INDICATORS OF THE PHYSICAL CONDITION AND DISEASE STRUCTURE IN THE ELDERLY
Main Article Content
Abstract
The lack of age-specific standards of physiometric parameters in the adult population does not allow an adequate assessment of physical health.
Objective. The objective is analyzing physiometric indicators of health status and prevalence of pathology among the elderly people.
Material and methods. Parameters of physical health and presence of diseases from statistical registration forms (N 025/u-04; N 025-12/u; N 131/u) for 2015-2016 in Novosibirsk were estimated. A sample study of 300 patients aged 60-70 years was conducted. Physiometric health indicators of this group were compared with the data of generally accepted classifications for adults without regard to age.
Results. There were from 17.0 % to 51.0 % of the elderly population with a normal body type and average parameters of arterial blood pressure, heart rate, respiratory movements accepted in the Russian Federation. At the same time, people of this age of asthenic and hypersthenic body type were revealed, respectively, 23.0 % and 46.0 %. The share of the contingent, which had the bradycardia was 13.9 %, while tachycardia was 38.7 %. High levels of arterial blood pressure were noted in 83.0 % of the subjects. Persons 60-70 years with bradypnea were determined by 16.3 % and tachypnea was established in 32.7 %. The most common were diseases of the circulatory system – 24.5 % (coronary heart disease – 14.7 %), pathology of the genitourinary system – 24.5 % (non-inflammatory diseases of the female genital organs – 16.7 %), reaction to severe stress, adaptation disorders – 23.5 %. All patients in this age group had severe chronic pathology (47.0 %) and light (27.7 %) degree of severity, and need of dynamic observation of the condition.
Conclusion. The established parameters of the physical state of health and the presence of pathology in elderly people indicate large amplitude of the population spread, which suggests the development of appropriate age standards for this contingent in order to determine the relevance of diagnostic, treatment and prevention and rehabilitation measures.
Keywords
Author Biographies
Вера Александровна Погодина,
candidate of medical sciences, acting lead researcherАнатолий Иванович Бабенко,
MD, Professor, the head of the laboratory for strategic planning in health care
Анастасия Владимировна Половникова,
doctor-pediatricianЕвгений Анатольевич Бабенко,
candidate of medical sciences, the senior researcher of the laboratory for medical and social problems and strategic planning in healthcareArticle Details
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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References
Pliev PM, Solomonov AD. Life expectancy of older people, potential years of life and major causes of death in Stavropol territory. Social aspects of public health. 2013; (1). Available at: https://vestnik.mednet.ru Russian (Плиев П.М., Соломонов А.Д. Средняя продолжительность предстоящей жизни пожилых, их жизненный потенциал и основные причины его потерь в Ставропольском крае //Социальные аспекты здоровья населения. 2013. № 1. URL: http://vestnik.mednet.ru)
Tribunsky SI, Kolyado VB, Kolyado EV, Dorofeyev YuYu, Leshchenko VA. Typology of the entities of the Siberian Federal District based on the full assessment of public health, public health services and social and economic development. Siberian medical journal (Tomsk). 2011; 26(4-1): 175-178. Russian (Трибунский С.И., Колядо В.Б., Колядо Е.В., Дорофеев Ю.Ю., Лещенко В.А. Типологизация субъектов Сибирского федерального округа на основе комплексной оценки здоровья населения, здравоохранения и социально-экономического развития //Сибирский медицинский журнал (г. Томск). 2011. Т. 26, № 4-1. С. 175-178)
Chazova IE, Oshchepkova EV, Zhernakova YuV, Karpov YuA, Arkhipov MV, Barbarash OL, et al. Clinical guidelines. Diagnostics and treatment of arterial hypertension. Cardiology. 2015; 10(1): 3-30. Russian (Чазова И.Е., Ощепкова Е.В., Жернакова Ю.В., Карпов Ю.А., Архипов М.В., Барбараш О.Л. и др. Клинические рекомендации. Диагностика и лечение артериальной гипертонии //Кардиологический вестник. 2015. Т. 10, № 1. С. 3-30)
International statistical classification of diseases and related health problems. Tenth revision. M.: Medicine Publ., 1995. 170 p. Russian (Международная статистическая классификация болезней и проблем, связанных со здоровьем. Десятый пересмотр. М.: Медицина, 1995. 170 c.)
Kuulasmaa K, Tolonen H, Koponen P, Kilpeläinen K, Avdicová M, Broda G, et al. An overview of the European health examination survey pilot joint action. Arch Public Health. 2012; 70(1): 20
Lagiewka K. European innovation partnership on active and healthy ageing: triggers of setting the headline target of 2 additional healthy life years at birth at EU average by 2020. Arch Public Health. 2012; 70(1): 23
Robine JM, Cambois E, Nusselder W, Jeune B, Oyen VH, Jagger C. The joint action on healthy life years (JA: EHLEIS). Arch Public Health. 2013; 71(1): 2
Trusova LN, Rasskazova VN, Ivanova EA, Abasheva TV. Тo improve medical assistance to rural citizens. of public health and health care of the Far East of Russia. 2013; (1). Available at: http://www.fesmu.ru/voz/20131/2013107.aspx. Russian (Трусова Л.Н., Рассказова В.Н., Иванова Е.А., Абашева Т.В. К вопросу совершенствования медицинской помощи сельскому населению //Вестник общественного здоровья и здравоохранения Дальнего Востока России. 2013. № 1. URL: http://www.fesmu.ru/voz/20131/2013107.aspx)
Pogodina VA, Babenko AI, Khaiatova ZB, Babenko EA. Comparative analysis of health indicators in the adult population in the city of Novosibirsk. Social aspects of public health. 2018; (1). https://doi.org/10.21045/2071-5021-2018-59-1-1. Russian (Погодина В.А., Бабенко А.И., Хаятова З.Б., Бабенко Е.А. Сравнительный анализ показателей здоровья у взрослого контингента в городе Новосибирске //Социальные аспекты здоровья населения. 2018. № 1. https://doi.org/10.21045/2071-5021-2018-59-1-1)
Pogodina VA, Babenko AI, Babenko EA, Khaiatova ZB. Analytical health evaluation of young age persons (18-29 years) in the city of Novosibirsk. Kazan medical journal. 2018; 99(1): 116-121. Russian (Погодина В.А., Бабенко А.И., Бабенко Е.А., Хаятова З.Б. Аналитическая оценка здоровья у лиц молодого возраста (18-29 лет) в Новосибирске //Казанский медицинский журнал. 2018. Т. 99, № 1. С. 116-121)
Mamchits LP. Health state and quality of life in elderly and old people. Health and environmental problems. 2014; (4): 116-120. Russian (Мамчиц Л.П. Состояние здоровья и качество жизни людей пожилого и старческого возраста //Проблемы здоровья и экологии. 2014. № 4. С. 116-120)
Polikarpov AV, Ogryzko EV. Dynamics of morbidity of the population older than working age in the Russian Federation for 2010-2013. Health manager. 2015; (2): 37-46. Russian (Поликарпов А.В., Огрызко Е.В. Динамика заболеваемости населения старше трудоспособного возраста в Российской Федерации за 2010-2013 годы //Менеджер здравоохранения. 2015. № 2. С. 37-46)