Features of 24- blood pressure monitoring in internet-dependent adolescents

The ever-increasing problem of Internet addiction (IA) in adolescents dictates the need to study its impact on the body, which is intensively developing in this age period, as the most susceptible to various adverse factors. At the same time, the relationship of Internet addiction with the pathology of the cardiovascular system has not yet been sufficiently investigated. Purpose: In this regard, the purpose of our work was: to identify the main changes in the indicators of SMAD and their relationship with psycho-emotional state in children with Internet addiction. Materials and methods: 69 children aged 11-18 years were examined with the help of 24-hour ambulatory blood pressure monitoring (ABPM) (TIR-NS-02s "Voskhod") on the basis of the Pediatric Department of the hospital in Krasnoyarsk. Internet addiction was identified by questionnaire using the Chen questionnaire (CIAS). The presence of psychological problems was determined by R. Goodman's questionnaire "Strengths and difficulties". Results: As a result, children with unadapted Internet use have a tendency to increased variability in blood pressure indicators with an increase in hypotension indicators during the day and hypertension at night, which is a risk factor for the development of arterial hypertension (AH). At the same time, children with deviations in ABPM indicators were more likely than in the control group to have problems with behavior, hyperactivity and problems communicating with peers, as well as higher rates of personal anxiety with low levels of situational anxiety. Conclusion: Thus, children with ID should be recommended to undergo ABPM in order to early identify established risk factors for the development of hypertension and its prevention with the mandatory use of psychotherapeutic techniques. Keywords: daily blood pressure monitoring; adolescents; Internet addiction; blood pressure variability; R. Goodman questionnaire "Strengths and difficulties"