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Centro di Fisiopatologia Respiratoria, Dipartimento di Scienze Motorie e Riabilitative e Clinica delle Malattie dell' Apparato Respiratorio ed Allergologia, Dipartimento di Medicina Interna, Università di Genova, 16132 Genova, Italy
To elucidate whether deep inhalation (DI)
modulates changes in airway caliber in childhood, we measured the
effect of DI on respiratory impedance before and after inhaled
methacholine or salbutamol in 4- to 7-yr-old children (n = 15)
suffering from recurrent wheezing. In all children, the real part of
impedance between 12 and 16 Hz (Re[Z]12-16)
increased after methacholine from 5.6 ± 1.2 to 8.2 ± 1.6 cmH2O · l
1 · s
(P < 0.001) and resonance frequency from 18 ± 3 to 25 ± 5 Hz (P < 0.001). These changes were partially reversed by DI:
Re[Z]12-16 decreased to 7.2 ± 1.2 cmH2O · l
1 · s
(P < 0.01) and resonance frequency to 19 ± 5 Hz (P < 0.001). In nine children, on a separate occasion,
Re[Z]12-16 decreased after salbutamol from
8.3 ± 1.9 to 5.1 ± 0.9 cmH2O · l
1 · s
(P < 0.001) and resonance frequency from 21 ± 6 to 15 ± 3 Hz (P < 0.05). The decrease of Re[Z]12-16
was partially reversed by DI (to 6.2 ± 1.4 cmH2O · l
1 · s,
P < 0.01), but resonance frequency did not change
significantly (P = 0.75). We conclude that in 4- to 7-yr-old
children pharmacologically induced changes in airway caliber are
modulated by DI. These findings suggest that airway-to-parenchyma
interdependence is operative in this age range.
respiratory resistance; resonance frequency; bronchoconstriction; bronchodilatation; forced-oscillation technique; wheezing
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