Objective of the study: Assess the health and quality of life in children with recurrent respiratory pathology and justify the effectiveness of comprehensive rehabilitation program to improve health involving additional nutritional support.Materials and methods: 101 children aged 5–9 years with recurrent respiratory pathology received a non-comparative clinical examination and rehabilitation. The first group included 75 children with disorders of nutritional status that were identified upon results of physical examination, anthropometric measurements, including body composition analysis (bioimpedance measurement), biochemical parameters and actual nutrition evaluation. The observed children of the main group received «PediaSure with fiber» functional product as part of the complex rehabilitation therapy to replenish the diet with the basic nutrients, vitamins and trace elements. The second group of 26 children comparable in age and gender, but not having disorders of nutritional status was allocated in order to assess the impact of the nutritional deficiency on the severity of recurrent respiratory disease. Those children received only general health therapy and usual sanatorium traditional food. The effectiveness of the therapy was assessed on the basis of the positive dynamics of the nutritional status and the quality of life study using the questionnaire Pediatric Quality of Life Questionnaire (Generic Core Scales). The study was conducted in Duslyk children’s sanatorium in Ufa.Results: The comprehensive health improvement program and additional nutritional support in children with recurrent respiratory pathology showed a significant improvement in anthropometric data, a 2.5-fold decrease in the average number (from 7.12 to 2.9, p <0.05), and 1.8 -fold decrease in the average duration (from 11.88 to 6.76 days, p <0.05) of episodes of recurrent respiratory infections, and also allowed to achieve significant improvement in all parameters of the children’s quality of life.Conclusion: The comprehensive health improvement program and additional nutritional support in children with recurrent respiratory pathology contribute to improving the quality of life, increasing adaptive capacity, reducing the frequency and duration of acute respiratory infections.
A survey of 182 children aged 5 to 9 years in the children’s sanatorium «Duslyk» Ufa. A survey of 182 children aged 5 to 9 years in the children’s sanatorium «Duslyk» Ufa.The main group included 101 children with relapsing respiratory pathology, the control group 81 healthy children. The article presents an analysis of the actual weekly diet of children at home, modern approaches to the study of nutritional status using clinical, biochemical, anthropometric, somatometric methods, bioimpedance measurements. The actual nutrition of children with relapsing respiratory pathology was characterized by an imbalance in the content of the main nutrients. A comprehensive assessment of nutritional status revealed malnutrition in children of the main group. The aim of the study was to assess the actual nutrition, the study of nutritional status, taking into account the clinical and laboratory parameters and the component composition of the body of children in the children’s sanatorium. The inclusion of an assessment of actual nutrition and nutritional status in the survey program will make it possible to timely identify malnutrition in children with relapsing respiratory pathology, purposefully carry out preventive measures.
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