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COMPARISION OF PEAK EXPIRATORY FLOW RATE AND TOTAL BODY FAT AMONG THE SOUTH INDIAN CHILDREN AGED AROUND 6 TO 10 YEARS

COMPARISION OF PEAK EXPIRATORY FLOW RATE AND TOTAL BODY FAT AMONG THE SOUTH INDIAN CHILDREN AGED AROUND 6 TO 10 YEARS

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Abstract (2. Language): 
Background: Many studies have proven the relation between the nutritional habit and respiratory functions in south Indian children. The increase in respiratory problems due to increase in Total Body Fat (TBF) in children has been a major worldwide problem. Deposition of fat over the chest wall alters the Peak Expiratory Flow Rate (PEFR) among pulmonary function test parameters. Among all the pulmonary function test parameters Peak expiratory flow rate (PEFR) directly indicates the nutritional status which is also an easy and non invasive method for estimating the lung function in children. Aim: To assess the effect of Total Body Fat (TBF) on PEFR in children aged 6 to 10 years of both the sexes. Methods: We recruited 258 children aged 6 to 10 years of both sexes for our study. The anthropometric parameters including height, weight, BMI and TBF were measured. PEFR was measured using the Peak Expiratory Flow Meter. The skin fold thickness was measured by using Digital skin fold caliper. The results were statistically analyzed by using Pearson Correlation coefficient test and ANOVA. Results: In our study as age progresses the height of the children in both sexes also increases. Our results showed positive correlation between height, BMI, SFT and TBF with PEFR. Conclusion: We concluded that among the factors determine the nutritional status including BMI and SFT effect of TBF on PEFR play an important role in the maintenance of normal pulmonary functions in children. Thus our study proved that the reason for the respiratory problem may be due to abnormal TBF.
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REFERENCES

References: 

1. Speiser PW, Rudolf MC, Anhalt H, Hubner CC
et al. On Behalf of the Obesity Consensus
Working Group: Childhood Obesity. J Clin
Endoc Metab. 2005;90:1871-7.
2. Kumanyika SK, Obarzanek E, Stettler N, Bell
R, Field AE, Fortmann SP et al. Population-
Based Prevention of Obesity The Need for
Comprehensive Promotion of Healthful Eating,
Physical Activity, and Energy Balance: A
Scientific Statement From American Heart
Association Council on Epidemiology and
Prevention, Interdisciplinary Committee for
Prevention Circulation. 2008;118:428-64.
3. Lutfiyya MN, Garcia R, Dankwa CM, Young
T, and Lipsky MS. Overweight and Obese
Prevalence Rates in African American and
Hispanic Children. J Am Board Fam Med.
2008;21:191-99.
4. Murugan A, and Sharma G. Obesity and
respiratory diseases. Chron Respir Dis.
2008;5:233-42.
5. World Health Organization Tech Rep Series,
854. Overweight adults. In: Physical status:
The use and interpretation of anthropometry.
1995: 312-4.
6. Bjorntorp P. The regulation of adipose tissue
distribution in humans. Int J Obese 1996;20:
291-302.
7. Raison J, Cassuto D, Orvoen FE et al.
Disturbances in respiratory function in obese
subjects. In: Ailhaud G, editor Obesity in
Europe ‘91 Proceedings of the 3rd Congress on
Obesity. London: John Libbey and Company
Ltd. 2001: 227-30.
8. Zerah F, Harf A, Perlemuter L, Lorino H,
Lorino A, Atlan G. Effects of obesity on
respiratory resistance. Chest 1993; 103:1470-6.
9. Lazarus R, Sparrow D, Weiss ST. Effect of
obesity and fat distribution on ventilatory
function: the normative aging study. Chest
1997;111: 891-8.
10. Biring MS, Lewis MI, Liu JT, Mohsenifar Z.
Pulmonary physiologic changes of morbid
obesity. Am J Med Sci. 1999;318: 293-7.
11. Luce JM. Respiratory complications of obesity.
Chest. 1980;78:626-31.
12. Shah C, Diwan J, Rao P, Bhabhor M, Gokhle
P, Mehta H, Assessment of obesity in school
children. Calcicut Medical Journal 2008; 6:2-4
13. Piyush MS, Paul C, Richard JM, Sheilak P,
Merlin CT, George J and Loums M, Burrell.
Prevalence and predictors of cardiac
hypertrophy and dysfunction in patients with
type2 Diabetes. Clinical science 2008; 114:
313-20.
14. Shah HD, Shaikh, Divyangi Patel, Singh SK.
Dynamic lung functions in underweight
Gujarati Indian adolescents boys. Dynamic
lung functions in underweight Gujarath Indian
adolescents boys. National journal of
community medicine. 2012; 3(1): 15-25
15. Vijian VK, Reetha AM, Kuppurao KV,
Venkatesan P and Thilakavathy S. Pulmonary
function in normal south Indian children aged 7
to 19 years. Indian J Chest Dis Allied Sci 2000;
42: 147-56.
16. Alessandro T, Mahajan A. Child Nutrition in
India in the Ninetie: A Story of Increased
Gender Inequality?; 2005: JEL: I12, J13, O53
17. Wang X, Dockery DW, Wypiji D, Fay ME,
Ferris BG Jr. Pulmonary function between 6
and 18 years of age. Pediatr pulmonol 1993;
15: 75-88.
18. Chowgule RV, Shetye VM, Parmar JR. Lung
function tests in normal Indian children. Indian
Paediatr 1995; 32: 185-91.
19. Paramesh H. Normal peak expiratory flow rate
in urban and rural children. Indian J Pediatr
2003; 70: 375-77.
20. Swaminathan S, Diffey B, Vaz M. Evaluating
the suitability of prediction equations for lung
6
Sudha D et al., Int J Med Res Health Sci.2013;2(1):1-7
function in Indian children: a practical
approach. Indian Pediatr 2006; 43: 680-98.
21. Prasad R, Verma SK, Agrawal GG, Mathur N.
Prediction model for peak expiratory flow in
North Indian population. Indian J Chest Dis
Allied Sci 2006; 48: 103-106.
22. Nku CO, Peters EJ, Eshiet AI, Bisong SA,
Osim EE. Prediction formulae for lung
function parameters in females of south eastern
Nigeria. Niger J Physiol Sci 2006; 21:43-7.
23. Taksande A, Jain M, Vilhekar K, Chaturvedi P.
Peak expiratory flow rate of rural school
children from Wardha district, Maharashtra in
India. World J Pediatr 2008; 4: 211-4.
24. Debray P, Shreevastsa BM, MG RB, Sen TK,
Roy S, Saha CG. A comparative study of the
peak expiratory flow rate of Indian and
Nepalese young adults in a teaching institute.
JNMA J Nepal Med Assoc 2008; 47: 7-11.

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