arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2008-14-2-165-171arthyper-1207Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESСтресс-реактивность гемодинамики у подростков и факторы, ее определяющиеFactors determining stress-reactivity of hemodynamics in the adolescentsСуминА.SuminA.noemail@neicon.ruСуминаЛ.SuminaL.noemail@neicon.ruВасильеваН.VasilyevaN.noemail@neicon.ruГУ Научно-производственная проблемная лаборатория реконструктивной хирургии сердца и сосудов СО РАМНRussian FederationГУЗ Областной клинический госпиталь для ветеранов войнRussian FederationФГЛПУ «Научно-клинический Центр охраны здоровья шахтеров»Russian Federation200828042008142165171Copyright © Сумин А., Сумина Л., Васильева Н., 20082008Сумин А., Сумина Л., Васильева Н.Sumin A., Sumina L., Vasilyeva N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1207

Резюме С целью оценки факторов, влияющих на стресс-реактивность артериального давления, обследовано 66 здоровых подростков (25 мальчиков, 41 девочка) в возрасте 14-17 лет (в среднем 15,2±0,1 лет). Всем обследуемым проводили тест с устным счетом, оценивали психологический статус (опросники Баса-Дарки, Кеттела, Спилбергера-Ханина), силу и выносливость скелетных мышц на многофункциональном тренажере. Гиперреактивность артериального давления в ответ на стресс встречалась у 27% подростков, нормальная реакция - у 47%, гипореактивность - у 26%. В группе гиперреакторов отмечено снижение силы и выносливости скелетных мышц, как верхних, так и нижних конечностей по сравнению с группами нормо- и гипореакторов. Психологические различия между группами были незначительными и заключались в более конкретном мышлении у гипореакторов и большей степени податливости, зависимости от окружающих, внутренней конфликтности в группе гиперреакторов. С реакцией артериального давления на тест с устным счетом в наибольшей степени коррелировали показатели силы и выносливости мышц, вес обследованных, уровень исходного артериального давления и степень развитости мышления. С реакцией частоты сердечных сокращений (ЧСС) в ходе теста были связаны только исходный уровень ЧСС и психологические факторы - уровень негативизма и зависимость от окружающих. Наши данные могут оказаться полезными в разработке программ снижения стресс-реактивности среди здоровых лиц, а также в первичной профилактике сердечно-сосудистых заболеваний у лиц с наличием психосоциальных факторов риска.

Resume In order to assess factors contributing to stress reactivity of blood pressure 66 adolescents (25 boys and 41 girles) form 14 to 17 yrs (15,2+0,1 yrs) were examined. Test with oral calculation, psychological (questionnaires of Bass-Darky, Kettle, Spielberg) as well as force of skeletal muscles and were assessed. Hyperreaction of blood pressure (BP) was observed in 27% of adolescents, normal reaction - in 47% cases, low reactivity - in 26%. In hyperreactive subjects lower parameters of skeletal muscle force were documented. Psychological discrepancies were insignificant between the groups. The BP raise during mental stress correlated with muscle force, body weight, baseline BP level and mental development. The data obtained can indicate that reducing stress reactivity can be important instrument in primary prevention of cardiovascular diseases in psychogenic rest groups.

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The authors declare that there are no conflicts of interest present.