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Published on: November 11, 2020
Nasal contribution to breathing and fine particle deposition in children versus adults
William D Bennett1, Kirby L Zeman, Annie M Jarabek
1Center for Environmental Medicine, Asthma, and Lung Biology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA. William_Bennett@med.unc.edu
Insights
Children
Area of Science:
- Environmental Health
- Pediatric Respiratory Health
- Human Physiology
Background:
- Breathing route (nasal vs. oral) and nasal particle filtration efficiency can differ between children and adults.
- Understanding these differences is crucial for assessing respiratory health risks in children.
Purpose of the Study:
- To compare nasal breathing contribution at rest and during exercise in children (6-10 yr) versus young adults.
- To compare nasal deposition efficiency (NDE) of fine particles (1 and 2 µm MMAD) in children and adults under resting and exercise conditions.
Main Methods:
- Respiratory inductance plethysmography and nasal mask with flow meter to assess breathing patterns.
- Inhalation of monodisperse carnauba wax particles with laser photometry to determine particle deposition.
- Incremental exercise testing on a bicycle ergometer.
Main Results:
- A trend for reduced nasal breathing contribution in children, though not statistically significant.
- Significantly decreased nasal deposition efficiency (NDE) for 2-µm particles in children during light exercise compared to adults.
- Children exhibited less efficient nasal filtering for larger particles at higher airflow.
Conclusions:
- Children's nasal passages may be less effective at filtering larger inhaled particles during exercise.
- Children's lungs might face higher exposure to inhaled ambient particles compared to adults.
- Further research into pediatric respiratory particle exposure is warranted.
Abstract:
Both the route of breathing, nasal versus oral, and the effectiveness of the nose to filter inhaled, fine particles may differ between children and adults. This study compared (1) the nasal contribution to breathing at rest and during mild to moderate exercise in children (age 6-10 yr) versus young adults and (2) the nasal deposition efficiency (NDE) of fine particles (1 and 2 microm MMAD, GSD < 1.2) under resting and light exercise breathing conditions in the same children and adults. Nasal contribution to breathing was assessed by respiratory inductance plethysmography and a nasal mask with flow meter during incremental exercise on a bicycle ergometer. Fine particle deposition fractions for nasal and oral breathing were assessed by inhalation of monodisperse carnauba wax particles and laser photometry to determine inhaled/exhaled concentrations. There was a trend for children to have a lesser nasal contribution to breathing at rest and during exercise, but the differences from adults were not statistically significant. Children did, however, have significantly decreased NDE for 2-microm particles under light exercise breathing conditions compared to adults, suggesting less efficient nasal filtering for larger particles and higher flow conditions. These results suggest that the lungs of children may be exposed to higher concentrations of inhaled, ambient particles than adults.
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