Detecting chronic obstructive pulmonary disease using peak flow rate: cross sectional survey

Jackson, Hannah; Hubbard, Richard

doi:10.1136/bmj.327.7416.653

Cited by 92 publications

(65 citation statements)

References 4 publications

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“…Martinez et al [7] showed similar decrease in FEF 75-85% in obese people in their study. Jackson et al [8] and Sahebjami and Gartside [9] showed decrease in FEF 75% in obese people in their study. Low PEF and FEF 75% and FEF 75-85% values which are flow rates at high lung volumes indicate that probably the smaller airways are also affected in the pathology caused by excess fat deposition in the abdomen and in the chest cavities, the exact mechanism may be related to small airway collapse due to decreased lung volumes with increasing obesity or it may be independent.…”

Section: Fef 75%mentioning

confidence: 99%

Correlation of body mass index with flow rates and maximum voluntary ventilation: A comparative study

Manik¹,

Hiremath²,

Jagadal³

2017

Natl J Physiol Pharm Pharmacol

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Section: Fef 75%mentioning

confidence: 99%

Correlation of body mass index with flow rates and maximum voluntary ventilation: A comparative study

Manik¹,

Hiremath²,

Jagadal³

2017

Natl J Physiol Pharm Pharmacol

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“…This cutoff point has a sensitivity of 91% and specificity of 82% in diagnosing COPD. 16 Data Analysis was carried out using SPSS Software version 16.0. The final data were summarized into percentages and analyzed by cross tabulations for different variables.…”

Section: Methodsmentioning

confidence: 99%

A study on the prevalence of chronic obstructive pulmonary disease among adults in Madurai, Tamil Nadu

Saleem

Priya

Pradeep

et al. 2017

Int J Community Med Public Health

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Background: Chronic obstructive pulmonary disease (COPD) is a major public health problem with increasing prevalence especially in developing countries. Burden of disease estimation is important for decision making, planning, prioritising and allocating funds. It has been found that the recent data on prevalence of COPD is less in south India, especially Tamil Nadu. Hence this study was undertaken in order to estimate the prevalence of COPD in Madurai among adults and its association with socio demographic variables. Methods: This is a community based cross-sectional study done in Kallendiri block of Madurai district with adults aged >30 years of both the sexes as study population. Sample size was 480. Using cluster sampling method, study participants were interviewed with semi-structured questionnaire and peak expiratory flow rate was measured using peak flow meter. Results: Prevalence of COPD was 22.1% among the study population. Males (39.2%) had higher prevalence than females (12.2%). COPD prevalence was significantly higher among increasing age, male sex, illiteracy, low BMI, smokers, inadequate ventilation and those using biomass fuels for cooking. Conclusions: This study has established the fact that COPD is highly prevalent among adults in rural area. For practitioners, the results call for a high index of suspicion of COPD among >30 years with substantial exposure to risk factors. For health policy makers, the results of the current study urge for the development of COPD prevention programs failing which the burden of COPD might result in increased mortality, morbidity and economic burden.

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“…The specificity of an abnormal peak expiratory flow rate was lower at 82%. 19 The peak flow rate was measured with the subjects in standing position without a nose clip and holding the peak flow meter horizontally. A tight fitting disposable cardboard mouth-piece was inserted into the inlet nozzle for every subject.…”

Section: Methodsmentioning

confidence: 99%

“…Among them is the peak expiratory flow rate(PEFR) which is preferred by general practitioners because of the advantages it has over others. 17,18,19 In Nigeria, the peak flow meter is the instrument that is readily available to family physicians and other primary care physicians for the assessment of respiratory function especially in the rural communities. In these communities, the dependence on wood and other forms of biomass fuels appears to be on the rise sequel to the scarcity and increased cost of substitutes such as kerosene and liquid petroleum gas.…”

mentioning

confidence: 99%

Respiratory effects of biomass fuel combustion on rural fish smokers in a Nigerian fishing settlement: a case control study

2016

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Backgroud: The aim was to study the prevalence of respiratory symptoms and assess the lung function of fish smokers in Nigeria. Methods: A case control study was done among fish smokers in Nigeria. Women aged 15 years or older (n=210) involved in fish smoking and equal number of matched controls were interviewed on respiratory symptoms and their peak expiratory flow rate (PEFR) measured. Data was analysed using chi square test, student's t-test and odd ratios. Results: Both groups were similar in their personal characteristics. The test group had significantly increased occurrence of sneezing (153; 72.86%), catarrh (159; 75.71%), cough (138; 65.71%) and chest pain (59; 28.10%) compared with the control group, odds ratio (OR) 2.49, 95% confidence interval CI (1.62-3.82), P < 0.001), OR 3.77,95% CI (2.44-5.85), P < 0.001, OR 3.38, 95% CI (2.22-5.15), P < 0.001, and OR 6.45,95% CI (3.22-13.15), P < 0.001, respectively. The mean PEFR of 321±58.93 L/min among the fish smokers was significantly lower than 400±42.92 L/min among the controls (p = 0.0001). Conclusion: Fish smokers have increased risk of respiratory symptoms and reduced pulmonary function. There is a need for protective equipment and periodic evaluation.

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Detecting chronic obstructive pulmonary disease using peak flow rate: cross sectional survey

Cited by 92 publications

References 4 publications

Correlation of body mass index with flow rates and maximum voluntary ventilation: A comparative study

Correlation of body mass index with flow rates and maximum voluntary ventilation: A comparative study

A study on the prevalence of chronic obstructive pulmonary disease among adults in Madurai, Tamil Nadu

Respiratory effects of biomass fuel combustion on rural fish smokers in a Nigerian fishing settlement: a case control study

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