòîñóâàííÿ ìåòîäèêè ìîæëèâå ÿê íà ³íäèâ³äóàëüíîìó, òàê ³ íà ïî-ïóëÿö³éíîìó ð³âíÿõ ç éìîâ³ðí³ñòþ âèçíà÷åííÿ øàíñ³â çíèæåííÿ çäîðîâ’ÿ 90,5%.

çäîðîâ'ÿ ï³äë³òê³â, ðóõîâà àêòèâí³ñòü, ñîö³àëüí³ äåòåðì³íàíòè, ìåòîäèêà ïðîãíîçóâàííÿ çäîðîâ'ÿ.

1. Barbosa N., Sanchez C.E., Vera J.A. et al. A physical activity questionnaire: Reproducibility and validity. Journal of Sports Science and Medicine. 2007. Vol. 6. P. 505–518.

2. Booth F.W., Roberts C.K., Laye M.J. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012. Vol. 2(2). P.1143-211. DOI : https://doi.org/10.1002/cphy.c110025

3. Broyles S.T., Denstel K.D., Church T.S., Chaput J.P., Fogelholm M., Hu G., Kuriyan R., Kurpad A. et al. The epidemiological transition and the global childhood obesity epidemic. Int J Obes Suppl. 2015. Vol. 5(Suppl 2). P. 3-8. DOI : https://doi.org/10.1038/ijosup.2015.12

4. Brzęk A., Knapik A., Sołtys J., Gallert-Kopyto W., Famuła-Wąż A., Plinta R. Body posture and physical activity in children diagnosed with asthma and allergies symptoms: A report from ran-domized observational studies. Medicine (Baltimore). 2019. Vol. 98. ¹ 7. E14449. DOI : https://doi.org/10.1097/MD.0000000000014449

5. Carson V., Tremblay M.S., Chaput J.P., Chastin S.F. Associations between sleep duration, sedentary time, physical activity, and health indicators among Canadian children and youth using compositional analyses. Appl Physiol Nutr Metab. 2016. Vol. 41. P. 294-302. DOI : https://doi.org/10.1139/apnm-2016-0026

6. Chaput J.P., Gray C.E., Poitras V.J., Carson V., Gruber R., Olds T., Weiss S.K., Connor Gorber S. et al. Systematic review of the relationships between sleep duration and health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016. Vol. 41. P. 266-82. DOI : https://doi.org/10.1139/apnm-2015-0627

7. Chastin S.F., Palarea-Albaladejo J., Dontje M.L., Skelton D.A. Combined Effects of Time Spent in Physical Activity, Sedentary Behaviors and Sleep on Obesity and Cardio-Metabolic Health Markers: A Novel Compositional Data Analysis Approach. PLoS One. 2015. Vol. 10(10). E0139984. DOI : https://doi.org/10.1371/journal.pone.0139984

8. Eather N., Morgan P.J., Lubans D.R. Improving the fitness and physical activity levels of primary school children: results of the Fit-4-Fun group randomized controlled trial. Prevent. Med. 2013. Vol. 56(1). P.12–19. DOI : https://doi.org/10.1016/j.ypmed.2012.10.019

9. Endes K., Köchli S., Zahner L., Hanssen H. Exercise and Arterial Modulation in Children: The EXAMIN YOUTH Study. Front Physiol. 2019. Vol.1. P. 10-43. DOI : https://doi.org/10.3389/fphys.2019.00043

10. Eyre E.L., Duncan M.J., Birch S.L., Fisher J.P. The influence of age and weight status on cardiac autonomic control in healthy children: a review. Auton Neurosci. 2014. Vol.186. P.8-21. DOI : https://doi.org/10.1016/j.autneu.2014.09.019

11. Grandemange M., Costet N., Doyen M., Monfort C., Michineau L., Saade M.B. et al. Blood Pressure, Heart Rate Variability, and Adiposity in Caribbean Pre-pubertal Children. Front Pediatr. 2019. Vol.10. P.267-269. DOI : https://doi.org/10.3389/fped.2019.00269

12. Hurtig-Wennlof A., Ruiz J.R., Harro M., Sjostrom M. Cardiorespiratory fitness relates more strongly than physical activity to cardiovascular disease risk factors in healthy children and adolescents: the European Youth Heart Study. Eur. J. Cardiovasc. Prev. Rehab. 2007. Vol. 14(4). P. 575–581. DOI : https://doi.org/10.1097/HJR.0b013e32808c67e3

13. Janssen I., Leblanc A.G. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010. Vol. 7. 40. DOI : https://doi.org/10.1186/1479-5868-7-40

14. Kérdö I. Ein aus Daten der Blutzirkulation kalkulierter Index zur Beurteilung der vegetativen Tonuslage. Acta neurovegetativa. 1966. Vol.29. ¹ 2. P. 250-268. DOI : https://doi.org/10.1007/BF01269900

15. Poitras V.J., Gray C.E., Borghese M.M., Carson V., Chaput J.P. et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016. Vol. 41(6 Suppl 3). P.197-239. DOI : https://doi.org/10.1139/apnm-2015-0663

16. Ïîëüêà Í.Ñ., Ãîçàê Ñ.Â., ªë³çàðîâà Î.Ò., Ñòàíêåâè÷ Ò.Â., Ïàðàö À.Ì. Íîâ³òí³é ï³äõ³ä äî îö³íþâàííÿ çäîðîâ’ÿ ï³äë³òê³â ó ã³ã³ºí³÷íèõ äîñë³äæåííÿõ. Æóðíàë ÍÀÌÍ Óêðà¿íè. 2019. Ò. 25. ¹ 3. Ñ. 227-231.

17. Santos-Magalhaes A.F., Aires L., Martins C., Silva G., Teixeira A.M., Mota J., Rama L. Heart rate variability, adiposity, and physical activity in prepubescent children. Clin Auton Res. 2015. Vol. 25(3). P.169-178. DOI : https://doi.org/10.1007/s10286-015-0277-y

18. Saunders T.J., Gray C.E., Poitras V.J., Chaput J.P., Janssen I., Katzmarzyk P.T. et al. Combinations of physical activity, sedentary behaviour and sleep: relationships with health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016. Vol. 41. Suppl 3. P.283-293. DOI : https://doi.org/10.1139/apnm-2015-0626

19. Seidell J.C., Halberstadt J. The global burden of obesity and the challenges of prevention. Ann Nutr Metab. 2015. Vol. 66. Suppl 2. P.7-12. DOI : https://doi.org/10.1159/000375143

20. Shaffer F., McCraty R., Zerr C.L. A healthy heart is not a metronome: an integrative review of the heart's anatomy and heart rate variability. Front Psychol. 2014. Vol. 5. P.1040. DOI : https://doi.org/10.3389/fpsyg.2014.01040

21. Silvetti M.S., Drago F., Ragonese P. Heart rate variability in healthy children and adolescents is partially related to age and gender. Int J Cardiol. 2001. Vol. 81. ¹ 2-3. P.169-74. DOI : https://doi.org/10.1016/S0167-5273(01)00537-X

22. Ãîçàê Ñ.Â. ªë³çàðîâà Î.Ò., Ïàðàö À.Ì., Ô³ëîíåíêî Î.Î. Âïëèâ ôàêòîð³â îðãàí³çàö³¿ íàâ÷àëüíîãî ïðîöåñó íà âåãåòàòèâíèé òîíóñ ó÷í³â ñåðåäíüîãî øê³ëüíîãî â³êó. ó㳺íà íàñåëåíèõ ì³ñöü: çá. íàóê. ïð. Ê., 2014. Âèï. 64. Ñ. 265-271.

23. Ãîçàê Ñ.Â., Åëèçàðîâà Å.Ò. Îñîáåííîñòè âåãåòàòèâíîãî òîíóñà ó øêîëüíèêîâ ñ íàðóøåíèåì îñàíêè. Çäîðîâüå è îêðóæàþùàÿ ñðåäà: ñá. íàó÷. òð. Ìèíñê, 2013. Âûï. 23.Ñ.107-110.

24. Ìîñêàëåíêî Â.Ô., Áóëàõ ².ª., Ïóçàíîâà Î.Ã. Ìåòîäîëîã³ÿ äîêàçîâî¿ ìåäèöèíè. Ê.: Ìåäèöèíà, 2014. 200 ñ.

25. Ôëåò÷åð Ð., Ôëåò÷åð Ñ., Âàãíåð Ý. Êëèíè÷åñêàÿ ýïèäåìèîëîãèÿ. Îñíîâû äîêàçàòåëüíîé ìåäèöèíû. Ïåð. ñ àíãë. ïîä ðåä. Ñ.Å. Áàùèíñêîãî, Ñ.Þ. Âàðøàâñêîãî. Ì. : Ìåäèà Ñôå-ðà, 2004. 347 ñ.

ªë³çàðîâà Î.Ò., Àíòîìîíîâ Ì.Þ., Ãîçàê Ñ.Â., Ñòàíêåâè÷ Ò.Â., Ïàðàö À.Ì. Ïðîãíîçóâàííÿ çäîðîâ’ÿ ì³ñüêèõ ä³òåé 12-15 ðîê³â ç óðàõóâàííÿì ùîäåííî¿ ðóõîâî¿ àêòèâíîñò³. ó㳺íà íàñåëåíèõ ì³ñöü : çá. íàóê. ïð. Ê., 2019. Âèï. 69. Ñ. 215-222.