The effect of mouth breathing on exercise induced fall in lung function in children with allergic asthma and rhinitis

Turkalj, Mirjana; Živković, Jelena; Lipej, Marcel; Lokas, Sandra Bulat; Erceg, Damir; Anzić, Srđan Ante; Magdic, Robert; Plavec, Davor

doi:10.1016/j.ijporl.2016.04.020

Cited by 8 publications

(17 citation statements)

References 19 publications

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“…Mouth breathing is common in children, with a prevalence of 56.8% (9) . Nasal obstructions cause mouth breathing and are due to many factors, the main ones being adenoid hypertrophy, tonsils and allergic rhinitis (10,11) .…”

Section: Introductionmentioning

confidence: 99%

Conhecimento dos professores sobre a respiração oral antes e após programa de orientação

Guimarães

Picinato-Pirola

2020

Audiol., Commun. Res.

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RESUMO Objetivo Verificar o conhecimento dos professores da educação infantil e ensino fundamental I a respeito da respiração oral, assim como verificar a ampliação do conhecimento dos professores sobre o tema, após a aplicação do programa de orientação fonoaudiológica. Métodos A amostra foi composta por 150 professores de escolas públicas e particulares. A promoção do conhecimento sobre a respiração oral foi realizada por meio do Programa de Orientação Fonoaudiológica, que abordou sobre a fisiologia da respiração, as causas e as consequências da respiração oral e os profissionais envolvidos no tratamento. Antes e após o programa, foram aplicados questionários semiestruturados, compostos por questões objetivas e discursivas a respeito das causas e consequências da respiração oral. Para a análise estatística entre os questionários pré e pós-programa, foi utilizado o teste McNemar. A comparação entre a média geral das respostas corretas foi realizada por meio do teste t-Student. Todas as diferenças foram consideradas estatisticamente significativas para um nível de significância de 5%. Resultados Observaram-se diferenças estatísticas (p<0,05) em todas as questões dos questionários pré e pós-programa de orientação. Conclusão Os professores apresentaram conhecimento prévio sobre a respiração oral, porém, o Programa de Orientação Fonoaudiológica mostrou-se eficaz e promoveu a ampliação do conhecimento sobre o tema.

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Section: Introductionmentioning

confidence: 99%

Conhecimento dos professores sobre a respiração oral antes e após programa de orientação

Guimarães

Picinato-Pirola

2020

Audiol., Commun. Res.

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“…Symptoms of rhinitis can lead to inflammation and edema of the upper airway mucosa, which generate a turbulent flow to the airways and, consequently, an increase in airway resistance. 10 , 11 In addition, the presence of such symptoms favors mouth breathing, and, consequently, cold, dry, unfiltered air is allowed to enter, which also has negative effects on the airways, 26 among which is hyperresponsiveness. 25…”

Section: Discussionmentioning

confidence: 99%

Do impulse oscillometry parameters differ between children and adolescents with symptoms of rhinitis and those without?

Cardoso¹,

Santos²,

Dorigo³

et al. 2020

J Bras Pneumol.

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Objective: To compare impulse oscillometry parameters between healthy children and adolescents with symptoms of rhinitis and those without. Methods: This was a cross-sectional analytical study of healthy individuals 7-14 years of age. Health status was determined through the use of questionnaires. We performed anthropometric measurements, impulse oscillometry, and spirometry. Results: The sample comprised 62 students, with a mean age of 9.58 ± 2.08 years and a mean body mass index (BMI) of 17.96 ± 3.10 kg/m 2 . The students were divided into two groups: those with symptoms of rhinitis (n = 29) and those without such symptoms (n = 33). The oscillometry results and anthropometric parameters were normal in both groups and did not differ significantly between the two. The variables age, height, and body mass, respectively, correlated negatively and moderately with most of the following parameters: total airway resistance (r = −0.529, r = −0.548, and r = −0.433); central airway resistance (r = −0.441, r = −0.468, and r = −0.439); respiratory impedance (r = −0.549, r = −0.567, and r = −0.455); reactance at 5 Hz (r = 0.506, r = −0.525, and r = −0.414); reactance area (r = −0.459, r = −0.471, and r = −0.358); and resonance frequency (r = −0.353, r = −0.371, and r = −0.293). We found that BMI did not correlate significantly with any of the parameters evaluated. The same was true when we analyzed each group in isolation. Conclusions: In our sample, impulse oscillometry parameters did not differ between the students who had symptoms of rhinitis and those who did not.

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“…Exercise induced bronchoconstriction (EIB) is an acute narrowing of the airways in response to physical activity 1,2 . EIB is a common phenomenon in children and adolescents with clinical asthma 1–3 . The prevalence of EIB in children with asthma is 30−60%, but exists in 10−20% of children without asthma, including athletes 1–5 …”

Section: Introductionmentioning

confidence: 99%

The effect of nose clip on exercise‐induced bronchoconstriction in adolescents

Spivak

Gut

Hanna

et al. 2023

Pediatric Pulmonology

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BackgroundOral breathing is considered to increase hyper‐responsiveness of the airways. Data on the need for nose clip (NC) during exercise challenge test (ECT) in children and adolescents is scarce. Ouraim was to evaluate the role of NC during ECT in children and adolescents.MethodsA prospective, cohort study; children referred for ECT were evaluated on two separate visits, with and without a NC. Demographic, clinical data and measurements of lung functions were recorded. Allergy and asthma control were evaluated by Total Nasal Symptoms Score (TNSS) and Asthma Control Test (ACT) questionnaires.ResultsSixty children and adolescents (mean age 16.7 ± 1.1 years, 38% Female,) performed ECT with NC and 48 (80%) completed visit 2 (ECT without NC), 8.7 ± 7.9 days after visit 1. Following exercise, 29/48 patients (60.4%) with NC had a decline of ≥12% in forced expiratory volume in the first second (FEV1) (positive ECT) compared to only 16/48 (33.3%) positive tests without NC (p = 0.0008). Test result was changed in 14 patients from positive ECT (with NC) to negative ECT (no NC) and in only one patient from negative to positive. The use of NC resulted in greater FEV1 decline (median 16.3% predicted, IQR 6.0−19.1% predicted vs. median 4.5% predicted, IQR 1.6−18.4% predicted, p = 0.0001), and better FEV1 increase after bronchodil at or inhalation compared to ECT without NC. Higher TNSS scores did not predict higher probability to positive ECT.ConclusionsThe use of NC during ECT increases detection rate of exercise induced bronchoconstriction during ECT in the pediatric population. These findings strengthen the recommendation of nasal blockage during ECT in children and adolescents.

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The effect of mouth breathing on exercise induced fall in lung function in children with allergic asthma and rhinitis

Cited by 8 publications

References 19 publications

Conhecimento dos professores sobre a respiração oral antes e após programa de orientação

Conhecimento dos professores sobre a respiração oral antes e após programa de orientação

Do impulse oscillometry parameters differ between children and adolescents with symptoms of rhinitis and those without?

The effect of nose clip on exercise‐induced bronchoconstriction in adolescents

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