Pulmonary diffusing capacity in healthy Caucasian children

Young Jee Kim, Graham L. Hall, Kathy Christoph, Rebeka Tabbey, Zhangsheng Yu, Robert Tepper, Howard Eigen

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Previous studies of pulmonary diffusing capacity in children differed greatly in methodologies; numbers of subjects evaluated, and were performed prior to the latest ATS/ ERS guidelines. The purpose of our study was to establish reference ranges for the diffusing capacity to carbon monoxide (DL CO) and alveolar volume (V A) in healthy Caucasian children using current international guidelines and contemporary equipment. Healthy children from the United States (N = 303) and from Australia (N = 176) performed acceptable measurements of single breath pulmonary diffusing capacity and alveolar volume according to current ATS/ERS guidelines. The natural log of DL CO and V A were associated with height, age and an age-sex interaction term, while DL CO/V A was related to height and the age-sex interaction term only. Adjustment of DL CO for hemoglobin (n = 303; USA data only) resulted is a small but significant decrease in DL CO of ∼1% but did not significantly alter the regression equations. In this dataset there was no influence of center for DL CO or DL CO/V A, while Australian children had a statistically smaller VA (mean difference 0.14 L after accounting for height, age and age-sex; P = 0.012). We report that diffusing capacity outcomes can be collated from multiple centers using similar equipment and collection protocols. Using collated data we have derived regression equations for pulmonary diffusing capacity outcomes in healthy Caucasian children aged 5-19 years.

Original languageEnglish
Pages (from-to)469-475
Number of pages7
JournalPediatric Pulmonology
Volume47
Issue number5
DOIs
StatePublished - May 2012

Fingerprint

Pulmonary Diffusing Capacity
Carbon Monoxide
Guidelines
Equipment and Supplies
Reference Values
Hemoglobins

Keywords

  • Caucasian
  • Children
  • DLCO
  • Gender
  • Lung function
  • Pulmonary diffusing capacity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine

Cite this

Kim, Y. J., Hall, G. L., Christoph, K., Tabbey, R., Yu, Z., Tepper, R., & Eigen, H. (2012). Pulmonary diffusing capacity in healthy Caucasian children. Pediatric Pulmonology, 47(5), 469-475. https://doi.org/10.1002/ppul.21564

Pulmonary diffusing capacity in healthy Caucasian children. / Kim, Young Jee; Hall, Graham L.; Christoph, Kathy; Tabbey, Rebeka; Yu, Zhangsheng; Tepper, Robert; Eigen, Howard.

In: Pediatric Pulmonology, Vol. 47, No. 5, 05.2012, p. 469-475.

Research output: Contribution to journalArticle

Kim, YJ, Hall, GL, Christoph, K, Tabbey, R, Yu, Z, Tepper, R & Eigen, H 2012, 'Pulmonary diffusing capacity in healthy Caucasian children', Pediatric Pulmonology, vol. 47, no. 5, pp. 469-475. https://doi.org/10.1002/ppul.21564
Kim, Young Jee ; Hall, Graham L. ; Christoph, Kathy ; Tabbey, Rebeka ; Yu, Zhangsheng ; Tepper, Robert ; Eigen, Howard. / Pulmonary diffusing capacity in healthy Caucasian children. In: Pediatric Pulmonology. 2012 ; Vol. 47, No. 5. pp. 469-475.
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