[Peak expiratory flow rate in 4- to 15-year-old children. Comparison of 3 measuring models]

V Hernando Sastre1, L García-Marcos, J Gómez García

  • 1Departamento de Métodos Cuantitativos para la Economía, Facultad de Económicas, Universidad de Murcia.

Insights

This study found significant differences in peak expiratory flow (PEF) measurements between three devices, with height being the best predictor of PEF. PEF values also differed between sexes, emphasizing the need for consistent device use in monitoring children.

Area of Science:

  • Pediatric Pulmonology
  • Biomedical Engineering
  • Respiratory Physiology

Background:

  • Peak expiratory flow (PEF) meters are crucial for monitoring respiratory conditions in children.
  • Standardization of PEF measurement devices is essential for accurate and reliable data.
  • Previous studies have highlighted variability between different PEF meter models.

Purpose of the Study:

  • To compare PEF measurements across three distinct PEF meter models, including PF-Control.
  • To develop age, height, and chest circumference-based normograms for each device.
  • To investigate sex-based differences and mathematical correlations between PEF meter models.

Main Methods:

  • PEF was measured in 476 school-children (ages 4-15) using Vitalograph, Mini-Wright, and PF-Control devices.
  • Measurements were taken in a rotatory fashion during school hours (3-5 PM).
  • The best of three attempts with <10% difference was recorded.

Main Results:

  • Significant differences (p < 0.0004) were observed between the three PEF meter models.
  • Height was the strongest predictor of PEF (r=0.90-0.92) using an exponential model.
  • Significant sex-based differences in PEF were found, irrespective of the device used.

Conclusions:

  • Height is the primary determinant of PEF in children.
  • PEF values exhibit significant differences between boys and girls.
  • Consistent use of the same PEF meter model is recommended for individual child monitoring.
Abstract

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