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[Determining factors of pulmonary function in healthy Tunisian children]
Y Trabelsi1, J Paries, J-P Richalet
1Université de Sousse, Laboratoire de Physiologie et des Explorations Fonctionnelles, Faculté de Médecine de Sousse, Sousse, Tunisie. trabelsiyassine@yahoo.fr
Insights
This study establishes normal spirometry values for Tunisian children, identifying key factors like anthropometrics and environment influencing lung function development. These findings aid respiratory health monitoring and interventions in this population.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
Context:
- Pulmonary function parameters exhibit variability based on age, sex, height, and ethnicity.
- Limited data exists on normal pulmonary function values and influencing factors in Tunisian children.
- Previous research highlights potential impacts of birth weight, height, physical activity, anthropometrics, socioeconomic, and environmental factors on lung function.
Purpose:
- To establish reference values for spirometry in healthy Tunisian children.
- To investigate factors affecting lung function development in Tunisian healthy children.
- To determine predictive factors for pulmonary development in Tunisian children.
Summary:
- Reference values for spirometry were established for healthy Tunisian children.
- Height alone is insufficient for standardizing lung function in Tunisian adolescents; pubertal status is also crucial.
- Key predictive factors for pulmonary development include anthropometric measures (height, weight, thoracic perimeter), sex, age, and environmental conditions like heating type.
Impact:
- Findings will enhance medical surveillance of respiratory diseases in Tunisian children.
- The results will inform the stipulation of preventive and therapeutic measures for respiratory conditions in this demographic.
- This research provides a foundation for understanding and managing pediatric respiratory health in Tunisia.
Abstract:
Introduction Pulmonary function parameters are known to vary with age, sex, height and ethnic extraction. No normal values have been reported for pulmonary function in Tunisian children. Moreover, little attention has been paid to the factors affecting the development of lung function in Tunisian healthy children. State of art Birth weight and height, physical activity level, anthropometric, socioeconomic and environmental factors could influence the development of lung function in healthy children. Perspectives The studies conducted by our group have allowed us 1) to set reference values for spirometry in healthy Tunisian children; 2) to indicate that, in Tunisian adolescents, the use of only one morphological parameter such as height, is not sufficient, but the pubertal status could be taken into account to standardize the lung function and 3) to show the main predictive factors for pulmonary development to be the anthropometric factors such as height, weight, maximal inspiratory and expiratory thoracic perimeter, sex and age, and the environmental conditions (type of heating) in our population of healthy Tunisian children. Conclusion These findings should improve medical surveillance of respiratory diseases, stipulation of preventive and therapeutic measures in Tunisian children.
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