AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROME

Aim. Of the study is to assess the vegetative status of children with vegetative dystonia syndrome.Materials and methods. The vegetative status was studied in 811 children and adolescents under the age of 17 years with a syndrome of vegetative dystonia who applied for medical assistance in the consu...

Full description

Bibliographic Details
Main Authors: V. A. Shashel, L. A. Podporina, G. B. Panesh, D. S. Ponomarenko, P. E. Dobryakov
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2017-10-01
Series:Кубанский научный медицинский вестник
Subjects:
Online Access:https://ksma.elpub.ru/jour/article/view/842
_version_ 1826568796560687104
author V. A. Shashel
L. A. Podporina
G. B. Panesh
D. S. Ponomarenko
P. E. Dobryakov
author_facet V. A. Shashel
L. A. Podporina
G. B. Panesh
D. S. Ponomarenko
P. E. Dobryakov
author_sort V. A. Shashel
collection DOAJ
description Aim. Of the study is to assess the vegetative status of children with vegetative dystonia syndrome.Materials and methods. The vegetative status was studied in 811 children and adolescents under the age of 17 years with a syndrome of vegetative dystonia who applied for medical assistance in the consultative and diagnostic department of the Children's Regional Clinical Hospital of the Ministry of Healthcare of Krasnodar Krai during 2016. To study the functioning of the autonomic nervous system, the сardiointervalography (CIG) was used. When assessing the state of the autonomic nervous system, the initial vegetative tonus (IVT), vegetative reactivity (VR), stability of vegetative processes regulation and activity of subcortical nerve centers (ASNC) were taken into account.Results. In 37.6% of the patients examined, the predominance of the parasympathetic nervous system tone was noted, in 28.9% of children the sympathetic department dominated, in 33.5% of the cases the eutonium was recorded. Hypersympathicotonic autonomic reactivity was registered in 50% of children, asymptaticotonic – in 22.9% of cases, within the normal limits – 27.1%. Stable regulation of vegetative processes was observed in 42.3% of patients, dysregulation with prevalence of parasympathetic nervous system was identified in 21.8% of cases, dysregulation with prevalence of sympathetic nervous system – in 13.5% of patients, a central type of dysregulation was observed in 11.8% of patients and a transient process – in 10.6% of cases. An increase in subcortical nerve centers activity was detected in 47% of the children and adolescents examined, an activity decrease was registered in 25.9% of the examined, normal activity was detected in 27.1% of cases. The evaluation of autonomic reactivity in children with clinical manifestations of autonomic dystonia syndrome according to the CIG was characterized as follows: initially, vegetative reactivity was increased in 66.2% of girls aged 5 to 9 years, in 33.8% it was decreased. In the age range from 10 to 14 years, the schoolchildren are strongly dominated by the increase in vegetative reactivity – 85.0%, the indicator is decreased in 15.0% of patients. 15-17 years old girls with hypersympaticotonic reactivity prevail – 88.0% of patients, while there were only 12.0% of patients with registered asympathicotonic reactivity. 5-9 years old boys of with defined hypersympathicotonic reactivity make 73.7%, with asymptoticotonic reactivity – 26.3%. Age from 10 to 14 years is represented by the following results: 91.5% of boys are characterized by increased vegetative reactivity and only 8.5% by decreased vegetative reactivity. In young men aged 15- 17 years, the prevalence of hypersympathicotonic dystonia is expressed, the incidence of increased vegetative reactivity increases significantly.Conclusion. With the increase of years of children suffering from vegetative dystonia syndrome without considering gender factors, the parasympathetic orientation of the vegetative tonus increases. The regulation of vegetative processes in most children is stable when the activity of the subcortical nerve centers is increased.
first_indexed 2024-03-07T21:48:51Z
format Article
id doaj.art-c3a0a8bcf6bd465ea3b997df3604eb3e
institution Directory Open Access Journal
issn 1608-6228
2541-9544
language Russian
last_indexed 2025-03-14T11:29:08Z
publishDate 2017-10-01
publisher Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
record_format Article
series Кубанский научный медицинский вестник
spelling doaj.art-c3a0a8bcf6bd465ea3b997df3604eb3e2025-03-02T10:05:31ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442017-10-010416917210.25207/1608-6228-2017-24-4-169-172804AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROMEV. A. Shashel0L. A. Podporina1G. B. Panesh2D. S. Ponomarenko3P. E. Dobryakov4Kuban State Medical University" of the Ministry of Health Care of the Russian FederationMBHI “Children's city polyclinic № 3”Kuban State Medical University" of the Ministry of Health Care of the Russian Federation; SBHI "Children's Regional Clinical Hospital" of the Ministry of Healthcare of Krasnodar Krai; MBHI “Children's city polyclinic № 3”Kuban State Medical University" of the Ministry of Health Care of the Russian Federation; SBHI "Children's Regional Clinical Hospital" of the Ministry of Healthcare of Krasnodar Krai; MBHI “Children's city polyclinic № 3”Kuban State Medical University" of the Ministry of Health Care of the Russian Federation; SBHI "Children's Regional Clinical Hospital" of the Ministry of Healthcare of Krasnodar Krai; MBHI “Children's city polyclinic № 3”Aim. Of the study is to assess the vegetative status of children with vegetative dystonia syndrome.Materials and methods. The vegetative status was studied in 811 children and adolescents under the age of 17 years with a syndrome of vegetative dystonia who applied for medical assistance in the consultative and diagnostic department of the Children's Regional Clinical Hospital of the Ministry of Healthcare of Krasnodar Krai during 2016. To study the functioning of the autonomic nervous system, the сardiointervalography (CIG) was used. When assessing the state of the autonomic nervous system, the initial vegetative tonus (IVT), vegetative reactivity (VR), stability of vegetative processes regulation and activity of subcortical nerve centers (ASNC) were taken into account.Results. In 37.6% of the patients examined, the predominance of the parasympathetic nervous system tone was noted, in 28.9% of children the sympathetic department dominated, in 33.5% of the cases the eutonium was recorded. Hypersympathicotonic autonomic reactivity was registered in 50% of children, asymptaticotonic – in 22.9% of cases, within the normal limits – 27.1%. Stable regulation of vegetative processes was observed in 42.3% of patients, dysregulation with prevalence of parasympathetic nervous system was identified in 21.8% of cases, dysregulation with prevalence of sympathetic nervous system – in 13.5% of patients, a central type of dysregulation was observed in 11.8% of patients and a transient process – in 10.6% of cases. An increase in subcortical nerve centers activity was detected in 47% of the children and adolescents examined, an activity decrease was registered in 25.9% of the examined, normal activity was detected in 27.1% of cases. The evaluation of autonomic reactivity in children with clinical manifestations of autonomic dystonia syndrome according to the CIG was characterized as follows: initially, vegetative reactivity was increased in 66.2% of girls aged 5 to 9 years, in 33.8% it was decreased. In the age range from 10 to 14 years, the schoolchildren are strongly dominated by the increase in vegetative reactivity – 85.0%, the indicator is decreased in 15.0% of patients. 15-17 years old girls with hypersympaticotonic reactivity prevail – 88.0% of patients, while there were only 12.0% of patients with registered asympathicotonic reactivity. 5-9 years old boys of with defined hypersympathicotonic reactivity make 73.7%, with asymptoticotonic reactivity – 26.3%. Age from 10 to 14 years is represented by the following results: 91.5% of boys are characterized by increased vegetative reactivity and only 8.5% by decreased vegetative reactivity. In young men aged 15- 17 years, the prevalence of hypersympathicotonic dystonia is expressed, the incidence of increased vegetative reactivity increases significantly.Conclusion. With the increase of years of children suffering from vegetative dystonia syndrome without considering gender factors, the parasympathetic orientation of the vegetative tonus increases. The regulation of vegetative processes in most children is stable when the activity of the subcortical nerve centers is increased.https://ksma.elpub.ru/jour/article/view/842vegetative statuschildrenvegetative dystonia syndrome
spellingShingle V. A. Shashel
L. A. Podporina
G. B. Panesh
D. S. Ponomarenko
P. E. Dobryakov
AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROME
Кубанский научный медицинский вестник
vegetative status
children
vegetative dystonia syndrome
title AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROME
title_full AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROME
title_fullStr AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROME
title_full_unstemmed AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROME
title_short AGE-RELATED ASPECTS OF VEGETATIVE STATUS IN CHILDREN WITH VEGETATIVE DYSTONIA SYNDROME
title_sort age related aspects of vegetative status in children with vegetative dystonia syndrome
topic vegetative status
children
vegetative dystonia syndrome
url https://ksma.elpub.ru/jour/article/view/842
work_keys_str_mv AT vashashel agerelatedaspectsofvegetativestatusinchildrenwithvegetativedystoniasyndrome
AT lapodporina agerelatedaspectsofvegetativestatusinchildrenwithvegetativedystoniasyndrome
AT gbpanesh agerelatedaspectsofvegetativestatusinchildrenwithvegetativedystoniasyndrome
AT dsponomarenko agerelatedaspectsofvegetativestatusinchildrenwithvegetativedystoniasyndrome
AT pedobryakov agerelatedaspectsofvegetativestatusinchildrenwithvegetativedystoniasyndrome