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Published on: August 25, 2014
Characteristics of breath sound in infants with risk factors for asthma development
Hiromi Shioya1, Hiromi Tadaki2, Fusae Yamazaki3
1Division of Pediatrics, National Hospital Organization Yokohama Medical Center, Kanagawa, Japan.
Insights
Breath sound analysis in infants with asthma risk factors revealed distinct patterns. Increased parameters like RPF75 and Slope in infants with allergies suggest potential for early asthma detection.
Area of Science:
- Pediatric Pulmonology
- Biomarkers
- Respiratory Health
Background:
- Breath sound parameters are explored as potential biomarkers for airway narrowing in children.
- Investigating airway condition in infants with asthma risk factors is crucial for early detection.
Purpose of the Study:
- To investigate breath sound characteristics in infants with risk factors for asthma development.
- To assess the utility of breath sound analysis for early asthma detection in infants.
Main Methods:
- Analyzed breath sound parameters including F99, Slope, A3/AT, RPF75, and RPF50 in 443 infants (3-24 months).
- Utilized an ATS-DLD based Japanese questionnaire to examine infant airway conditions.
- Included 283 healthy infants in the final analysis.
Main Results:
- Significant increases in RPF75, RPF50, Slope, and F99 were observed in infants with positive allergy and atopic dermatitis results.
- These findings indicate distinct breath sound profiles associated with allergic conditions in infants.
Conclusions:
- Breath sound analysis demonstrates unique characteristics in infants predisposed to asthma.
- This non-invasive method shows promise for assessing infant airways and aiding in early asthma development diagnosis.
Background:
Breath sound parameters have been suggested as biomarkers of the airway narrowing in children. Using a commercially available breath sound analyzer, the characteristics of the airway condition were investigated in infants with the risk factors for asthma development.
Methods:
A total of 443 infants (mean age, 9.9 months; range, 3-24 months) were included in the present study. The breath sound parameters of the frequency limiting 99% of the power spectrum (F99), the roll-off from 600 to 1200 Hz (Slope) and spectrum curve indices, the total area under the curve of the dBm data (A3/AT) and the ratio of power and frequency at 50% and 75% of the highest frequency of the power spectrum (RPF75 and RPF50), were evaluated. Using an ATS-DLD based original Japanese questionnaire, we examined the characteristics of airway condition of infants.
Results:
Finally, 283 infants in good health were included in the present study. The RPF75, RPF50, Slope and F99 in infants with positive results of allergy and atopic dermatitis were significantly increased more than those in the infants with negative result.
Conclusions:
Our data highlight the characteristics of breath sounds in infants with risk factors for asthma. The breath sound analysis may be useful for assessing the airways of infants for asthma development.
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