Respiratory function in children with nephrotic syndrome: Comparative evaluation of impulse oscillometry and spirometry


Kilci F. , Uyan Z. S. , Çelakıl M. E. , Doğan K. , Bek K.

PEDIATRIC PULMONOLOGY, vol.56, no.10, pp.3301-3309, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 56 Issue: 10
  • Publication Date: 2021
  • Doi Number: 10.1002/ppul.25589
  • Title of Journal : PEDIATRIC PULMONOLOGY
  • Page Numbers: pp.3301-3309
  • Keywords: impulse oscillometry, Nephrotic syndrome, respiratory functions, spirometry, REFERENCE VALUES, CYSTIC-FIBROSIS, DYSFUNCTION, SOCIETY, ASTHMA

Abstract

Aim To evaluate the respiratory functions of children with nephrotic syndrome (NS) by impulse oscillometry (IOS) and its correlation with spirometry. Methods Fifty-five NS patients aged 3-18 years were included as the study group and 40 healthy children of the same age formed the control group. Patients were divided into nephrotic phase (first attack and relapse) and remission. Demographic, anthropometric, and laboratory data of the children were recorded. Respiratory functions were evaluated by IOS and spirometry. Children over 6-years old performed both IOS and spirometry while children under 6 years performed only IOS. Results The R (R5%, R10%, R5-20), AX and Z5% values of IOS in patients with nephrotic phase were higher than remission patients and control group while spirometry indices of PEF% and MEF25-75% were lower. Z scores of MEF25-75 were significantly negatively correlated with z scores of R5, R10, Z5, and Fres while they were significantly positively correlated with z scores of X values (5, 10, 15, and 20 Hz). Z scores of forced expiratory volume in 1 /forced vital capacity significantly negatively correlated with z scores of R values (R5, R10), Z5 and AX and positively correlated with z scores of X values (X5, X10, X15 Hz). Conclusion Our study demonstrated that respiratory functions measured by IOS and spirometry were affected at the time of nephrotic phase in NS patients. IOS, a novel method easily applicable even in small children, is a potentially valuable tool to detect this condition; given its good correlation with spirometry.