A comparative analysis of the relationship between stature and ultrasound dimensions of internal organs in adolescents

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Abstract

The aim of the study was a comparative characteristic of the size of internal organs according to ultrasonography data in subjects with various deviations in stature, determined using international standardized norms.

Materials and methods. The stature was measured in 93 adolescents, aged 13 to 17 years. Based on the measurements, the Z-score of body length was calculated according to the WHO Growth Reference, 2007 and three groups were formed for comparing the sizes of internal organs: “average”, “above average”, “below average”. Ultrasonography data of the internal organs dimensions and thyroid gland was performed using a Toshiba Aplio 500 ultrasound scanner.

Results. There were statistically significantly lower values of the liver span and the longitudinal size of the gallbladder in the examined subjects from the “below average” group compared to the rest of the subjects. The length of the spleen and the total volume of the thyroid gland were statistically significantly different in subjects from all three groups, with the highest values in volunteers from the “above average” group. A weak direct correlation was shown between the Z-score of body length and liver span, the length of the cauda of the pancreas, and the width of the spleen. An average direct statistical relationship was found between the Z-score of stature and the length of the spleen, as well as the total volume of the thyroid gland.

Conclusion. To a greater extent, body length is associated with the size of the parenchymal organs with a pronounced connective tissue frame - the liver and spleen, as well as the thyroid gland due to the relationship of its volume with hormones that regulate growth and development. Clinical substantiation of the relationship between the structure of the body and internal organs opens up the possibility of creating anatomical standards that allow ultrasound morphometric assessment of internal organs, taking into account the individual characteristics of the patient’s body size.

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About the authors

Valerii O. Yerkudov

Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: verkudov@gmail.com

MD, PhD, Cand. Sci. (Med.), Senior Lecturer, Department of Human Physiology

Russian Federation, Saint Petersburg

Andrey P. Pugovkin

Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: apugovkin@mail.ru

PhD, Dr. Sci. (Biol.), Senior Researcher, Professor, Department of Human Physiology

Russian Federation, Saint Petersburg

Aleksej J. Volkov

Saint Petersburg Regional Polyclinic No. 109

Email: pd3@zdrav.spb.ru

Head of Children’s Polyclinic Department No. 3

Russian Federation, Saint Petersburg

Oksana I. Musaeva

Saint Petersburg Regional Polyclinic No. 109

Email: oksana-musaeva@yandex.ru

Нead of the School-Preschool Department, Children’s Polyclinic Department No. 3

Russian Federation, Saint Petersburg

Dmitriy J. Volkov

“SOGAZ” International Medical Center

Email: dvolkov@sogaz-clinic.ru

Head of Pediatric Department

Russian Federation, Saint Petersburg

Sergej S. Rogozin

Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: box.rogozin@yandex.ru

Assistant Professor

Russian Federation, Saint Petersburg

Mar’jana V. Chistjakova

School No. 225 of Admiralteysky District

Email: m.chistyakova714@yandex.ru

10-year Student

Russian Federation, Saint Petersburg

Andrej V. Kochubeev

Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: andrej.ko4@yandex.ru

MD, PhD, Cand. Sci. (Med.), Associate Professor, Department of Human Physiology

Russian Federation, Saint Petersburg

Maria A. Pakhomova

Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: mariya.pahomova@mail.ru

MD, Senior Researcher

Russian Federation, Saint Petersburg

Tatiana V. Brus

Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: bant.90@mail.ru

MD, PhD, Cand. Sci. (Med.), Assistant Professor Department of Pathologic Physiology and Course Immunopathology

Russian Federation, Saint Petersburg

Mikhail M. Zabezhinsky

Saint Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: mih.zabezhinsky@yandex.ru

MD, PhD, Cand. Sci. (Med.), Associate Professor Department of Pathologic Physiology and Course Immunopathology

Russian Federation, Saint Petersburg

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Copyright (c) 2021 Yerkudov V.O., Pugovkin A.P., Volkov A.J., Musaeva O.I., Volkov D.J., Rogozin S.S., Chistjakova M.V., Kochubeev A.V., Pakhomova M.A., Brus T.V., Zabezhinsky M.M.

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