Decreased peak expiratory flow in pediatric passive smokers

Background Indonesia ranks fifth among countries with the highest aggregate levels of tobacco consumption in the world. Infants and children exposed to environmental tobacco smoke have increased rates of asthma, respiratory and ear infections, as well as reduced lung function. The effects of tobacco...

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Main Authors: Fitri Yanti, Muhammad Ali, Ridwan M. Daulay, Wisman Dalimunthe, Rini Savitri Daulay
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2011-08-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/870
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author Fitri Yanti
Muhammad Ali
Ridwan M. Daulay
Wisman Dalimunthe
Rini Savitri Daulay
author_facet Fitri Yanti
Muhammad Ali
Ridwan M. Daulay
Wisman Dalimunthe
Rini Savitri Daulay
author_sort Fitri Yanti
collection DOAJ
description Background Indonesia ranks fifth among countries with the highest aggregate levels of tobacco consumption in the world. Infants and children exposed to environmental tobacco smoke have increased rates of asthma, respiratory and ear infections, as well as reduced lung function. The effects of tobacco smoke exposure on lung function in children have been reported to be dependent on the source of smoke and the length and dose of exposure. Lung function may also be affected by a child’s gender and asthma status. Objective To compare peak expiratory flow (PEF) in pediatric passive smokers to that of children not exposed to second hand smoke, and to define factors that may affect PEF in passive smokers. Methods In August 2009 we conducted a cross-sectional study at an elementary school in the Langkat district. Subjects were aged 6 to 12 years, and divided into two groups: passive smokers and those not exposed to secondhand smoke. Subjects’ PEFs were measured with a Mini-Wright peak flow meter. Measurements were performed in triplicate with the highest value recorded as the PEF. Demographic data including age, sex, weight, height, family income, parental education levels and occupations were obtained through questionnaires. Results Of the 170 participants, 100 were passive smokers and 70 were not exposed to secondhand smoke. Age distribution, weight and height were similar in both groups. We observed a significant difference in PEFs between the group of passive smokers and the group not exposed to secondhand smoke, 211.3 L/minute (SD 61.08) and 242.7 L/minute (SD 77.09), respectively (P < 0.005). The number of years of exposure to smoke (P = 0.079) and the number of cigarettes smoked daily in the household (P = 0.098) did not significantly influence PEF. Conclusion The PEF in pediatric passive smokers was significantly lower than that of children not exposed to secondhand smoke. PEF in passive smokers was not influenced by the number of years of smoke exposure or the number of cigarettes smoked daily in the household.
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spelling doaj.art-32d392586f874b28b5a2cb42864e0e2a2022-12-22T03:17:55ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2011-08-0151419820110.14238/pi51.4.2011.198-201731Decreased peak expiratory flow in pediatric passive smokersFitri Yanti0Muhammad Ali1Ridwan M. Daulay2Wisman Dalimunthe3Rini Savitri Daulay4Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraDepartment of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraDepartment of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraDepartment of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraDepartment of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North SumateraBackground Indonesia ranks fifth among countries with the highest aggregate levels of tobacco consumption in the world. Infants and children exposed to environmental tobacco smoke have increased rates of asthma, respiratory and ear infections, as well as reduced lung function. The effects of tobacco smoke exposure on lung function in children have been reported to be dependent on the source of smoke and the length and dose of exposure. Lung function may also be affected by a child’s gender and asthma status. Objective To compare peak expiratory flow (PEF) in pediatric passive smokers to that of children not exposed to second hand smoke, and to define factors that may affect PEF in passive smokers. Methods In August 2009 we conducted a cross-sectional study at an elementary school in the Langkat district. Subjects were aged 6 to 12 years, and divided into two groups: passive smokers and those not exposed to secondhand smoke. Subjects’ PEFs were measured with a Mini-Wright peak flow meter. Measurements were performed in triplicate with the highest value recorded as the PEF. Demographic data including age, sex, weight, height, family income, parental education levels and occupations were obtained through questionnaires. Results Of the 170 participants, 100 were passive smokers and 70 were not exposed to secondhand smoke. Age distribution, weight and height were similar in both groups. We observed a significant difference in PEFs between the group of passive smokers and the group not exposed to secondhand smoke, 211.3 L/minute (SD 61.08) and 242.7 L/minute (SD 77.09), respectively (P < 0.005). The number of years of exposure to smoke (P = 0.079) and the number of cigarettes smoked daily in the household (P = 0.098) did not significantly influence PEF. Conclusion The PEF in pediatric passive smokers was significantly lower than that of children not exposed to secondhand smoke. PEF in passive smokers was not influenced by the number of years of smoke exposure or the number of cigarettes smoked daily in the household.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/870peak expiratory flowpassive smoker
spellingShingle Fitri Yanti
Muhammad Ali
Ridwan M. Daulay
Wisman Dalimunthe
Rini Savitri Daulay
Decreased peak expiratory flow in pediatric passive smokers
Paediatrica Indonesiana
peak expiratory flow
passive smoker
title Decreased peak expiratory flow in pediatric passive smokers
title_full Decreased peak expiratory flow in pediatric passive smokers
title_fullStr Decreased peak expiratory flow in pediatric passive smokers
title_full_unstemmed Decreased peak expiratory flow in pediatric passive smokers
title_short Decreased peak expiratory flow in pediatric passive smokers
title_sort decreased peak expiratory flow in pediatric passive smokers
topic peak expiratory flow
passive smoker
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/870
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