Impulse oscillometry reference values and correlation with predictors in Turkish preschool children

Impulse oscillometry (IOS) is a noninvasive, rapid technique requiringpassive cooperation that allows for evaluation of lung function through themeasurement of airway resistance and reactance. There are no availablereference values for Turkish children. This study is aimed to determine thereference values of IOS parameters and to study their correlation with height,weight, body mass index, and age as predictors in healthy Turkish preschoolchildren. Healthy children between 3-7 years of age who were selectedaccording to ERS/ATS criteria and followed at Kocaeli University outpatientclinic performed IOS. The correlation between the anthropometric predictorvariables and resistance and reactance at 5-20 hertz (R5-R20 and X5-X20),the respiratory impedance at 5 hertz (Z5), resistance area (AX) and resonancefrequency (Fres) were assessed by regression analysis and stepwise method.151 children (93 female) with the mean age of 67.9±16.2 months participatedin the study. Multilinear regression analysis for IOS values of all childrenrevealed that resistance was significantly correlated with height and reactancewas significantly correlated with age (p

___

1. Bickel S, Popler J, Lesnick B, Eid N. Impulse oscillometry, interpretation and practical applications. Chest 2014; 146: 841-847.

2. Komarow HD, Myles IA, Uzzaman A, Metcalfe DD. Impulse oscillometry in evaluation of diseases of the airways in children. Ann Allergy Asthma Immunol 2011; 106: 191-199.

3. Rosenfeld M, Allen J, Arets BHG, et al. An Official American Thoracic Society Workshop Report: Optimal lung function test for monitoring cystic fibrosis, bronchopulmonary dysplasia, and recurrent wheezing in children less than 6 years of age. Ann Am Thorac Soc 2013; 10: S1-S11.

4. Malmberg LP, Pelkonen A, Poussa T, Pohianpalo A, Haahtela T, Turpeinen M. Determinants of respiratory system input impedance and bronchodilator response in healthy Finnish preschool children. Clin Physiol Funct Imaging 2002; 22: 64-71.

5. Frei J, Jutla J, Kramer G, Hatzakis GE, Ducharme FM, Davis GM. Impulse oscillometry: reference values in children 100 to 150 cm height and 3 to 10 years of age. Chest 2005; 128: 1266-1273.

6. Dencker M, Malmberg LP, Valind S, et al. Reference values for respiratory system impedance by using impulse oscillometry in children aged 2-11 years. Clin Physiol Funct Imaging 2006; 26: 247-250.

7. Park JH, Yoon WY, Shin YH, et al. Reference values for respiratory system impedance using impulse oscillometry in healthy preschool children. Korean J Pediatr 2011; 54: 64-68.

8. Lai SH, Yao TS, Liao SL, et al. Reference value of impulse oscillometry in Taiwanese preschool children. Pediatrics and Neonatology 2015; 56: 165-170.

9. Amra B, Soltaninejad F, Golshan M. Respiratory resistance by impulse oscillometry in healthy Iranian children aged 5-19 years. Iran J Allergy Asthma Immunol 2008; 7: 25-29.

10. Gonchicoa-Rangel L, Torre-Bouscoulet L, MatinezBriseῆo D, Rodriguez-Moreno L, Cantu-Gonzalez G, Vargas MH. Values of impulse oscillometry in healthy Mexican children and adolescents. Respir Care 2015; 60: 119-127.

11. Assumpçᾶo MS, Gonçalves RM, Martinis R, Bobbio TG, Schivinski CIS. Reference equations for impulse oscillometry system parameters in healthy Brazilian children and adolescents. Respir Care 2016; 61: 1090-1099.

12. Oruc M, Gunlemez A, Uyan ZS, et al. The evaluation of lung function measured by impulse oscillometry method in very low birth weight born children at preschool age. Arch Dis Child 2012; 97 (Suppl 2): A502

13. Er I, Gunlemez A, Uyan ZS, et al. Evaluation of lung function on impulse oscillometry in preschool children born late preterm. Pediatr Int 2016; 58: 274- 278.

14. Sakarya A, Uyan ZS, Baydemir C, et al. Evaluation of Children with cyctic fibrosis by impulse oscillometry when stable and at exacerbation. Pediatr Pulmonol 2016; 51: 1151-1158.

15. Oostveen E, MacLeod D, Lorino H, et al. ERS Task Force on Respiratory Impedance Measurements. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir 2003; 22: 1026-1041.

16. Beydon N, Davis SD, Lombardi E, et al. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am Respir Crit Care Med 2007; 175: 1304-1345.

17. Lee JY, Seo JH, Kim HY, et al. Reference Values of impulse oscillometry and its utility in the diagnosis of asthma in young Korean children. J Asthma 2012; 49: 811-816.

18. Hislop AA, Wigglesworth JS, Desai R. Alveolar development in the human fetus and infant. Early Hum Dev 1986; 13: 1-11.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
Sayıdaki Diğer Makaleler

Alpha gal specific IgE positivity due to tick bites and red meat allergy: the first case report in Turkey

Şennur KELEŞ, Mehmet GÜNDÜZ

Optic neuropathies in childhood: a review of etiology and treatment

Ceren GÜNBEY, Bahadır KONUŞKAN

Expression of the Toll-like receptors 2 gene as a genetic determinant of the formation of newborns multiple organ failure syndrome

Dmytro A. SHKURUPİİ

An adolescent case of extensive Behçet’s disease successfully treated with Infliximab

Emel ISIYEL, Sevcan BAKKALOĞLU, Deniz OĞUZ, İdil YENİCESU, Öznur BOYUNAĞA, Yeşim ÖZDEMİR, Çağrı DAMAR, Yaşar KANDUR, Meltem AKÇABOY, Ayşe Tana ASLAN, Tuğba ŞİŞMANLAR, Enver HASANOĞLU, Necla BUYAN

Unusual and early onset IPEX syndrome: a case report

Dilek DOĞRUEL, Fatih GÜRBÜZ, İhsan TURAN, Derya Ufuk ALTINTAŞ, Mustafa YILMAZ, Bilgin YÜKSEL

Telomere length comparison between oral cells and blood cells among neonates

Mandar BHATTACHARYA, Pranami BHAUMİK, Subrata Kumar DEY

Reversible cardiomyopathy-tachycardiomyopathy in children

Alev ARSLAN, İlkay ERDOĞAN, Birgül VARAN, Mustafa YILMAZ, Mehmet Bülent ÖZİN, Niyazi Kürşad TOKEL

Eleven-year surveillance of acute flaccid paralysis in southwestern Iran

Ali Akbar MOMEN, Abdolhussein SHAKURNİA, Mehdi MOMEN

Netherton syndrome previously misdiagnosed as hyper IgE syndrome caused by a probable mutation in SPINK5 C

Kemal ÖZYURT, Mustafa ATASOY, Ragıp ERTAŞ, Yılmaz ULAŞ, Muhammed Reşat AKKUŞ, Aslıhan KİRAZ, Hans Christian HENNİES

Stevens-Johnson syndrome and toxic epidermal necrolysis: a report of six cases

Ahu KARA, İlker DEVRİM, İlknur ÇAĞLAR, Nuri BAYRAM, Selcen KUNDAK, Hurşit APA, Emir Volkan ALTAN