| Hygiene of populated places | ISSN: 2707-0441 eISSN: 2707-045X |
Issue 74, 2024 - Pages: 108-117
HYGIENIC ASSESSMENT OF THE PHYSICAL DEVELOPMENT OF CHILDREN AND ADOLESCENTS AS ONE OF THE DIRECTIONS OF THE SCIENTIFIC ACTIVITIES OF THE DEPARTMENT OF GENERAL HYGIENE AND ECOLOGY OF DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY
(for the 125th anniversary of the department)
V.I. Fedorenko1
1 DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY
ÓÄÊ: ÓÄÊ: 613.95:61:378
SUMMÀRY:
Objective is to highlight the results of scientific research on the hygienic assessment of the physical development of children and adolescents performed at the Department of General Hygiene and Ecology of Danylo Halytsky Lviv National Medical University
Materials and methods. Printed scientific works, abstracts, scientific research reports. Methods – search, analytical, descriptive.
Results. 125 years have passed since the founding of the Department of General Hygiene and Ecology of Danylo Halytsky Lviv National Medical University. Hygienic assessment of the physical development of children and adolescents has become one of the important directions of scientific activity of the department. In the late 40s of the twentieth century, the physical development of students of craft and factory colleges, factory training schools, and young men and women who worked at manufacturing enterprises was studied. It was found that young men and women who worked had better indicators of physical development. Their anthropometric indicators significantly exceeded those of peers in 1923. The physical development of boys and girls aged 4-6 in Lviv was studied in 1995-1996, in rural areas of Lviv region – in 1998-1999. It was found that 71.2%-71.6% of preschoolers had normal physical development. In particular, 72.4% of boys and 70.0% of girls who were residents of the city, 70.6% of boys and 72.6% of girls who were residents of rural areas. Deficits of body weight of the first degree were found in 38.7%, excess body weight of the first degree in 29.9% of children from Lviv, and among children from rural areas – 34.6% and 32.8% respectively. Rural children were shorter and had a lower body weight than urban children. From 1969-1971 until 1995-1996, urban children's body weight decreased by 1 kg on average. Among the examined male and female primary school students (2003-2005), 73.5% had normal physical development at entering school, 67.8% in the second grade, and 66.2% in the third grade. The number of individuals with tall height and excess body weight of the I and II degrees has increased. According to the retrospective analysis of anthropometric parameters compared to 1969-1971 a tendency to deceleration was revealed. Among the examined schoolboys and schoolgirls in 2014-2015 68.9% of 7-year-olds, 64.1% of 8-year-olds, 70.5% of 9-year-olds and 68.7% of 10-year-olds had an average height, harmonious development among 7-year-old boys amounted to 69, 8%, girls – 66.1%, 8-year-olds – 65.9% and 64.6%, 9-year-olds – 72.6% and 65.8%, respectively, 10-year-old boys had the smallest share of harmonious physical development – 50.6%, and girls – 59.4%. Dynamics of anthropometric indicators from 1967-1969 to 2014-2015 was characterized by processes of acceleration against the background of astenization and gracefulization of children. Growth processes of anthropometric indicators took place unevenly. The lowest indicators of height and body weight in children were observed from 1992 to 1996, the highest – in 2014-2015. Nowadays children are taller and have more body weight than their peers 19-49 years ago. Among the examined schoolboys and schoolgirls of secondary school age (2018-2020), 74.5% and 77.3% of average height were found, respectively, 53.7% of schoolboys and 58.5% of 11-year-old schoolgirls had harmonious development, 12-year-olds – 60.5% and 56.3%, respectively, 14-year-olds – the share of harmonious development amounted to 79.3%. 16.5% of 11-year-old boys and 15.4% of girls, 11.4% and 16.9% of 12-year-olds, 19.6% and 16.0% of 14-year-old schoolchildren were overweight. Disharmonious physical development of schoolchildren is caused by an excess or deficit of body weight of the I and II degrees, an increase or decrease in the circumference of the chest of the I and II degrees, and their combinations. The dynamics of the physical development of schoolboys and schoolgirls is characterized by processes of acceleration – a clear regularity of the increase in height and body weight of children from 1996 to 2020 has been traced. Territorial peculiarities of physical development have been revealed. Regional scales of regression by height were developed.
Conclusions. The majority of the surveyed children and adolescents have harmonious physical development. At the present stage, the processes of acceleration of physical development have been identified. To assess the physical development of preschoolers, primary and secondary schoolchildren, regional regression scales by height were developed.
Materials and methods. Printed scientific works, abstracts, scientific research reports. Methods – search, analytical, descriptive.
Results. 125 years have passed since the founding of the Department of General Hygiene and Ecology of Danylo Halytsky Lviv National Medical University. Hygienic assessment of the physical development of children and adolescents has become one of the important directions of scientific activity of the department. In the late 40s of the twentieth century, the physical development of students of craft and factory colleges, factory training schools, and young men and women who worked at manufacturing enterprises was studied. It was found that young men and women who worked had better indicators of physical development. Their anthropometric indicators significantly exceeded those of peers in 1923. The physical development of boys and girls aged 4-6 in Lviv was studied in 1995-1996, in rural areas of Lviv region – in 1998-1999. It was found that 71.2%-71.6% of preschoolers had normal physical development. In particular, 72.4% of boys and 70.0% of girls who were residents of the city, 70.6% of boys and 72.6% of girls who were residents of rural areas. Deficits of body weight of the first degree were found in 38.7%, excess body weight of the first degree in 29.9% of children from Lviv, and among children from rural areas – 34.6% and 32.8% respectively. Rural children were shorter and had a lower body weight than urban children. From 1969-1971 until 1995-1996, urban children's body weight decreased by 1 kg on average. Among the examined male and female primary school students (2003-2005), 73.5% had normal physical development at entering school, 67.8% in the second grade, and 66.2% in the third grade. The number of individuals with tall height and excess body weight of the I and II degrees has increased. According to the retrospective analysis of anthropometric parameters compared to 1969-1971 a tendency to deceleration was revealed. Among the examined schoolboys and schoolgirls in 2014-2015 68.9% of 7-year-olds, 64.1% of 8-year-olds, 70.5% of 9-year-olds and 68.7% of 10-year-olds had an average height, harmonious development among 7-year-old boys amounted to 69, 8%, girls – 66.1%, 8-year-olds – 65.9% and 64.6%, 9-year-olds – 72.6% and 65.8%, respectively, 10-year-old boys had the smallest share of harmonious physical development – 50.6%, and girls – 59.4%. Dynamics of anthropometric indicators from 1967-1969 to 2014-2015 was characterized by processes of acceleration against the background of astenization and gracefulization of children. Growth processes of anthropometric indicators took place unevenly. The lowest indicators of height and body weight in children were observed from 1992 to 1996, the highest – in 2014-2015. Nowadays children are taller and have more body weight than their peers 19-49 years ago. Among the examined schoolboys and schoolgirls of secondary school age (2018-2020), 74.5% and 77.3% of average height were found, respectively, 53.7% of schoolboys and 58.5% of 11-year-old schoolgirls had harmonious development, 12-year-olds – 60.5% and 56.3%, respectively, 14-year-olds – the share of harmonious development amounted to 79.3%. 16.5% of 11-year-old boys and 15.4% of girls, 11.4% and 16.9% of 12-year-olds, 19.6% and 16.0% of 14-year-old schoolchildren were overweight. Disharmonious physical development of schoolchildren is caused by an excess or deficit of body weight of the I and II degrees, an increase or decrease in the circumference of the chest of the I and II degrees, and their combinations. The dynamics of the physical development of schoolboys and schoolgirls is characterized by processes of acceleration – a clear regularity of the increase in height and body weight of children from 1996 to 2020 has been traced. Territorial peculiarities of physical development have been revealed. Regional scales of regression by height were developed.
Conclusions. The majority of the surveyed children and adolescents have harmonious physical development. At the present stage, the processes of acceleration of physical development have been identified. To assess the physical development of preschoolers, primary and secondary schoolchildren, regional regression scales by height were developed.
KEYWORDS:
Department of general hygiene with ecology, physical development, boys, girls, schoolboys, schoolgirls.
REFERENCES:
1. Zimenkovskyi BS, Hzhehotskyi MR, Lutsyk OD. [Professors of Danylo Halytsky Lviv National Medical University: 1784-2009]. Lviv: Nautilus; 2009. 472 p. Ukrainian.
2. Zimenkovskyi BS, Hzhehotskyi MR, Fedorenko VI, Plastunov BA. [Lviv hygienic scientific school: development history and achievements]. Environment & Health. 2013;4:68-74. Ukrainian. Available from: http://www.dovkil-zdorov.kiev.ua/env/67-0068.pdf
3. Fedorenko VI, Kitsula LM. [Department of general hygiene and ecology at Danylo Halytsky Lviv National Medical University: from becoming to the present]. Environment & Health. Special Issue. 2015;5:59-64. Ukrainian.
4. Fedorenko VI, Êitsula LM. [Historical milestones of the origin and development of preventive medicine and sanitation in Lviv and the creation and directions of scientific work of the Department of General Hygiene and Ecology at Danylo Halytsky Lviv National Medical University]. In: Proceedings “History of medicine science practice and education conference”. April 26-27, 2018. Kyiv; 2018: 376-86. Ukrainian. Available from: https://health.gov.ua/wp-content/uploads/2024/02/proceedings_history_of_medicine_science_practice_and_education_conference_2018.pdf
5. Fedorenko VI. [Basic directions and results of Danylo Halytsky Lviv National Medical University General Hygiene with Ecology department, to the 110-th anniversary of department foundation]. Hygiene of Populated Places. 2009;54:3-11. Ukrainian.
6. [Modern society’s hygienic problems: scientific works collection to the 100-years anniversary of Danylo Halytsky Lviv State Medical University General Hygiene department]. Lviv; 1999:4-22. Ukrainian.
7. Kitsula LM. [Hygienic and toxicological assessment of preschool children nutritioin organized groups: cand. med. sci. Abstract of dis.14.02.01]. Lviv; 2002. 24 p. Ukrainian.
8. Fedorenko V, Shtabskyi B, Kitsula L. [Physical development of the children of preschool age of city of Lviv and rural area of Lviv region]. Likarskyi Zbirnyk. Nova seriia. Lviv-Chykaho. 2004;13:132-8. Ukrainian.
9. FedorenkoVI, Kitsula LM [Physical development of the children of preschool age of city of Lviv and rural area of Lviv region]. Hygiene of Populated Places. 2015;66:203-10. Ukrainian. Available from: http://www.hygiene-journal.org.ua/site/gnm.nsf/id/B022F3808A3831F2C22586AE002A0AAA/$file/66_203-210.pdf
10. Shtabskyi BÌ, Fedorenko VI, Kitsula LÌ. [The state of physical development of the children of preschool age of city of Lviv and rural area of Lviv region (dynamics of changes over 25 years)]. In: Proceedings of the all-Ukrainian scientific and practical conference “Modern technologies for preserving and strengthening the health of children, adolescents and young people”. Vinnytsia, October 1-2, 2003. Reports Of Vinnytsia National Medical University. 2003;2(2):814-5. Ukrainian.
11. Shtabskyi BM, Fedorenko VI, Kitsula LÌ, Pavliv R², Savchenko G². [Physical development of pre-school age children in the city of Lviv (1995-1996)]. In: [Physical development of children from different regions of Ukraine. Urban preschoolers (Baryliak IR, Polka NS, Yeremenko HM, editors)]. Kyiv. 2003;2:136-48. Ukrainian.
12. Shtabskyi BM, Fedorenko VI, Kitsula LÌ, Pavliv R². Savchenko G². [Physical development of pre-school age children in the rural area of the Lviv region (1998-1999)]. In: [Physical development of children from different regions of Ukraine. Urban preschoolers (Baryliak IR, Polka NS, Yeremenko HM, editors)]. Kyiv. 2003;2:149-61. Ukrainian.
13. Ìoskvyak NV. [Physical development of first graders in Lviv]. Hygiene of Populated Places. 2006;47:203-10. Ukrainian.
14. Ìoskvyak NV. [Formation of adaptation of junior schoolchildren at the modern stage]. Med. perspekt. 2009;14(3):116-21. Ukrainian. Available from: https://medpers.dsma.dp.ua/issues/2009/N3/3.pdf
15. Ìoskvyak NV, Fedorenko V.I. [The integral criteria of adaptation of junior pupils]. Environment & Health. 2012;3:13-7. Ukrainian. Available from: http://www.dovkil-zdorov.kiev.ua/env/62-0013.pdf
16. Ìoskvyak NV. [The main tendencies in physical development of children of Lviv primary schools]. Environment & Health. 2014;3:19-23. Ukrainian. Available from: http://www.dovkil-zdorov.kiev.ua/env/70-0019.pdf
17. Moskviak NV. [Hygienic evaluation of the formation of the adaptation of primary school children under conditions of education at comprehensive educational institution at present stage: cand. med. sci. Abstract of dis. 14.02.01]. Kyiv; 2011. 20 p. Ukrainian.
18. [Processing of age standards of physical development of younger schoolchildren in Lviv]. Report on research work. Lviv. 2017. 180 p. Ukrainian.
19. Fedorenko VI, Kitsula LM. [The dynamics of physical development of 6-years-old children in Lviv]. Environment & Health. 2017;2:50-5. Ukrainian. doi: https://doi.org/10.32402/dovkil2017.02.050
20. Fedorenko VI, Ryza LV, Kozak LP, Êitsula LM. [Dynamics of physical development of young schoolchildren in Lviv]. Med. perspect. 2016;21(4):88-92. Ukrainian. Available from: https://medpers.dsma.dp.ua/issues/2016/N4/4.pdf
21. Fedorenko VI, Êitsula LM, Kozak LP, Ryza LV. [Peculiarities of Physical Development of Primary School Age Children in Lviv]. Experimental and clinical physiology and biochemistry. 2017;1:44-9. Ukrainian. doi: https://doi.org/10.25040/ecpb2017.01.044
22. [Criteria of the assessment of physical development of school age children]. Order of the Ministry of Health of Ukraine ¹ 802 dated 13.09.2013. Ukrainian. Available from: https://zakon.rada.gov.ua/laws/show/z1694-13#Text
23. Fedorenko VI, Êitsula LM. [The territorial peculiarities of physical development of schoolchildren]. Environment & Health. 2015;2:14-9. Ukrainian. Available from: http://www.dovkil-zdorov.kiev.ua/env/73-0014.pdf
24. Moskviak NV. [Peculiarities of the morphological development of the European schoolchildren at the initial stage of training]. Environment & Health. 2017;1:46-50. Ukrainian. doi: https://doi.org/10.32402/dovkil2017.01.046
25. Moskvyak NV, Ìudra IH. [Peculiarities of secular trend of physical development formation in children Across Europe]. Experimental and Clinical Physiology and Biochemistry. 2017;1:17-23. Ukrainian. doi: https://doi.org/10.25040/ecpb2017.01.017
26. [Assessment of the physical development of children of secondary school age in Lviv]. Report on research work. Lviv. 2022. 242 p. Ukrainian.
27. Moskviak NV. [The retrospective comparative analysis of physical development of middle school age children]. Environment & Health. 2021;4:19-26. Ukrainian. doi: https://doi.org/10.32402/dovkil2021.04.019
28. Fedorenko VI, Êitsula LM, Kozak LP. [The main criteria for physical development of 11-year-old schoolboys and schoolgirls in Lviv]. Experimental and Clinical Physiology and Biochemistry. 2022;1-2:44-52. Ukrainian. doi: https://doi.org/10.25040/ecpb2022.01-02.044
FOR CITATION:
Fedorenko VI. [Hygienic assessment of the physical development of children and adolescents as one of the directions of the scientific activities of the department of general hygiene and ecology of Danylo Halytsky Lviv National medical university (for the 125th Anniversary of the department)]. Hygiene of Populated Places. 2024;74:108-117.