Rastreio de patologia respiratória em crianças em idade escolar com o uso de espirometria portátil

Translated title of the contribution: Respiratory disease screening in school-aged children using portable spirometry

Carolina Constant, Isabel Sampaio, Filipa Negreiro, Pedro Aguiar, Ana Margarida Silva, Marisa Salgueiro, Teresa Bandeira

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objectives: To assess the prevalence of respiratory disease in school-aged children and to determine the value of field spirometry. Methods: Data on 313 1st and 4th graders from four public schools in Lisbon were analyzed. A respiratory self-answered questionnaire and standard spirometry were performed. Descriptive and bivariate analysis was followed by multiple logistic regression. Results: Thirty-five percent of the children presented at least one episode of wheezing (18% ≥ 2 episodes), and 4% had asthma. Wheezing was more frequent with family history of atopy (adjusted OR = 2.7; 95%CI 1.4-5.1), maternal smoking during pregnancy, lower respiratory tract infection (LRTI) (adjusted OR = 2.8; 95%CI 1.2-6.2), bronchiolitis (adjusted OR = 3.3; 95%CI 1.3-8.2), and allergy to aeroallergens (adjusted OR = 3.2; 95%CI 1.4-7.2). Asthma was more frequent with previous history of LRTI (adjusted OR = 14.6; 95%CI 1.7-122.9) and allergy to aeroallergens (adjusted OR = 8.2; 95%CI 2.0-34.2). Fifty-five percent of spirometry measurements met the acceptability criteria of the American Thoracic Society and of the European Respiratory Society. Wheezers presented mean lower z scores for forced expiratory volume in 1 second (FEV 1), ratio between FEV1 and forced vital capacity (FVC) (FEV1/FVC), and forced expiratory flow between 25 and 75% (FEF 25-75) (p < 0.05), as well as higher percentage of abnormal FEV1, FEV1/FVC and FEF25-75 (FEF 25-75, p < 0.05). Conclusions: This pilot study showed a high prevalence of obstructive airway symptoms in school-aged children in Lisbon. Symptoms assessed by the questionnaire showed good correlation with spirometric values. The small prevalence of asthma leads us to speculate that asthma is under-diagnosed in this population.

Original languagePortuguese
Pages (from-to)123-130
Number of pages8
JournalJornal de Pediatria
Volume87
Issue number2
DOIs
Publication statusPublished - 1 Mar 2011

Fingerprint

Spirometry
Asthma
Vital Capacity
Respiratory Sounds
Respiratory Tract Infections
Hypersensitivity
Bronchiolitis
Forced Expiratory Volume
Logistic Models
Smoking
Mothers
Pregnancy
Population
Surveys and Questionnaires

Cite this

Constant, Carolina ; Sampaio, Isabel ; Negreiro, Filipa ; Aguiar, Pedro ; Silva, Ana Margarida ; Salgueiro, Marisa ; Bandeira, Teresa. / Rastreio de patologia respiratória em crianças em idade escolar com o uso de espirometria portátil. In: Jornal de Pediatria. 2011 ; Vol. 87, No. 2. pp. 123-130.
@article{d7544098363e424fab0a976d66e437be,
title = "Rastreio de patologia respirat{\'o}ria em crian{\cc}as em idade escolar com o uso de espirometria port{\'a}til",
abstract = "Objectives: To assess the prevalence of respiratory disease in school-aged children and to determine the value of field spirometry. Methods: Data on 313 1st and 4th graders from four public schools in Lisbon were analyzed. A respiratory self-answered questionnaire and standard spirometry were performed. Descriptive and bivariate analysis was followed by multiple logistic regression. Results: Thirty-five percent of the children presented at least one episode of wheezing (18{\%} ≥ 2 episodes), and 4{\%} had asthma. Wheezing was more frequent with family history of atopy (adjusted OR = 2.7; 95{\%}CI 1.4-5.1), maternal smoking during pregnancy, lower respiratory tract infection (LRTI) (adjusted OR = 2.8; 95{\%}CI 1.2-6.2), bronchiolitis (adjusted OR = 3.3; 95{\%}CI 1.3-8.2), and allergy to aeroallergens (adjusted OR = 3.2; 95{\%}CI 1.4-7.2). Asthma was more frequent with previous history of LRTI (adjusted OR = 14.6; 95{\%}CI 1.7-122.9) and allergy to aeroallergens (adjusted OR = 8.2; 95{\%}CI 2.0-34.2). Fifty-five percent of spirometry measurements met the acceptability criteria of the American Thoracic Society and of the European Respiratory Society. Wheezers presented mean lower z scores for forced expiratory volume in 1 second (FEV 1), ratio between FEV1 and forced vital capacity (FVC) (FEV1/FVC), and forced expiratory flow between 25 and 75{\%} (FEF 25-75) (p < 0.05), as well as higher percentage of abnormal FEV1, FEV1/FVC and FEF25-75 (FEF 25-75, p < 0.05). Conclusions: This pilot study showed a high prevalence of obstructive airway symptoms in school-aged children in Lisbon. Symptoms assessed by the questionnaire showed good correlation with spirometric values. The small prevalence of asthma leads us to speculate that asthma is under-diagnosed in this population.",
author = "Carolina Constant and Isabel Sampaio and Filipa Negreiro and Pedro Aguiar and Silva, {Ana Margarida} and Marisa Salgueiro and Teresa Bandeira",
year = "2011",
month = "3",
day = "1",
doi = "10.2223/JPED.2069",
language = "Portuguese",
volume = "87",
pages = "123--130",
journal = "Jornal de Pediatria",
issn = "0021-7557",
publisher = "Sociedade Brasileira de Pediatria",
number = "2",

}

Rastreio de patologia respiratória em crianças em idade escolar com o uso de espirometria portátil. / Constant, Carolina; Sampaio, Isabel; Negreiro, Filipa; Aguiar, Pedro; Silva, Ana Margarida; Salgueiro, Marisa; Bandeira, Teresa.

In: Jornal de Pediatria, Vol. 87, No. 2, 01.03.2011, p. 123-130.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Rastreio de patologia respiratória em crianças em idade escolar com o uso de espirometria portátil

AU - Constant, Carolina

AU - Sampaio, Isabel

AU - Negreiro, Filipa

AU - Aguiar, Pedro

AU - Silva, Ana Margarida

AU - Salgueiro, Marisa

AU - Bandeira, Teresa

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Objectives: To assess the prevalence of respiratory disease in school-aged children and to determine the value of field spirometry. Methods: Data on 313 1st and 4th graders from four public schools in Lisbon were analyzed. A respiratory self-answered questionnaire and standard spirometry were performed. Descriptive and bivariate analysis was followed by multiple logistic regression. Results: Thirty-five percent of the children presented at least one episode of wheezing (18% ≥ 2 episodes), and 4% had asthma. Wheezing was more frequent with family history of atopy (adjusted OR = 2.7; 95%CI 1.4-5.1), maternal smoking during pregnancy, lower respiratory tract infection (LRTI) (adjusted OR = 2.8; 95%CI 1.2-6.2), bronchiolitis (adjusted OR = 3.3; 95%CI 1.3-8.2), and allergy to aeroallergens (adjusted OR = 3.2; 95%CI 1.4-7.2). Asthma was more frequent with previous history of LRTI (adjusted OR = 14.6; 95%CI 1.7-122.9) and allergy to aeroallergens (adjusted OR = 8.2; 95%CI 2.0-34.2). Fifty-five percent of spirometry measurements met the acceptability criteria of the American Thoracic Society and of the European Respiratory Society. Wheezers presented mean lower z scores for forced expiratory volume in 1 second (FEV 1), ratio between FEV1 and forced vital capacity (FVC) (FEV1/FVC), and forced expiratory flow between 25 and 75% (FEF 25-75) (p < 0.05), as well as higher percentage of abnormal FEV1, FEV1/FVC and FEF25-75 (FEF 25-75, p < 0.05). Conclusions: This pilot study showed a high prevalence of obstructive airway symptoms in school-aged children in Lisbon. Symptoms assessed by the questionnaire showed good correlation with spirometric values. The small prevalence of asthma leads us to speculate that asthma is under-diagnosed in this population.

AB - Objectives: To assess the prevalence of respiratory disease in school-aged children and to determine the value of field spirometry. Methods: Data on 313 1st and 4th graders from four public schools in Lisbon were analyzed. A respiratory self-answered questionnaire and standard spirometry were performed. Descriptive and bivariate analysis was followed by multiple logistic regression. Results: Thirty-five percent of the children presented at least one episode of wheezing (18% ≥ 2 episodes), and 4% had asthma. Wheezing was more frequent with family history of atopy (adjusted OR = 2.7; 95%CI 1.4-5.1), maternal smoking during pregnancy, lower respiratory tract infection (LRTI) (adjusted OR = 2.8; 95%CI 1.2-6.2), bronchiolitis (adjusted OR = 3.3; 95%CI 1.3-8.2), and allergy to aeroallergens (adjusted OR = 3.2; 95%CI 1.4-7.2). Asthma was more frequent with previous history of LRTI (adjusted OR = 14.6; 95%CI 1.7-122.9) and allergy to aeroallergens (adjusted OR = 8.2; 95%CI 2.0-34.2). Fifty-five percent of spirometry measurements met the acceptability criteria of the American Thoracic Society and of the European Respiratory Society. Wheezers presented mean lower z scores for forced expiratory volume in 1 second (FEV 1), ratio between FEV1 and forced vital capacity (FVC) (FEV1/FVC), and forced expiratory flow between 25 and 75% (FEF 25-75) (p < 0.05), as well as higher percentage of abnormal FEV1, FEV1/FVC and FEF25-75 (FEF 25-75, p < 0.05). Conclusions: This pilot study showed a high prevalence of obstructive airway symptoms in school-aged children in Lisbon. Symptoms assessed by the questionnaire showed good correlation with spirometric values. The small prevalence of asthma leads us to speculate that asthma is under-diagnosed in this population.

UR - http://www.scopus.com/inward/record.url?scp=79955105664&partnerID=8YFLogxK

U2 - 10.2223/JPED.2069

DO - 10.2223/JPED.2069

M3 - Article

VL - 87

SP - 123

EP - 130

JO - Jornal de Pediatria

JF - Jornal de Pediatria

SN - 0021-7557

IS - 2

ER -