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Regression equations for peak expiratory flow in healthy children aged 7 to 14 years from Punjab, India
Shallu Mittal1, Sharat Gupta, Avnish Kumar
1Department of Physiology, Government Medical College, Patiala, Punjab, India.
Insights
This study measured peak expiratory flow (PEF) in healthy Punjabi children aged 7-14 years. Height, age, and weight significantly correlated with PEF, with height showing the strongest link.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
- Public Health
Background:
- Peak expiratory flow (PEF) is crucial for managing childhood asthma.
- Lung function varies significantly due to regional, racial, and genetic factors.
Purpose of the Study:
- To establish normative PEF values for healthy Punjabi children aged 7-14 years.
- To address the scarcity of lung function data in North Indian children.
Main Methods:
- A cross-sectional study involving 366 healthy schoolchildren (186 boys, 180 girls) in Patiala.
- PEF measured using the Mini Wright Peak Flow Meter; best of three trials recorded.
- Age, height, and weight recorded; statistical analysis performed using SPSS v. 13.
Main Results:
- Age, height, and weight showed significant positive correlations with PEF in both genders.
- Height demonstrated the strongest correlation with PEF (boys: r=0.970, girls: r=0.964).
- Mean PEF was higher in boys (249.34 ± 81.36 L/min) than girls (233.31 ± 67.06 L/min).
Conclusions:
- Regression equations for PEF estimation were developed based on age, height, and weight for both genders.
- These equations will aid clinicians in assessing airway obstruction in this specific population.
- Provides essential reference data for Punjabi children's respiratory health assessment.
Background:
Measurement of peak expiratory flow (PEF) is imperative for management and evaluation of asthmatic children. It is well-known that lung function parameters show wide variations with respect to regional, racial, and genetic factors.
Aim:
This study was conducted to measure PEF in healthy Punjabi children aged 7-14 years as only a few studies have evaluated the lung functions in North Indian children.
Materials And Methods:
A cross-sectional study was conducted in which PEF was measured in 366 healthy schoolchildren (186 boys and 180 girls) of Patiala district, using the Mini Wright Peak Flow Meter. Best of the three trials was recorded. All the subjects were tested in standing position after recording their age, height, and weight. SPSS v. 13 was used for the statistical analysis.
Results:
The present study showed that all the three independent variables (age, height, and weight) had a significant positive correlation with PEF, in both genders. Furthermore, height was maximally correlated with PEF in both boys (r = 0.970) and girls (r = 0.964). The mean PEF value in boys (249.34 ± 81.36 L/min) was significantly higher than girls (233.31 ± 67.06 L/min). Regression equations for PEF were also determined using age, height, and weight, separately for the genders.
Conclusion:
Equations derived from this study for estimation of expected PEF values would help the clinicians in assessing the airway obstruction in this population subset.
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