Reference values for respiratory muscle strength in brazilian children: a review

Resumo Objetivo: Apresentar distribuição normal para os valores das pressões respiratórias máximas de escolares saudáveis, de acordo com o gênero. Métodos: Estudo transversal envolvendo crianças saudáveis de 7 a 10 anos. Foram avaliados os dados de massa corporal e estatura, para o cálculo do índice de massa corporal (IMC). Os valores de volume expiratório forçado no primeiro segundo (VEF1) e pressão expiratória máxima foram avaliados de acordo com a American Thoracic Society. Os dados de pressão inspiratória máxima (PImáx) e pressão expiratória máxima (PEmáx) obtidos no estudo deram origem à distribuição normal, cuja construção foi elaborada pelo método the Lambda-Mu-Sigma (LMS), bem como os percentis 3, 10, 25, 50, 75, 90 e 97 de PImáx e PImáx de cada sexo. Resultados: Os dados de PImáx e PImáx foram coletados de 399 escolares. Todos os escolares da amostra apresentavam VEF1 e índice de massa corporal adequados. O estudo mostrou aumento dos valores de pressão respiratória com o avançar da idade. Os valores de PImáx e PImáx das meninas foram de 53,49±11,07 e 61,80±12,51cmH2O, respectivamente; e os meninos de 59,96±13,66 e 69,68±15,72 cmH2O, respectivamente. Conclusões: Foram desenvolvidas curvas e percentis normais para os valores de PImáx e PImáx de escolares saudáveis o que poderia auxiliar no acompanhamento clínico e terapêutico de diferentes populações pediátricas.

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Distribuição padrão e percentuais dos valores de pressão respiratória máxima de crianças saudáveis de 7 a 10 anos de idade

Schivinski

Wamosy

Parazzi

et al. 2022

Rev. paul. pediatr.

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Standard reference and percentiles of maximum respiratory pressures values of healthy children aged 7–10 years

Schivinski

Wamosy

Parazzi

et al. 2022

Rev. paul. pediatr.

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Objective: This study aims to present standard reference for values of maximum respiratory pressures of healthy schoolchildren, according to gender. Methods: This is a cross-sectional study involving healthy children aged 7–10 years. Data of body mass and height were evaluated to calculate body mass index (BMI). In addition, forced expiratory volume in 1 second (FEV1) and maximal expiratory pressure values were evaluated according to the American Thoracic Society. The maximal inspiratory pressure (MIP) and data of maximal expiratory pressure (MEP) obtained in the study showed normal distribution and curves were built by the Lambda–Mu–Sigma (LMS) method, as well as the values of MIP and MEP percentiles 3, 10, 25, 50, 75, 90, and 97 for each gender. Results: MIP and MEP data were collected from 399 schoolchildren. All schoolchildren in the sample had adequate FEV1 and BMI. The study showed an increase in respiratory pressure values with age progression. The MIP and MEP values of girls were of 53.4±11.0 and 61.8±12.5cmH2O, respectively, and those of boys were 59.9±13.6 and 69.6±15.7cmH2O, respectively. Conclusions: Normal curves and percentiles were developed for MIP and MEP values of healthy schoolchildren. The extreme percentiles (3rd and 97th) were determined, and a specific graph was elaborated for each group. These graphs may help clinical follow-up and therapeutic monitoring of different pediatric populations.

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The Dynamics of the Development of Apneic Breathing Capacity Specific to Synchronized Swimming in Girls Aged 7–14 Years

Badau

2024

Applied Sciences

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The purpose of the study was to identify the durations of maintaining apnea, in different static positions, with and without the use of a nose clip, in girls aged between 7 and 14 years,. The study included a total number of 92 girls, grouped by age into four groups of 2-year spans (7–8, 9–10, 11–12, 13–14 years), and depending on the experience of practicing synchronized swimming (6–42 months). In the study we applied five physical tests where apnea maintenance times were recorded in different static positions: Apnea Test of Facial floatation with and without nose clip, Apnea Test of Front tuck with and without nose clip and Apnea Test of Front layout with support to scull. The statistical analysis was performed with SPSS-24. During the study, a program of specific exercises to learn/consolidate the apneic breathing specific to artistic swimming was implemented, for a time interval of 3 months. The results were recorded at the beginning of the study (TI) and at the end of the study (TF). Analyzing the results of the study, we found positive and statistically significant improvements, related to age and experience. The most significant progress, taking into account the averages between the final and initial tests, was recorded in relation to Facial Flotation for 1.301 s for the 7–8-year-old group and 1.110 s for the 9–10-year-old group; the 11–12-year-old group recorded the most positive effect in the Facial Flotation test with a nose clip, with a result of 0.853 s, and in the 13–14-year-old group in the front tuck with nose clip test, a result of 0.807 s was reached. In all tests of the study, the Cohen’s values in all groups fell between 0.184 and 0.478, the size of the effect being small and medium. The ANOVA analysis of variance showed that the differences were statistically significant for p < 0.05 between the arithmetic means of the four groups according to age and sport experiences. For all groups, the value of Wilks’ Lambda was 0.009 (p < 0.01) for age and 0 (p < 0.01) for sports experience, highlighting large differences between groups. We conclude that the development of the ability to maintain apnea specific to synchronized swimming shows an upward trajectory, being conditioned by the training methodology, the age of the subjects and the sports experience. The small and medium values of the effect size highlight the fact that the improvement in apnea maintenance time is dependent on the duration and frequency of the apnea exercises performed in technical conditions specific to synchronized swimming. The training methodology must be adapted to the particularities of age, sports experience and the characteristics of synchronized swimming.

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Reference values for respiratory muscle strength in brazilian children: a review

Cited by 3 publications

References 22 publications

Distribuição padrão e percentuais dos valores de pressão respiratória máxima de crianças saudáveis de 7 a 10 anos de idade

Distribuição padrão e percentuais dos valores de pressão respiratória máxima de crianças saudáveis de 7 a 10 anos de idade

Standard reference and percentiles of maximum respiratory pressures values of healthy children aged 7–10 years

The Dynamics of the Development of Apneic Breathing Capacity Specific to Synchronized Swimming in Girls Aged 7–14 Years

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