Maximal respiratory pressure in healthy Japanese children

Miki Tagami1, Yukako Okuno2, Tadamitsu Matsuda1

  • 1Department of Physical Therapy, Uekusa Gakuen University, Japan.

Insights

This study establishes normal respiratory muscle pressure values for Japanese children aged 3-12. Findings indicate pressures increase with age and are higher in boys, suggesting ethnic variations in respiratory function.

Area of Science:

  • Pediatric Physiology
  • Respiratory Medicine

Background:

  • Normal respiratory muscle pressure values in Japanese children are currently unreported.
  • Understanding developmental changes in respiratory muscle strength is crucial for pediatric health assessments.

Purpose of the Study:

  • To establish normative reference values for respiratory muscle pressures in Japanese children aged 3 to 12 years.
  • To investigate the influence of age and sex on respiratory muscle pressures during childhood development.

Main Methods:

  • Respiratory muscle pressures were measured using a manovacuometer in 218 Japanese children (ages 3-12).
  • Participants were divided into three age groups: 3-6, 7-9, and 10-12 years.
  • Measurements were taken with subjects in a sitting position without a nose clip.

Main Results:

  • Respiratory muscle pressures significantly increased with age in both boys and girls.
  • Boys exhibited higher respiratory muscle pressures compared to girls across all age groups.
  • Positive correlations were observed between maximal respiratory pressure and age, height, and weight.

Conclusions:

  • This study provides age-specific pediatric respiratory muscle pressure reference values for Japanese children.
  • Observed lower values compared to Brazilian studies suggest potential ethnic variations in respiratory muscle pressures.
  • These findings contribute to a better understanding of respiratory development and ethnic differences in pediatric populations.

Related Concept Videos

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 Volumes01:15

Respiratory Volumes

Respiratory volumes are crucial metrics, meticulously measured to quantify the air exchanged in and out of the lungs during various phases of the breathing cycle. These precise measurements are vital for assessing lung function, diagnosing respiratory conditions, and monitoring overall respiratory health. Each parameter provides specific insights into the mechanics of breathing and the functional capacity of the lungs.
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
Respiratory Capacities01:24

Respiratory Capacities

Respiratory capacities are crucial indicators of lung function, representing the maximum amount of air an individual's respiratory system can handle during various breathing phases.
One key metric is the Inspiratory Capacity (IC), which represents the maximum amount of air that can be inhaled with full effort. IC is calculated by summing the tidal volume and inspiratory reserve volume, typically ranging from 2.4 to 3.6 liters.
The Functional Residual Capacity (FRC) represents the air in the...
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...
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration can...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...