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Mondal P, Lopez SP, Khokhar A, Snyder D, Kitch D, Veten A. The influence of body mass index on airway resistance in children with sickle cell disease: A longitudinal study based on impulse oscillometry. Respir Med 2024; 224:107564. [PMID: 38360190 DOI: 10.1016/j.rmed.2024.107564] [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: 05/20/2023] [Revised: 12/07/2023] [Accepted: 02/09/2024] [Indexed: 02/17/2024]
Abstract
BACKGROUND Impulse oscillometry (IOS) is an effective tool for assessing airway mechanics and diagnosing obstructive airway disease (OAD) in children with sickle cell disease (C-SCD). Obesity is known to be associated with OAD, and untreated OAD often leads to hypoxia-related complications in C-SCD. Considering the increasing prevalence of obesity in C-SCD, it is important to explore the influence of body mass index (BMI) on OAD in this disease population. METHODS A longitudinal retrospective chart review was conducted on 55 C-SCD (161 IOS observations) and 35 non-SCD asthmatic children (C-Asthma) (58 observations), primarily to investigate the association between BMI and airway resistance in C-SCD and C-Asthma. We conducted generalized linear mixed models (GLMM), adjusted for pharmacotherapies, to demonstrate the influence of BMI on total (R5), central (R20), and peripheral (R5-20) airway resistance and reactance (X5, resonant frequency (Fres)). We further compared age, BMI, and IOS indices between C-SCD and C-Asthma using the Mann-Whitney test. RESULTS Age and BMI were not statistically different between the two groups. In C-SCD, BMI was associated with R5 (GLMM t-statistics:3.75, 95%CI:1.01,3.27, p-value<0.001*) and R20 (t-statistics:4.01, 95%CI:1.04,1.15, p-value<0.001*), but not with R5-20 or airway reactance. In asthmatics, BMI was not associated with IOS estimates except Fres (t-statistics: 3.93, 95%CI: -0.06, -0.02, p-value<0.001*). C-SCD demonstrated higher airway resistances (R5 and R20) and reactance (Fres) compared to C-Asthma (Mann-Whitney: p-values<0.05). CONCLUSION BMI significantly influenced total and central airway resistance in C-SCD. While higher airway resistances reflected increased OAD in C-SCD than asthmatics, higher Fres perhaps indicated progressive pulmonary involvement in C-SCD.
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Affiliation(s)
- Pritish Mondal
- Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA.
| | | | - Arshjot Khokhar
- Department of Medicine, Yale School of Medicine, New Haven, CT, USA
| | - David Snyder
- Department of Neurology, Walter Reed National Military Medical Center, Bethesda, MD, USA
| | - Diane Kitch
- Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA
| | - Ahmed Veten
- Department of Pediatrics, Penn State College of Medicine, Hershey, PA, USA
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Siroux V, Boudier A, Lyon-Caen S, Quentin J, Gioria Y, Hantos Z, Slama R, Pin I, Bayat S. Intra-breath changes in respiratory mechanics are sensitive to history of respiratory illness in preschool children: the SEPAGES cohort. Respir Res 2024; 25:99. [PMID: 38402379 PMCID: PMC10893684 DOI: 10.1186/s12931-024-02701-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 01/22/2024] [Indexed: 02/26/2024] Open
Abstract
BACKGROUND Intra-breath oscillometry has been proposed as a sensitive means of detecting airway obstruction in young children. We aimed to assess the impact of early life wheezing and lower respiratory tract illness on lung function, using both standard and intra-breath oscillometry in 3 year old children. METHODS History of doctor-diagnosed asthma, wheezing, bronchiolitis and bronchitis and hospitalisation for respiratory problems were assessed by questionnaires in 384 population-based children. Association of respiratory history with standard and intra-breath oscillometry parameters, including resistance at 7 Hz (R7), frequency-dependence of resistance (R7 - 19), reactance at 7 Hz (X7), area of the reactance curve (AX), end-inspiratory and end-expiratory R (ReI, ReE) and X (XeI, XeE), and volume-dependence of resistance (ΔR = ReE-ReI) was estimated by linear regression adjusted on confounders. RESULTS Among the 320 children who accepted the oscillometry test, 281 (88%) performed 3 technically acceptable and reproducible standard oscillometry measurements and 251 children also performed one intra-breath oscillometry measurement. Asthma was associated with higher ReI, ReE, ΔR and R7 and wheezing was associated with higher ΔR. Bronchiolitis was associated with higher R7 and AX and lower XeI and bronchitis with higher ReI. No statistically significant association was observed for hospitalisation. CONCLUSIONS Our findings confirm the good success rate of oscillometry in 3-year-old children and indicate an association between a history of early-life wheezing and lower respiratory tract illness and lower lung function as assessed by both standard and intra-breath oscillometry. Our study supports the relevance of using intra-breath oscillometry parameters as sensitive outcome measures in preschool children in epidemiological cohorts.
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Affiliation(s)
- Valérie Siroux
- University Grenoble Alpes, Inserm U1209, CNRS UMR5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, IAB, Grenoble, 38000, France.
| | - Anne Boudier
- University Grenoble Alpes, Inserm U1209, CNRS UMR5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, IAB, Grenoble, 38000, France
- CHU Grenoble-Alpes, Grenoble, France
| | - Sarah Lyon-Caen
- University Grenoble Alpes, Inserm U1209, CNRS UMR5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, IAB, Grenoble, 38000, France
| | - Joane Quentin
- University Grenoble Alpes, Inserm U1209, CNRS UMR5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, IAB, Grenoble, 38000, France
- CHU Grenoble-Alpes, Grenoble, France
| | - Yoann Gioria
- University Grenoble Alpes, Inserm U1209, CNRS UMR5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, IAB, Grenoble, 38000, France
- CHU Grenoble-Alpes, Grenoble, France
| | - Zoltán Hantos
- Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary
- Department of Technical Informatics and Engineering, University of Szeged, Szeged, Hungary
| | - Rémy Slama
- University Grenoble Alpes, Inserm U1209, CNRS UMR5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, IAB, Grenoble, 38000, France
| | - Isabelle Pin
- University Grenoble Alpes, Inserm U1209, CNRS UMR5309, Team of Environmental Epidemiology Applied to the Development and Respiratory Health, Institute for Advanced Biosciences, IAB, Grenoble, 38000, France
- CHU Grenoble-Alpes, Grenoble, France
| | - Sam Bayat
- University Grenoble Alpes, Dept. of Pulmonology, STROBE Inserm UA7 Laboratory, Grenoble, France
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3
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Hao Y, Liu S, Liu T, Huang X, Xie M, Wang D. Pulmonary Function Test and Obstructive Sleep Apnea Hypopnea Syndrome in Obese Adults: A Retrospective Study. Int J Chron Obstruct Pulmon Dis 2023; 18:1019-1030. [PMID: 37304766 PMCID: PMC10253010 DOI: 10.2147/copd.s409383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Accepted: 05/28/2023] [Indexed: 06/13/2023] Open
Abstract
Objective We explore risk factors related to severe obstructive sleep apnea (OSA) in obese patients, including pulmonary ventilation function, diffusion function, and impulse oscillometry (IOS) data. Methods The medical records of 207 obese patients who were prepared to undergo bariatric surgery in a hospital from May 2020 to September 2021 were retrospectively reviewed. Polysomnography (PSG), pulmonary ventilation function, diffusion function, and IOS parameters were collected according to the ethical standards of the institutional research committee (registration number: KYLL-202008-144). Logistic regression analysis was used to analyze the related independent risk factors. Results There were significantly statistical difference in a number of pulmonary ventilation and diffusion function parameters among the non-OSAHS group, the mild-to-moderate OSA group, and the severe OSA group. However, only airway resistance parameters R5%, R10%, R15%, R20%, R25%, and R35% increased with increasing OSA severity and were positively correlated with apnea hypopnea index (AHI). Age (P = 0.012, 1.104 (1.022, 1.192)), body mass index (P< 0.0001, 1.12 (1.057, 1.187)), gender (P = 0.003, 4.129 (1.625, 10.49)), and R25% (P = 0.007, 1.018 (1.005, 1.031)) were independent risk factors for severe OSA. In patients aged 35 to 60, RV/TLC (P = 0.029, 1.272 (1.025, 1.577)) is an independent risk factor for severe OSA. Conclusion R25% was an independent risk factor for severe OSA in obese individuals, while RV/TLC was also an independent risk factor in those aged 35 to 60. Pulmonary function tests (PFTs), particularly IOS levels, are recommended to assess severe OSA in obese patients.
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Affiliation(s)
- Yijia Hao
- Cheeloo College of Medicine, Shandong University, Jinan, 250033, People’s Republic of China
| | - Shaozhuang Liu
- Division of Bariatric and Metabolic Surgery, Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, People’s Republic of China
| | - Teng Liu
- Division of Bariatric and Metabolic Surgery, Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, People’s Republic of China
| | - Xin Huang
- Division of Bariatric and Metabolic Surgery, Department of General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, People’s Republic of China
| | - Mengshuang Xie
- Department of Geriatrics & Key Laboratory of Cardiovascular Proteomics of Shandong Province, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, People’s Republic of China
| | - Dexiang Wang
- Department of Pulmonary and Critical Care Medicine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250012, People’s Republic of China
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4
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Wu J, Zhang H, Shi Y, Wang J, Han Y, Zhang Q, Wang N, Liu S, Zhang Y, Zi H, Wang F, Liu A, Song Y, Jia C, Feng Y, Liu Q, Wan L, Ji M, Long Z, Huang J, Liu L, Sun Y, Tang S, Dong X, Zhou X, Jiang W, Shen L, Jiang H. Correction: Reference values of impulse oscillometry (IOS) for healthy Chinese children aged 4-17 years. Respir Res 2023; 24:61. [PMID: 36814236 PMCID: PMC9945351 DOI: 10.1186/s12931-023-02350-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023] Open
Affiliation(s)
- Jinhong Wu
- grid.16821.3c0000 0004 0368 8293Department of Respiratory Medicine, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127 China
| | - Hao Zhang
- Department of Internal Medicine, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200127, China.
| | - Yongsheng Shi
- Department of Pediatric Respiratory, Maternity and Child-Care Hospital of Gansu Province, Lanzhou, 730050 China
| | - Jinrong Wang
- grid.410638.80000 0000 8910 6733Department of Pediatric Respiratory, Affiliated Provincial Hospital of Shandong First Medical University, Jinan, 250021 China
| | - Yuling Han
- grid.27255.370000 0004 1761 1174Department of Respiratory, Qilu Children’s Hospital of Shandong University, Jinan, 250022 China
| | - Qiaoling Zhang
- Department of Pediatric Respiratory, Maternal and Child Health Hospital in Inner Mongolia Autonomous Region, Hohhot, 010020 China
| | - Ning Wang
- grid.452902.8Asthma Centre of Xi’an Children’s Hospital, Xi’an, 710003 China
| | - Sha Liu
- grid.488412.3Department of Respiratory Medicine, Children’s Hospital of Chongqing Medical University, Chongqing, 400014 China
| | - Yuehua Zhang
- Pediatrics Infection Disease Ward, Central South University Xiangya School of Medicine Affiliated Haikou Hospital, Haikou, 570208 China
| | - Huifen Zi
- grid.489937.80000 0004 1757 8474Department of Pediatrics, Baotou Central Hospital, Baotou, 014040 China
| | - Fei Wang
- Department of Pediatric Respiratory, Guiyang Maternal and Child Health Hospital (Guiyang Children’s Hospital), Guiyang, 550003 China
| | - Aihong Liu
- Department of Respiratory Medicine, Children’s Hospital of Shanxi, Taiyuan, 030013 China
| | - Yuxin Song
- Department of Allergy, Harbin Children’s Hospital, Harbin, 150010 China
| | - ChunMei Jia
- Department of Pediatric Respiratory, The Fourth Hospital of Baotou (Baotou Children’s Hospital), Baotou, 014030 China
| | - Yong Feng
- grid.412467.20000 0004 1806 3501Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, 110004 China
| | - Quanhua Liu
- grid.412987.10000 0004 0630 1330Department of Pulmonology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092 China
| | - liya Wan
- grid.417022.20000 0004 1772 3918Respiratory Department, Tianjin Children’s Hospital, Tianjin, 300074 China
| | - Minghong Ji
- grid.59053.3a0000000121679639Department of Pediatric, The First Affiliated Hospital of USTC Anhui Provincial Hospital, Hefei, 230001 China
| | - Zhen Long
- grid.33199.310000 0004 0368 7223Department of Pediatric Respiratory Medicine, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430070 China
| | - Jianfeng Huang
- grid.411333.70000 0004 0407 2968Department of Pulmonology, Children’s Hospital of Fudan University, Shanghai, 201102 China
| | - Li Liu
- grid.430605.40000 0004 1758 4110Department of Pediatric Respiratory, The First Hospital of Jilin University, Changchun, 130021 China
| | - Yun Sun
- General Pediatric, Yinchuan Women and Children Healthcare Hospital, Yinchuan, 750001 China
| | - Suping Tang
- grid.256112.30000 0004 1797 9307Department of Asthma and Tracheitis, Fuzhou Children’s Hospital, Fujian Medical University, Fuzhou, 350000 China
| | - Xiaoyan Dong
- grid.16821.3c0000 0004 0368 8293Department of Pulmonology, Shanghai Children’s Hospital, Affiliated to Shanghai Jiao Tong University, Shanghai, 200040 China
| | - Xiaojian Zhou
- grid.16821.3c0000 0004 0368 8293Department of Pediatrics, Shanghai First People’s Hospital, Affiliated to Shanghai Jiao Tong University, Shanghai, 200080 China
| | - Wenhui Jiang
- grid.413428.80000 0004 1757 8466Department of Respiratory, Guangzhou Women and Children’s Medical Center, Guangzhou, 510623 China
| | - Li Shen
- grid.412524.40000 0004 0632 3994Department of Respiratory, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University, Shanghai, 200025 China
| | - Haohua Jiang
- grid.412524.40000 0004 0632 3994Department of Respiratory, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University, Shanghai, 200025 China
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