A system for creating healthy lifestyle in educational establishments as a way to prevent health disorders in children

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613.2:613.956: 614.72:616-092.11-02

V.V. Vasilyev1,2,3, M.V. Perekusikhin4 , E.V. Vasilyev5


1Penza State University, 40 Krasnaya Str., Penza, 440026, Russian Federation
2The Penza Institute for Doctors' Advanced Training, a brunch of Russian Medical Academy for Continuous Occupational Training, 8a Stasova Str., Penza, 440060, Russian Federation
3N.N. Burdenko's Penza Regional Clinical Hospital, 28 Lermontova Str., Penza, 440026, Russian Federation
4The Federal Service for Surveillance over Consumer Rights Protection and Human Well-being, Penza Regional Office, 35 Lermontova Str., Penza, 440026, Russian Federation
5The Center for Hygiene and Epidemiology in Penza Region, 3 Marshala Krylova Str., Penza, 440026, Russian Federation


The paper focuses on morbidity among children that was examined as per medical aid appealability and prevailing behavioral factors among children aged 10–14 who attended schools with different systems for healthy lifestyle creation. In 2008, when a continuous system for healthy lifestyle formation was just being introduced, there were only slight differences in primary and overall morbidity among children aged 10–14 who attended test schools and reference ones; 10 year later, in 2018, primary and overall morbidity was substantially lower among children who attended tests schools than among those who went to reference ones. Primarily, it concerns such «school-induced» diseases as diseases of the eye and adnexa; diseases of the respiratory system; gastric diseases; diseases of the musculoskeletal system and the connective tissue; injury, poisoning and certain other consequences of external causes. Data obtained via questioning that was performed among schoolchildren and concentrated on them assessing their health are well in line with official data on morbidity obtained as per medical aid appealability. Children from test schools estimated their health as poor much less frequently than children from reference schools; they were significantly less irritable, and bad mood was also not so frequent among them.
Healthy lifestyle recommended for children included 5 basic components: fruit and vegetables should be consumed every day; sleep should b not shorter than 8 hours; physical activity was to be 1 hour a day or longer not more than 2 hours a day should be spent working or playing on a PC, laptop, or a smartphone; no alcohol intake and no smoking either. Assessment of this lifestyle revealed that a share of children who pursued it was higher in test schools than in reference ones; in the 5-6th grades, 18.7±1.62 % and 11.0±1.43 % (t=3.56) accordingly; in the 7‒8th grades, 19.2±2.09 % and 11.8±1.41 % (t=2.93).

children, secondary schools, a continuous system for healthy lifestyle formation, morbidity, questioning, health self-assessment, behavioral factors prevalence, healthy habits
Vasilyev V.V., Perekusikhin M.V., Vasilyev E.V. A system for creating healthy lifestyle in educational establishments as a way to prevent health disorders in children. Health Risk Analysis, 2021, no. 2, pp. 72–82. DOI: 10.21668/health.risk/2021.2.07.eng
  1. Kuchma V.R. Hygiene of children and adolescents: personalized and population-based approach to sanitary and epidemiological wellbeing of a young generation in modern conditions. Gigiena i sanitariya, 2019, vol. 98, no. 1, pp. 61–67 (in Russian).
  2. Baranov A.A., Al'bitskii V.Yu. State of health of children in Russia, priorities of its preservation and improving. Kazanskii meditsinskii zhurnal, 2018, vol. 99, no. 4, pp. 698–705 (in Russian).
  3. Kuchma V.R., Sukhareva L.M., Rapoport I.K., Shubochkina E.I., Skoblina N.A. Population health of children, risks to health and sanitary and epidemiological wellbeing of students: problems, ways of solution and technology of the activity. Gigiena i sanitariya, 2017, vol. 96, no. 12, pp. 990–995 (in Russian).
  4. Potrebny T., Wiium N., Haugstvedt A., Sollesnes R., Torsheim T., Wold B., Thuen F. Health complaints among adolescents in Norway: A twenty-year perspective on trends. PloS One, 2019, vol. 14, no. 1, pp. e0210509. DOI: 10.1371/journal.pone.0210509
  5. Promoting intersectoral and interagency action for health and well-being in the WHO European Region: working together for better health and well-being. Meeting Report. Copenhagen, WHO Regional Office for Europe Publ., 2017, 74 p.
  6. Chester K.L., Klemera E., Magnusson J., Spencer N.H., BrooksF.M. The role of school-based health education in adolescent spiritual moral, social and cultural development. Health Education Journal, 2019, vol. 78, no. 5, pp. 582‒594. DOI: 10.1177/0017896919832341
  7. Viner R.M., Ozer E.M., Denny S., Marmot M., Resnick M., Fatusi A., Currie C. Adolescence and the social determinants of health. Lancet, 2012, vol. 379, no. 9826, pp. 1641–1652. DOI: 10.1016/S0140-6736(12)60149-4
  8. Baranov A.A., Kuchma V.R., Anufriev E.V., Sokolova S.B., Skoblina N.A., Virabova A.R. Quality evaluation of healthcare services in schools. Vestnik Rossiiskoi akademii meditsinskikh nauk, 2017, vol. 72, no. 3, pp. 180‒194 (in Russian).
  9. Mann M.J., Smith M.L., Kristjansson A.L., Smith M.L., Daily S.M., Thomas S., Murray S.From Tactics to Strategy: Creating and Sustaining Social Conditions That Demand and Deliver Effective School Health Programs. Journal of School Health, 2018, vol. 88, no. 5, pp. 333‒336. DOI: 10.1111/josh.12614
  10. Sukharev A.G., Stan V.V., Ignatova L.F. The role of educational organizations in the development of students'' motivation to health and healthy lifestyle. Voprosy shkol'noi i universitetskoi meditsiny i zdorov'ya, 2016, no. 2, pp. 32–35 (in Russian).
  11. Marques A., Peralta M., Santos T., Martins J., de Matos M.G.Self-rated health and health-related quality of life are related with adolescents' healthy lifestyle. Public health, 2019, vol. 170, pp. 89–94. DOI: 10.1016/j.puhe.2019.02.022
  12. Moreno-Maldonado C., Ramos P., Moreno C.,Francisco R. How family socioeconomic status, peer behaviors, and school-based intervention on healthy habits influence adolescent eating behaviors. School Psychology International, 2018, vol. 39, no. 1, pp. 92–118. DOI: 10.1177/0143034317749888
  13. Park A., Eckert T.L., Zaso M.J., Scott‐Sheldon L.A.J., Vanable P.A., Carey K.B., Ewart C.K., Carey M.P. Associations Between Health Literacy and Health Behaviors Among Urban High School Students. Journal of School Health, 2017, no. 12, pp. 885‒893. DOI: 10.1111/josh.12567
  14. Asigbee F.M., Whitney S.D., Peterson C.E. The Link Between Nutrition and Physical Activity in Increasing Academic Achievement. Journal of School Health, 2018, vol. 88, no. 6, pp. 407‒415. DOI: 10.1111/josh.12625
  15. Dauenhauer B., Keating X., Stoepker P., Knipe R. State Physical Education Policy Changes From 2001 to 2016. Journal of School Health, 2019, vol. 89, no.6, pp. 485‒493. DOI: 10.1111/josh.12757
  16. Patton G.C., Sawyer S.M., Santelli J.S., Ross D.А. Our future: A Lancet commission onadolescent health and wellbeing. Lancet, 2016, vol. 387, no. 10036, pp. 2423‒2478. DOI: 10.1016/S0140-6736(16)00579-1
  17. Baltag V., Pachyna A., Hall J. Global overview of school health services: data from 102 countries. Health Behav Policy Rev, 2015, vol. 2, no. 14, pp. 268–283. DOI: 10.14485/HBPR.2.4.4
  18. Okely A.D., Hammersley M.L. School–home partnerships: the missing piece in obesity prevention? Lancet Child Adolesc & Health, 2018, vol. 2, pp. 5–6. DOI: 10.1016/S2352-4642(17)301542(1):5–6
  19. Fisenko A.P., Kuchma V.R., Kuchma N.Yu., Naryshkina E.V., Sokolova S.B. Strategy and practice of the forming a healthy lifestyle for children in the Russian Federation. Rossiiskii pediatricheskii zhurnal, 2020, vol. 23, no. 2, pp. 76‒84 (in Russian).
  20. Marques А., Loureiro N., Avelar-Rosa B., Naia A., Matos M.G. Adolescents' healthy lifestyle. J Pediatr (Rio J), 2020, vol. 96, no. 2, pp. 217–224. DOI: 10.1016/j.jped.2018.09.002
  21. Belcastro P.A., Ramsaroop‐Hansen H. Addressing the Antinomy Between Health Education and Health Literacy in Advancing Personal Health and Public Health Outcomes. Journal of School Health, 2017, no. 12, pp. 968‒974. DOI: org/10.1111/josh.12570
  22. Rabota otdelenii profilaktiki i reabilitatsii v penzenskikh shkolakh yavlyaetsya unikal'nym rossiiskim proektom [Functioning prevention and rehabilitation departments in schools in Penza are a unique Russian project]. Bezformata. Available at: https://penza.bezformata.com/listnews/otdelenij-profilaktiki-i-reabilita... (21.05.2020).
  23. Morozov D. Meditsinskaya sostavlyayushchaya v shkole nuzhdaetsya v usilenii [Medical component in school education needs to be enhanced]. Edinaya Rossiya. Available at: https://er.ru/activity/news/dmitrij-morozov-medicinskaya-sostavlyayushay... (11.10.2020).
  24. Vandendriessche A., Ghekiere A., Cauwenberg J.V., De Clercq B., Dhondt K., DeSmet A., Tynjälä J., Verloigne M., Deforche B. Does Sleep Mediate the Association between School Pressure, Physical Activity, Screen Time, and Psychological Symptoms in Early Adolescents? A 12-Country Study. Int. J. Environ. Res Public Health, 2019, vol. 16, no. 6, pp. 1072‒1116. DOI: 10.3390/ijerph16061072
  25. Sokolova S.B. The prevalence of behavioral risk factors, determining health state, among Moscow schoolchildren of 78 and 1011 grades. Zdorov'e naseleniya i sreda obitaniya, 2018, vol. 305, no. 8, pp. 4‒10 (in Russian).
  26. Markkanen I., Välimaa R., Kannas L. Associations between Students' Perceptions of the Psychosocial School Environment and Indicators of Subjective Health in Finnish Comprehensive Schools. Children and Society, 2019, vol. 33, no. 5, pp. 488502. DOI: 10.1111/chso.12334
  27. Marques A., Bordado J., Tesler R., Demetriou Y., Sturm D.J., de Matos M.G. A composite measure of healthy lifestyle: A study from 38 countries and regions fromde Europe and North America, from the Health Behavior in School‐Aged Children survey. American Journal of Human Biology, 2020, vol. 32, no. 6, pp. e23419. DOI: 10.1002/ajhb.23419

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