Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
Indeks massy tela (IMT) yavlyaetsya odnim iz klyuchevyh i v tozhe vremya prostyh i znachimyh pokazateley sostoyaniya organizma cheloveka. Kak bol'shie, tak i malye velichiny IMT associirovany s vysokim urovnem zabolevaemosti. Cel' issledovaniya: ispol'zuya velichinu IMT kak kriteriy sravneniya proanalizirovat' mikroekologicheskie narusheniya kishechnogo biocenoza u detey raznogo vozrasta. Metody issledovaniya. Issledovan koprologicheskiy material ot 158 detey i podrostkov v vozraste ot 5 do 17 let (iz nih 77 mal'chikov i 81 devochka). Material byl raspredelen na tri gruppy sravneniya v zavisimosti ot velichiny IMT: pervaya gruppa s deficitom massy tela (DMT) (n=34), 2 gruppa s izbytochnym vesom i ozhireniem (IzbMT) (n=37), tret'ya gruppa s normal'nym vesom (NMT) (n=87). Rezul'taty. Pokazano, chto u bolee 80% detey s razlichnoy velichinoy IMT registrirovalis' disbioticheskie narusheniya kishechnoy mikrobioty 1 i 2 stepeni. Odnako v gruppe detey s NMT chastota vyyavleniya kishechnogo disbioza byla znachitel'no men'shey, a v gruppe detey s deficitom vesa disbioticheskie narusheniya vstrechalis' znachitel'no chasche, chem u detey s izbytkom vesa i ozhireniem (r<0,05). U detey s DMT nablyudalos' ne tol'ko povyshenie koncentracii UPB, no i uvelichenie chastoty vstrechaemosti otdel'nyh predstaviteley semeystva Enterobacteriaceae, v 58,8 % sluchaev registrirovalis' dvuh i trehkomponentnye associacii uslovno-patogennyh bakteriy (UPB), chto yavlyaetsya pokazatelem vyrazhennyh narusheniy formirovaniya mikrobiocenoza kishechnika. Poluchennye dannye pokazyvayut, chto pri ocenke sostoyaniya kishechnoy mikroflory v komplekse s drugimi issledovaniyami mozhno ispol'zovat' IMT kak vazhnyy kriteriy, otrazhayuschiy tyazhest' techeniya zabolevaniya.
Indeks massy tela, izbytochnaya i nizkaya massa tela, disbioz kishechnika, deti
1. Spislit sravnenie mikroekolog pokazat