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Updated: Jun 1, 2026

Breath Collection from Children for Disease Biomarker Discovery
Published on: February 14, 2019
Exhaled breath temperature in healthy children is influenced by room temperature and lung volume
Karla M Logie1, Merci M H Kusel, Peter D Sly
1School of Paediatrics and Child Health, University of Western Australia, Subiaco, Western Australia, Australia. klogie@meddent.uwa.edu.au
Insights
Room temperature and slow vital capacity (SVC) significantly impact exhaled breath temperature (EBT) measurements in healthy children. These factors are key predictors for EBT variables, influencing airway inflammation assessments.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
Background:
- Exhaled breath temperature (EBT) is a proposed non-invasive method for assessing airway inflammation.
- Previous research has not fully explored the impact of ambient room temperature or lung size on EBT.
Purpose of the Study:
- To investigate the influence of room temperature and lung volume on EBT in healthy children.
- To identify physiological factors affecting EBT parameters in a pediatric population.
Main Methods:
- Sixty healthy children (9-11 years) participated.
- Static lung volumes were measured using multiple breath nitrogen washout.
- EBT parameters (slope, plateau end temperature (PLET), normalized plateau end temperature (nPLET)) were recorded.
Main Results:
- Room temperature significantly affected EBT parameters: PLET increased with room temperature, while slope and nPLET decreased.
- After adjusting for room temperature, height, and age, total lung capacity and slow vital capacity (SVC) were significant predictors of PLET.
- SVC and room temperature were the sole significant predictors of plateau and nPLET in a multiple regression model.
- EBT measurement success rate was 95% in this healthy pediatric cohort.
Conclusions:
- Room temperature and SVC are significant determinants of EBT variables in healthy children.
- These findings highlight the need to control for environmental and physiological factors in EBT assessments.
- Further research is warranted to evaluate EBT's utility in diagnosing airway inflammation in pediatric respiratory diseases.
Background:
Exhaled breath temperature (EBT) has been proposed for the non-invasive assessment of airway inflammation. Previous studies have not examined the influence of room temperature or lung size on the EBT.
Objective:
This study aimed to address these issues in healthy children.
Methods:
We assessed the effects of room temperature and lung volume in 60 healthy children aged 9-11 years (mean age 10.3 years, 33 male). Static lung volumes were assessed using multiple breath nitrogen washout. Questionnaire and skin prick tests were also used to establish respiratory health in the children. We obtained the EBT parameters of slope, end plateau temperature (PLET) and normalized plateau temperature (nPLET; plateau temperature minus inspired air temperature), and ascertained physiological factors influencing EBT.
Results:
End plateau temperature was shown to be proportionally affected by room temperature (r = 0.532, P < 0.001) whereas slope and nPLET decreased with increasing room temperature (r = -0.392 P < 0.02 and r = -0.507 P = 0.002). After adjusting for room temperature, height and age, the total lung capacity (r(2) = 0.435, P = 0.006) and slow vital capacity (SVC; r(2) = 0.44, P = 0.005) were found to be the strongest predictors of end PLET in healthy children. When all factors were included in a multiple regression model, SVC and room temperature were the only predictors of plateau and nPLET. Slope was only influenced by room temperature.
Conclusions:
Exhaled breath temperature measurements are highly feasible in children with a 95% success rate in this healthy population. Room temperature and SVC significantly influence EBT variables in healthy children. Further studies are required to investigate the ability of EBT to assess airway inflammation in children with respiratory disease. Pediatr. Pulmonol. 2011; 46:1062-1068. © 2011 Wiley Periodicals, Inc.
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