Spirometric citationsRaw values for children living in Constantine (Eastern region of Algeria)

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Mohamed Bougrida
Mohamed-Kheireddine Bourahli
Adel Aissaoui
Sonia Rouatbi
Hacene Mehdioui
Helmi Ben Saad

Abstract

Background: Spirometry play an important role in diagnosing obstructive lung disease, assessing the severity of lung disease, monitoring treatment of patients with respiratory disorders, and allocating patients to treatment groups in drug intervention studies. Since spirometric lung function depends on body size, age, gender and ethnic group, citationsRaw equations derived from healthy individuals are imperative for interpreting results.
Aim : To assess the need for spirometric norms for children 5 to 16 years old and living in Constantine (Eastern region of Algeria).
Methods : Anthropometric and spirometric data were measured in 208 healthy children (101 girls) living in Constantine (649 m above sea level).
Results : Published citationsRaw equations did not reliably predict measured spirometric data in Constantinian children. Combination of gender, age, height, weight, body mass index and body surface area explained between 69% and 94% of the spirometric data variability’s. FEV1/FVC ratio [means±SD (5th percentiles) were0.91±0.06 (0.80) for boys and 0.90±0.06 (0.81) for girls] was not included in the regression because of its relative independence of anthropometric data. The mean±SD of the forced expiratory time was 2.44±0.74 s and only 27% of children reached the threshold of ³ 3 s. In an additional group of 24 children prospectively studied, the agreement between measured and predicted FEV1 was satisfactory.
Conclusion : Our reliable spirometric citationsRaw equations provide a useful norm for the care of paediatric patients living in the Eastern region of Algeria. The present study enriches the World Bank of citationsRaw equations, from which physicians should choose according to where patients live and their ethnic background.

Keywords:

Pediatric ; Reference values ; Lung function ; Interpretation, Algeria

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References

  1. Golshan M, Nematbakhsh M, Amra B, Crapo Ro. Spirometric Reference Values In A Large Middle Eastern Population. Eur Respir J 2003;22:529-34.
  2. Hankinson Jl, Odencrantz Jr, Fedan Kb. Spirometric Reference Values From A Sample Of The General U.S. Population. Am J Respir Crit Care Med 1999;159:179-87.
  3. Ip Ms, Karlberg Em, Karlberg Jp, Luk Kd, Leong Jc. Lung Function Reference Values In Chinese Children And Adolescents In Hong Kong. I. Spirometric Values And Comparison With Other Populations. Am J Respir Crit Care Med 2000;162:424-9.
  4. Rosenthal M, Bain Sh, Cramer D, Et Al. Lung Function In White Children Aged 4 To 19 Years: I-Spirometry. Thorax 1993;48:794- 802.
  5. Trabelsi Y, Ben Saad H, Tabka Z, Et Al. Spirometric Reference Values In Tunisian Children. Respiration 2004;71:511-8.
  6. Pellegrino R, Viegi G, Brusasco V, Et Al. Interpretative Strategies For Lung Function Tests. Eur Respir J 2005;26:948-68.
  7. Stanojevic S, Wade A, Stocks J. Reference Values For Lung Function: Past, Present And Future. Eur Respir J 2010;36:12-9.
  8. Bougrida M, Ben Saad H, Kheireddinne Bourahli M, Bougmiza I, Mehdioui H. Spirometric Reference Equations For Algerians Aged 19 To 73 Years. Rev Mal Respir 2008;25:577-90.
  9. Global Initiative For Chronic Obstructive Lung Disease. Global Strategy For The Diagnosis, Management And Prevention Of Chronic Obstructive Lung Disease. 2009. Www.Goldcopd.Com/Guidelineitem.Asp?L152&L251&Intid5200 3. Accessed: September 26, 2011.
  10. Ferris Bg. Epidemiology Standardisation Project. Ii. Recommended Respiratory Disease Questionnaire For Use With Adults And Children In Epidemiological Research. Am Rev Respir Dis 1978;118:7-53.
  11. Stocks J, Quanjer Ph. Reference Values For Residual Volume, Functional Residual Capacity And Total Lung Capacity. Eur Respir J 1995;8:492-506.
  12. Neve V, Edme Jl, Devos P, Et Al. Spirometry In 3-5-Year-Old Children With Asthma. Pediatr Pulmonol 2006;41:735-43.
  13. Dubois D, Dubois Ef. A Formula To Estimate The Appropriate Surface Area If Height And Weight Be Known. Arch Intern Med 1916;17:863-71.
  14. Miller Mr, Hankinson J, Brusasco V, Et Al. Standardisation Of Spirometry. Eur Respir J 2005;26:319-38.
  15. Bland Jm, Altman Dg. Statistical Methods For Assessing Agreement Between Two Methods Of Clinical Measurement. Lancet 1986;1:307-10.
  16. Jenicek M, Cleroux R. Clinical Epidemiology: Its Evolution And Role In Clinical Practice And Research. Union Med Can 1985;114:625-32.
  17. Quanjer Ph, Stocks J, Cole Tj, Hall Gl, Stanojevic S; On Behalf Of The Global Lungs Initiative. Influence Of Secular Trends And Sample Size On Reference Equations For Lung Function Tests. Eur Respir J 2011;37:658-64.
  18. Kaditis Ag, Gourgoulianis K, Tsoutsou P, Et Al. Spirometric Values In Gypsy (Roma) Children. Respir Med 2008;102:1321-8.
  19. Pesant C, Santschi M, Praud Jp, Geoffroy M, Niyonsenga T, Vlachos-Mayer H. Spirometric Pulmonary Function In 3- To 5- Year-Old Children. Pediatr Pulmonol 2007;42:263-71.
  20. Brouwer Af, Roorda Rj, Duiverman Ej, Brand Pl. Reference Values For Peak Flow And Fev1 Variation In Healthy Schoolchildren Using Home Spirometry. Eur Respir J 2008;32:1262-8.
  21. Jeng Mj, Chang Hl, Tsai Mc, Et Al. Spirometric Pulmonary Function Parameters Of Healthy Chinese Children Aged 3-6 Years In Taiwan. Pediatr Pulmonol 2009;44:676-82.
  22. Vilozni D, Bentur L, Godfrey S, Barker M, Bar-Yishay E. Maximal Flow At Functional Residual Capacity In Healthy Children From Birth To 7 Years, And Beyond. Chest 2011;139:1439-44.
  23. Tsai Mc, Jeng Mj, Chang Hl, Et Al. Spirometric Reference Equations For Healthy Children Aged 6 To 11 Years In Taiwan. J Chin Med Assoc 2010;73:21-8.
  24. Liou Tg, Kanner Re. Spirometry. Clin Rev Allergy Immunol 2009; 37:137-52.
  25. Rouatbi S, Latiri I, Zaouali M, Et Al. Air Pollution And Bronchial Hyper Responsiveness. Tunis Med 1999;77:27-32.
  26. Ben Hassine Mr, Ben Miled Mt, El Gharbi T, Ben Ayed N. Passive Smoking In Asthmatics. Tunis Med 1984;62:251-4.
  27. Quanjer Ph, Stanojevic S, Stocks J, Et Al. Changes In The Fev1/Fvc Ratio During Childhood And Adolescence: An Intercontinental Study. Eur Respir J 2010;36:1391-9.
  28. Sliman Na, Dajani Bm, Shubair Ks. Pulmonary Function In Normal Jordanian Children. Thorax 1982;37:854-7.
  29. Malik Sk, Jindal Sk. Pulmonary Function Tests In Healthy Children. Indian Pediatr 1985;22:677-81.
  30. Veeranna N, Rao Kr. A Study Of Peak Expiratory Flow Rates Among Tribal Children Of Mysore District. J Indian Med Assoc 2004;102:357-9.
  31. Rosenthal M, Bush A. Ventilatory Variables In Normal Children During Rest And Exercise. Eur Respir J 2000;16:1075-83.
  32. Sagher Fa, Roushdy Ma, Hweta Am. Peak Expiratory Flow Rate Nomogram In Libyan Schoolchildren. East Mediterr Health J 1999;5:560-4.
  33. Tomalak W, RadliÆ’ski J, Latawiec W. Quality Of Spirometric Measurements In Children Younger Than 10 Years Of Age In The Light Of The Recommendations. Pneumonol Alergol Pol 2008;76: 421-5.
  34. Arets Hg, Brackel Hj, Van Der Ent Ck. Forced Expiratory Manoeuvres In Children: Do They Meet Ats And Ers Criteria For Spirometry? Eur Respir J 2001;18:655-60.
  35. Enright Pl, Linn Ws, Avol El, Margolis Hg, Gong H Jr, Peters Jm. Quality Of Spirometry Test Performance In Children And Adolescents: Experience In A Large Field Study. Chest 2000;118:665-71.
  36. Miraglia Del Giudice M, Piacentini Gl, Capasso M, Et Al. Formoterol, Montelukast, And Budesonide In Asthmatic Children: Effect On Lung Function And Exhaled Nitric Oxide. Respir Med 2007;101:1809-13.
  37. Riyami Bm, Al-Rawas Oa, Hassan Mo. Normal Spirometric Reference Values For Omani Children And Adolescents. Respirology 2004;9:387-91.
  38. Kivastik J, Kingisepp Ph. Spirometric Reference Values In Estonian Schoolchildren. Clin Physiol 2001;21:490-7.
  39. Mukhtar Ms, Rao Gm, Morghom Lo, Et Al. Spirometric Standards Of Libyan Boys And Girls. Respiration 1989;56:227-34.
  40. Shamssain Mh, Thompson J, Ogston Sa. Forced Expiratory Indices In Normal Libyan Children Aged 6-19 Years. Thorax 1988;43:467- 70.
  41. Johannessen A, Lehmann S, Omenaas Er, Eide Ge, Bakke Ps, Gulsvik A. Post-Bronchodilator Spirometry Values In Adults And Implications For Disease Management. Am J Respir Crit Care Med 2006;173:1316-25.
  42. Perez-Padilla R, Torre Bouscoulet L, Vazquez-Garcia Jc, Et Al. Spirometry Reference Values After Inhalation Of 200 Microg Of Salbutamol. Arch Bronconeumol 2007;43:530-4.
  43. Tabka Z, Hassayoune H, Guenard H, Et Al. Spirometric Reference Values In A Tunisian Population. Tunis Med 1995;73:125-31.