Effects of passive smoking on lung function tests in preschool children born late-preterm: a preventable health priority

GÜNLEMEZ A., Er I., BAYDEMİR C., Arisoy A.

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, cilt.32, sa.14, ss.2412-2417, 2019 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 32 Sayı: 14
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1080/14767058.2018.1430759
  • Dergi Adı: JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.2412-2417
  • Anahtar Kelimeler: Late-preterm infant, lung function, passive smoking (PS), impulse oscillometry (IOS), IMPULSE OSCILLOMETRY, RESPIRATORY MORBIDITY, PARENTAL SMOKING, INFANTS, SPIROMETRY, OUTCOMES, GROWTH, IMPACT, BIRTH, MILD
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Objective: Late-preterm delivery is known to be associated with potential adverse effects on lung development. Passive smoking may result in alterations of pulmonary function in infants born late-preterm. Impulse oscillometry (IOS) is a noninvasive, rapid, and practicable technique that can assess lung function. This study aimed to evaluate the effect of passive smoking on lung function tests in preschool children born late-preterm using IOS. Methods: The study population consisted of a total of 139 children between 3 and 7 years of age born late-preterm who were being followed-up at our outpatient unit at the time of study period. Late-preterms were subcategorized according to presence or absence of exposure to passive smoking (PS). Those with and without exposure to passive smoking were referred to as PS group (56.1%, n = 78) and non-PS group (43.9%, n = 61), respectively. Resistance (R5-R20), reactance (X5-X20), and resonant frequency were measured by impulse oscillometry (IOS) at 5-20 Hz. Results: Median R5-R20 and Z5 were significantly higher and median X10 was significantly lower in PS group compared to non-PS group (p < .05). Conclusions: This study demonstrated that passive smoking significantly increases peripheral airway resistance and seems to adversely affect lung function in children born late-preterm.