LUNG FUNCTION AND RESPIRATORY MUSCLE STRENGTH IN OBESE IN CHILDREN
https://doi.org/10.15690/pf.v12i2/1276
Abstract
Background. It is known that obesity may influence the state of respiratory function and it is associated with a number of diseases of the respiratory system. Obesity in itself, even in the absence of other known causes, can cause a feeling of shortness of breath at rest. At the same time, the cardinal symptom of respiratory muscle weakness is shortness of breath, which promotes the reduction of exercise tolerance. At the moment the problem state of respiratory function and respiratory muscles in children with different degrees of obesity is relevant and understudied. Aim. Investigation of lung function and respiratory muscle strength in obese in children. Methods. 46 children with obesity were examined, with a prevalence of obesity of mixed origin with progressive, aged 7 to 16 years. We evaluated the lung function and strength of respiratory muscles in the form of maximum inspiratory pressure at the mouth (MIP), maximal expiratory pressure at the mouth (MEP) and nasal inspiratory pressure in the sniff-test (SNIP). Results. The children with obesity complained of dyspnea. The respiratory muscle dysfunction observed in the form of reduction of its forces. Reduced respiratory muscle strength ( 80% of the norm) was in 44% of patients on the MIP and 38% on the MEP and was increased with increasing body mass index. Conclusion. Children with obesity need to monitor the lung function and evaluate the strength of the respiratory muscles for early detection of functional disorders of the respiratory system.
About the Authors
E. G. Furman
Perm State Medical University named after Academician E.A. Wagner, Russian Federation
Russian Federation
Russian Federation
A. M. Yarulina
City children's clinical hospital № 2, Perm, Russian Federation
Russian Federation
Russian Federation
L. V. Sofronova
Perm State Medical University named after Academician E.A. Wagner, Russian Federation
Russian Federation
Russian Federation
References
1. Deckelbaum R.J., Williams C.L. Childhoodobesity: the health issue. Obes Res. 2001; 9 (Suppl. 4): 239–243.
2. Hedley A.A., Ogden C.L., Johnson C.L., Carroll M.D., Curtin L.R., Flegal K.M. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2004; 291: 2847–2850.
3. Dietz W.H., Robinson T.N. Clinical practice. Overweight children and adolescents. N Engl J Med. 2005; 352: 2100–2109.
4. Akhmedova R.M., Sofronova L.V. Obesity and metabolic syndrome in childhood: a modern view on the problem. Voprosy diagnostiki v pediatrii = Diagnostics in pediatrics. 2012; 4 (1): 13–19.
5. Aver'yanov A.P. Ozhirenie u detei i podrostkov: kliniko-metabolicheskie osobennosti, lechenie, prognoz i profilaktika oslozhnenii. Avtoref. dis. …dokt. med. nauk [Obesity in Children and Adolescents: the Clinical and Metabolic Characteristics, Treatment, Prognosis and Prevention of Complications. Author’s abstract]. Saratov. 2009. 53 p.
6. Lebed'kova S.E., Ignatova T.N., Trusova O.Yu., Vivtanenko T.V., Roshchupkin A.N. On the metabolic syndrome in children and adolescents with obesity. Pediatriya = Pediatrics. 2010; 89 (2): 151–155.
7. Boikov V.A., Kobyakova O.S., Deev I.A., Kulikov E.S., Starovoitova E.A. Status of respiratory function in patients with obesity. Byulleten' sibirskoi meditsiny = Bulletin of Siberian medicine. 2013; 12 (1): 86–92.
8. Davidovich V.V. Funktsiya vneshnego dykhaniya u patsientov s morbidnym ozhireniem. Lechebno-profilakticheskie voprosy [Respiratory Function in Patients with Morbid Obesity. Treatment and Prevention Issues]. 2013. P. 34–38.
9. Krasnoperova O.I. Clinical and metabolic characteristics of various degrees of obesity in children. Permskii meditsinskii zhurnal = Perm Medical Journal. 2012; 29 (2): 99–105.
10. Avdeev S.N., Nuralieva G.S. Obesity hypoventilation syndrome. Pul'monologiya i allergologiya = Pulmonology and Allergology. 2006; 3: 10–14.
11. Maiolo C., Mohamed E.I., Carbonelli M.G. Body composition and respiratory function. Acta Diabetol. 2003; 40 (Suppl. 1): 32–38.
12. Erler T., Paditz E. Obstructive sleep apnea syndrome in children: a state-of-the-art review. TreatRespir Med. 2004; 3: 107–122.
13. Young T., Peppard P.E., Gottlieb D.J. Epidemiology of obstructive sleep apnea: a population health perspective. Am J RespirCrit Care Med. 2002; 165: 1217–1239.
14. Marcus C.L., Curtis S., Koerner C.B., Joffe A., Serwint J.R., Loughlin G.M. Evaluation ofpulmonary function and polysomnography in obese children and adolescents. Pediatr Pulmonol. 1996; 21: 176–183.
15. Pistelli R., Brancato G., Forastiere F. Population values of lung volumes and flows in children: effect of sex, body mass and respiratory conditions. EurRespir J. 1992; 5: 463–470.
16. Inselman L.S., Milanese A., Deurloo A. Effect of obesity on pulmonary function in children. PediatrPulmonol. 1993; 16: 130–137.
17. Jubber A.S. Respiratory complications of obesity. Int J ClinPract. 2004; 58: 573–580.
18. Sampson M.G., Grassino A.E. Load compensation in obese patients during quiet tidal breathing. J Appl Physiol. 1983; 55: 1269–1276.
19. Namazova-Baranova L.S., Resnenko A.B. Ozhirenie: karmannyi spravochnik pediatra [Obesity: a pocket guide pediatrician]. Moscow, Pediatr", 2012. 23 p.
20. Sofronova L.V.,Trefilov R.N. Metody otsenki narushenii fizicheskogo i polovogo razvitiya u detei i podrostkov: metodicheskie rekomendatsii dlya vrachei-pediatrov [Methods of evaluation of disorders of physical and sexual development in children and adolescents: guidelines for pediatricians]. Perm, GBOU VPO «PGMA im. ak. E.A. Vagnera» Minzdrava Rossii, 2013. 45 p.
21. Koryukina I.P., Sofronova L.V., Trefilov R.N. Metody otsenki fizicheskogo razvitiya i biologicheskoi zrelosti detei i podrostkov [Methods of assessing physical development and biological maturity of children and adolescents]. Perm, GBOU VPO «PGMA im. ak. E.A. Vagnera» Minzdrava Rossii, 2007. 191 p.
22. Avdeev S.N. Qualification strength of the respiratory muscles in clinical practice. Pul'monologiya i allergologiya = Pulmonology and Allergology. 2008; 4: 12–17.
23. ATS/ERS Statement on Respiratory Muscle Testing, 2001. Am J Respir Crit Care Med. 2002; 166: 518–624.
Review
For citations:
Furman E.G., Yarulina A.M., Sofronova L.V. LUNG FUNCTION AND RESPIRATORY MUSCLE STRENGTH IN OBESE IN CHILDREN. Pediatric pharmacology. 2015;12(2):143-147. https://doi.org/10.15690/pf.v12i2/1276
Views:
906
Email this article 