Predicting Factors of Peak Flow Performance among Teenagers
DOI:
https://doi.org/10.21834/e-bpj.v10iSI35.7489Keywords:
Adolescents, Lung function, Peak expiratory flow, Predictive factorsAbstract
Physical inactivity among teenagers contributes to health issues, including reduced lung function. This cross-sectional study aimed to identify predictors of peak expiratory flow rate (PEFR) among 137 adolescents aged 13–17. PEFR was measured using the Mini Wright Peak Flow Meter, with the subjects’ gender, age, height, and weight also recorded. Height showed a strong correlation with PEFR (r = 0.689), followed by gender (r = 0.498). Age (r = 0.259) and weight (r = 0.273) showed weaker correlations. Regression analysis identified gender and height as the strongest predictors of the outcome. These findings highlight the importance of anthropometric factors in evaluating adolescent respiratory health.
References
Adeniyi, B. O. & Erhabor, G. E. (2011). The peak flow meter and its use in clinical practice. African Journal of Respiratory Medicine, 5-8.
Aggarwal, A. N., Gupta, D., Behera, D., & Jindal, S. K. (2016). Assessment of peak expiratory flow in healthy school children. Lung India, 33(5), 522–526.
Al-Bilbeisi, A. H., Al-Majali, A. A., & Obeidat, M. S. (2022). Gender differences in lung function among adolescents: A cross-sectional study. Journal of Pediatric Pulmonology, 57(3), 624–630.
American Lung Association (2022). How to use a peak flow meter. Retrieve from https://ln.run/ECEr5
Athmananda, C., & Mahendrappa, K. B. (2023). The effect of body weight on peak expiratory flow rate among adolescent rural school children: An observational study. International Journal of Development Research, 13(10), 62659–62663.
Becklake, M. R., & Kauffmann, F. (1999). Gender differences in airway behaviour over the human life span. Thorax, 54(12), 1119–1138.
Bock, A., & Stocks, J. (2017). The relationship between height and lung function in children and adolescents: A review. Pediatric Pulmonology, 52(5), 643–650.
Bose, S., Ghosh, R., & Jindal, A. (2021). Peak expiratory flow rate as a reliable marker for assessing lung function in school-aged children. Lung India, 38(1), 47–51.
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126–131.
Choudhury, S., Ghosh, R., & Choudhury, S. D. (2019). Peak expiratory flow rate and anthropometric parameters: A study among adolescents. Indian Journal of Physiology and Pharmacology, 63(4), 313–319.
Demedts, M. (2006). Assessment of lung function and its clinical significance. European Respiratory Monograph, 37, 1–16.
DeVrieve, B. W. (2024). Peak Flow Rate Measurement. In StatPeals. StatPearls Publishing. Retrive from https://www.ncbi.nlm.nih.gov/books/NBK557627/
Forno, E., Han, Y. Y., Mullen, J., & Celedón, J. C. (2018). Overweight, obesity, and lung function in children and adults—A meta-analysis. Journal of Allergy and Clinical Immunology, 141(3), 888–901.
Harik-Khan, R. I., Wise, R. A., & Fozard, J. L. (2001). Determinants of maximal inspiratory pressure: The Baltimore Longitudinal Study of Aging. American Journal of Respiratory and Critical Care Medicine, 165(7), 895–899.
Hussein, N., Alah, M., Chan, Y. Y., & Tan, K. S. (2023). Healthcare resources, organisational support and practice for asthma in Malaysia. NPJ Primary Care Respiratory Medicine, 33(1), 23–30.
Institute for Public Health Malaysia. (2017). National Health and Morbidity Survey 2017: Adolescent Health Survey 2017. Ministry of Health Malaysia.
Institute for Public Health Malaysia. (2022). National Health and Morbidity Survey 2022: Adolescent Health Survey 2022. Ministry of Health Malaysia.
Katz, D. A., Irwin, D. E., Trakas, K., & Cella, D. (2020). Pulmonary function and health-related quality of life in adolescents. Journal of Pediatric Health Care, 34(4), 292–300.
Kyejo, W., Musoke, P., Nteziyaremye, J., & Kim, Y. (2024). Anthropometric determinants of peak expiratory flow rate: A cross-sectional study among adolescents. Pediatric Pulmonology, 59(2), 210–218.
Malina, R. M., Bouchard, C., & Bar-Or, O. (2004). Growth, maturation, and physical activity (2nd ed.). Human Kinetics.
Mohd Zaki, N. A., Shahril, M. R., Sulaiman, N., & Ab Rahman, J. (2020). Physical activity and sedentary behaviour among adolescents in Malaysia: A secondary analysis of the Adolescent Nutrition Survey 2017. Malaysian Journal of Nutrition, 26(2), 187–200.
Nikander, K., Berg, E., Smaldone, G. C., & Rau, J. L. (2018). Measurement of peak expiratory flow with portable devices: A comparison of accuracy and reproducibility. Respiratory Care, 63(2), 175–182.
Quanjer, P. H., Stanojevic, S., Cole, T. J., Baur, X., Hall, G. L., Culver, B. H., … Stocks, J. (2015). Multi-ethnic reference values for spirometry for the 3–95-yr age range: The global lung function 2012 equations. European Respiratory Journal, 40(6), 1324–1343.
Reilly, J. J., & Kelly, J. (2010). Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: Systematic review. International Journal of Obesity, 35(7), 891–898.
Saad, R. M., Farag, A. A., & Khater, M. S. (2021). The correlation between anthropometric parameters and peak expiratory flow rate in Egyptian adolescents. The Egyptian Journal of Chest Diseases and Tuberculosis, 70(1), 45–51.
Santamaria, F., Montella, S., Greco, L., Valerio, G., Franzese, A., Manzoni, G., & Raia, V. (2020). Obesity and pulmonary function in children and adolescents. Pediatric Pulmonology, 55(2), 295–301.
Schoenberg, J. B., Beck, G. J., & Bouhuys, A. (1978). Growth and decay of pulmonary function in healthy blacks and whites. Respiration Physiology, 33(3), 367–393.
Schünemann, H. J., Dorn, J., Grant, B. J., Winkelstein, W., & Trevisan, M. (2000). Pulmonary function is a long-term predictor of mortality in the general population: 29-year follow-up of the Buffalo Health Study. Chest, 118(3), 656–664.
Seman, M. H. A., Shipah, N. A. M., Rahman, R. A. A., Haris, N. I. J. A., Meilani, E., Jamaludin, N. A. & Zaini, Z. I. (2024). Pulmonary function among high school teenagers in Teluk Bahang, Penang, Malaysia. Proceedings of the International Symposium on Community Social Responsibility 2024 (i-CSR2024), 222-225.
Shah, N. N., Gul, R. B., & Khan, N. (2021). Peak expiratory flow rate and anthropometric determinants in Pakistani school children. JPMA: The Journal of the Pakistan Medical Association, 71(6), 1436–1440.
Shete, S., & Kashid, V. (2015). Peak expiratory flow rate in children and adolescents and its correlation with anthropometric parameters. Indian Journal of Basic and Applied Medical Research, 4(3), 96–102.
Ubuane, P. O., Ubuane, C. S., Awunor, N. S., & Onwuchekwa, C. R. (2024). Development of reference values and prediction equations for peak expiratory flow among adolescents: A cross-sectional study. Journal of Xiangya Medicine, 5(1), 1–12.
World Health Organization. (2022). Global status report on physical activity 2022. https://www.who.int/publications/i/item/9789240062887
World Health Organization. (2023). Asthma. https://www.who.int/news-room/fact-sheets/detail/asthma
Yilmaz, E., & Doğan, D. (2020). The relationship between body composition and pulmonary function tests in school-age children. Respiratory Physiology & Neurobiology, 276, 103413.
Zaki, N. A. M., Shahril, M. R., & Ab Rahman, J. (2020). Anthropometric predictors of peak expiratory flow rate among adolescents in Malaysia. Malaysian Journal of Public Health Medicine, 20(1), 10–15.
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Copyright (c) 2025 Mohamad Hafiz Abu Seman, Zul-‘Izzat Ikhwan Zaini, Nur Ainah Mohd Shipah, Nurshazana Akmal Jamaludin
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