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Maximal respiratory pressures of healthy children: comparison between obtained and predicted values
Renata Nóbrega Delgado1, Tania Fernandes Campos, Raíssa de Oliveira Borja
1Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.
Insights
This study compared respiratory muscle strength in healthy Brazilian children to existing reference values. Findings indicate that current prediction equations are not reliable for this population, highlighting the need for culturally specific assessments.
Area of Science:
- Pediatric Pulmonology
- Respiratory Physiology
Background:
- Maximal respiratory pressures are key indicators of respiratory muscle strength.
- Establishing reliable reference values for pediatric populations is crucial for clinical assessment.
- Previous studies show variability in respiratory muscle strength measures across different ethnic groups.
Purpose of the Study:
- To compare maximal inspiratory and expiratory pressures (PImax and PEmax) in healthy Brazilian children with existing reference and predicted values.
- To evaluate the applicability of current prediction equations for respiratory muscle strength in a pediatric Brazilian cohort.
Main Methods:
- Assessed respiratory muscle strength in 144 healthy children (aged 7-11 years) using a digital manovacuometer.
- Measured PImax from residual volume and PEmax from total lung capacity in a seated position with nose clip.
- Data collected from 63 boys and 81 girls.
Main Results:
- Mean PImax values were 81.6 ± 20.2 cmH2O for boys and 66.1 ± 19.5 cmH2O for girls.
- Mean PEmax values were 95.6 ± 21.1 cmH2O for boys and 78.9 ± 19.7 cmH2O for girls.
- Significant differences observed between genders.
Conclusions:
- Published reference values show considerable diversity and may not be universally applicable.
- Existing predictive equations were insufficient for accurately estimating maximal respiratory pressures in this cohort.
- Future assessments of respiratory muscle strength in children should account for ethnic and methodological variations to improve accuracy.
Purpose:
To compare maximal inspiratory and expiratory pressures (PImax and PEmax, respectively) obtained in Brazilian children who are healthy with reference and predicted values from previous studies.
Methods:
Respiratory muscle strength of 144 children (63 boys), aged 7 to 11 years, was assessed. A digital manovacuometer was used to measure PImax and PEmax from residual volume and total lung capacity, respectively. Children were assessed in the sitting position while wearing a nose clip.
Results:
Mean values of PImax for boys and girls were 81.6 ± 20.2 and 66.1 ± 19.5 cmH2O, respectively. Mean values of PEmax in boys and girls were 95.6 ± 21.1 and 78.9 ± 19.7 cmH2O, respectively.
Conclusions:
Published reference values demonstrated a wide diversity across age groups studied, and published equations were not successful in predicting maximal respiratory pressures; thus, the assessment of respiratory muscle strength of children should consider the minimization of ethnic and methodological differences.
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