Features of autonomic regulation in children and adolescents with recurrent headaches. Possibilities of medical correction

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Abstract

Purpose. To study the differences in the indicators of autonomic regulation in children and adolescents with recurrent headaches (RH).

Materials and methods. 84 people aged 7–17 years were examined – patients of the pediatric department, of which 40 (47.6%) were boys and 44 (52.4%) were girls; the median age was 16 (15; 17)] years. The features of vegetative regulation were assessed by the method of cardiorhythmography with the orthostatic test and cardiovascular tests according to the method of R.M. Baevsky using the device "VNS-spectrum". The indicators were compared in groups with the presence of RН (n=68) and without RН (n=16), as well as in groups formed taking into account the presence/absence of RН, gender and age.

Results. In patients with RН, a predominance of the sympathetic division of the autonomic nervous system (ANS) was revealed, confirmed by the presence of statistically significant differences in the quantitative values of the studied indicators of autonomic regulation. Discussion: Considering the significant role of the ANS in regulating the activity of organs and systems, the sympathicotonic orientation of the regulatory function of the ANS that we have identified, this can be regarded as a state of tension in the adaptive capabilities of the body of children and adolescents associated with the presence of RН. This assumption can be confirmed by further studies. As a medical correction, it is possible to use the sedative Nervo-Vit and the adaptogen Leveton P.

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About the authors

Yu. V. Zykova

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0001-7819-1845
Russian Federation, Krasnoyarsk

Yu. R. Kostyuchenko

Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences

Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0001-6233-6472
SPIN-code: 7480-2064

Scientific Research Institute of Medical Problems of the North

Russian Federation, Krasnoyarsk

T. V. Potupchik

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Author for correspondence.
Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0003-1133-4447
SPIN-code: 8353-3513

Candidate of Medical Sciences; 

Russian Federation, Krasnoyarsk

L. S. Evert

Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences; N.F. Katanov Khakass State University, Ministry of Education and Science of Russia

Email: potupchik_tatyana@mail.ru
ORCID iD: 0000-0003-0665-7428
SPIN-code: 4099-8973

MD; Krasnoyarsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences, Scientific Research Institute of Medical Problems of the North; N.F. Katanov Khakass State University, Ministry of Education and Science of Russia, Medical Institute

Russian Federation, Krasnoyarsk; Abakan

V. N. Shiiripei

4Research Institute of Medical and Social Problems and Management of the Republic of Tyva

Email: potupchik_tatyana@mail.ru

Candidate of Medical Sciences;

Russian Federation, Kyzyl

V. M. Zhidkov

Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia

Email: potupchik_tatyana@mail.ru
ORCID iD: 0009-0001-1346-5371
SPIN-code: 8246-2033
Russian Federation, Krasnoyarsk

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