A study to detect early lung function deterioration using forced oscillation technique in smokers

Background: Scientists unequivocally evidenced that tobacco consumers suffer from three Ds: disease, disability, and death. The forced oscillation technique (FOT) is a non-invasive method with which to measure respiratory mechanics. Aims and Objectives: This study was done to evaluate the ability...

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Main Authors: Kirtish Bhutda, Sanjay Kumar Bharty, Avinash Jain, Vikas Patel, Brij Bihari Patel, Brahma Prakash
Format: Article
Language:English
Published: Manipal College of Medical Sciences, Pokhara 2023-10-01
Series:Asian Journal of Medical Sciences
Subjects:
Online Access:https://www.nepjol.info/index.php/AJMS/article/view/55020
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author Kirtish Bhutda
Sanjay Kumar Bharty
Avinash Jain
Vikas Patel
Brij Bihari Patel
Brahma Prakash
author_facet Kirtish Bhutda
Sanjay Kumar Bharty
Avinash Jain
Vikas Patel
Brij Bihari Patel
Brahma Prakash
author_sort Kirtish Bhutda
collection DOAJ
description Background: Scientists unequivocally evidenced that tobacco consumers suffer from three Ds: disease, disability, and death. The forced oscillation technique (FOT) is a non-invasive method with which to measure respiratory mechanics. Aims and Objectives: This study was done to evaluate the ability of FOT to detect early smoking-induced respiratory function deterioration and to compare the performance of FOT with spirometry in healthy smokers. Materials and Methods: A cross-sectional study was conducted at a medical college between January 1st, 2021, and June 31st, 2022, with a sample size of 30. Study participants included healthy smokers and non-smokers. Spirometry and FOT were taken into consideration as a diagnostic modality. Data analysis was done through statistical software with a confidence interval of 95% and P<0.5. Results: In a total of 30 sample size (15 cases and 15 control), smokers presented with an average age of 26.13±5.55 years, with smoking index (SI) ranging from 5 to 80, none of the spirometry parameters were statistically significant between smokers and non-smokers, however, the FOT parameter, resistance at 6-hertz frequency R6, in smokers is 5.36±3.36 and is statistically different from non-smokers (P=0.02). Similarly, the percent predicted value of R6 also was statistically different in smokers (P=0.01). The R6 parameter correlated with forced expiratory flow 25–75 parameter of spirometry (r=0.567, P=0.027) in smokers. Conclusion: FOT is a good diagnostic modality in detecting early airway changes in smokers. The FOT along with spirometry increases the chances of diagnosing early airway changes in even initial smokers having a low SI.
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spelling doaj.art-5829316db65c413d9a147c1b9f93dee72023-10-03T00:44:38ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-10-011410150155https://doi.org/10.3126/ajms.v14i10.55020A study to detect early lung function deterioration using forced oscillation technique in smokersKirtish Bhutda 0https://orcid.org/0009-0004-0534-9938Sanjay Kumar Bharty 1https://orcid.org/0000-0001-8197-1375Avinash Jain 2https://orcid.org/0000-0002-1980-4346Vikas Patel 3https://orcid.org/0000-0003-2212-2554Brij Bihari Patel 4https://orcid.org/0000-0001-9089-8704Brahma Prakash 5https://orcid.org/0000-0002-1634-5463Postgraduate Resident, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India Assistant Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, India Assistant Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, IndiaAssistant Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, IndiaAssociate Professor, Department of Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh, IndiaBackground: Scientists unequivocally evidenced that tobacco consumers suffer from three Ds: disease, disability, and death. The forced oscillation technique (FOT) is a non-invasive method with which to measure respiratory mechanics. Aims and Objectives: This study was done to evaluate the ability of FOT to detect early smoking-induced respiratory function deterioration and to compare the performance of FOT with spirometry in healthy smokers. Materials and Methods: A cross-sectional study was conducted at a medical college between January 1st, 2021, and June 31st, 2022, with a sample size of 30. Study participants included healthy smokers and non-smokers. Spirometry and FOT were taken into consideration as a diagnostic modality. Data analysis was done through statistical software with a confidence interval of 95% and P<0.5. Results: In a total of 30 sample size (15 cases and 15 control), smokers presented with an average age of 26.13±5.55 years, with smoking index (SI) ranging from 5 to 80, none of the spirometry parameters were statistically significant between smokers and non-smokers, however, the FOT parameter, resistance at 6-hertz frequency R6, in smokers is 5.36±3.36 and is statistically different from non-smokers (P=0.02). Similarly, the percent predicted value of R6 also was statistically different in smokers (P=0.01). The R6 parameter correlated with forced expiratory flow 25–75 parameter of spirometry (r=0.567, P=0.027) in smokers. Conclusion: FOT is a good diagnostic modality in detecting early airway changes in smokers. The FOT along with spirometry increases the chances of diagnosing early airway changes in even initial smokers having a low SI.https://www.nepjol.info/index.php/AJMS/article/view/55020forced oscillometric technique; spirometry; smoking index; obstructive diseases
spellingShingle Kirtish Bhutda
Sanjay Kumar Bharty
Avinash Jain
Vikas Patel
Brij Bihari Patel
Brahma Prakash
A study to detect early lung function deterioration using forced oscillation technique in smokers
Asian Journal of Medical Sciences
forced oscillometric technique; spirometry; smoking index; obstructive diseases
title A study to detect early lung function deterioration using forced oscillation technique in smokers
title_full A study to detect early lung function deterioration using forced oscillation technique in smokers
title_fullStr A study to detect early lung function deterioration using forced oscillation technique in smokers
title_full_unstemmed A study to detect early lung function deterioration using forced oscillation technique in smokers
title_short A study to detect early lung function deterioration using forced oscillation technique in smokers
title_sort study to detect early lung function deterioration using forced oscillation technique in smokers
topic forced oscillometric technique; spirometry; smoking index; obstructive diseases
url https://www.nepjol.info/index.php/AJMS/article/view/55020
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