Differences of correlations of echometric dimensions of the uterus in different phases of the menstrual cycle with constitutional parameters of the body in practically healthy young women of ecto- and mesomorphic somatotypes

Abstract

The success of the solution to the problem of treatment and prevention of obstetric-gynecological pathology largely depends on the extent to which the relationship between the sonographic sizes` of the uterus and the ovaries with the constitutional parameters of the body will be fully and systematically studied. The purpose of the work is to establish differences in correlations of ultrasonic sizes of the uterus in different phases of the menstrual cycle (MC) with anthropo-somatotypological parameters of the body of practically healthy young women of ecto- and mesomorphic somatotypes. Primary indices of sonographic sizes of the uterus, as well as anthropometric and somatotypological parameters in 78 healthy urban young women of Podillia with duration of MC 28 days were obtained from the data bank of the research center of the National Pirogov Memorial Medical University, Vinnytsya. In a sonographic study in different phases of the MC, the length and width of the body, the length of the neck and the anterior-posterior size (thickness) of the uterus were measured for its largest size, as well as the thickness of the endometrium and myometrium. According to Bunak V. V. scheme anthropometric survey was conducted. The evaluation of the somatotype was carried out using the Carter-Heath mathematical scheme. According to the formulas of J. Matiegka fat, bone and muscle mass components are determined, and according to the American Institute of Nutrition, the muscular component of the body mass. The analysis of the correlations of the obtained results was carried out in the licensed package “Statistica 6.1” with the use of nonparametric statistics of Spearman. In young women with mesomorphic somatotype, regardless of the phase of MC, in most cases, there are numerous, mostly direct, reliable and unreliable mean strength correlations between the linear size of the uterus, the length of the cervix and the thickness of the myometrium, and most of the total and longitudinal dimensions of the body, as well as between the length of the body of cervix and the width of the distal epiphyses of the upper limb, the majority of the lower limbs girth, the thickness of the skin-fat folds on the lower extremity, and practically all the components of the body weight by Matiegka. In young women with ectomorphic somatotype, regardless of the phase of the MC, numerous, mostly direct, reliable average forces and strong and unreliable mean strength connections between all echometric dimensions of the uterus and all total, most of the longitudinal dimensions of the body (with the exception of the thickness of the endometrium), the width of the distal epiphysis forearm, most of the girth dimensions, shoulder width and muscle mass components of the body using the Matiegka method and the American Institute of Nutrition are set. Attention is drawn to the average strength, mostly reliable, feedback correlations regardless of the MC phase, between all echometric dimensions of the uterus and the ectomorphic component of the somatotype. So, between young women of meso- and ectomorphic somatotypes set differences of numerous connections of the sonographic parameters of the uterus with anthropo-somatotypological indices. In young women of mesomorphic somatotype in the follicular phase of the MC, the ovulation phase, and the luteal phase of the MC, the number and strength of the connections of the sonographic sizes of the uterus with anthropomorphic somatotypological parameters is lower than that of the representatives of the ectomorphic somatotype.