Related Experiment Video
Updated: Feb 15, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Effects of passive smoking on lung function tests in preschool children born late-preterm: a preventable health
Ayla Gunlemez1, İlkay Er1, Canan Baydemir2
1a Department of Neonatology , Kocaeli University , Kocaeli , Turkey.
Insights
Passive smoking negatively impacts lung function in late-preterm children. This study found increased airway resistance in preschool children exposed to secondhand smoke, highlighting risks to pulmonary health.
Area of Science:
- Pediatric Pulmonology
- Environmental Health
- Neonatal Medicine
Background:
- Late-preterm delivery (34-36 weeks gestation) is linked to impaired lung development.
- Passive smoking (exposure to secondhand smoke) is a known environmental risk factor for respiratory issues in children.
Purpose of the Study:
- To investigate the impact of passive smoking on lung function in preschool children born late-preterm.
- To utilize impulse oscillometry (IOS) as a noninvasive tool for assessing pulmonary function.
Main Methods:
- A cohort of 139 late-preterm children (3-7 years) was divided into passive smoking (PS) and non-PS groups.
- Lung function was assessed using impulse oscillometry (IOS), measuring resistance (R5-R20) and reactance (X5-X20) at 5-20 Hz.
Main Results:
- Children exposed to passive smoking (PS group) exhibited significantly higher median peripheral airway resistance (R5-R20) compared to the non-PS group.
- A significant decrease in median reactance (X10) was observed in the PS group, indicating altered lung mechanics.
Conclusions:
- Passive smoking exposure is associated with increased peripheral airway resistance in late-preterm born children.
- Secondhand smoke adversely affects lung function in this vulnerable pediatric population, underscoring the need for avoidance.
Objective:
Late-preterm delivery is known to be associated with potential adverse effects on lung development. Passive smoking may result in alterations of pulmonary function in infants born late-preterm. Impulse oscillometry (IOS) is a noninvasive, rapid, and practicable technique that can assess lung function. This study aimed to evaluate the effect of passive smoking on lung function tests in preschool children born late-preterm using IOS.
Methods:
The study population consisted of a total of 139 children between 3 and 7 years of age born late-preterm who were being followed-up at our outpatient unit at the time of study period. Late-preterms were subcategorized according to presence or absence of exposure to passive smoking (PS). Those with and without exposure to passive smoking were referred to as PS group (56.1%, n = 78) and non-PS group (43.9%, n = 61), respectively. Resistance (R5-R20), reactance (X5-X20), and resonant frequency were measured by impulse oscillometry (IOS) at 5-20 Hz.
Results:
Median R5-R20 and Z5 were significantly higher and median X10 was significantly lower in PS group compared to non-PS group (p < .05).
Conclusions:
This study demonstrated that passive smoking significantly increases peripheral airway resistance and seems to adversely affect lung function in children born late-preterm.
Related Concept Videos
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Models of Health Promotion and Illness Prevention I
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
Models of Health Promotion and Illness Prevention II
The agent-host-environment model states that disease results...
The Born-Haber Cycle
Pulmonary Function Tests
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Passive Filters
Low-Pass Filters
Low-pass filters are designed to transmit signals with frequencies lower than the cutoff frequency, ωc, and attenuate those above it. The cutoff...

