NON-DRUG CORRECTION OF NEUROENDOCRINE DISORDERS IN PUBERTY GIRLS WITH OBESITY

Objective. To study the efficiency of combined central and local physiotherapeutic procedures in correcting neuroendocrine and cerebral disorders in puberty girls with obesity. Subjects and methods. Eighty-seven puberty girls, including 67 with varying degrees of obesity and 20 apparently healthy girls without obesity, were examined. Their hormonal profile, lipidogram, and fasting reactive insulin and glucose levels were studied. Body mass index (BMI) and waist and hip circumferences were determined. The functional status of the central nervous system was examined by electroencephalography. The parameters of the autonomic nervous system were estimated by cardiointervalography. The obese girls were divided into two groups: a study group (n=40) and a control one (n=27). The study group patients received transcranial magnetotherapy using the bitemporal procedure in combination with transcranial electrostimulation employing the frontomastoid procedure, as well as myoelectrostimulation of the anterior abdominal wall, by transferring the stimulation zone from the right hypochondrium to the left one. The course consisted of 10—15 daily sessions. The control girls had placebo physiotherapeutic procedures (with disconnected electrodes). An AMO-ATOS-E apparatus was used for central physiotherapeutic exposures; a MIOVOLNA (MYOWAVE) device made in Russia was applied for local exposures. All the girls received a low-calorie diet and studied at weight control school. Results. Six months after treatment initiation, BMI decreased by an average of 5.9 and 2.5 kg/m 2 in the study and comparison groups, respectively. In the study group, CNS and UNS improvements were noted in 55% of the children (in 3.7% in the comparison group), the menstrual cycle was recovered in 25 of 30 girls with its impairment in the study group and in 1 of 22 girls in the comparison group. The hormonal profile (LH/FSH ratio) significantly improved by 26% in the study group and remained unchanged in the comparison one. Conclusion. The high efficiency of combined (central and local) physiotherapy procedures is likely to be associated with normalization of pituitary-ovarian relationships and allows the proposed methods to be recommended in a rehabilitation program for puberty girls with obesity and reproductive abnormalities.

obesity, puberty girls, neuroendocrine disorders, transcranial magnetotherapy, myoelectrostimulation