ОСОБЛИВОСТІ ЗАСТОСУВАННЯ КОМПЛЕКСНИХ ПОКАЗНИКІВ РІЗНИХ РІВНІВ ПІД ЧАС ОЦІНЮВАННЯ ВПЛИВУ ДОВКІЛЛЯ НА ФОРМУВАННЯ ДОНОЗОЛОГІЧНИХ ПОРУШЕНЬ ЗДОРОВ’Я ДІТЕЙ ДОШКІЛЬНОГО ВІКУ

There are 3 types of models of the estimation of health: nosological (traditional), prenosological diagnostics, health diagnostics according to direct indexes. Indirect indexes of health are usually used in a health protection system: morbidity, demographic indexes and physical development. The clinical specialists focus on the diagnostics and treatment of the diseases. The prenosological changes of the organism are the main subject for the estimation for the preventive medicine specialists (especially the specialists of the ecological public health). The prenosological changes are the objective criteria of environmental pollution. The objective of the article is to reveal the peculiarities of using complex indexes of different levels for the estimation of the influence of environment on the formation of prenosological health disorders of preschool children. Methods. Morpho-functional, sociological, mathematic methods are used by the authors. Results. All indexes using in preventive medicine were divided into 3 groups: 1) a group of account indexes (to characterize one functional system); 2) a group of total indexes (to characterize two or three systems); 3) a group of integrated indexes (to characterize the complex interactions of many systems of the body and their consent) by the authors. We concentrated only on the three most popular in preventive medicine indexes such as index Rufie, Skibinskij’s index, a level of somatic health, adaptive potential. It was revealed that the majority of surveyed children had insufficient levels of SI. It means that the imbalance of the function of cardiorespiratory system. Only one of ten children had good levels of this index. The percentage of children with low level of IS was statistically significant in the kindergartens located near highways. The percentage of children with low level of somatic health was higher in the kindergarten located near environmental pollution areas (mostly near highways). The low levels of health on all indexes of the functional systems of the organism of preschool children were determined. It is revealed that integrated indexes (Skibinskij’s index, a level of somatic health) are more informative in comparison with other indexes because they characterize the coordination of all functional systems. Also this type of indexes connects with the level of aerobic energy consumption and oxygen-transport system of children’s organism. Conclusions. The integrated indexes are more informative on the influence of the environment’s pollution. The elaboration of new integrated indexes for revealing prenosological changes of the organism is perspective direction for the solving the problem of the children’s health save and promotion.