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Yu Y, Meng W, Zhu X, Li B, Yang J, Zhang Y, Wang X, Luo J, Wang Y, Xuan Y. Tidal breathing lung function analysis of wheezing and non-wheezing infants with pneumonia: A retrospective observational study. Medicine (Baltimore) 2023; 102:e33507. [PMID: 37058014 PMCID: PMC10101276 DOI: 10.1097/md.0000000000033507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 03/21/2023] [Indexed: 04/15/2023] Open
Abstract
To compare lung function in wheezing and non-wheezing infants with pneumonia through tidal breathing analysis and explore the correlation between tidal breathing lung function and clinical characteristics. This retrospective observational study included infants with pneumonia hospitalized in the Affiliated Hospital of Guizhou Medical University between January 2018 and December 2018. Medical records were used to obtain the demographic characteristics, clinical characteristics, tidal breathing lung function results before and after a bronchodilator test, and positive remission rates after the bronchodilator test for each patient. Eighty-six wheezing infants (64 males, aged 6.5 [4.8, 9] months) and 27 non-wheezing infants (18 males, aged 7 [5, 12] months) were included. Non-wheezing infants were more likely to have normal airway function compared to wheezing infants (44.4% vs 23.3%, P = .033). Peak tidal expiration flow/tidal expiratory flow (TEF)25 in wheezing infants was significantly higher than that in non-wheezing infants (162.4 [141.2, 200.7] vs 143.3 [131, 178.8], P = .037). The positive remission rate of tidal inspiratory flow (TIF50)/TEF50 (53.5% vs 29.6%, P = .03) and TEF50 (58.1% vs 33.3%, P = .024) were significantly higher in the wheezing infants compared to non-wheezing infants (P = .03 and P = .024, respectively). Furthermore, respiratory rate, tidal volume, peak expiration flow, TEF25, TEF50, and TEF75 were significantly correlated to the age, height, weight, and platelet counts of infants in both the wheezing and non-wheezing infants (all P < .05). Wheezing infants with pneumonia were more likely to have worse tidal breathing lung function compared to non-wheezing infants with pneumonia. The tidal breathing lung function parameter (respiratory rate, tidal volume, peak expiration flow, TEF25, TEF50, and TEF75) were correlated to the age, height, weight, and platelet counts of both wheezing and non-wheezing infants.
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Affiliation(s)
- Yiyi Yu
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Wenjuan Meng
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Xiaoping Zhu
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Bo Li
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Jun Yang
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Yali Zhang
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Xuesong Wang
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Jing Luo
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Youyan Wang
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Yingying Xuan
- Department of Pediatrics, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
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Lundberg B, Gruzieva O, Eneroth K, Melén E, Persson Å, Hallberg J, Pershagen G. Air pollution exposure impairs lung function in infants. Acta Paediatr 2022; 111:1788-1794. [PMID: 35582781 PMCID: PMC9543871 DOI: 10.1111/apa.16412] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 05/10/2022] [Accepted: 05/16/2022] [Indexed: 12/23/2022]
Abstract
Aim To assess associations between air pollution exposure and infant lung function. Methods Healthy infants from Stockholm were recruited to two cohorts (n = 99 and n = 78). Infant spirometry included plethysmography and raised volume forced expiratory flows. In pooled analyses, lung function at ~6 months of age was related to time‐weighted average air pollution levels at residential addresses from birth until the lung function test. The pollutants included particulate matter with an aerodynamic diameter < 10 μm (PM10) or <2.5 μm and nitrogen dioxide. Results There were significant inverse relations between air pollution exposure during infancy and forced expiratory volume at 0.5 s (FEV0.5) as well as forced vital capacity (FVC) for all pollutants. For example, the decline was 10.1 ml (95% confidence interval 1.3–18.8) and 10.3 ml (0.5–20.1) in FEV0.5 and FVC, respectively, for an interquartile increment of 5.3 μg/m3 in PM10. Corresponding associations for minute ventilation and functional residual capacity were 43.3 ml/min (−9.75–96.3) and 0.84 ml (−4.14–5.82). Conclusions Air pollution exposure was associated with impaired infant lung function measures related to airway calibre and lung volume, suggesting that comparatively low levels of air pollution negatively affect lung function in early life.
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Affiliation(s)
- Björn Lundberg
- Department of Clinical Science and Education Södersjukhuset, Karolinska Institutet Stockholm Sweden
- Sachs' Children and Youth Hospital, Södersjukhuset Stockholm Sweden
| | - Olena Gruzieva
- Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
- Centre for Occupational and Environmental Medicine, Region Stockholm Stockholm Sweden
| | - Kristina Eneroth
- Environment and Health Administration, SLB‐analys Stockholm Sweden
| | - Erik Melén
- Department of Clinical Science and Education Södersjukhuset, Karolinska Institutet Stockholm Sweden
- Sachs' Children and Youth Hospital, Södersjukhuset Stockholm Sweden
| | - Åsa Persson
- Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
| | - Jenny Hallberg
- Department of Clinical Science and Education Södersjukhuset, Karolinska Institutet Stockholm Sweden
- Sachs' Children and Youth Hospital, Södersjukhuset Stockholm Sweden
| | - Göran Pershagen
- Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
- Centre for Occupational and Environmental Medicine, Region Stockholm Stockholm Sweden
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Delecaris AO, Averill SH, Krasinkiewicz J, Saunders JL, Ren CL. Pediatric pulmonology year in review 2020: Physiology. Pediatr Pulmonol 2021; 56:2444-2448. [PMID: 34043883 DOI: 10.1002/ppul.25504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 05/11/2021] [Accepted: 05/13/2021] [Indexed: 11/06/2022]
Abstract
Pulmonary physiology is a core element of pediatric pulmonology care and research. This article reviews some of the notable publications in physiology that were published in Pediatric Pulmonology in 2020.
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Affiliation(s)
- Angela O Delecaris
- Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children, Indianapolis, Indiana, USA.,Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Samantha H Averill
- Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children, Indianapolis, Indiana, USA.,Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Jonathan Krasinkiewicz
- Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children, Indianapolis, Indiana, USA.,Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Jessica L Saunders
- Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children, Indianapolis, Indiana, USA.,Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Clement L Ren
- Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Hospital for Children, Indianapolis, Indiana, USA.,Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA
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