Evaluation of the connective tissue dysplasia among adolescent’s population in Tyumen region
- Authors: Nagaeva M.O.1, Kolpakov V.V.1, Oslina A.N.1, Tomilova E.A.1, Bespalova T.V.2
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Affiliations:
- Tyumen state medical university
- Khanty-Mansiisk state medical academy
- Issue: Vol 29, No 5 (2022)
- Pages: 311-321
- Section: ORIGINAL STUDY ARTICLES
- URL: https://journal-vniispk.ru/1728-0869/article/view/96622
- DOI: https://doi.org/10.17816/humeco96622
- ID: 96622
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Abstract
BACKGROUND: It is crucial to organize a full-scale epidemic investigation into the rise in connective tissue dysplasia (DCT) among populations in varying climatic zones. Connective tissue dysplasia encourages the emergence and progression of several pathological conditions that harm life quality and length.
AIM: To identify the prevalence and structure of undifferentiated DCT syndrome among teenagers in different climate zones of the Tyumen region.
METHODS: An observational study in the Tyumen region, the Khanty-Mansi Autonomous Okrug-Yugra, the Yamalo-Nenets Autonomous Okrug included 578 teenagers, males, and females main groups (12 and 15 years) from secondary schools and residential schools. The evaluation of phenotypic symptoms for undifferentiated connective tissue dysplasia syndrome was according to recommendations by the Russian medical therapist’s society for diagnostics, treatment, and rehabilitation of people with DCT. The undifferentiated DCT syndrome has relevance, structure, and severity.
RESULTS: The amount of teenagers with undifferentiated DCT syndrome in the Tyumen region is 58.5%. The detection rate of undifferentiated DCT in the Tyumen region (south of the region) is 52.3%, in the Khanty-Mansi Autonomous Okrug-Yugra, it is 61.6%; in the Yamalo-Nenets Autonomous Okrug, 65.3%. Most of the registered phenotypic evidence of DCT included joint hypermobility, spinal scoliosis, hyperkyphosis of the thoracic spine, straight back syndrome, Varga index of 1.5–1.7, asthenic chest, bite anomalies, dysmorphism of the auricles, “Gothic” sky, loose and flabby skin, and myopia. A high average diagnostic coefficient, averaging 35.46±0.05 points, which surpasses the diagnostic threshold by more than two times and indicates possible complications of dysplastic changes. There are no differences in the severity of DCT manifestations according to several prognostically-significant criteria, depending on the climatic and geographical conditions within the studied area.
CONCLUSION: It is very important to take into account the high prevalence and severity of DCT among teenagers in the Tyumen region when planning programs for treatment, prophylactic, and rehabilitation measures.
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##article.viewOnOriginalSite##About the authors
Marina O. Nagaeva
Tyumen state medical university
Author for correspondence.
Email: nagaeva_m@mail.ru
ORCID iD: 0000-0003-0835-3962
SPIN-code: 6952-4984
Cand. Sci. (Med.), Associate Professor
Russian Federation, TyumenViktor V. Kolpakov
Tyumen state medical university
Email: kolpakov661@rambler.ru
ORCID iD: 0000-0001-6774-0968
SPIN-code: 6672-1697
Dr. Sci. (Med.), Professor
Russian Federation, TyumenAlexandra N. Oslina
Tyumen state medical university
Email: 0777@mail.ru
ORCID iD: 0000-0001-7846-8605
SPIN-code: 7089-1798
Russian Federation, Tyumen
Evgeniya A. Tomilova
Tyumen state medical university
Email: tomilovaea@mail.ru
ORCID iD: 0000-0003-1101-7628
SPIN-code: 4006-9259
Dr. Sci. (Med.), Associate Professor
Russian Federation, TyumenTatiana V. Bespalova
Khanty-Mansiisk state medical academy
Email: tatianadmn@mail.ru
ORCID iD: 0000-0002-7210-0946
SPIN-code: 7314-3598
Dr. Sci. (Med.), Associate Professor
Russian Federation, Khanty-MansiiskReferences
- Vershinina MV, Nechaeva GI, Gudilin VA. Relative cardiovascular risk in young patients with connective tissue dysplasia. Therapy. 2020;(6):40–45. (In Russ). doi: 10.18565/therapy.2020.6.40-44
- Martynov AI, Nechaeva GI, Akatova EV, et al. National recommendations of the Russian scientific society of internal medicine for diagnostics, treatment and rehabilitation of patients with connective tissue dysplasia. Medical news of North Caucasus. 2016;(1):2–76. (In Russ). doi: 10.14300/mnnc.2016.11001
- Coles W, Copeman A, Davies K. Hypermobility in children. Pediatrics and child health. 2018;28(2):50–56. doi: 10.1016/j.paed.2017.12.001
- Feise RJ, Donaldson S, Crowther ER, et al. Construction and validation of the scoliosis quality of life index in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2005;30(11):1310–1315. doi: 10.1097/01.brs.0000163885.12834.ca
- Scheper MC, Pacey V, Rombaut L, et al. Generalized hyperalgesia in children and adults diagnosed with hypermobility syndrome and ehlers-danlos syndrome hypermobility type: a discriminative analysis. Arthritis Care Res (Hoboken). 2017;69(3):421–429. doi: 10.1002/acr.22998
- Glotov AV, Dobrykh SV, Ivanova EA, Plotnikova OV. Displaziya soedinitel'noi tkani u lits podrostkovogo vozrasta: ekspertiza profprigodnosti, profilaktika i vosstanovitel'naya korrektsiya. Omsk: Omskaya gosudarstvennaya meditsinskaya akademiya; 2014. 208 (In Russ).
- Karpin VA. Medical Ecology of the Russian North: a Systematic Review of the Relevance, Achievements and Perspectives. Ekologiya cheloveka (Human Ecology). 2021;28(8):4–11. (In Russ). doi: 10.33396/1728-0869-2021-8-4-11
- Staroded AS, Maidan VA, Tsvetkov SV. Influence of medicalgeographical features of Far North on adaptation processes. Izvestiya Rossiiskoi Voenno-meditsinskoi akademii. 2020;39(S3-5):160–163. (In Russ).
- Bjerregaard P, Young TK, Dewailly E, Ebbesson SO. Indigenous health in the Arctic: an overview of the circumpolar Inuit population. Scand J Public Health. 2004;32(5):390–395. doi: 10.1080/14034940410028398
- Jolly SE, Howard BV, Umans JG. Cardiovascular disease among Alaska Native peoples. Curr. Cardiovasc. Risk Rep. 2013;7(6):1–10. doi: 10.1007/s12170-013-0362-5
- Sharma S, Barr AB, Macdonald HM, et al. Vitamin D deficiency and disease risk among aboriginal Arctic populations. Nutrition Reviews. 2011;69(8):468–478. doi: 10.1111/j.1753-4887.2011.00406.x
- Stenlund P. The Arctic Council and health issues. International Journal of Circumpolar Health. 2002;2(61):88–91. doi: 0.3402/ijch.v61i2.17409
- Kadurina TI, Gnusaev SF, Abbakumova LN, et al. Hereditary and multivariate connective tissue disorders in children Algorithm of diagnosis. Management tactics. Meditsinskiy vestnik Severnogo Kavkaza. 2015;10(1):5-35. (In Russ). doi: 10.14300/mnnc.2015.10001
- Yakovlev VM, Nechaeva GI, Martynov AI, Viktorova IA. Displaziya soedinitel'noi tkani v praktike vrachei pervichnogo zvena zdravookhraneniya: rukovodstvo dlya vrachei. M.: KST Interforum; 2016. 520 p. (In Russ).
- Onufriichuk YuO, Ragozin ON, Radysh IV, Zhuravleva YuS. Dysplasia of the connecting tissue: prevalence and spectra phenothypical of displays in various climatic girdles. Ekologiya cheloveka (Human Ecology). 2009;16(1):29–33. (In Russ).
- Glesby MJ, Payeritz RE. Association of mitral valve prolapse and systemic abnormalities of connective tissue. A phenotypic continuum. JAMA. 1989;262(4):523–528.
- Viktorova IA. Metodologiya kuratsii patsientov s displaziei soedinitel'noi tkani semeinym vrachom v aspekte profilaktiki rannei i vnezapnoi smerti [dissertation]. Omsk; 2004. (In Russ).
- Ermachkova VL, Khovaeva YaB, Golovskoi BV. Рsychosomatic peculiarities of young patients with connective tissue dysplasia according to the screening program. Kubanskii nauchnyi meditsinskii vestnik. 2009;(6):45–47. (In Russ).
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