Lung Volume and Expiratory Flow Rates from Pre- to Post-puberty
Overview
Affiliations
Purpose: The purpose was to determine if the airways and lungs grow disproportionately from pre- to post-puberty in boys and girls. We hypothesized that the airways grow at a slower rate than lung volume (i.e. dysanapsis growth) during puberty and boys would exhibit more dysanaptic growth compared to girls.
Methods: Twenty-one pre-pubescent children [11 boys (pre 10.1 ± 0.5 years, post 15.3 ± 0.5 years); 10 girls (pre 9.4 ± 1.0 years, post 14.1 ± 1.0 years)] performed pulmonary function tests (PFTs) ~5 years ago from an original cohort of 40 children. These 21 children performed PFTs, which included forced vital capacity (FVC) and forced expiratory flow at 50 % FVC (FEF50). Static pressure at 50 % of FVC [Pst(L)50 %] was estimated based on age. Dysanapsis ratio (DR) was calculated [FEF50 × FVC(-1) × Pst(L) 50 % (-1) ]. Maturation status was determined via Tanner stages.
Results: Stage of maturation was not different (p > 0.05) between boys and girls (4.2 ± 0.6 stage vs. 3.7 ± 0.7 stage, respectively). FVC and FEF50 increased (p < 0.05), DR significantly decreased, and FEF50/FVC was similar (p > 0.05) from pre- to post-puberty. FEF50 and FVC significantly increased and DR decreased (p < 0.05) post-puberty for both sexes. Post-puberty, boys had a significantly larger FVC, but FEF50, DR, and FEF50/FVC were not different (p > 0.05) compared to girls.
Conclusions: These data suggest that dysanaptic growth occurs during puberty and that it is not different between boys and girls.
Gu T, Wang G, van den Oord E, Goldman E, Yang C, Xie N AAPS J. 2024; 26(5):95.
PMID: 39164430 DOI: 10.1208/s12248-024-00964-0.
Dysanapsis as a Determinant of Lung Function in Development and Disease.
McGinn E, Mandell E, Smith B, Duke J, Bush A, Abman S Am J Respir Crit Care Med. 2023; 208(9):956-963.
PMID: 37677135 PMC: 10870865. DOI: 10.1164/rccm.202306-1120PP.
Bisquera A, Harris C, Lunt A, Zivanovic S, Marlow N, Calvert S Pediatr Pulmonol. 2022; 57(6):1489-1496.
PMID: 35388626 PMC: 9321071. DOI: 10.1002/ppul.25918.
Low lung function in the developing world is analogous to stunting: a review of the evidence.
Mishra N, Salvi S, Lyngdoh T, Agrawal A Wellcome Open Res. 2021; 5:147.
PMID: 33381655 PMC: 7745193. DOI: 10.12688/wellcomeopenres.15929.2.
Postnatal dexamethasone exposure and lung function in adolescents born very prematurely.
Harris C, Bisquera A, Zivanovic S, Lunt A, Calvert S, Marlow N PLoS One. 2020; 15(8):e0237080.
PMID: 32764779 PMC: 7413559. DOI: 10.1371/journal.pone.0237080.