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УДК: 613.65 DOI:10.33920/med-08-2201-05

Clinical and Physiological Characteristics of Students of Professional Educational Organizations, Depending on the Hygienic Characteristics of the Chosen Specialty

Trubetskov Aleksey Dmitrievich PhD in Medicine, Professor, Leading Researcher, Saratov Medical Scientific Centre of Hygiene, Federal Research Centre of Medical and Preventive Health Risk Management Technologies of Rospotrebnadzor, 1 A, Zarechnaya str., Saratov, 410022, e-mail: adtrubetskov@gmail.com, https://orcid.org/0000-0002-8890-0921;
Zhirov Kirill Sergeevich Junior Researcher, Saratov Medical Scientific Centre of Hygiene, Federal Research Centre of Medical and Preventive Health Risk Management Technologies of Rospotrebnadzor, 1 A, Zarechnaya str., Saratov, 410022, Russian Federation, e-mail: hupenger@yandex.ru, https://orcid.org/0000-0002-7552-1519

Currently, the deterioration of health of future personnel is of particular relevance, which requires close attention. The most common method of assessing the health status of children and adolescents is the analysis of their physical development and the level of obesity since an increased level of body fat can affect their health and ability to work. Obesity in adolescents occurs against the background of a decrease in the level of active cell mass associated with low physical activity. According to WHO forecasts, the prevalence of obesity in children and adolescents will only increase. An increased level of body fat can negatively affect the state of the cardiovascular system, which is one of the most important indicators of the health of the body. The appearance of diseases such as arterial hypertension in children and adolescents can lead to the formation of pathologies of the cardiovascular system. A single-stage cross-sectional study of 141 female students going to Saratov College of Water Transport, Construction and Service was carried out. During the research, an anthropometric study, a study of the structure of body weight, as well as a study of the state of the cardiovascular system were carried out. The analysis of the structure of body weight showed that girls studying to be seamstresses and hairdressers had lower body fat, but higher levels of fat-free body weight and active cell mass, while girls who studied insurance and cooking had higher levels of body fat, but lower levels of fat-free body weight and active cell mass. At the same time, the girls who studied insurance and cooking had a higher load on the cardiovascular system. In these two groups, there were higher average values of blood pressure and heart rate, as well as higher values of the heart index, the "rhythm" index and the "myocardium" index. A significant number of girls applying for various specialities of a vocational educational institution show signs of latent obesity associated with a deficiency of active body cell mass and excess body fat at normal body mass index. Differences in clinical and physiological indicators are found between groups of female adolescents applying for various specialities of a vocational educational institution, which can be regarded as signs of the effect of healthy/unhealthy employment. The trends that arise already at the stage of the formation of professional groups may continue in the course of work and affect the state of health in the future.

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The deterioration of the health of adolescents in our country contributes to the formation of negative trends in the intellectual and physical potential of future personnel [1-3]. This issue is especially acute against the background of increasing attention to professions requiring secondary vocational education [4]. The most common way to assess the condition of children and adolescents is to assess their level of physical development [5], which primarily assesses the level of obesity [6]. As the peculiarities of the somatic constitution of children and adolescents can't only have a significant impact on their health but also subsequently influence the formation of risks for the progression of diseases in the future, taking into account the professional characteristics of work, the study of their body mass structure is an urgent issue [7]. There is a steady increase in the number of adolescents with an increased level of adipose tissue in the body. The increase in the level of adipose tissue in adolescents is often due to a decrease in physical activity, which can be not only the cause of obesity but also the cause of the formation of active cell mass deficiency (ACM) [8, 9]. Some scientists believe that with a reduced level of physical activity, the level of body fat can increase and lead to metabolic disorders, regardless of the phenotype and eating behaviour [10]. At the same time, not only developed countries face an increase in the level of obesity but also states in which there is a low level of income and living standards of the population [11]. According to WHO forecasts, the number of overweight children and adolescents will only increase [12]. Subsequently, an increased level of body fat in children and adolescents can lead to the formation of several different diseases [13, 14]. 18% of obese Russian children have 3-4 symptoms of metabolic syndrome [15].

The state of the cardiovascular system is one of the most important indicators of a healthy body, as it is an indicator of the adaptive abilities of the body and its being in balance with the environment [16]. The timely diagnosis of diseases such as arterial hypertension in children and adolescents is of great importance since the lack of timely prevention can significantly affect the incidence of cardiovascular diseases in the future [17]. The priority in the study of the state of the cardiovascular system in children and adolescents is a comprehensive assessment of functional reserves of the body [18, 19].

Для Цитирования:
Trubetskov Aleksey Dmitrievich, Zhirov Kirill Sergeevich, Clinical and Physiological Characteristics of Students of Professional Educational Organizations, Depending on the Hygienic Characteristics of the Chosen Specialty . Санитарный врач. 2022;1.
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