V.M. Polyakov*, L.V. Rychkova**, N.A. Myasishchev***, Zh.V. Prokhorova****, I.A. Cherevikova*****, S.I. Kolesnikov******
Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, 664003 Russia
E-mail: *vmpolyakov@mail.ru, **rychkova.nc@gmail.com, ***roulih@mail.ru, ****proxorowa.janna2011@yandex.ru, *****gothic.craze@mail.ru, ******sikolesnikov2012@gmail.com
Received February 14, 2022
ORIGINAL ARTICLE
Full text PDF
DOI: 10.26907/2541-7738.2022.1-2.213-225
For citation: Polyakov V.M., Rychkova L.V., Myasishchev N.A., Prokhorova Zh.V., Cherevikova I.A., Kolesnikov S.I. Speech activity circadian rhythm disturbance in children and adolescents with hypertension. Uchenye Zapiski Kazanskogo Universiteta. Seriya Gumanitarnye Nauki, 2022, vol. 164, no. 1–2, pp. 213–225. doi: 10.26907/2541-7738.2022.1-2.213-225. (In Russian)
Abstract
This article is devoted to the study of the features of the dynamics of speech function (using associative activity as an example) in the circadian cycle of children and adolescents with hypertension (HTN). The research aims to distinguish between various approaches to teaching them. All participants were divided into the following two groups: the main group comprising 62 patients with HTN; the control group of 62 mostly healthy children. Both groups were matched for gender and age and then investigated by daily monitoring of blood pressure (BP) and multiple (threefold) neuropsychological testing following A.R. Luria's method in accordance with the conditional biorhythmological division of the day into three periods. Speech skills were assessed using C.G. Jung's associative experiment. In the participants with HTN, a comparative analysis of the dynamics of speech function in the circadian rhythm was carried out, and its results revealed a clear relationship between arterial pressure rhythm disturbances and speech activity. It was demonstrated that either an insufficient or significant decrease in blood pressure is commonly accompanied by a disruption of the circadian rhythm of speech activity. The observed daily fluctuations in the speech activity of the participants with HTN indicated desynchronosis and the formation of an altered biorhythm type, which is inverted with respect to the normal circadian rhythm of speech. In the participants with HTN, there was a change in the daily profiles of speech activity (associative processes), with the formation of a pathological circadian rhythm and the deterioration of speech activity.
Keywords: children and adolescents, hypertension, circadian rhythm, speech function
Figure Captions
Fig. 1. Dynamics of associations in the circadian cycle.
Fig. 2. Speech activity rhythms in the circadian cycle.
References
- Hildebrandt G., Moser M., Lehofer M. Chronobiology and Сhronomedicine. Moscow, Arnebia, 2006. 144 p.
- Valdez P., Ramírez С., García A. Circadian rhythms in cognitive processes: Implications for school learning. Mind, Brain, and Education, 2014, vol. 8, no. 4, pp. 161–168. doi: 10.1111/mbe.12056.
- McClung C.A. How might rhythms control mood? Let me count the ways. Biological Psychiatry, 2013, vol. 74, no. 4, pp. 242–249. doi: 10.1016/j.biopsych.2013.02.019.
- Eckel-Mahan K.L., Storm D.R. Circadian rhythms and memory: Not so simple as cogs and gears. EMBO Reports, 2009, vol. 10, no. 6, pp. 584–591. doi: 10.1038/embor.2009.123.
- Hampp G., Albrecht U. The circadian clock and mood-related behavior. Communicative & Integrative Biology, 2008, vol. 1, no. 1, pp. 1–3. doi: 10.4161/cib.1.1.6286.
- Polyakov V.M. Peculiarities of the organization of circadian rhythm of interhemispheric asymmetry in children and adolescents with essential arterial hypertension. Byulleten' SO RAMN, 2013, no. 1, pp. 69–73. (In Russian)
- Campos Costa I., Nogueira Carvalho H., Fernandes L. Aging, circadian rhythms and depressive disorders: A review. American Journal of Neurodegenerative Disease, 2013, vol. 2, no. 4, pp. 228–246.
- Walsh C.M., Blackwell T., Tranah G.J., Stone K.L., Ancoli-Israel S., Redline S., Paudel M., Kramer J.H., Yaffe K. Weaker circadian activity rhythms are associated with poorer executive function in older women. Sleep, 2014, vol. 37, no. 12, pp. 2009–2016. doi: 10.5665/sleep.4260.
- Antoniadis E.A., Kо С.Н., Ralph M.R., McDonald R.J. Circadian rhythms, aging and memory. Behavioural Brain Research, 2000, vol. 111, nos. 1–2, pp. 221–233. doi: 10.1016/s0166-4328(00)00145-5.
- Burdin V.N., Motov I.V., Grebennikov V.V., Novitskii I.A. Desynchronosis in nosology of essential hypertension. Sovremennye Problemy Nauki i Obrazovaniya, 2008, no. 6, pp. 125–128. (In Russian)
- Efimova N.Yu., Chernov V.I., Efimova I.Yu., Afanas'eva N.L., Lishmanov Yu.B. Cognitive dysfunction and cerebral circulation in patients with arterial hypertension, possibilities of correction with drugs. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova, 2008, no. 11, pp. 10–15. (In Russian)
- Efimova N.Yu., Chernov V.I., Efimova I.Yu., Idrisova I.M., Lishmanov Yu.B. Dysregulation of circadian blood pressure rhythm and pathogenesis of cognitive dysfunction in patients with metabolic syndrome. Arterial'naya Gipertenziya, 2010, vol. 16, no. 4, pp. 357–361. (In Russian)
- Mun O.R. Abnormalities in circadian blood pressure rhythm as a cognitive dysfunction risk factor in patients with arterial hypertension. Byulleten' Meditsinskikh Internet-Konferentsii, 2011, vol. 1, no. 1, p. 32. (In Russian)
- Knopman D., Boland L.L., Mosley T., Howard G., Liao D., Szklo M., McGovern P., Folsom A.R. Cardiovascular risk factors and cognitive decline in middle-aged adults. Neurology, 2001, vol. 56, no. 1, pp. 42–48. doi: 10.1212/wnl.56.1.42.
- Leont'eva I.V., Agapitov L.P. Ambulatory blood pressure monitoring for diagnosing arterial hypertension in children. Pediatriya, 2003, no. 5, pp. 10–16.
- Kolesnikova L.I., Dolgikh V.V., Polyakov V.M., Rychkova L.V., Madaeva I.M., Pogodina A.V., Protopopova O.N. Psychophysiological relations during arterial hypertension in ontogenesis. Byulleten' SO RAMN, 2009, no. 5, pp. 79–85. (In Russian)
- Luriya A.R. Osnovy neiropsikhologii [Principles of Neuropsychology]. Moscow, Akademiya, 2008, pp. 292–306. (In Russian)
- Dolgikh V.V., Leont'eva I.V., Rychkova L.V., Pogodina A.V., Mandzyak T.V., Bugun O.V., Polyakov V.M. Algoritmy diagnostiki i lecheniya, printsypy profilaktiki al'ternativnoi gipertenzii u podrostkov: Metodicheskie rekomendatsii [Algorithms of Diagnosis and Treatment, Principles of Prevention of Arterial Hypertension in Adolescents: Methodological Recommendations]. Irkutsk, GU NTs ME VSNTs SO RAMN, IP i RCh, 2008. 26 p. (In Russian)
- Polyakov V.M. Patterns of cognitive impairment in children and adolescents with essential arterial hypertension. Doct. Biol. Sci. Diss. Irkutsk, 2013. 305 p. (In Russian)
- Rubinstein S.Ya. Esperimental'nye metodiki patopsikhologii i opyt ikh primeneniya v klinike [Experimental Methods of Pathopsychology and Their Application in Clinical Cases]. Moscow, Aprel'-Press, Psikhoter., 2007, pp. 131–134. (In Russian)
- Kario K., Schwartz J.E., Gerin W., Robayo N., Maceo E., Pickering T.G. Psychological and physical stress-induced cardiovascular reactivity and diurnal blood pressure variation in women with different work shifts. Hypertension Research, 2002, vol. 25, no. 4, pp. 543–551. doi: 10.1291/hypres.25.543.
- Kolesnikova L.I., Dolgikh V.V., Leont'eva I.V., Bugun O.V. Essentsial'naya aretrial'naya gipertenziya u detei i podrostkov: kliniko-funktsional'nye varianty [Essential Arterial Hypertension in Children and Adolescents: Clinical and Functional Variants]. Irkutsk, RIEL, 2008. 108 p. (In Russian)
- Murashko N.K., Zalesnaya Yu.D. Neuropsychological and neuroimaging signs of cognitive disorders in patients with hypertensive encephalopathy. Vestnik KazNMU, 2012, no. 2, pp. 20–21. (In Russian)
- Starchina Yu.A. Early diagnosis and treatment of cognitive disorders in arterial hypertension. Extended Abstract of Cand. Med. Sci. Diss. Moscow, 2006. 32 p. (In Russian)
- Harrington F., Saxby B.K., McKeith I.G., Wesnes K., Ford G.A. Cognitive performance in hypertensive and normotensive older subjects. Hypertension, 2000, vol. 36, no. 6, pp. 1079–1082. doi: 10.1161/01.hyp.36.6.1079.
- Singh-Manoux A., Marmot M. High blood pressure was associated with cognitive function in middle–age in the Whitehall II study. Journal of Clinical Epidemiology, 2005, vol. 58, no. 12, pp. 1308–1315. doi: 10.1016/j.jclinepi.2005.03.016.
- Vicario A., Martinez C.D., Baretto D., Diaz Casale A., Nicolosi L. Hypertension and cognitive decline: Impact on executive function. Journal of Clinical Hypertension, 2005, vol. 7, no. 10, pp. 598–604. doi: 10.1111/j.1524-6175.2005.04498.x.
- Shevyrtalova O.N., Protopopova O.N., Madaeva I.M., Dolgikh V.V., Kolesnikova L.I., Polyakov V.M., Prokhorova Zh.V. Sleep loss in the genesis of personality and emotional disorders in adolescents with essential arterial hypertension. Rossiiskii Pediatricheskii Zhurnal, 2011, no. 2, pp. 12–16. (In Russian)
![](http://kpfu.ru/docs/F46869432187/img608337246.jpg)
The content is available under the license Creative Commons Attribution 4.0 License.