Abstract

According to many studies, the rheovasographic index of the thighs can detect slight changes in the vessels, do not constitute a critical inconvenience, but in advance indicate that more serious diseases of the lower limb are approaching. The purpose of the study is to determine the age and gender features of thigh rheogram indicators in practically healthy adolescents in the Podillia region of Ukraine. The rheographic parameters of the thighs of 103 practically healthy boys aged from 13 to 16 years old and 108 girls aged from 12 to 15 years, urban residents of the Podillia region of Ukraine, were determined using a cardiology computer diagnostic complex. The statistical processing of the obtained results was carried out in the license package “Statistica 5.5” using parametric and nonparametric methods for evaluating the obtained results. In 12-year-old girls, in comparison with other age groups, it was found that most of the amplitude indices (with the exception of the incisura amplitude), the time of the downstream part of the rheogram and the average speed of fast and slow blood flow are significantly higher, while the time of the rising part of the rheogram and fast and slow blood overflow and thumb vascular tone rates in most cases are significantly lower. In most cases, 13 and 14-year-old boys, compared to 15 and 16-year-old adolescents, the basic impedance and amplitude of the systolic wave, as well as most vascular tone rates and average slow-blood flow rates are significantly higher or tend to be higher. It has also been found that most of the time indicators (with the exception of slow blood flow time) in 14-year-old boys are significantly lower or tend to be lower than in other age groups of boys. When comparing rheogram data between boys and girls according to the calendar and biological age, the majority of amplitude and derivative indices, as well as the time of slow blood filling in 14 and 15-year-old girls, are significantly higher in girls. Boys have significantly higher values of the duration of the cardiac cycle and the time of the downstream part of the thigh rheogram, as well as all time and most indicators of vascular tone in 13-year-old boys than in 12-year-old girls. Thus, the expressed age and gender differences in the rheogram data of the thigh in practically healthy adolescents have been established.

Highlights

  • The pathology of the vessels of the lower extremities is a rather frequent disease among the adult population, and a significant part of children and adolescents are facing this problem [13, 16, 22]

  • Genetic predisposition and burdened heredity cause the appearance of this pathology [2, 8, 10, 11, 17]

  • Among the amplitude indices of thigh rheograms in girls aged from 12 to 15 years, the following changes are typical: significantly higher values, or a tendency towards higher values of the base impedance, amplitudes of systolic, diastolic, and fast blood flow in 12-year-old girls, than in other age groups of adolescent girls; the practical absence of a difference in the magnitude of incisura amplitude in girls of all age groups and most ratios of amplitude indices in 13 and 14-year-old girls compared with the value of these indicators in girls in general (Table 1)

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Summary

Introduction

The pathology of the vessels of the lower extremities is a rather frequent disease among the adult population, and a significant part of children and adolescents are facing this problem [13, 16, 22]. Excessive weight of the child, alcohol and nicotine consumption, low active lifestyle and impaired musculoskeletal system are accompanied by refinement and inhibition in the development of the vessels of the lower extremities [3, 6, 15, 18, 19, 29]. It becomes apparent that varicose veins and other vascular diseases of the leg in adults begin at childhood and adolescence age [7, 24]. A number of cohort studies were conducted that confirmed the following hypothesis: if pathological changes in rheographic indexes were observed in adolescents, this would lead to a pathology

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