Aim: to study the features of social and metabolic indicators in adolescents with arterial hypertension (AH), to assess their informative significance and the magnitude of their contribution to the risk of developing this pathology. Design: a comparative clinical study of patients. Materials and Methods: The object of the study was adolescents aged 12–17 years (boys and girls) with and without AH. The 1st stage included the analysis of biomedical, social and metabolic indicators, the 2nd stage included an assessment of the informative significance and degree of participation of indicators as risk factors for AH. Methods: questioning, laboratory, clinical and functional, statistical. Examination program: verification of AH and its severity; association of AH with functional somatic disorders; features of biomedical, social and metabolic indicators; assessment of the significance and contribution of indicators as risk factors for AH. Results. Of the 504 examined, AH was diagnosed in 86 (17.06%) adolescents, of which 47.7% (41 people) had grade 1 AH and 52.3% (45 people) had grade 2 AH. Social risk factors for hypertension associated with family characteristics: the degree of marriage of parents — temporary cohabitation (OR = 3.36), father's profession — worker (OR = 3.14), father's education — secondary special (OR = 2.25), deviant family (OR = 2.78), family at medical and social risk (OR = 1.87). Metabolic predictors of the risk of AH: the presence of DLP (OR = 1.95), HChS (OR = 2.62), HTG (OR = 2.21), Hyper-β-CHS (OR = 1.87) and Hyper-pre-β-ChS (OR = 2.14). Conclusion. Along with traditional ones, it is necessary to identify and correct socially determined and metabolic risk factors for AH in order to optimize the diagnosis and prevention of this pathology in adolescents. Keywords: adolescents, arterial hypertension, risk factors, social factors, lipid spectrum
Objective of the Review: To provide information on the prevalence of COVID-19 coronavirus infection in children and young people, on the negative impact of the epidemic on children and adolescents, the long-term consequences of COVID-19, and the psychosomatic status of people who have had a coronavirus infection. Key points. The COVID-19 pandemic has caused an unprecedented multi-modal (medical, professional, economic and social) crisis affecting most countries of the world, has become a factor of psychosocial disadvantage. The conducted studies give an idea of the prevalence, structure and clinical manifestations of mental disorders, disorders of the somatic and emotional status in children and young people during the epidemic, and in those who have recovered from this infection — about the features of the course of the post-COVID period. Conclusion. It is necessary to conduct longitudinal studies of the psychosomatic status of COVID-19 convalescents in the child and youth population in order to develop methods for correcting and preventing mental health disorders in this contingent. Keywords: children, students, coronavirus infection, psychosomatic status, mental health.
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