The preventive orientation of a health system demands use of an integrated approach to an assessment of individual health, component of which should be the assessment of physical development and diagnosis of somatotype as the structural characteristics of the constitution.
During the study the peculiarities of somatotypological and anthropometrical characteristics of girls of early reproductive age from urban and rural settlements are defined. It is established that the average value of anthropometrical indices of students tends to prevalence in people who live in rural settlements in comparison with constant female residents of the cities. Among girls from rural areas who had disharmonious development are found fewer people with deficiency and overweight than in urban girls. The tendency to astenisation is confirmed by later menarche in girls from cities in comparison with girls from rural settlements and the large number of diagnosed gynecologic pathology that can probably be explained by the negative impact of environmental pollution on the activities of the reproductive system.