Postural Alterations: Determinant of Peak Expiratory Flow Rate Variation Among Young Adults

Authors

  • Patrick Okwute Babcock University, Ogun State, Nigeria Author https://orcid.org/0000-0002-3574-0143
  • Olayinka Asafa Author
  • Uchechukwu Eze Author
  • Gideon Oluwatunase University of medical sciences, Ondo town Author
  • Adekunle Mofolorunso Babcock University, Ilisan-Remo Author
  • Onome Oghenetega Babcock University, Ilisan-Remo Author

Keywords:

Peak Expiratory flow, Respiration, Posture, Body Mass Index, Alteration

Abstract

Peak expiratory flow is the maximum rate of air expelled during forced expiration and is used clinically to monitor patients with asthma and other lung diseases. There are previous reports on the determinants of peak expiratory flow. Despite these reports, there is a dearth of knowledge on the actual role of postural alterations and gender-based variations in peak expiratory flow rate. Hence, this study sought to investigate the impact of postural changes on peak expiratory flow rate among young adults. Forty (40) healthy subjects between the ages of eighteen and twenty-four years (18-24 years old) were randomly selected for this study. The participants' peak expiratory flow rate (PEF), height, age, weight, and BMI (body mass index) were measured during the study. Data analysis was done using GraphPad Prism (version 5), data were presented as mean ± standard deviation and analyzed using a student t-test at p < 0.05. The mean weight and height of the male participants were higher when compared to the female participants (p < 0.05). The peak expiratory flow values in males in both sitting and standing postures were significantly higher when compared to the same postures in females. The study shows that the peak expiratory flow rate varies in different postures and among male and female gender in young adults. This will be useful in clinical practice and to monitor lung functions among young adults.

Downloads

Download data is not yet available.

Author Biographies

  • Olayinka Asafa

    Department of Physiology, University of Ibadan

  • Uchechukwu Eze

    Department of Physiology, Olabisi Onabanjo University

  • Gideon Oluwatunase, University of medical sciences, Ondo town

    Assistant Lecturer, Department of Anatomy

  • Adekunle Mofolorunso, Babcock University, Ilisan-Remo

    Assistant Lecturer, Department of Physiology

  • Onome Oghenetega, Babcock University, Ilisan-Remo

    Lecturer II, Department of Physiologhy

References

Adams, O. P., Mangera, K. A., Hambleton, I. R., Morris, E. H., & Paul-Charles, J. L. (2018). Does peak expiratory flow measured sitting differ from that measured standing? A cross-over study in primary care in Barbados. British Journal of General Pracrice open, 2(2), bjgpopen18X101592. https://doi.org/10.3399/bjgpopen18X101592

Alghadir, A., Aly, F., & Zafar, H. (2012). Sex-based differences in lung functions of Saudi adults. Journal of Physical Therapy Science, 24(1), 5-9.

Antunes, B. O., de Souza, H. C. D., Gianinis, H. H., Passarelli-Amaro, R. de C. V., Tambascio, J., & Gastaldi, A. C. (2016). Peak expiratory flow in healthy, young, non-active subjects in seated, supine, and prone postures. Physiotherapy Theory and Practice, 32(6), 489–493.

Badr, C., Elkins, M. R., & Ellis, E. R. (2002). The effect of body position on maximal expiratory pressure and flow. Australian Journal of Physiotherapy, 48(2), 95–102.

Boaventura, R., Sibila, O., Agusti, A., & Chalmers, J. D. (2018). Treatable traits in bronchiectasis. The European Respiratory Journal, 52(3), 1801269. https://doi.org/10.1183/13993003.01269-2018

Brouwer, E., Te Pas, A. B., Polglase, G. R., McGillick, E. V, Böhringer, S., Crossley, K. J., Rodgers, K., Blank, D., Yamaoka, S., Gill, A. W., & others. (2020). Effect of spontaneous breathing on umbilical venous blood flow and placental transfusion during delayed cord clamping in preterm lambs. Archives of Disease in Childhood-Fetal and Neonatal Edition, 105(1), 26–32.

Dobra, R., & Equi, A. (2018). How to use peak expiratory flow rate. Archives of Disease in Childhood-Education and Practice, 103(3), 158–162.

Gianinis, H. H., Antunes, B. O., Passarelli, R. C. V, Souza, H. C. D., & Gastaldi, A. C. (2013). Effects of dorsal and lateral decubitus on peak expiratory flow in healthy subjects. Brazilian Journal of Physical Therapy, 17, 435–441.

Gulla, K. M., & Kabra, S. K. (2017). Peak expiratory flow rate as a monitoring tool in asthma. The Indian Journal of Pediatrics, 84(8), 573–574.

James, T. (2020). Influence of gender and anthropometric parameters on peak expiratory flow rate and vital capacity among medical students of a teaching institution. International Journal of Contemporary Medical Research, 7(2), http://dx.doi.org/10.21276/ijcmr.2020.7.2.28

Jyoti, K. (2020). Physical fitness and pulmonary functions in school children. Mahi Publication Agency, Ahmedabad.

Lung, N. H., Institute, B., & others. (2007). National Asthma Education and prevention program.(2007). Expert Panel Report, 3.

Marques, L., de Freitas Fregonezi, G. A., Santos, I. P., Marcelino, A. A., da Fonsêca, J. D. M., Dourado-Júnior, M. E. T., Aliverti, A., Sarmento, A., & Resqueti, V. R. (2020). Effects of positioning on cough peak flow and muscular electromyographic activation in Duchenne muscular dystrophy. Respiratory Care, 65(11), 1668–1677.

McCoy, E. K., Thomas, J. L., Sowell, R. S., George, C., Finch, C. K., Tolley, E. A., & Self, T. H. (2010). An evaluation of peak expiratory flow monitoring: a comparison of sitting versus standing measurements. The Journal of the American Board of Family Medicine, 23(2), 166–170.

Miller, M. R., Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R., Coates, A., Crapo, R., Enright, P., Van Der Grinten, C. P. M., Gustafsson, P., & others. (2005). Standardisation of spirometry. European Respiratory Journal, 26(2), 319–338.

Nascimento, J. P., Perossi, L., Holtz, M., Baddini-Martinez, J. A., De Souza, H. C. D., & Gastaldi, A. C. (2018). Peak expiratory flow in obese subjects in different positions. Physiotherapy Theory and Practice.

Raju, S., Siddharthan, T., & McCormack, M. C. (2020). Indoor air pollution and respiratory health. Clinics in Chest Medicine, 41(4), 825–843.

Silveira, W. da, Mello, F. C. de Q., Guimarães, F. S., & Menezes, S. L. S. de. (2010). Postural alterations and pulmonary function of mouth-breathing children. Brazilian Journal of Otorhinolaryngology, 76, 683–686.

Teng, C. L., Chia, K. M., D Cruz, J., Gomez, C. A., Muthusamy, N., Saadon, N. S., Jali, N. M., & Loh, L. C. (2020). Peak expiratory flow in the standing and sitting positions is equivalent in adults: a cross-over study. Family Practice, 37(5), 637–640.

Wallace, J. L., George, C. M., Tolley, E. A., Winton, J. C., Fasanella, D., Finch, C. K., & Self, T. H. (2013). Peak expiratory flow in bed. A comparison of 3 positions. Respiratory Care, 58(3), 494–497.

Weber, J., Schmidt, J., Straka, L., Wirth, S., & Schumann, S. (2020). Flow-controlled ventilation improves gas exchange in lung-healthy patients a randomized interventional cross-over study. Acta Anaesthesiologica Scandinavica, 64(4), 481–488.

Published

2022-07-01

Issue

Section

Research Articles

Categories

How to Cite

Postural Alterations: Determinant of Peak Expiratory Flow Rate Variation Among Young Adults. (2022). Nigerian Journal of Biochemistry and Molecular Biology, 37(2), 133-137. https://www.nsbmb.org.ng/journals/index.php/njbmb/article/view/105

Most read articles by the same author(s)