EFFECTS OF RISK FACTORS ON PANCREATITIS DEVELOPMENT AND PREVENTIVE ROLE OF PHYSICAL TRAINING

Keywords: Pancreatitis, risk factors, pathogenesis, impact peculiarities, physical training

Abstract

Aim. To study the impact of risk factors on development of pancreatitis in comparison with other diseases of the hepatopancreatoduodenal area and to evaluate the effectiveness of physical training as a preventive approach. Material and methods. The study involved 488 people who were treated for diseases of hepatopancreatoduodenal area. Results. The following factors significantly (p &< 0.001) determining the direction of pathogenesis along the path of pancreatitis or other diseases should be considered most important: patient's dietary intervention and alcohol consumption by patient’s family members (rQ = 0.39–0.42 and 0.28–0.67, respectively), as well as gender (rQ = 0.40–0.51, p &< 0.001) and employment (rQ = 0.24–0.26, p &< 0.05). The strongest correlations between quantitative risk factors and the formation of pancreatitis in contrast to cholecystitis were observed for age (|rbs| = 0.23, p &< 0.001), alcohol abuse (|rbs| = 0.17, p &< 0.001), age at starting smoking (|rbs| = 0.29, p &< 0.001), and diet costs (|rbs| = 0.21, p &< 0.001). Regression analysis revealed a special preventive effect of ‘sports expenses’ factor rate on the development of bad habits. The optimal level of such costs is 7–10 %. Conclusion. The obtained results can be used to develop the personalized strategy for prevention of pancreatitis and allow recommending to patients to maintain the level of expenses on physical training at the level of 7–10 % of their income.

References

1. Stepanov Yu.M., Gravirovskaya N.G., Skirda I.Yu. [Diseases of the Pancreas as one of the Leading Problems of Gastroenterology and Abdominal Surgery (Modern Epidemiology)]. Gastroenterologiya [Gastroenterology], 2014, vol. 53, no. 3, pp. 7–14. (in Russ.)
2. Grigor'eva I.N. [Alcoholic Pancreatitis]. Gastroenterologiya [Gastroenterology], 2011, no. 1, pp. 51–55. (in Russ.)
3. Lazarenko V.A., Antonov A.E. [The Current State of the Problem of Bad Habits as a Risk Factor for Pancreatitis]. Sotsial'nye aspekty zdorov'ya naseleniya [Social Aspects of Public Health], 2017, vol. 55, no. 3. Available at:http://vestnik.mednet.ru/content/view/838/30/lang,ru/ (accessed 24.10.2017). (in Russ.) DOI: 10.21045/2071-5021-2017-55-3-8
4. Lazarenko V.A., Antonov A.E. [The Current State of the Problem of Pancreatitis in the Light of the Impact of Social Risk Factors]. Nauchno-prakticheskiy zhurnal Valeologiya [Scientific and Practical Journal of Valeology], 2017, no. 1, pp. 5–11. (in Russ.) DOI: 10.18522/2218–2268–2017–1-5–11
5. Lisitsyn Yu.P., Zhuravleva T.V., Khmel' A.A. [From the History of Studying the Influence of Lifestyle on Health].Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny [Problems of Social Hygiene, Health and History of Medicine], 2014, no. 2, pp. 39–42. (in Russ.)
6. Lopukhova V.A., Tarasenko I.V., Korenevskaya E.V. [Research of Demographic Processes. Premature Mortality and Lost Years of Potential Life of the Population of Kurchatov City]. Sovremennye problemy nauki i obrazovaniya [Modern Problems of Science and Education], 2017, no. 2. Available at: https://science-education.ru/ru/article/view?id=26344 (accessed 24.10.2017). (in Russ.)
7. Kaylanich G.A., Lopukhova V.A., Kaylanich E.A. [Assessment of the Quality of Inpatient Medical Care on the Basis of a Formalized Interview of the Population of the City of Orla]. Sovremennye problemy nauki i obrazovaniya [Modern Problems of Science and Education], 2017, no. 2. Available at: https://science-education.ru/pdf/2017/2/26156.pdf (accessed 24.10.2017). (in Russ.)
8. Lazarenko V.A., Antonov A.E., Prasolov A.V. [The Problem of Optimization of Regression Analysis in the Assessment of Risk Factors that Affect the Development of Surgical Diseases of the Hepatopancreatoduodenal Zone]. Zhurnal nauchnykh statey “Zdorov'e i obrazovanie v XXI veke” [Journal of Scientific Articles Health and Education in the 21st Century], 2017, vol. 19, no. 5, pp. 24–27. (in Russ.)
9. Glybochko P.V., Mukhin N.A., Svistunov A.A. [Improving Diagnostics is an Obligatory Condition for Improving the Quality of Medical Care]. Terapevticheskiy arkhiv [Therapeutic Archives], 2015, vol. 87, no. 4, pp. 4–7. (in Russ.)
10. Levy P., Dominguez-Munoz E., Imrie C., Lohr M., Maisonneuve P. Epidemiology of Chronic Pancreatitis: Burden of the Disease and Consequences. United European Gastroenterol J., 2014, no. 2 (5), pp. 345–354. DOI: 10.1177/2050640614548208
11. Nesvaderani M., Eslick G.D., Cox M.R. Acute Pancreatitis: Update on Management. Med J Aust., 2015, no. 202 (8), pp. 420–423. DOI: 10.5694/mja14.01333
12. Vege S.S., Yadav D., Chari S.T. Pancreatitis. GI Epidemiology, Talley N.J., Locke G.R., Saito Y.A. (Eds.), Blackwell Publishing, Malden, MA 2007. DOI: 10.1002/9780470692189.ch30
13. Xiao A.Y, Tan M.L.Y, Wu L.M. et al. Global Incidence and Mortality of Pancreatic Diseases: a Systematic Review, Meta-Analysis, and Meta-Regression of Population-Based Cohort Studies. The Lancet Gastroenterology & Hepatology, 2016, vol. 1, no. 1, pp. 45–55. DOI: http://dx.doi.org/10.1016/S2468-1253(16)30004-8
14. Yadav D., Lowenfels A.B. The Epidemiology of Pancreatitis and Pancreatic Cancer. Gastroenterology, 2013, vol. 144, iss. 6, pp. 1252–1261. DOI: 10.1053/j.gastro.2013.01.068
15. Yadav D., Timmons L., Benson J.T., Dierkhisingand R.A., Chari S.T. Incidence, Prevalence, and Survival of Chronic Pancreatitis: A Population-Based Study. The American Journal of Gastroenterology, 2011, no. 106, pp. 2192–2199. DOI:10.1038/ajg.2011.328

References on translit

1. Stepanov Yu.M., Gravirovskaya N.G., Skirda I.Yu. [Diseases of the Pancreas as one of the Leading Problems of Gastroenterology and Abdominal Surgery (Modern Epidemiology)]. Gastroenterologiya [Gastroenterology], 2014, vol. 53, no. 3, pp. 7–14. (in Russ.)
2. Grigor'eva I.N. [Alcoholic Pancreatitis]. Gastroenterologiya [Gastroenterology], 2011, no. 1, pp. 51–55. (in Russ.)
3. Lazarenko V.A., Antonov A.E. [The Current State of the Problem of Bad Habits as a Risk Factor for Pancreatitis]. Sotsial'nye aspekty zdorov'ya naseleniya [Social Aspects of Public Health], 2017, vol. 55, no. 3. Available at:http://vestnik.mednet.ru/content/view/838/30/lang,ru/ (accessed 24.10.2017). (in Russ.) DOI: 10.21045/2071-5021-2017-55-3-8
4. Lazarenko V.A., Antonov A.E. [The Current State of the Problem of Pancreatitis in the Light of the Impact of Social Risk Factors]. Nauchno-prakticheskiy zhurnal Valeologiya [Scientific and Practical Journal of Valeology], 2017, no. 1, pp. 5–11. (in Russ.) DOI: 10.18522/2218–2268–2017–1-5–11
5. Lisitsyn Yu.P., Zhuravleva T.V., Khmel' A.A. [From the History of Studying the Influence of Lifestyle on Health].Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny [Problems of Social Hygiene, Health and History of Medicine], 2014, no. 2, pp. 39–42. (in Russ.)
6. Lopukhova V.A., Tarasenko I.V., Korenevskaya E.V. [Research of Demographic Processes. Premature Mortality and Lost Years of Potential Life of the Population of Kurchatov City]. Sovremennye problemy nauki i obrazovaniya [Modern Problems of Science and Education], 2017, no. 2. Available at: https://science-education.ru/ru/article/view?id=26344 (accessed 24.10.2017). (in Russ.)
7. Kaylanich G.A., Lopukhova V.A., Kaylanich E.A. [Assessment of the Quality of Inpatient Medical Care on the Basis of a Formalized Interview of the Population of the City of Orla]. Sovremennye problemy nauki i obrazovaniya [Modern Problems of Science and Education], 2017, no. 2. Available at: https://science-education.ru/pdf/2017/2/26156.pdf (accessed 24.10.2017). (in Russ.)
8. Lazarenko V.A., Antonov A.E., Prasolov A.V. [The Problem of Optimization of Regression Analysis in the Assessment of Risk Factors that Affect the Development of Surgical Diseases of the Hepatopancreatoduodenal Zone]. Zhurnal nauchnykh statey “Zdorov'e i obrazovanie v XXI veke” [Journal of Scientific Articles Health and Education in the 21st Century], 2017, vol. 19, no. 5, pp. 24–27. (in Russ.)
9. Glybochko P.V., Mukhin N.A., Svistunov A.A. [Improving Diagnostics is an Obligatory Condition for Improving the Quality of Medical Care]. Terapevticheskiy arkhiv [Therapeutic Archives], 2015, vol. 87, no. 4, pp. 4–7. (in Russ.)
10. Levy P., Dominguez-Munoz E., Imrie C., Lohr M., Maisonneuve P. Epidemiology of Chronic Pancreatitis: Burden of the Disease and Consequences. United European Gastroenterol J., 2014, no. 2 (5), pp. 345–354. DOI: 10.1177/2050640614548208
11. Nesvaderani M., Eslick G.D., Cox M.R. Acute Pancreatitis: Update on Management. Med J Aust., 2015, no. 202 (8), pp. 420–423. DOI: 10.5694/mja14.01333
12. Vege S.S., Yadav D., Chari S.T. Pancreatitis. GI Epidemiology, Talley N.J., Locke G.R., Saito Y.A. (Eds.), Blackwell Publishing, Malden, MA 2007. DOI: 10.1002/9780470692189.ch30
13. Xiao A.Y, Tan M.L.Y, Wu L.M. et al. Global Incidence and Mortality of Pancreatic Diseases: a Systematic Review, Meta-Analysis, and Meta-Regression of Population-Based Cohort Studies. The Lancet Gastroenterology & Hepatology, 2016, vol. 1, no. 1, pp. 45–55. DOI: http://dx.doi.org/10.1016/S2468-1253(16)30004-8
14. Yadav D., Lowenfels A.B. The Epidemiology of Pancreatitis and Pancreatic Cancer. Gastroenterology, 2013, vol. 144, iss. 6, pp. 1252–1261. DOI: 10.1053/j.gastro.2013.01.068
15. Yadav D., Timmons L., Benson J.T., Dierkhisingand R.A., Chari S.T. Incidence, Prevalence, and Survival of Chronic Pancreatitis: A Population-Based Study. The American Journal of Gastroenterology, 2011, no. 106, pp. 2192–2199. DOI:10.1038/ajg.2011.328
Published
2017-12-01
How to Cite
Lazarenko, V., Antonov, A., Novomlinets, Y., & Stepchenko, A. (2017). EFFECTS OF RISK FACTORS ON PANCREATITIS DEVELOPMENT AND PREVENTIVE ROLE OF PHYSICAL TRAINING. Human. Sport. Medicine, 17(4), 91-99. https://doi.org/10.14529/hsm170410
Section
Rehabilitation and sports medicine