Lower airway flow influences peak nasal inspiratory flow in school-aged children

H Pite1, L Pimenta1, A C Henriques1

  • 1Allergy Center, CUF Descobertas Hospital and CUF Infante Santo Hospital, Lisbon, Portugal.

Rhinology
|March 7, 2018
PubMed

Insights

Peak nasal inspiratory flow (PNIF) in children correlates with lung function (FEV1 and PEF), not subjective asthma control. PEF, age, and gender best predict PNIF, aiding its interpretation in rhinitis and asthma.

Area of Science:

  • Pediatric Respiratory Medicine
  • Allergy and Immunology

Background:

  • Rhinitis and asthma commonly co-occur in children.
  • Peak nasal inspiratory flow (PNIF) measures nasal obstruction.
  • The relationship between lower airway function and PNIF in children is understudied.

Purpose of the Study:

  • To investigate associations between PNIF and lung function (FEV1, PEF) in children with allergic rhinitis and asthma.
  • To explore the link between PNIF and subjective control assessments (CARATkids).

Main Methods:

  • Sixty-five children (6-12 years) with allergic rhinitis and asthma and 24 healthy controls underwent PNIF and spirometry.
  • Nasal decongestion and bronchodilation tests were performed.
  • Multiple linear regression analyzed associations, using CARATkids for control assessment.

Main Results:

  • PNIF correlated with FEV1 and PEF, irrespective of rhinitis/asthma diagnosis.
  • Peak expiratory flow (PEF), age, and gender were the strongest predictors of PNIF.
  • No significant association was found between PNIF and CARATkids scores, except for self-reported nasal obstruction.

Conclusions:

  • PEF, age, and gender are crucial for interpreting PNIF in school-aged children.
  • PNIF can supplement subjective assessments for managing allergic rhinitis and asthma control.
Abstract

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