Obtained and predicted values for maximal respiratory pressures of Brazilian children

Autores

  • Rafaela Andrade do Nascimento
  • Tania Fernandes Campos
  • Janiara Borges da Costa Melo
  • Raíssa de Oliveira Borja
  • Diana Amélia de Freitas
  • Karla Morganna Pereira Pinto de Mendonça

DOI:

https://doi.org/10.7322/jhgd.44946

Palavras-chave:

muscle strength, respiratory muscles, evaluation, reference values, child

Resumo

Objective: To compare the values obtained from the evaluation of maximal inspiratory pressure and maximal expiratory pressure in a sample of Brazilian children with reference values for maximal respiratory pressures proposed by Szeinberg et al., Domènech-Clar et al., and with the predicted equations proposed by Wilson et al. Methods: Observational, cross-sectional study. We assessed 40 female and male children from public schools, aged 7 to 10 years. Personal and anthropometric data were collected in addition to the measurement of maximal respiratory pressures by an MV150 analog manometer (Wika®). Results: Mean maximal inspiratory pressure was -61,50 ± 18,14 cmH2O and -70,55 ± 17,94 cmH2O for girls and boys, respectively. Mean maximal expiratory pressure was 77,40 ± 19,00 cmH2O and 77,40 ± 19,04 cmH2O for girls and boys, respectively. Conclusion: The values of maximal respiratory pressures obtained by this study in a sample of Brazilian children aged 7 to 10 years did not differ from those proposed by Domènech-Clar et al. However the reference values provided by Szeinberg et al. overestimated the values of maximal respiratory pressures of the children evaluated. The equations proposed by Wilson et al. were successful in predicting the values of maximal respiratory pressures in the population studied.

Referências

Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res.1999;32(6):719-27.

Souza RB. Pressões respiratórias estáticas máximas. J Pneumol. 2002;28 Suppl 3: S155-65.

Vasconcellos JA, Britto RR, Lopes RB. Avaliação da musculatura respiratória. In: Brittom AR, Brant TC, Parreira VF. Recursos manuais e instrumentais em fisioterapia respiratória. Barueri: Manole; 2009. p. 11-22.

Black LF, Hyatt RE. Maximal respiratory pressures: normal values and relationship to age and sex. Am Rev Respir Dis. 1969;99: 696-702.

Costa D, Gonçalves HA, Lima LP, Ike D, Cancelliero KM, Montebelo MIL. Novos valores de referência para pressões respiratórias máximas na população brasileira. J Bras Pneumol. 2010;36(3):306-12.

Tomalak W, Pogorzelski A, Prusak J. Normal values for maximal static inspiratory and expiratory pressures in healthy children. Pediatr Pulmonol. 2002;34(1):42-6.

Simões RP, Deus AP, Auad MA, Dionísio J, Mazzonetto M, Borghi-Silva A. Pressões respiratórias máximas em indivíduos saudáveis sedentários de 20 a 89 anos da região central do Estado de São Paulo. Rev Bras Fisioter. 2010;14(1):60-7.

Trinca MA, Bicudo IMP, Pelicione MCF. A interferência da asma no cotidiano das crianças. Rev Bras Crescimento Desenvolv Hum. 2011;21(1):70-84.

Costa ASM, Britto MCA, Nóbrega SM, Vasconcelos MGL, Lima LS. Vivências de familiares de crianças e adolescentes com fibrose cística. Rev Bras Crescimento Desenvolv Hum. 2010;20(2):217-27.

Prasad SA, Main E, Dodd ME. Finding consensus on the physiotherapy management of asymptomatic infants with cystic fibrosis. Pediatr Pulmonol. 2008; 43(3): 236-44.

Stick S. The contribution of airway development to paediatric and adult lung disease. Thorax. 2000;55(7):587–94.

Wilson SH, Cooke NT, Edwards RTH, Spiro SG. Predicted normal values for maximal respiratory pressures in caucasian adults and children. Thorax. 1984;39(7): 535-8.

Szeinberg A, Marcotte JE, Roizin H, Mindorff C, England S, Tabachnik E, et al. Normal values of maximal inspiratory and expiratory pressures with a portable apparatus in children, adolescents and young adults. Pediatr Pulmonol. 1987;3(4):255-8.

Domènech-Clar R, López-Andreu JA, Compte-Torrero L, De Diego-Damiá A, Macián-Gisbert V, Perpiñá-Tordera M ,et al. Maximal static respiratory pressures in children and adolescents. Pediatr Pulmonol. 2003; 35(2):126-32.

Estatuto da criança e do adolescente. Disponível em: http://www.planalto.gov.br/ccivil/LEIS/L8069.htm. Acessado em: 22 jul. 2009.

World Health Organ. Physical status: the use and interpretation of anthropometry. Report of a World Health Organ Expert Committee. World Health Organ Tech Rep Ser. 1995; 854:1-452.

Oliveira KMC, Macêdo TMF, Borja RO, Nascimento RA, Medeiros Filho WC, Campos TF, et al. Força muscular respiratória e mobilidade torácica em crianças e adolescentes com leucemia aguda e escolares saudáveis. Rev Bras Cancerol. 2011; 57(4):511-7.

Schrader PC, Quanjer PH, Olievier IC. Respiratory muscle force and ventilator function in adolescents. Eur Respir J.1988;1(4):368-75.

Matecki S, Prioux J, Jaber S, Hayot M, PrefautC, Ramonatxo M. Respiratory pressures in boys from 11-17 years old: a semilongitudinal study. Pediatr Pulmonol. 2003;35(5):368-74.

Zapletal A, Paul T, Samanek M. Pulmonary elasticity in children and adolescents. J Appl Physiol. 1976;40(6):953-61.

Loosli CG, Potter E I. Pre- and post-natal development of the respiratory portion of the human lung with special reference to the elastic fibers. Am Rev Respir Dis. 1959; 80 Suppl 1:S5-23.

Evans JA, Whitelaw WA. The assessment of maximal respiratory mouth pressures in adults. Respir Care. 2009;54(10):1348–59.

Leal AH, Hamasaki TA, Jamami M, Di Lorenzo VAP, Pessoa BV. Comparação entre valores de força muscular respiratória medidos e previstos por diferentes equações. Fisioter Pesqui. 2007;14(3):25-30.

Parreira VF, França DC, Zampa CC, Fonseca MM, Tomich GM, Britto RR. Pressões respiratórias máximas: valores encontrados e preditos em indivíduos saudáveis. Rev Bras Fisioter. 2007;11(5):361-8.

Carpenter MA, Tockman MS, Hutchinson RG, Davis CE, Heiss G. Demographic and anthropometric correlates of maximum inspiratory pressure: the atherosclerosis risk in communities study. Am J Respir Crit Care Med. 1999; 159(2): 415-22.

Windisch W, Hennings E, Sorichter S, Hamm H, Criée C.P. Peak or plateau maximal inspiratory y mouth pressure: which is the best? Eur Respir J. 2004:23(5):708-13.

Gaultier C, Zinman R. Maximal static pressures in healthy children. Respir Physiol. 1983;51(1):45–61.

Wagener JS, Hibbert ME, Landau LI. Maximal respiratory pressures in children. Am Rev Respir Dis. 1984;129(5):873-5.

Smyth RJ, Chapman KR, Rebuck AS. Maximal inspiratory and expiratory pressures in adolescents: normal values. Chest.1984;86(4):568–72.

Leech JA, Ghezzo H, Stevens D, Becklake MR. Respiratory pressures and function in young adults. Am Rev Respir Dis. 1983; 128(1):17-23.

Downloads

Publicado

2012-08-01

Edição

Seção

Pesquisa Original