Correlation of PEFR with age and BMI in children of 10-15 years of age

Dr.K.B. Chakravarthy, D. S. Sree, Dr. Brij Bhushan Yadav
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Abstract

Background: Respiratory diseases represent the most important cause of morbidity/ mortality in children. In this a large number accounts to be obstructive airway disease. Allergic respiratory disorders particularly asthma are increasing in prevalence. Objectives: To study the correlation of age and BMI with peak expiratory flow rate in children aged 10-15 years. Methods: A total of 200 children were included. All tests were carried out with prior permission from the head of the schools and informed consent from children’s parents in local language. For each child detailed history and physical examination was done and all anthropometric parameters were measured and entered as per the proforma. Results: Around 54% of the children were Male and 46% of them were female. Majority of the children 24.5% were 13yrs, followed by 20.5% were 12yrs, 18.5% were 11yrs, 14.5% were 14yrs, 12.5% were 10yrs and only 9.5% were 15yrs. There was a positive correlation between PEFR and BMI with r value 0.471 and this correlation was statistically significant. PEFR and female BMI had more positive correlation than Male BMI. Conclusion: Maintenance of normal BMI in children and adolescents in order to prevent future risk of obstructive respiratory diseases. Prevention of malnutrition by dietary counselling, school health programmes, early detection of malnutrition by regular growth monitoring, health supplements and Obesity prevention by regular exercises and appropriate diet is important in maintaining normal PEFR.
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10-15岁儿童PEFR与年龄和BMI的相关性
背景:呼吸系统疾病是儿童发病/死亡的最重要原因。在这其中,有很大一部分是呼吸道阻塞性疾病。过敏性呼吸系统疾病,特别是哮喘的发病率正在上升。目的:探讨10 ~ 15岁儿童呼气流量峰值与年龄、BMI的相关性。方法:共纳入200例儿童。所有测试都是在得到学校校长事先许可和儿童家长知情同意的情况下用当地语言进行的。对每个儿童进行详细的病史和体格检查,并测量所有人体测量参数并按形式输入。结果:患儿中男占54%,女占46%。13岁的占24.5%,12岁的占20.5%,11岁的占18.5%,14岁的占14.5%,10岁的占12.5%,15岁的占9.5%。PEFR与BMI呈正相关,r值为0.471,相关性有统计学意义。PEFR与女性BMI的正相关大于男性BMI。结论:维持儿童和青少年正常的BMI可预防未来发生阻塞性呼吸系统疾病的风险。通过饮食咨询、学校保健方案、通过定期生长监测早期发现营养不良、补充保健和通过定期运动和适当饮食预防肥胖,预防营养不良对维持正常的PEFR非常重要。
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