Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High Meteosensitivity
INTRODUCTION. The prevention, treatment and medical rehabilitation of children with bronchial asthma is an urgent public healthissue due to the increasing prevalence of the disease and its more severe course. According to the literature, most children withbronchial asthma have increased meteosensiti...
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Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology
2023-08-01
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| Series: | Вестник восстановительной медицины |
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| Online Access: | http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/tekhnologii-vosstanovitelnoy-meditsiny-i-meditsinskoy-reabilitatsii/2022-21-meteopaticheskie-reakcii-i-ih-profilaktika-u-detei-s-bronhialnoi-astmoi-v-moskovskom-regione-prospektivnoe-kogortnoe-issledovan.html |
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| author | Natalya A. Lyan Asiyat I. Uyanaeva Marina A. Rassulova Yulia Yu. Tupitsyna Irina I. Ivanova Irina I. Kalinovskaya |
| author_facet | Natalya A. Lyan Asiyat I. Uyanaeva Marina A. Rassulova Yulia Yu. Tupitsyna Irina I. Ivanova Irina I. Kalinovskaya |
| author_sort | Natalya A. Lyan |
| collection | DOAJ |
| description | INTRODUCTION. The prevention, treatment and medical rehabilitation of children with bronchial asthma is an urgent public healthissue due to the increasing prevalence of the disease and its more severe course. According to the literature, most children withbronchial asthma have increased meteosensitivity, i.e. reduced resistance of the body to changing meteorological conditions, which isusually accompanied by the development of pathological meteotropic (meteopathic) reactions. Meteoprophylaxis using the method ofinterval hypoxic training contributes to reduction of frequency and severity of meteopathic reactions, improvement of functional stateof respiratory system and psychological status. The positive effect of normobaric hypoxic therapy on clinical and functional parametersin children, including those with bronchial asthma, is known.MATERIAL AND METHODS. We examined 80 children with increased meteosensitivity, the study group consisted of 40 childrenwho received normobaric hypoxic therapy, the comparison group consisted of 40 children who did not receive normobaric hypoxictherapy. The effect of normobaric hypoxic therapy on the clinical course of bronchial asthma, external respiratory function parameters(computerized flowmetry), psychoemotional status was studied.RESULTS AND DISCUSSION. The beneficial effect of normobaric hypoxic therapy on the clinical course (reduction of dry paroxysmalcough, dry wheezing) was revealed. There was a statistically significant increase in the indexes of external respiration function (peakexpiratory velocity, MOS75 (p<0.05)). Psychological testing revealed decreased irritability, emotional lability, decreased anxiety,normalization of activity level, increased efficiency in children under the influence of normobaric hypoxic therapy. The manifestationsof meteorological stability decreased in most children, the severity structure of weather-related exacerbations changed: reactions ofmoderate severity decreased, severe manifestations of meteorological pathology practically disappeared.CONCLUSION. On the basis of the conducted research, we determined seasonal patterns in the formation of biotropic weatherconditions in the Moscow metropolis, which are a risk factor in the development of weather-related exacerbations and manifestationsof increased meteosensitivity in children with bronchial asthma as well as the frequency of formation of increased meteolability insuch patients. We also detected the effectiveness of normobaric hypoxic therapy as a method of preventing meteopathic reactions inchildren with bronchial asthma. |
| first_indexed | 2024-03-12T23:14:41Z |
| format | Article |
| id | doaj.art-a963001e6ce1480a881b4896e6510543 |
| institution | Directory Open Access Journal |
| issn | 2078-1962 2713-2625 |
| language | English |
| last_indexed | 2024-03-12T23:14:41Z |
| publishDate | 2023-08-01 |
| publisher | Ministry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and Balneology |
| record_format | Article |
| series | Вестник восстановительной медицины |
| spelling | doaj.art-a963001e6ce1480a881b4896e65105432023-07-17T14:39:08ZengMinistry of Health of the Russian Federation. National Medical Research Center of Rehabilitation and BalneologyВестник восстановительной медицины2078-19622713-26252023-08-0121497105https://doi.org/10.38025/2078-1962-2022-21-4-97-105Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High MeteosensitivityNatalya A. Lyan0https://orcid.org/0000-0003-1566-2739Asiyat I. Uyanaeva1https://orcid.org/0000-0002-6654-2289Marina A. Rassulova2https://orcid.org/0000-0002-9566-9799Yulia Yu. Tupitsyna3https://orcid.org/0000-0002-6491-4501Irina I. Ivanova4https://orcid.org/0000-0002-8943-9321Irina I. Kalinovskaya5https://orcid.org/0000-0002-3327-4687Moscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare, Moscow, Russian Federation; Sechenov First Moscow State Medical University, Moscow, Russian FederationMoscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare, Moscow, Russian FederationMoscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare, Moscow, Russian FederationMoscow Scientific Practical Center of Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare, Moscow, Russian FederationCentral State Medical Academy of the Administrative Department of the President of the Russian Federation, Moscow, Russian FederationChildren’s Bronchopulmonary Sanatorium No. 15, Moscow, Russian FederationINTRODUCTION. The prevention, treatment and medical rehabilitation of children with bronchial asthma is an urgent public healthissue due to the increasing prevalence of the disease and its more severe course. According to the literature, most children withbronchial asthma have increased meteosensitivity, i.e. reduced resistance of the body to changing meteorological conditions, which isusually accompanied by the development of pathological meteotropic (meteopathic) reactions. Meteoprophylaxis using the method ofinterval hypoxic training contributes to reduction of frequency and severity of meteopathic reactions, improvement of functional stateof respiratory system and psychological status. The positive effect of normobaric hypoxic therapy on clinical and functional parametersin children, including those with bronchial asthma, is known.MATERIAL AND METHODS. We examined 80 children with increased meteosensitivity, the study group consisted of 40 childrenwho received normobaric hypoxic therapy, the comparison group consisted of 40 children who did not receive normobaric hypoxictherapy. The effect of normobaric hypoxic therapy on the clinical course of bronchial asthma, external respiratory function parameters(computerized flowmetry), psychoemotional status was studied.RESULTS AND DISCUSSION. The beneficial effect of normobaric hypoxic therapy on the clinical course (reduction of dry paroxysmalcough, dry wheezing) was revealed. There was a statistically significant increase in the indexes of external respiration function (peakexpiratory velocity, MOS75 (p<0.05)). Psychological testing revealed decreased irritability, emotional lability, decreased anxiety,normalization of activity level, increased efficiency in children under the influence of normobaric hypoxic therapy. The manifestationsof meteorological stability decreased in most children, the severity structure of weather-related exacerbations changed: reactions ofmoderate severity decreased, severe manifestations of meteorological pathology practically disappeared.CONCLUSION. On the basis of the conducted research, we determined seasonal patterns in the formation of biotropic weatherconditions in the Moscow metropolis, which are a risk factor in the development of weather-related exacerbations and manifestationsof increased meteosensitivity in children with bronchial asthma as well as the frequency of formation of increased meteolability insuch patients. We also detected the effectiveness of normobaric hypoxic therapy as a method of preventing meteopathic reactions inchildren with bronchial asthma.http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/tekhnologii-vosstanovitelnoy-meditsiny-i-meditsinskoy-reabilitatsii/2022-21-meteopaticheskie-reakcii-i-ih-profilaktika-u-detei-s-bronhialnoi-astmoi-v-moskovskom-regione-prospektivnoe-kogortnoe-issledovan.htmlbronchial asthmachildrenrespiratory systemmeteosensitivityhypoxic therapy |
| spellingShingle | Natalya A. Lyan Asiyat I. Uyanaeva Marina A. Rassulova Yulia Yu. Tupitsyna Irina I. Ivanova Irina I. Kalinovskaya Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High Meteosensitivity Вестник восстановительной медицины bronchial asthma children respiratory system meteosensitivity hypoxic therapy |
| title | Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High Meteosensitivity |
| title_full | Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High Meteosensitivity |
| title_fullStr | Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High Meteosensitivity |
| title_full_unstemmed | Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High Meteosensitivity |
| title_short | Meteopathic Reactions and Their Prevention in Children with Bronchial Asthma in the Moscow Region: а Prospective Cohort Study of Patients with High Meteosensitivity |
| title_sort | meteopathic reactions and their prevention in children with bronchial asthma in the moscow region а prospective cohort study of patients with high meteosensitivity |
| topic | bronchial asthma children respiratory system meteosensitivity hypoxic therapy |
| url | http://www.vvmr.ru/en/archives/2022/4-21-avgust-2022/tekhnologii-vosstanovitelnoy-meditsiny-i-meditsinskoy-reabilitatsii/2022-21-meteopaticheskie-reakcii-i-ih-profilaktika-u-detei-s-bronhialnoi-astmoi-v-moskovskom-regione-prospektivnoe-kogortnoe-issledovan.html |
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