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Published in: Respiratory Research 1/2022

Open Access 01-12-2022 | Research

Reference values of impulse oscillometry (IOS) for healthy Chinese children aged 4–17 years

Authors: Jinhong Wu, Hao Zhang, Yongsheng Shi, Jinrong Wang, Yuling Han, Qiaoling Zhang, Ning Wang, Sha Liu, Yuehua Zhang, Huifen Zi, Fei Wang, Aihong Liu, Yuxin Song, ChunMei Jia, Yong Feng, Quanhua Liu, liya Wan, Minghong Ji, Zhen Long, Jianfeng Huang, Li Liu, Yun Sun, Suping Tang, Xiaoyan Dong, Xiaojian Zhou, Wenhui Jiang, Li Shen, Haohua Jiang

Published in: Respiratory Research | Issue 1/2022

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Abstract

Objective

To establish the predicted value of pulmonary function determined by impulse oscillometry (IOS) in children (4–17 years old) in China.

Methods

A total of 6270 healthy children aged 4–17 years in China were included. The Master Screen IOS pulmonary function device (Jaeger Co, Germany) was used to detect the respiratory impedance (Zrs), resonant frequency (Fres), respiratory system resistance (Rrs) and respiratory system reactance (Xrs) at various oscillation frequencies, and the indices above were analysed. Stepwise multivariate regression was used to establish the regression equation of related parameters of IOS in different sexes, ages, height, and weight.

Results

The differences in the main IOS parameters between different age stages were statistically significant regardless of sex (P < 0.05). The stepwise multivariate regression analysis showed that IOS parameters were related to height, age, and weight, and most IOS parameters were most closely related to height (the absolute value of the regression coefficient was the largest). With increasing age and height, the values of Z5, R5, R20, R5–R20, and Fres decreased, while the value of X5 increased. Through height, age, and weight, we obtained the normal predicted values equation of children’s IOS parameters. Compared with the other reference equations, our reference equation is more suitable for Chinese children.

Conclusions

The study revealed the reference values of IOS parameters in healthy Chinese children. In the evaluation of results for lung function measurements, this predicted value equation is more consistent with the characteristics of Chinese children than other reference equations.
Clinical Trial: ChiCTR: 1800019029.
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Literature
1.
go back to reference Beran D, Zar HJ, Perrin C, Menezes AM, Burney P, Forum of International Respiratory Societies working group collaboration. Forum of International Respiratory Societies working group collaboration Burden of asthma and chronic obstructive pulmonary disease and access to essential medicines in low-income and middle-income countries. Lancet Respir Med. 2015;3(2):159–70.CrossRefPubMed Beran D, Zar HJ, Perrin C, Menezes AM, Burney P, Forum of International Respiratory Societies working group collaboration. Forum of International Respiratory Societies working group collaboration Burden of asthma and chronic obstructive pulmonary disease and access to essential medicines in low-income and middle-income countries. Lancet Respir Med. 2015;3(2):159–70.CrossRefPubMed
2.
go back to reference Liang BM, Lam DC, Feng YL. Clinical applications of lung function tests: a revisit. Respirology. 2012;17(4):611–9.CrossRefPubMed Liang BM, Lam DC, Feng YL. Clinical applications of lung function tests: a revisit. Respirology. 2012;17(4):611–9.CrossRefPubMed
3.
go back to reference Tomalak W, Radliński J, Pawlik J, Latawier W, Pogorzelski A. Impulse oscillometry vs. body plethysmography in assessing respiratory resistance in children. Pediatr Pulmonol. 2006;41:50–4.CrossRefPubMed Tomalak W, Radliński J, Pawlik J, Latawier W, Pogorzelski A. Impulse oscillometry vs. body plethysmography in assessing respiratory resistance in children. Pediatr Pulmonol. 2006;41:50–4.CrossRefPubMed
4.
go back to reference Bednarek M, Grabicki M, Piorunek T, Batura-Gabryel H. Current place of impulse oscillometry in the assessment of pulmonary diseases. Respir Med. 2020;170:105952.CrossRefPubMed Bednarek M, Grabicki M, Piorunek T, Batura-Gabryel H. Current place of impulse oscillometry in the assessment of pulmonary diseases. Respir Med. 2020;170:105952.CrossRefPubMed
5.
go back to reference Kaminsky DA, Simpson SJ, Berger KI, Calverley P, de Melo PL, Dandurand R, Dellacà RL, Farah CS, Farré R, Hall GL, Ioan I, Irvin CG, Kaczka DW, King GG, Kurosawa H, Lombardi E, Maksym GN, Marchal F, Oostveen E, Oppenheimer BW, Robinson PD, van den Berge M, Thamrin C. Clinical significance and applications of oscillometry. Eur Respir Rev. 2022;31(163): 210208.CrossRefPubMedPubMedCentral Kaminsky DA, Simpson SJ, Berger KI, Calverley P, de Melo PL, Dandurand R, Dellacà RL, Farah CS, Farré R, Hall GL, Ioan I, Irvin CG, Kaczka DW, King GG, Kurosawa H, Lombardi E, Maksym GN, Marchal F, Oostveen E, Oppenheimer BW, Robinson PD, van den Berge M, Thamrin C. Clinical significance and applications of oscillometry. Eur Respir Rev. 2022;31(163): 210208.CrossRefPubMedPubMedCentral
6.
go back to reference Beydon N, Davis SD, Lombardi E, Allen JL, Arets HG, Aurora P, Bisgaard H, Davis GM, Ducharme FM, Eigen H, Gappa M, Gaultier C, Gustafsson PM, Hall GL, Hantos Z, Healy MJ, Jones MH, Klug B, Lødrup Carlsen KC, McKenzie SA, Marchal F, Mayer OH, Merkus PJ, Morris MG, Oostveen E, Pillow JJ, Seddon PC, Silverman M, Sly PD, Stocks J, Tepper RS, Vilozni D, Wilson NM, American Thoracic Society/European Respiratory Society Working Group on Infant and Young Children Pulmonary Function Testing. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175(12):1304–45.CrossRefPubMed Beydon N, Davis SD, Lombardi E, Allen JL, Arets HG, Aurora P, Bisgaard H, Davis GM, Ducharme FM, Eigen H, Gappa M, Gaultier C, Gustafsson PM, Hall GL, Hantos Z, Healy MJ, Jones MH, Klug B, Lødrup Carlsen KC, McKenzie SA, Marchal F, Mayer OH, Merkus PJ, Morris MG, Oostveen E, Pillow JJ, Seddon PC, Silverman M, Sly PD, Stocks J, Tepper RS, Vilozni D, Wilson NM, American Thoracic Society/European Respiratory Society Working Group on Infant and Young Children Pulmonary Function Testing. An official American Thoracic Society/European Respiratory Society statement: pulmonary function testing in preschool children. Am J Respir Crit Care Med. 2007;175(12):1304–45.CrossRefPubMed
7.
go back to reference Oostveen E, MacLeod D, Lorino H, Farré R, Hantos Z, Desager K, Marchal F, ERS Task Force on Respiratory Impedance Measurements. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J. 2003;22(6):1026–41.CrossRefPubMed Oostveen E, MacLeod D, Lorino H, Farré R, Hantos Z, Desager K, Marchal F, ERS Task Force on Respiratory Impedance Measurements. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J. 2003;22(6):1026–41.CrossRefPubMed
8.
go back to reference Hellinckx J, De Boeck K, Bande-Knops J, van der Poel M, Demedts M. Bronchodilator response in 3–6.5 years old healthy and stable asthmatic children. Eur Respir J. 1998;12(2):438–43.CrossRefPubMed Hellinckx J, De Boeck K, Bande-Knops J, van der Poel M, Demedts M. Bronchodilator response in 3–6.5 years old healthy and stable asthmatic children. Eur Respir J. 1998;12(2):438–43.CrossRefPubMed
9.
go back to reference Malmberg LP, Pelkonen A, Poussa T, Pohianpalo A, Haahtela T, Turpeinen M. Determinants of respiratory system input impedance and bronchodilator response in healthy Finnish preschool children. Clin Physiol Funct Imaging. 2002;22(1):64–71.CrossRefPubMed Malmberg LP, Pelkonen A, Poussa T, Pohianpalo A, Haahtela T, Turpeinen M. Determinants of respiratory system input impedance and bronchodilator response in healthy Finnish preschool children. Clin Physiol Funct Imaging. 2002;22(1):64–71.CrossRefPubMed
10.
go back to reference Frei J, Jutla J, Kramer G, Hatzakis GE, Ducharme FM, Davis GM. Impulse oscillometry: reference values in children 100 to 150 cm in height and 3 to 10 years of age. Chest. 2005;128(3):1266–73.CrossRefPubMed Frei J, Jutla J, Kramer G, Hatzakis GE, Ducharme FM, Davis GM. Impulse oscillometry: reference values in children 100 to 150 cm in height and 3 to 10 years of age. Chest. 2005;128(3):1266–73.CrossRefPubMed
11.
go back to reference Park JH, Yoon JW, Shin YH, Jee HM, Wee YS, Chang SJ, Sim JH, Yum HY, Han MY. Reference values for respiratory system impedance using impulse oscillometry in healthy preschool children. Korean J Pediatr. 2011;54(2):64–8.CrossRefPubMedPubMedCentral Park JH, Yoon JW, Shin YH, Jee HM, Wee YS, Chang SJ, Sim JH, Yum HY, Han MY. Reference values for respiratory system impedance using impulse oscillometry in healthy preschool children. Korean J Pediatr. 2011;54(2):64–8.CrossRefPubMedPubMedCentral
12.
go back to reference de Assumpção MS, Gonçalves RM, Martins R, Bobbio TG, Schivinski CI. Reference equations for impulse oscillometry system parameters in healthy Brazilian children and adolescents. Respir Care. 2016;61(8):1090–9.CrossRefPubMed de Assumpção MS, Gonçalves RM, Martins R, Bobbio TG, Schivinski CI. Reference equations for impulse oscillometry system parameters in healthy Brazilian children and adolescents. Respir Care. 2016;61(8):1090–9.CrossRefPubMed
13.
go back to reference Dencker M, Malmberg LP, Valind S, Thorsson O, Karlsson MK, Pelkonen A, Pohjanpalo A, Haahtela T, Turpeinen M, Wollmer P. Reference values for respiratory system impedance by using impulse oscillometry in children aged 2–11 years. Clin Physiol Funct Imaging. 2006;26(4):247–50.CrossRefPubMed Dencker M, Malmberg LP, Valind S, Thorsson O, Karlsson MK, Pelkonen A, Pohjanpalo A, Haahtela T, Turpeinen M, Wollmer P. Reference values for respiratory system impedance by using impulse oscillometry in children aged 2–11 years. Clin Physiol Funct Imaging. 2006;26(4):247–50.CrossRefPubMed
14.
go back to reference Gochicoa-Rangel L, Del Río-Hidalgo R, Hernández-Ruiz J, Rodríguez-Moreno L, Martínez-Briseño D, Mora-Romero U, Cid-Juárez S, García-Sancho C, Torre-Bouscoulet L. Validating reference equations for impulse oscillometry in healthy Mexican children. Respir Care. 2017;62(9):1156–65.CrossRefPubMed Gochicoa-Rangel L, Del Río-Hidalgo R, Hernández-Ruiz J, Rodríguez-Moreno L, Martínez-Briseño D, Mora-Romero U, Cid-Juárez S, García-Sancho C, Torre-Bouscoulet L. Validating reference equations for impulse oscillometry in healthy Mexican children. Respir Care. 2017;62(9):1156–65.CrossRefPubMed
15.
go back to reference Lai SH, Yao TC, Liao SL, Tsai MH, Hua MC, Yeh KW, Huang JL. Reference value of impulse oscillometry in Taiwanese preschool children. Pediatr Neonatol. 2015;56(3):165–70.CrossRefPubMed Lai SH, Yao TC, Liao SL, Tsai MH, Hua MC, Yeh KW, Huang JL. Reference value of impulse oscillometry in Taiwanese preschool children. Pediatr Neonatol. 2015;56(3):165–70.CrossRefPubMed
16.
go back to reference King GG, Bates J, Berger KI, Calverley P, de Melo PL, Dellacà RL, Farré R, Hall GL, Ioan I, Irvin CG, Kaczka DW, Kaminsky DA, Kurosawa H, Lombardi E, Maksym GN, Marchal F, Oppenheimer BW, Simpson SJ, Thamrin C, van den Berge M, Oostveen E. Technical standards for respiratory oscillometry. Eur Respir J. 2020;55(2):1900753.CrossRefPubMed King GG, Bates J, Berger KI, Calverley P, de Melo PL, Dellacà RL, Farré R, Hall GL, Ioan I, Irvin CG, Kaczka DW, Kaminsky DA, Kurosawa H, Lombardi E, Maksym GN, Marchal F, Oppenheimer BW, Simpson SJ, Thamrin C, van den Berge M, Oostveen E. Technical standards for respiratory oscillometry. Eur Respir J. 2020;55(2):1900753.CrossRefPubMed
17.
go back to reference Stanojevic S, Kaminsky DA, Miller M, Thompson B, Aliverti A, Barjaktarevic I, Cooper BG, Culver B, Derom E, Hall GL, Hallstrand TS, Leuppi JD, MacIntyre N, McCormack M, Rosenfeld M, Swenson ER. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J. 2021;23:2101499. Stanojevic S, Kaminsky DA, Miller M, Thompson B, Aliverti A, Barjaktarevic I, Cooper BG, Culver B, Derom E, Hall GL, Hallstrand TS, Leuppi JD, MacIntyre N, McCormack M, Rosenfeld M, Swenson ER. ERS/ATS technical standard on interpretive strategies for routine lung function tests. Eur Respir J. 2021;23:2101499.
18.
go back to reference Pulmonary Function Group, Respiratory Branch of Chinese Pediatric Society of Chinese Medical Association Editorial Board of Chinese. A series of guidelines on lung function in children. Chin J Appl Clin Pediatr. 2016;31(9):653–8. Pulmonary Function Group, Respiratory Branch of Chinese Pediatric Society of Chinese Medical Association Editorial Board of Chinese. A series of guidelines on lung function in children. Chin J Appl Clin Pediatr. 2016;31(9):653–8.
19.
go back to reference Pulmonary Function Group, Respiratory Branch of Chinese Pediatric Society of Chinese Medical Association Editorial Board of Chinese. A series of guidelines on lung function in children. Chin J Appl Clin Pediatr. 2016;31(11):821–5. Pulmonary Function Group, Respiratory Branch of Chinese Pediatric Society of Chinese Medical Association Editorial Board of Chinese. A series of guidelines on lung function in children. Chin J Appl Clin Pediatr. 2016;31(11):821–5.
20.
go back to reference Kivastik J, Kingisepp PH. Differences in lung function and chest dimensions in school-age girls and boys. Clin Physiol. 1997;17(2):149–57.CrossRefPubMed Kivastik J, Kingisepp PH. Differences in lung function and chest dimensions in school-age girls and boys. Clin Physiol. 1997;17(2):149–57.CrossRefPubMed
21.
go back to reference Harms CA. Does gender affect pulmonary function and exercise capacity? Respir Physiol Neurobiol. 2006;151(2–3):124–31.CrossRefPubMed Harms CA. Does gender affect pulmonary function and exercise capacity? Respir Physiol Neurobiol. 2006;151(2–3):124–31.CrossRefPubMed
23.
go back to reference Bickel S, Popler J, Lesnick B, Eid N. Impulse oscillometry: interpretation and practical applications. Chest. 2014;146(3):841–7.CrossRefPubMed Bickel S, Popler J, Lesnick B, Eid N. Impulse oscillometry: interpretation and practical applications. Chest. 2014;146(3):841–7.CrossRefPubMed
24.
go back to reference Anderson WJ, Zajda E, Lipworth BJ. Are we overlooking persistent small airways dysfunction in community-managed asthma? Ann Allergy Asthma Immunol. 2012;109(3):185-189.e2.CrossRefPubMed Anderson WJ, Zajda E, Lipworth BJ. Are we overlooking persistent small airways dysfunction in community-managed asthma? Ann Allergy Asthma Immunol. 2012;109(3):185-189.e2.CrossRefPubMed
25.
go back to reference Crisafulli E, Pisi R, Aiello M, Vigna M, Tzani P, Torres A, et al. Prevalence of small-airway dysfunction among COPD patients with different GOLD stages and its role in the impact of disease. Respiration. 2017;93(1):32–41.CrossRefPubMed Crisafulli E, Pisi R, Aiello M, Vigna M, Tzani P, Torres A, et al. Prevalence of small-airway dysfunction among COPD patients with different GOLD stages and its role in the impact of disease. Respiration. 2017;93(1):32–41.CrossRefPubMed
26.
go back to reference Kuo CR, Chan R, Lipworth B. Impulse oscillometry bronchodilator response and asthma control. J Allergy Clin Immunol Pract. 2020;8(10):3610–2.CrossRefPubMed Kuo CR, Chan R, Lipworth B. Impulse oscillometry bronchodilator response and asthma control. J Allergy Clin Immunol Pract. 2020;8(10):3610–2.CrossRefPubMed
27.
go back to reference Cottini M, Licini A, Lombardi C, Berti A. Clinical characterization and predictors of IOS-defined small-airway dysfunction in asthma. J Allergy Clin Immunol Pract. 2020;8(3):997–1004.CrossRefPubMed Cottini M, Licini A, Lombardi C, Berti A. Clinical characterization and predictors of IOS-defined small-airway dysfunction in asthma. J Allergy Clin Immunol Pract. 2020;8(3):997–1004.CrossRefPubMed
28.
go back to reference Tiller NB, Cao M, Lin F, Yuan W, Wang CY, Abbasi A, Calmelat R, Soriano A, Rossiter HB, Casaburi R, Stringer WW, Porszasz J. Dynamic airway function during exercise in COPD assessed via impulse oscillometry before and after inhaled bronchodilators. J Appl Physiol. 1985;2021(131):326–38. Tiller NB, Cao M, Lin F, Yuan W, Wang CY, Abbasi A, Calmelat R, Soriano A, Rossiter HB, Casaburi R, Stringer WW, Porszasz J. Dynamic airway function during exercise in COPD assessed via impulse oscillometry before and after inhaled bronchodilators. J Appl Physiol. 1985;2021(131):326–38.
29.
go back to reference Foy BH, Soares M, Bordas R, Richardson M, Bell A, Singapuri A, Hargadon B, Brightling C, Burrowes K, Kay D, Owers-Bradley J, Siddiqui S. Lung computational models and the role of the small airways in asthma. Am J Respir Crit Care Med. 2019;200(8):982–91.CrossRefPubMedPubMedCentral Foy BH, Soares M, Bordas R, Richardson M, Bell A, Singapuri A, Hargadon B, Brightling C, Burrowes K, Kay D, Owers-Bradley J, Siddiqui S. Lung computational models and the role of the small airways in asthma. Am J Respir Crit Care Med. 2019;200(8):982–91.CrossRefPubMedPubMedCentral
30.
go back to reference Bokov P, Jallouli-Masmoudi D, Amat F, Houdouin V, Delclaux C. Small airway dysfunction is an independent dimension of wheezing disease in preschool children. Pediatr Allergy Immunol. 2022;33(1): e13647.CrossRefPubMed Bokov P, Jallouli-Masmoudi D, Amat F, Houdouin V, Delclaux C. Small airway dysfunction is an independent dimension of wheezing disease in preschool children. Pediatr Allergy Immunol. 2022;33(1): e13647.CrossRefPubMed
31.
go back to reference Bokov P, Mauroy B, Mahut B, Delclaux C, Flaud P. Homothety ratio of airway diameters and site of airway resistance in healthy and COPD subjects. Respir Physiol Neurobiol. 2014;15(191):38–43.CrossRef Bokov P, Mauroy B, Mahut B, Delclaux C, Flaud P. Homothety ratio of airway diameters and site of airway resistance in healthy and COPD subjects. Respir Physiol Neurobiol. 2014;15(191):38–43.CrossRef
32.
go back to reference Jian W, Gao Y, Hao C, Wang N, Ai T, Liu C, Xu Y, Kang J, Yang L, Shen H, Guan W, Jiang M, Zhong N, Zheng J. Reference values for spirometry in Chinese aged 4–80 years. J Thorac Dis. 2017;9(11):4538–49.CrossRefPubMedPubMedCentral Jian W, Gao Y, Hao C, Wang N, Ai T, Liu C, Xu Y, Kang J, Yang L, Shen H, Guan W, Jiang M, Zhong N, Zheng J. Reference values for spirometry in Chinese aged 4–80 years. J Thorac Dis. 2017;9(11):4538–49.CrossRefPubMedPubMedCentral
33.
go back to reference Jeng MJ, Chang HL, Tsai MC, Tsao PC, Yang CF, Lee YS, Soong WJ, Tang RB. Spirometric pulmonary function parameters of healthy Chinese children aged 3–6 years in Taiwan. Pediatr Pulmonol. 2009;44(7):676–82.CrossRefPubMed Jeng MJ, Chang HL, Tsai MC, Tsao PC, Yang CF, Lee YS, Soong WJ, Tang RB. Spirometric pulmonary function parameters of healthy Chinese children aged 3–6 years in Taiwan. Pediatr Pulmonol. 2009;44(7):676–82.CrossRefPubMed
34.
go back to reference Kim SR, Park KH, Son NH, Moon J, Park HJ, Kim K, Park JW, Lee JH. Application of impulse oscillometry in adult asthmatic patients with preserved lung function. Allergy Asthma Immunol Res. 2020;12(5):832–43.CrossRefPubMedPubMedCentral Kim SR, Park KH, Son NH, Moon J, Park HJ, Kim K, Park JW, Lee JH. Application of impulse oscillometry in adult asthmatic patients with preserved lung function. Allergy Asthma Immunol Res. 2020;12(5):832–43.CrossRefPubMedPubMedCentral
35.
go back to reference Ekström S, Hallberg J, Kull I, Protudjer JLP, Thunqvist P, Bottai M, Gustafsson PM, Bergström A, Melén E. Body mass index status and peripheral airway obstruction in school-age children: a population-based cohort study. Thorax. 2018;73(6):538–45.CrossRefPubMed Ekström S, Hallberg J, Kull I, Protudjer JLP, Thunqvist P, Bottai M, Gustafsson PM, Bergström A, Melén E. Body mass index status and peripheral airway obstruction in school-age children: a population-based cohort study. Thorax. 2018;73(6):538–45.CrossRefPubMed
Metadata
Title
Reference values of impulse oscillometry (IOS) for healthy Chinese children aged 4–17 years
Authors
Jinhong Wu
Hao Zhang
Yongsheng Shi
Jinrong Wang
Yuling Han
Qiaoling Zhang
Ning Wang
Sha Liu
Yuehua Zhang
Huifen Zi
Fei Wang
Aihong Liu
Yuxin Song
ChunMei Jia
Yong Feng
Quanhua Liu
liya Wan
Minghong Ji
Zhen Long
Jianfeng Huang
Li Liu
Yun Sun
Suping Tang
Xiaoyan Dong
Xiaojian Zhou
Wenhui Jiang
Li Shen
Haohua Jiang
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2022
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/s12931-022-02080-z

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