Which factors can influence the number of forced expiratory maneuvers on
spirometry in schoolchildren?
Abstract
Introduction: Spirometry is of great value for understanding respiratory
function and management of lung diseases. However, it presents special
challenges when performed in children. Objective: To analyze factors
that may influence the number of forced expiratory maneuvers required
for successful spirometry in schoolchildren. Method: Healthy children
aged between 6 and 12 years were tested. Forced spirometry maneuvers
were conducted according to the American Thoracic Society. The children
were grouped according to the number of attempts (maximum of eight).
Factors that potentially influenced the number of maneuvers included:
age; pulse oscillometry parameters; slow vital capacity; respiratory
muscle strength; orofacial motor function, school performance, physical
activity and quality of life. The Kolmogorov-Smirnov test was performed,
followed by the Chi-Square, repeated measures ANOVA and Kruskal-Wallis
tests. Next, multinomial logistic regression was applied. Significance
level was set at 5%. Results: 149 children (80 girls) with mean age of
9.13 years (± 1.98) were studied. Age was related to the required number
of spirometry maneuvers and children with poor school performance had a
2.84- fold greater chance of completing the exam in more than five
attempts. Conclusion: Age and school performance influenced the number
of forced expiratory maneuvers required for successful spirometry in
schoolchildren.