The influence of balneotherapy on spa Truskavets’ on arterial pressure and its regulation at children

Walery Zukow

Background. It is known that balneotherapy on spa Truskavets' causes various effects on autonomous and endocrine systems, which, in turn, plays impact role in regulation of arterial blood pressure. The aim of this study was to investigate the effect of balneotherapy on the arterial blood pressure and to elucidate the role autonomic system and some other factors as predictors and/or regulators nature of this influence. Methods. We registrated at 25 girls and 22 boys 10-16 years old before and after two weeks balneotherapy systolic and diastolic blood pressure, HRV by Baevskiy, duration of delay of breathing after inspiration (Stange's test) and expiration (Hench's test), Teslenko's orthostatic test, Anfimov's proof test, routine clinical blood analysis as well as leukocytogram of peripheral blood, from which calculated Popovych's both strain index and adaptation index. Results. At 24 children changes in meanarterial pressure (MAP) did not exceed ±2 mm Hg, at 11 MAP decreased by 6,2±1,1 mm Hg, and at 12 rose by 4,4±0,8 mm Hg. Changes in MAP accompanied with changes in thrombocytes blood level (r=0,55) and Hench's expiration test (r=-0,41). It is detected 12 parameters, changes in which are specific (accuracy of classification: 87%) to different effects of balneotherapy on MAP. Changes in MAP are determined by initial level of MAP (r=-0,54) as well as vagal tone (r=-0,24) and lymphocytes blood level (r=0,19). It is detected 19 initial parameters, constellation of which allows forecast character of effect of balneotherapy on MAP with accuracy of 100%. Conclusion. Balneotherapy on spa Truskavets' causes various effects on blood pressure, which accompanied with changes in autonomic and humoral regulation and conditionized by constellation of initial parameters. Keywords: blood pressure, HRV, thrombocytes, leukocytogram, spa Truskavets', children.