Email this article Clinical and anthropometric parallels in the diagnostics of pyelonephritis in pregnant women
- Authors: Neymark A.I.1, Kapsargin F.P.2, Sindeeva L.V.2, Dugarzhapova T.O.2, Firsov M.A.2
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Affiliations:
- Altai State Medical University
- Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
- Issue: Vol 12, No 1 (2022)
- Pages: 21-32
- Section: Original articles
- URL: https://journals.rcsi.science/uroved/article/view/101478
- DOI: https://doi.org/10.17816/uroved101478
- ID: 101478
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Abstract
BACKGROUND: The most dangerous disease in the structure of urinary tract infections during pregnancy is pyelonephritis. Favorable ground for its occurrence is created by anatomical and physiological changes in the urinary system in pregnant women against the background of gestational restructuring of the body. It seems very relevant to study the constitutional features of pregnant women with pyelonephritis and reference points - markers associated with the risk of developing pyelonephritis, the individual characteristics of its course and the effectiveness of therapy using the fundamental basis of clinical anthropology.
AIM: Evaluation and comparative analysis of anthropometric and bioelectrical impedance body parameters in pregnant women with pyelonephritis.
MATERIALS AND METHODS: The study included 94 pregnant women with pyelonephritis hospitalized in the urological department of the Clinical Regional Hospital (Krasnoyarsk) from 2019 to 2021. In addition to traditional tests, anthropometric and bioelectrical impedance analysis was carried out to assess the constitutional features and criteria of normal and pathological variability boundaries of pregnant women with pyelonephritis. The control group included 39 women with physiological course of pregnancy without urological diseases.
RESULTS: The constitutional identification in the group of women with pyelonephritis in pregnancy was dominated by the mesomorph body type, with a smaller proportion presenting the endomorph type and the rarely detected central and ectomorph types. Vector analysis of soma components in pregnant women with pyelonephritis are characterized by high mesomorph scores reflecting the degree of skeletal and muscular development compared to the control group, with the lowest ectomorph values. According to bioelectrical impedance analysis, most patients have significant differences in a number of body composition parameters. Morphometric features of the pelvicalyceal system on the affected side are most prominent in the representatives of endomorph and central body types. There are significant correlations between the degree of pelvicalyceal system dilatation on the affected side and anthropometric and bioimpedance parameters of body composition.
CONCLUSION: The study revealed a number of clinical and anthropometric parallels and constitutional features of pregnant women with pyelonephritis with the characteristics of the component body composition. Relationships have been established between various indicators, which at first glance are not related to each other, but have a significant impact on the clinical manifestations of gestational pyelonephritis. The results of the pilot study and further development of the methodology will make it possible to determine the most significant constitutional predictors of the development of pyelonephritis in pregnancy and the possibility of conducting preventive therapy.
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##article.viewOnOriginalSite##About the authors
Aleksandr I. Neymark
Altai State Medical University
Email: neimark.a@mail.ru
ORCID iD: 0000-0002-5741-6408
SPIN-code: 4528-7765
Scopus Author ID: 7102411541
https://asmu.ru/ob-universitete/fakultety/lechebnyy-fakultet/spetsializirovannoy-khirurgii-po-urologii-travmatologii-i-oftalmologii/#
Doc. Sci. (Med.), Professor, Head of the Department of Urology and Andrology with a Course of Additional Professional Education
Russian Federation, BarnaulFedor P. Kapsargin
Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Email: dto93@mail.ru
SPIN-code: 5007-5059
Doc. Sci. (Med.), Professor
Russian Federation, 1, Partizana Zheleznyaka St., Krasnoyarsk, 660022Ludmila V. Sindeeva
Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Email: lsind@mail.ru
ORCID iD: 0000-0003-0469-9552
SPIN-code: 9456-5564
Scopus Author ID: 57210932013
ResearcherId: B-2934-2017
Doc. Sci. (Med.), Professor, Head of the Department of Anatomy, Histology, Embryology
Russian Federation, 1, Partizana Zheleznyaka St., Krasnoyarsk, 660022Tuyana O. Dugarzhapova
Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Email: dto93@mail.ru
ORCID iD: 0000-0003-2606-9914
ResearcherId: ACW-5750-2022
Postgraduate student of the Department of Urology, Andrology and Sexology of the Institute of Postgraduate Education
Russian Federation, 1, Partizana Zheleznyaka St., Krasnoyarsk, 660022Michael A. Firsov
Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University
Author for correspondence.
Email: firsma@mail.ru
SPIN-code: 6308-6260
Cand. Sci. (Med.), Head of the Department of Urology, Andrology and Sexology of the Institute of Postgraduate Education
Russian Federation, 1, Partizana Zheleznyaka St., Krasnoyarsk, 660022
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