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  • Existing Taiwanese pediatric reference values were outdated.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.
Abstract

Related Concept Videos

Pulmonary Function Tests01:25

Pulmonary Function Tests

Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Respiratory Volumes and Capacities I01:26

Respiratory Volumes and Capacities I

Assessing the respiratory rate and rhythm for a complete minute is crucial for evaluating the breathing pattern. Even a minor increase in the patient's average respiratory rate, by as little as three to five breaths per minute, is an early and vital indicator of respiratory distress. Patients with a respiratory rate exceeding twenty-four breaths per minute require close monitoring to determine the physiological alterations. This careful observation is essential for prompt recognition and...
Respiratory Volumes and Capacities01:22

Respiratory Volumes and Capacities

The respiratory system is responsible for the intake of oxygen and the expulsion of carbon dioxide from the body. Respiratory volumes describe the volume of air in the lungs at different phases of the respiratory cycle. Tidal volume is the air breathed in and out during normal, quiet breathing. Inspiratory reserve volume is the air that can be forcefully inspired beyond the tidal volume. In contrast, expiratory reserve volume refers to the air that can be expelled from the lungs after a normal...
Lung Capacity01:47

Lung Capacity

The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
Physical Assessment of the Respiratory Tract I: Health History01:28

Physical Assessment of the Respiratory Tract I: Health History

Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and key...
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies01:27

Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies

Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History