Optimization of approaches to the assessment of some indicators of health condition of children of ethnic Khanties based on the development of standards adapted to them

Abstract

Objective: to evaluate the efficiency of the assessment of physical and sexual development, and blood pressure indicators of school-age children of the ethnic Khanties using standards developed on this cohort in comparison with the use of standards that are not adapted to them. Material and methods: the authors assessed of physical and sexual development, and blood pressure indicators in 423 ethnic Khanty children aged 7 to 17 years using standards developed on a cohort of children of the Khanty, the alien population of the north, and international standards. Results: statistically significant differences in the results of the assessment of anthropometric data, blood pressure, and sexual development were found using standards developed on different cohorts of children. The application of standards for the alien population of the north and international standards distorts the conclusion about the assessment of the health of children of ethnic Khanty and contributes to the underdiagnoses of obesity, excess body weight, and arterial hypertension, overdiagnoses of nanism, and a delay in sexual development. Conclusion: the presence of features of physical and sexual development, and blood pressure of ethnic Khanty children determines the need in the standards developed on this ethnically isolated cohort of children for individual and population assessment of their health.

Keywords

• physical development
• sexual development
• blood pressure
• children
• ethnic khanty