Functional State In Children Research Articles

The functional state of children from 9 to 10 years of age under the conditions of intense informational load and physical working capacity

Three-way ANOVA has shown that the functional state (FS) of children from 9 to 10 years of age (n = 91) under intense informational load is significantly influenced by the aerobic and anaerobic components of physical working capacity and their interaction. It has been found that 4 to 21% of the total variation of the studied FS indices are related to the bioenergetic resources of the body. It has been shown that the high levels of development of the aerobic and anaerobic glycolytic capacities are associated with the optimal changes in the FS under the conditions of intense informational load. At the same time, the interaction of the aerobic and anaerobic glycolytic components of physical working capacity exerts the most significant influence on the productivity and “psychophysiological cost” of intellectual activity. The high anaerobic glycolytic and anaerobic alactate capacities proved to have opposite functional effects. The former contribute to a decrease in excessive autonomic reactivity under the conditions of intense work and diminution of trait anxiety; the latter, on the contrary, determine hypermobilization of the system of autonomic support of activity. The results suggest that a combined use of rational proportions of physical loads of the aerobic, anaerobic glycolytic, and anaerobic alactate types will provide efficient control of children’s FS under the conditions of intense intellectual activity.

Comparing the clinical-functional state in children with cystic fibrosis detected by neonatal screening or by clinical symptoms

Newborn Screening for Cystic Fibrosis (CF) has demonstrated better clinical and functional results in patients diagnosed and treated prematurely. To compare clinical and functional state in children with CF detected by newborn screening or by symptoms. Cross-sectional study. We compared two groups paired by age, sex and genotype. A group detected by newborn screening (Group N) and other by symptoms (Group S), both confirmed with sweat test. We evaluated: age at diagnosis and enter to the center, z score weight/age (z W/A) at first visit and z score for body mass index (BMI) and height/age (z H/A) in last control, score of Shwachman-Brasfield (S/B), forced expiratory volume in one second (FEV1), first isolation of Pseudomonas aeruginosa (Pa) and number of hospitalizations. We included 21 patients in each of the groups from an universe of 250 patients treated in our center. The mean of both groups was 4.4 years. The age at diagnosis was lower in the group N than in the group S (p= 0.002, IC95%:-1.11/- 0.32). z W/A at diagnosis; z IMC; z H/A, score S/B and FEV(1) were better in group N (p< 0.001, 0.3, 0.01, 0.02, 0.1, respectively). The average age of first isolation of Pa and the average of hospitalizations was lower in group N (p= 0.34, IC95%: -1.45/0.51, p= 0.04, IC95%: -3.16/-0.07). Children with CF detected by neonatal screening programs had better clinical and functional outcome.