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Lung function in preschool children: applications in clinical and epidemiological research
1Portex Unit, Respiratory Physiology, UCL, Institute of Child Health, London, UK. s.lum@ich.ucl.ac.uk
Insights
Pulmonary function tests are now feasible for preschoolers, aiding in the diagnosis of lung diseases like asthma. Future research can explore early life factors and therapeutic responses.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
Background:
- Pulmonary function testing (PFT) in preschool children has seen significant advancements.
- Assessing lung function in young children is crucial for early disease detection and management.
Purpose of the Study:
- To provide an overview of the applications of various PFTs in preschool children.
- To highlight the feasibility and utility of PFTs in identifying diminished lung function in pediatric lung diseases.
- To discuss future directions for PFTs in early life respiratory health research.
Main Methods:
- Review of established and emerging pulmonary function tests.
- Includes multiple inert gas washout, plethysmography, spirometry, interrupter resistance, and impulse oscillometry.
- Focus on feasibility and diagnostic capabilities in preschool children.
Main Results:
- Several PFTs are feasible and effective in preschool children.
- These tests can identify diminished lung function in conditions like asthma and cystic fibrosis.
- The study provides an overview of their application in clinical and epidemiological research.
Conclusions:
- Pulmonary function tests are valuable tools for assessing respiratory health in preschool children.
- Future applications may include evaluating effects of preterm birth, growth retardation, and smoking.
- These tests can guide therapeutic interventions and strengthen the foundation for preventing and treating early-life respiratory diseases.
Abstract:
During recent years there has been significant development of pulmonary function tests for use in preschool children. A range of tests including multiple inert gas washout, plethysmography, spirometry, interrupter resistance and impulse oscillometry have been shown to be feasible and to be able to identify diminished lung function in children with lung disease such as asthma or cystic fibrosis. An overview of these applications in clinical and epidemiological research is given. Future applications to investigate the longer term effect of preterm delivery, intra-uterine growth retardation, smoking and assessing the response to therapeutic intervention would strengthen the scientific basis for the prevention and treatment of respiratory disease in early life.
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