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Peak expiratory flow rate of normal school going children in Mymensingh municipality
M N Islam1, M N Islam, M A Hoque
1Dr Md Nurul Islam, Lecturer, Department of Community Medicine, Mymensingh Medical College (MMC), Mymensingh, Bangladesh.
Insights
This study measured lung function in Bangladeshi children. Boys showed significantly higher peak expiratory flow rate (PEFR) than girls, with height being the strongest predictor.
Area of Science:
- Pediatric Pulmonology
- Public Health
- Anthropometry
Background:
- Baseline peak expiratory flow rate (PEFR) data for Bangladeshi children are limited.
- PEFR is a reproducible and easily measurable lung function indicator.
- Understanding normal PEFR values is crucial for diagnosing respiratory conditions.
Purpose of the Study:
- To establish normative PEFR values for school-going children aged 6-15 years in Mymensingh, Bangladesh.
- To investigate the relationship between PEFR and anthropometric parameters (age, height, weight, body surface area) in this population.
- To compare PEFR between boys and girls.
Main Methods:
- A cross-sectional study involving 984 children (499 boys, 485 girls) from randomly selected schools in Mymensingh.
- PEFR was measured using a mini Wright peak flow meter, with the highest of three readings recorded.
- Anthropometric measurements (height, weight) were taken, and body surface area was calculated.
Main Results:
- Significant differences in PEFR were observed between boys and girls in most age categories (p<0.01).
- Height demonstrated the strongest positive correlation with PEFR in both boys (r=0.961) and girls (r=0.954).
- Boys consistently exhibited higher PEFR values than girls across all heights.
Conclusions:
- Height is a primary determinant of PEFR in Bangladeshi children.
- Sex-based differences in PEFR are evident from an early age.
- These findings provide essential reference values for pediatric respiratory health assessments in Bangladesh.
Abstract:
This cross sectional study was conducted to measure the PEFR values of normal school going children of Mymensingh, Bangladesh. Peak expiatory flow rate (PEFR) is a lung function test which is easily measurable and reproducible but the base line values of PEFR have not been studied in large scale among Bangladeshi children. In Mymensingh municipality out of 79 schools 4 schools were selected purposively. A total of 984 (499 boys and 485 girls, nearly equal in ratio) normal children (6-15 years), were selected randomly by using lottery technic in classroom. To obtain peak expiratory flow rate (PEFR) mini Wright peak flow meter was used. The highest of three readings was taken as the correct value. Anthropometric parameters including body weight and height were recorded by bathroom scale and stadiometer respectively and body surface area was calculated. According to age interval (10 months) in boys and girls the mean difference of PEFR values showed that among age categories of 6, 7 & 8 years had no significant (p were <0.18, <0.73 and <0.70 accordingly) and all other age categories the mean difference of PEFR between boys and girls had significant (p<0.01). The correlation coefficient (r values) and the level of significance between different anthropometric parameters and PEFR in case of boys and girls were significant (p<0.001). Correlation of height (boys r=0.961 & girls r=0.954) with PEFR was the highest in comparison to other anthropometric parameters (age, sex and body weight). Boys had significantly higher values of PEFR than the girls at any height.
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