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Spirometric reference equations for healthy children aged 6 to 11 years in Taiwan
Meng-Chiao Tsai1, Mei-Jy Jeng, Hua-Lun Chang
1Department of Pediatrics, Childrens Medical Center, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
Insights
Updated spirometry reference values for children aged 6-11 in Taiwan are established. These new equations, based on standing height, aid in assessing pediatric pulmonary function.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
- Biostatistics
Background:
- Spirometry is crucial for assessing lung function.
- Existing Taiwanese pediatric reference values were outdated.
- Lack of recent normative data for children aged 6-11 in Taiwan.
Purpose of the Study:
- To establish updated spirometry reference values and equations.
- To provide normative data for children aged 6-11 in northern Taiwan.
- To facilitate accurate pulmonary function assessment in children.
Main Methods:
- Study enrolled 309 healthy children (153 boys, 156 girls) aged 6-11.
- Collected and analyzed data from at least 3 spirometry trials per child.
- Focused on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEF), and forced expiratory flow between 25-75% (FEF25-75).
Main Results:
- Standing height (H) was the primary correlate of pulmonary function parameters.
- No significant sex-based differences were observed for most parameters.
- Regression equations were derived: FVC = -2.690 + 0.0330H; FEV1 = -2.559 + 0.0311H; PEF = -300.231 + 3.938H; FEF25-75 = -3.218 + 0.0425H.
Conclusions:
- Updated normative values and reference equations for Taiwanese children (6-11 years) were determined.
- These values are essential for evaluating pulmonary function in children of similar ethnicity and lifestyle.
- The study provides a critical resource for pediatric respiratory health assessment.
Background:
Spirometry is a valuable technique for evaluating pulmonary function, but there were few normative reference values for young children in Taiwan, and none for the last 10 years. The objective of our study was to establish updated reference values and equations for children aged 6-11 years in northern Taiwan.
Methods:
A total of 309 healthy children (153 boys and 156 girls) were enrolled in the present study. The data of at least 3 trials for each child were collected, and the highest values analyzed. The analyzed pulmonary function parameters were focused on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEF), forced expiratory flow between 25% and 75% expired volume (FEF25-75), and the ratio of FEV1/FVC.
Results:
The results revealed that there were mostly no significant differences between boys and girls, and the standing height (H, cm) was the factor with the highest correlation with the pulmonary function parameters. Regression equations of the major pulmonary function parameters for both boys and girls were obtained: FVC = -2.690 + 0.0330H; FEV1 = -2.559 + 0.0311H; PEF = -300.231 + 3.938H; FEF25-75 = -3.218 + 0.0425H (p < 0.001).
Conclusion:
Our study determined the updated normative values and reference equations for Chinese children aged 6-11 years living in northern Taiwan. These values can be used as normative reference values to evaluate pulmonary function in diseased children with the same ethnicity and lifestyle.
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