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Updated: Jul 16, 2026

Chemiluminescence-based Assays for Detection of Nitric Oxide and its Derivatives from Autoxidation and Nitrosated Compounds
Published on: February 16, 2022
Detection of nitric oxide in exhaled human breath: exercise and resting determinations
Kirk J Mantione1, Tobias Esch, George B Stefano
1Kiernan Wellness Center, Rockaway Park, NY 11694, USA.
Background:
Nitric oxide has become a vital indicator of health since many cells produce it constitutively. It is present in exhaled breath and can be measured.
Material/Methods:
A Kiernan NO Breath analyzer (KNB) was used in the present study to determine nitric oxide (NO) levels in exhaled human breath. The KNB was calibrated via measuring NO gas in O2-free N2 obtained from Scott Specialty Gases. Human subjects aged 21 to 45 were instructed to place the KNB over their nose and mouth and to breathe normally before and after mild exercise (n=24) and relaxation (n=20). Mean exhaled NO measurements were compared before and after the protocols using paired t-tests.
Results:
Regardless of the test, all subjects exhibited NO in their exhaled breath. Exhaled NO decreased significantly after exercise compared to the first reading just prior to the exercise protocol. The mean +/-SE of exhaled NO was 22.8+/-4 before and 13.0+/-2 ppb after exercise (n=24, P=0.003). In the resting experiment, exhaled NO was demonstrated to increase significantly after 10 min compared to the reading taken right after the individuals sat down.
Conclusions:
The present study demonstrates NO in exhaled human breath can vary, reflecting the activity state of the individual. Additionally, the study demonstrates that NO in exhaled human breath can be measured rapidly, with high sensitivity, and in real time via the KNB, representing an affordable means to achieve this determination.
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