Comparative Characteristics Of The Parameters Of The Physical Development In Children Khanty People Of Middle Priobye

The goal of the work is to develop norms for the physical development of ethnic Khanty children aged 0–17 years and compare them with WHO data and the population of the Middle Ob region. The anthropometry of ethnic Khants to children aged 0–17 years of the 1–2st group of health was conducted. Formed centile tables of parameters of physical development. Individual and comprehensive assessment of health status is impossible without focusing on regulatory indicators. To this end, at present, in health organizations, the assessment of the state of children’s health is carried out using indicators developed in a cohort of children and adolescents living in a remote area from the place of residence. The transition to the standards of the World Health Organization will unify the methodology for assessing the physical development of children and adolescents, make the results obtained at different times, in different countries and regions of the world, comparable. Materials and methods An anthropometry of 13140 children and adolescents of entic Khanty born in the Khanty-Mansiysk Autonomous Okrug-Ugra of children and adolescents aged 0–17 years of the 1–2 nd health groups during medical examinations in schools and copying of outpatient cards of children’s polyclinics of Surgut was made . The obtained results were subjected to mathematical processing using a nonparametric method for determining the cut-off points of the 3, 10, 25, 75, 90, and 97th percentiles of height, body weight, head circumference, chest, and the derived index — body mass index (BMI). The use of non-regional norms leads to overdiagnosis of excess body weight in the elderly in an alien population, as well as overdiagnosis of nanism and hypodiagnosis of obesity in ethnic Khanty. Conclusions When developing standards and assessing the physical development of children and adolescents, it is necessary to take into account the child’s territory of residence. It is necessary to create regional standards of centile tables for the evaluation of height and weight indicators. The described results of the study suggest that the use of standards of height, weight without taking into account the peculiarities of living in the North, may be the cause of underdiagnosis of obesity in ethnic Khanty, overdiagnosis of nanism The established features of the physical development standards of the Khanty determine the need for their use for a more objective assessment of the health status of these representatives of IMs.