Comparison of peak expiratory flow rate (PEFR) before and after physical exercise in obese and non-obese children
Keywords:
peak expiratory flow rate, obesity, physical exercise
Abstract
Background Obesity has been associated with respiratorycomplications and it is believed to reduce lung volume. Obesity
imposes additional stress on ventilation during exercise and
may even result in pulmonary function impairment. Exercise
induced-bronchospasm has also been found in obese children.
Lung function tests can be useful to confirm diagnosis, response
to therapy, or prediction of lung and respiratory diseases. The
peak flow meter is an inexpensive, practical way to measure lung
function, and can detect the early warning signs of a decrease in
lung function.
Objective To compare the peak expiratory flow rate (PEFR) before
and after physical exercise in obese and non-obese primary school
boys aged 6 to 12 years old.
Methods A quasi-experimental study using the one group pretest-
posttest design was performed on 30 obese children (BMI above
the 95<h percentile) and 30 non-obese children (BMI between
the 5<h - 85'h percentile) using a mini-Wright peak flow meter
to evaluate the PEFR before and after eight minutes of physical
exercise. Height, weight, body mass index, and physical status
were determined before testing.
Results The PEFR before and after exercise were 14.80 for obese
children and 9.76 for non-obese children. The mean value for
PEFR between obese and non-obese children was significantly
different (P<0.05).
Conclusion The PEFR for obese children is significantly lower
than non obese children even before physical exercise.
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K. New insight into the field of child and adolescents' obesity:
the European perspective. Intern JObes. 2004;28: 1189-96.
2. Sjarif DR. Obesitas pada anak dan permasalahannya. In:
Trihono PP, Pudjiarto SP, Sjarif DR, editors. Hot Topics in
Pediatrics II. Pendidikan Kedokteran Berkelanjutan Ilmu
Kesehatan Anak XLV, 18- 19 Februari 2002. Jakarta: Balai
Penerbit FKUI, 2002; p. 219-32.
3. Tang RB, Chao T, Chen SJ, Lai CC. Pulmonary function during
exercise in obese children. Chinese Med J. 2001;64:403-7.
4. Haddad GG, Palazzo RM. Diagnostic approach to respiratory
disease. In: Behrman RE, Kliegman RM, Jenson HB, editors.
Nelson Textbook of Pediatrics. 17'h ed. Philadelphia:
Saunders; 2004; p. 1375-9.
5. Castile RG. Pulmonary function testing in children. In:
Chernick V, Boat TF, Wilmott RW, Bush A, editors. Kendig's
Disorders of the Respiratory Tract in Children. 7'h ed.
Philadelphia: Elsevier Inc, 2006; p. 168-85.
6. Shea JM, Martines CM. Peak flow meter. Available from
URL: http: / /www.pcca.net.
7. Aditama YT, Mangunnegoro H, Fachrurodji H, De pari,
Saharawati. Penggunaan arus puncak ekspirasi maksimal
dalam penilaian faal paru. Medika. 1987;7:670-1.
8. Moran R. Evaluation and treatment of childhood obesity.
Am Fam Physician. 1999;59:859-73.
9. Donohoue PA. Obesity. In: Behrman RE, Kliegman RM,
Jenson HB, editors. Nelson Textbook of Pediatrics. 17'h ed.
Philadelphia: Saunders; 2004; p. 173-7.
10. Laurenco RV. Diaphragm activity in obesity. J ofClin Invest.
1989;48: 147-52.
11. Kaplan TA, Montana E. Exercise-induced bronchospasm in
nonasthmatic obese children. Clin pediatr. 1993;32:220-5.
12. Von Mutius E, Schwartz J, Neas LM, Dockery D, Weiss ST.
Relation of body mass index to asthma and atopy in children
:the National Health and Nutrition Examination Study III.
Thorax. 2001 ;56:835-8.
13. Li AM, ChanD, Wong E, Yin J, Nelson EAS, Fok TE The
effects of obesity on pulmonary function. Arch Dis Child.
2003;88:361-3.
14. Gilliland FD, Berhane K, Islam T, McConell R, Gauderman
WJ, Gilliland SS et al. Obesity and the risk of newly diagnosed
asthma in school-age children. Am J Epidemiol. 2003; 158:
406-15.
15. De Ia Rubia SG, Fernandez MJP, Solis MS, Moro IMG, Flores
DP, Ahumada MP. Exercise-induced asthma in children: a
24 • Paediatr Indones, Vol. 49, No. 1, January 2009
comparative study of free and treadmill running. Ann Allergy
Asthma Immunol. 1998;80:232-6.
16. Custovic A, Arifhodzic N, Robinson A, Woodcock A.
Exercise testing revisited. Chest. 1994; 105:1127-32.
17. Sinha T, David AK. Recognition and management of exer-
cise-induced bronchospasm. Am Fam Physician. 2003;67:
769-74.
18. Wirjodiardjo M, Said M, Boediman HI. Perbandingan hasil
pengukuran peak flow rate antara Mini Wright peak flow
meter dengan spirometer elektronik pada anak. Majalah
Kedokteran Indonesia. 1992;42:575-84.
19. Gharagozlo M, Khajooe V, Moin M, Rezvani M. Peak
expiratory flow rate in healthy children from Theran. Iran J
Med Sci. 2003;28:26-8.
20. Goldberg S, Springer C, A vital A, Godfrey S, Bar-Yishay E.
Can peak expiratory flow measurement estimate small airway
function in asthmatic children? Chest. 2001;120:482-8.
Published
2009-03-01
How to Cite
1.
Siregar F, Panggabean G, Daulay R, Lubis H. Comparison of peak expiratory flow rate (PEFR) before and after physical exercise in obese and non-obese children. PI [Internet]. 1Mar.2009 [cited 13Nov.2024];49(1):20-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/451
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Received 2016-09-05
Accepted 2016-09-05
Published 2009-03-01
Accepted 2016-09-05
Published 2009-03-01
