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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">porozendo</journal-id><journal-title-group><journal-title xml:lang="ru">Остеопороз и остеопатии</journal-title><trans-title-group xml:lang="en"><trans-title>Osteoporosis and Bone Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-2680</issn><issn pub-type="epub">2311-0716</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/osteo13217</article-id><article-id custom-type="elpub" pub-id-type="custom">porozendo-13217</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Остеопороз в фокусе общественного здравоохранения: эффективность образовательных программ для детей школьного возраста как стратегия первичной профилактики</article-title><trans-title-group xml:lang="en"><trans-title>Osteoporosis in the focus of public health: effectiveness of educational programs for school-age children as a primary prevention strategy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3026-5814</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нурлыгаянов</surname><given-names>Р. З.</given-names></name><name name-style="western" xml:lang="en"><surname>Nurlygaianov</surname><given-names>R. Z.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Нурлыгаянов Радик Зуфарович, член координационного центра Российской общественной организации пациентов с остеопорозом «ОСТЕОРУС», к.м.н., доцент</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Radik Z. Nurlygaianov, MD, PhD</p><p>3 Lenina Str., 450008, Ufa</p></bio><email xlink:type="simple">radiknur@list.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-6019-0573</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Надыргулов</surname><given-names>Р. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Nadirgulov</surname><given-names>R. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Надыргулов Радик Буранбаевич</p><p>Уфа</p></bio><bio xml:lang="en"><p>Radik В. Nadirgulov, MD</p><p>Ufa</p></bio><email xlink:type="simple">nadradik@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-5195-6729</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Богданова</surname><given-names>Ю. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bogdanova</surname><given-names>Ju. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Богданова Юлия Альбертовна, к.м.н., доцент</p><p>Уфа</p></bio><bio xml:lang="en"><p>Julia A. Bogdanova, MD, PhD</p><p>Ufa</p></bio><email xlink:type="simple">uabogdanova@mrtexpert.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bashkir State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>09</day><month>08</month><year>2026</year></pub-date><volume>29</volume><issue>1</issue><fpage>4</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Нурлыгаянов Р.З., Надыргулов Р.Б., Богданова Ю.А., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Нурлыгаянов Р.З., Надыргулов Р.Б., Богданова Ю.А.</copyright-holder><copyright-holder xml:lang="en">Nurlygaianov R.Z., Nadirgulov R.B., Bogdanova J.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.osteo-endojournals.ru/jour/article/view/13217">https://www.osteo-endojournals.ru/jour/article/view/13217</self-uri><abstract><sec><title>Обоснование</title><p>Обоснование. Остеопороз является глобальной проблемой здравоохранения, при этом формирование пиковой костной массы в подростковом возрасте имеет критически важное значение для профилактики заболевания в будущем. Недостаточная осведомленность подростков о факторах риска остеопороза и методах его предотвращения требует разработки эффективных образовательных программ.</p></sec><sec><title>Цель</title><p>Цель. Оценить эффективность образовательной программы по профилактике остеопороза среди школьников и определить уровень сохранения полученных знаний в долгосрочной перспективе.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведено проспективное исследование с участием школьников, включавшее три этапа анкетирования: до обучения, после завершения образовательной программы и через год после обучения. Образовательная программа состояла из двух тематических занятий: «Что нужно знать об опорно-двигательной системе человека и ее функциях» и «Остеопороз — заболевание костей», «Как в детском возрасте нарастить здоровые кости». Для оценки усвоения материала использовался специально разработанный опросник из 10 вопросов, охватывающий ключевые аспекты профилактики остеопороза, включая роль питания, витаминов, физической активности и факторов риска заболевания.</p></sec><sec><title>Результаты</title><p>Результаты. Исходный уровень знаний школьников составлял 6,3±1,5 балла (63,1% правильных ответов). После проведения образовательной программы наблюдалось статистически значимое повышение уровня информированности до 9,8±0,6 балла (p&lt;0,001), при этом по большинству вопросов доля правильных ответов превысила 97%. Контрольное анкетирование через год показало частичное снижение остаточных знаний до 9,5±1,2 балла, однако они оставались статистически значимо выше исходных показателей (p&lt;0,001).</p></sec><sec><title>Заключение</title><p>Заключение. Образовательные программы по профилактике остеопороза демонстрируют высокую эффективность в повышении уровня знаний школьников о здоровье костной системы. Полученные результаты подтверждают целесообразность внедрения таких программ в систему школьного образования как эффективный механизм первичной профилактики остеопороза и формирования навыков здорового образа жизни у детей.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Background</title><p>Background: Osteoporosis is a global health problem, and achieving peak bone mass during adolescence is critical for preventing the disease later in life. Insufficient awareness among adolescents about osteoporosis risk factors and prevention methods requires the development of educational programs.</p></sec><sec><title>Aim</title><p>Aim: The aim of the study was to evaluate the effectiveness of an educational program on osteoporosis prevention among schoolchildren and to determine the level of knowledge retention in the long term.</p></sec><sec><title>Materials and methods</title><p>Materials and methods: A prospective study was conducted with the participation of schoolchildren, which included three stages of questioning: before training, after completion of the educational program and one year after training. The educational program consisted of two thematic classes: «What you need to know about the human musculoskeletal system and its functions» and «Osteoporosis — a bone disease», «How to build healthy bones in childhood». To assess the assimilation of the material, a specially developed questionnaire of 10 questions was used, covering key aspects of osteoporosis prevention, including the role of nutrition, vitamins, physical activity and risk factors for the disease.</p></sec><sec><title>Results</title><p>Results: The initial level of knowledge of schoolchildren was 6.3±1.5 points (63.1% correct answers). After the educational program, a statistically significant increase in the level of awareness to 9.8±0.6 points (p&lt;0.001) was observed, while for most questions the share of correct answers exceeded 97%. A control survey a year later showed a partial decrease in residual knowledge to 9.5±1.2 points, but they remained statistically significantly higher than the initial indicators (p&lt;0.001).</p></sec><sec><title>Conclusion</title><p>Conclusion: Educational programs for the prevention of osteoporosis demonstrate high efficiency in increasing the level of knowledge of schoolchildren about the health of the skeletal system. The obtained results confirm the feasibility of introducing such programs into the school education system as an effective mechanism for primary prevention of osteoporosis and the formation of healthy lifestyle skills in children.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>остеопороз</kwd><kwd>подростки</kwd><kwd>профилактика заболеваний</kwd><kwd>санитарное просвещение</kwd><kwd>знания о здоровье</kwd><kwd>плотность костной ткани</kwd><kwd>образ жизни</kwd></kwd-group><kwd-group xml:lang="en"><kwd>osteoporosis</kwd><kwd>adolescent</kwd><kwd>disease prevention</kwd><kwd>health education</kwd><kwd>health knowledge</kwd><kwd>bone density</kwd><kwd>life style</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Salari N, Darvishi N, Bartina Y, Larti M, Kiaei A, Hemati N, Shohaimi S, Mohammadi M. 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