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Original Research: LUNG FUNCTION TESTING |

Interrupter Respiratory Resistance in Healthy Chinese Preschool Children

Albert M. Li, MD; Hugh S. Lam, MB; Hung K. So, PhD; Moon Leung, BSc; Tracy Tsen, BSc; Chun T. Au, MPhil; Anne B. Chang, PhD
Author and Funding Information

From the Department of Paediatrics (Drs. Li, Lam, and So, Ms. Leung and Ms. Tsen, and Mr. Au), Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong; the Department of Respiratory Medicine (Dr. Chang), Royal Children's Hospital, Brisbane, QLD, Australia; and Child Health Division (Dr. Chang), Menzies School of Health Research, Darwin, NT, Australia.

Albert M. Li, MD, Clinical Lecturer, Chinese University of Hong Kong, Department of Paediatrics, Prince of Wales Hospital, 30-32 Ngan Shing St, Hong Kong, Shatin, People's Republic of China; e-mail: albertmli@cuhk.edu.hk


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(2):554-560. doi:10.1378/chest.08-2798
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Background:  Interrupter respiratory resistance (Rint) is useful in evaluating lung function in children who cannot perform the traditional lung function tests. However, available reference Rint values are confined to whites. Our aims were as follows: (1) to establish reference values in local preschool Chinese children, (2) to examine their relationship with demographic and anthropometric factors, and (3) to determine the 10-min and 6-week repeatability of Rint.

Methods:  Rint was measured in preschool children from randomly chosen local kindergartens, and the repeatability of Rint measurement was assessed in a subgroup of subjects 10 min and 6 weeks after the initial measurement.

Results:  Rint measurement was performed in 509 children between 4 and 6 years of age. Age, height, and weight significantly inversely correlated with Rint values. However, on multiple linear regression, height was the only variable that independently correlated with Rint. Repeat measurements obtained 10 min and 6 weeks after the initial reading in 45 children showed good agreement with little variability, and the interclass correlation coefficients for 10-min and 6-week measurements were 0.877 and 0.923, respectively.

Conclusion:  Rint reference centile curves for Chinese preschool children have been determined. Rint in preschool Chinese children has good short- and long-term repeatability.

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