Влияние на телесното тегло и мастната тъкан върху костната здравеина и фрактурния риск при деца

Резюме

Фрактурите в детска възраст са чест педиатричен проблем. Техният пик е по време на пубертета, когато превалират сред момчетата. Най-честата фрактурна локализация е областта на дисталната предмишница. В периода 2021-2022 год. сред 2513 ученици на възраст от 16 до 19 години в 14 средни училища в гр. Варна е проведено анкетно проучване, включващо въпроси относно претърпени до момента счупвания, наличието на фамилност, придружаващи скелетни или др. хронични заболявания, прием на медикаменти. Общо 612 ученици – 24% от анкетираните (57% момчета) са имали фрактури по време на детството – 257 момичета (20% от момичетата) и 337 момчета (30% от момчетата), с обща честота от 13,1/1000/години. Сред учениците с 2 или повече счупвания се установява висок процент наднормено тегло/затлъстяване. Настоящото проучване показва епидемиологични резултати сравними с публикуваните по-рано чуждестранни данни. Уточняването на ролята на телесното тегло по отношение на костната здравина налага провеждането на допълнителни научни проекти. 

Ключови думи: фрактури, деца, затлъстяване

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Адрес за кореспонденция:

д-р Веселин Бояджиев, Детски ендокринолог

Катедра „Детски болести“, Медицински Университет Варна,

бул. „Хр. Смирненски”1, Варна, България 9010

Email: vessboja@gmail.com

тел. 0887 606 852