Association among lung function, exhaled nitric oxide, and the CAN questionnaire to assess asthma control in children

Background The aim of this study was to investigate the association among a validated symptom‐based questionnaire for asthma control in children (CAN), forced expiratory volume in 1 sec (FEV1), and fractional exhaled nitric oxide (FENO). Methods Observational cross‐sectional study was performed in a...

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Veröffentlicht in:Pediatric pulmonology 2010-05, Vol.45 (5), p.434-439
Hauptverfasser: Sardón-Prado, O., Korta-Murua, J., Valverde-Molina, J., Fernández-Paredes, J.J., Mintegui, J., Corcuera-Elosegui, P., Emparanza, J.I., Pérez-Yarza, E.G.
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container_issue 5
container_start_page 434
container_title Pediatric pulmonology
container_volume 45
creator Sardón-Prado, O.
Korta-Murua, J.
Valverde-Molina, J.
Fernández-Paredes, J.J.
Mintegui, J.
Corcuera-Elosegui, P.
Emparanza, J.I.
Pérez-Yarza, E.G.
description Background The aim of this study was to investigate the association among a validated symptom‐based questionnaire for asthma control in children (CAN), forced expiratory volume in 1 sec (FEV1), and fractional exhaled nitric oxide (FENO). Methods Observational cross‐sectional study was performed in a consecutive sample of asthmatic children aged between 7 and 14 years old from December 2007 to February 2008. FENO was measured with a portable electrochemical analyzer and forced spirometry was performed according to American Thoracic Society/European Respiratory Society. The CAN questionnaire was completed by the parents (aged
doi_str_mv 10.1002/ppul.21144
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Methods Observational cross‐sectional study was performed in a consecutive sample of asthmatic children aged between 7 and 14 years old from December 2007 to February 2008. FENO was measured with a portable electrochemical analyzer and forced spirometry was performed according to American Thoracic Society/European Respiratory Society. The CAN questionnaire was completed by the parents (aged &lt;9 years old) or by the children (≥9 years old). The strength of the association among FEV1, FENO, and CAN questionnaire was studied using Spearman's rho, and the degree of agreement for asthma control among FEV1, FENO, and CAN questionnaire, with classification of these variables according to values of normality, was studied using Pearson's χ2 test and Cohen's kappa (KC). Results We studied 268 children, mean age 9.7 ± 2.1 years. Significant correlations were found between FENO and CAN (r = 0.2), between FEV1 and CAN (r = −0.3), and between FENO and FEV1 (r = −0.12). On classifying the variables according to values of normality, no agreement was found to establish the degree of asthma control between FENO and CAN (KC = 0.18, χ2 Pearson = 9.63); between FEV1 and CAN (KC = 0.29, χ2 = 38.5); or between FENO and FEV1 (KC = 0.07, χ2 = 4.9). Conclusions The association among the three measurement instruments used to assess asthma control (FEV1, FENO, and CAN) was weak. These are instruments that quantify variables that influence asthma in different ways, in this sense, none can be used instead of another in asthma management although they are complementary. Pediatr Pulmonol. 2010; 45:434–439. © 2010 Wiley‐Liss, Inc.</description><identifier>ISSN: 8755-6863</identifier><identifier>EISSN: 1099-0496</identifier><identifier>DOI: 10.1002/ppul.21144</identifier><identifier>PMID: 20425850</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Asthma - drug therapy ; Asthma - physiopathology ; asthma control ; Breath Tests - methods ; Child ; children ; Cross-Sectional Studies ; Exhalation ; exhaled nitric oxide ; Female ; Forced Expiratory Volume ; Humans ; Lung - physiology ; lung function ; Male ; Nitric Oxide - analysis ; Prospective Studies ; questionnaire ; Respiratory Function Tests ; Spirometry - methods ; Surveys and Questionnaires</subject><ispartof>Pediatric pulmonology, 2010-05, Vol.45 (5), p.434-439</ispartof><rights>Copyright © 2010 Wiley‐Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3664-69fecb8c6cf6124cc1ab7f0e87839a4fc6edb592c380ac7ccb2b44c5e27b71b93</citedby><cites>FETCH-LOGICAL-c3664-69fecb8c6cf6124cc1ab7f0e87839a4fc6edb592c380ac7ccb2b44c5e27b71b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fppul.21144$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fppul.21144$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20425850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sardón-Prado, O.</creatorcontrib><creatorcontrib>Korta-Murua, J.</creatorcontrib><creatorcontrib>Valverde-Molina, J.</creatorcontrib><creatorcontrib>Fernández-Paredes, J.J.</creatorcontrib><creatorcontrib>Mintegui, J.</creatorcontrib><creatorcontrib>Corcuera-Elosegui, P.</creatorcontrib><creatorcontrib>Emparanza, J.I.</creatorcontrib><creatorcontrib>Pérez-Yarza, E.G.</creatorcontrib><title>Association among lung function, exhaled nitric oxide, and the CAN questionnaire to assess asthma control in children</title><title>Pediatric pulmonology</title><addtitle>Pediatr. Pulmonol</addtitle><description>Background The aim of this study was to investigate the association among a validated symptom‐based questionnaire for asthma control in children (CAN), forced expiratory volume in 1 sec (FEV1), and fractional exhaled nitric oxide (FENO). Methods Observational cross‐sectional study was performed in a consecutive sample of asthmatic children aged between 7 and 14 years old from December 2007 to February 2008. FENO was measured with a portable electrochemical analyzer and forced spirometry was performed according to American Thoracic Society/European Respiratory Society. The CAN questionnaire was completed by the parents (aged &lt;9 years old) or by the children (≥9 years old). The strength of the association among FEV1, FENO, and CAN questionnaire was studied using Spearman's rho, and the degree of agreement for asthma control among FEV1, FENO, and CAN questionnaire, with classification of these variables according to values of normality, was studied using Pearson's χ2 test and Cohen's kappa (KC). Results We studied 268 children, mean age 9.7 ± 2.1 years. Significant correlations were found between FENO and CAN (r = 0.2), between FEV1 and CAN (r = −0.3), and between FENO and FEV1 (r = −0.12). On classifying the variables according to values of normality, no agreement was found to establish the degree of asthma control between FENO and CAN (KC = 0.18, χ2 Pearson = 9.63); between FEV1 and CAN (KC = 0.29, χ2 = 38.5); or between FENO and FEV1 (KC = 0.07, χ2 = 4.9). Conclusions The association among the three measurement instruments used to assess asthma control (FEV1, FENO, and CAN) was weak. These are instruments that quantify variables that influence asthma in different ways, in this sense, none can be used instead of another in asthma management although they are complementary. Pediatr Pulmonol. 2010; 45:434–439. © 2010 Wiley‐Liss, Inc.</description><subject>Adolescent</subject><subject>Asthma - drug therapy</subject><subject>Asthma - physiopathology</subject><subject>asthma control</subject><subject>Breath Tests - methods</subject><subject>Child</subject><subject>children</subject><subject>Cross-Sectional Studies</subject><subject>Exhalation</subject><subject>exhaled nitric oxide</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Lung - physiology</subject><subject>lung function</subject><subject>Male</subject><subject>Nitric Oxide - analysis</subject><subject>Prospective Studies</subject><subject>questionnaire</subject><subject>Respiratory Function Tests</subject><subject>Spirometry - methods</subject><subject>Surveys and Questionnaires</subject><issn>8755-6863</issn><issn>1099-0496</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFv1DAQhS1ERbeFCz8A-YaEmtaOEyc-rlawIK22K7WFo-VMJqzBsbd2Irb_vtlu2yOXedLM955Gj5CPnF1yxvKr3W50lznnRfGGzDhTKmOFkm_JrK7KMpO1FKfkLKU_jE03xd-R05wVeVmXbEbGeUoBrBls8NT0wf-mbpxGN3o47C4o7rfGYUu9HaIFGva2xQtqfEuHLdLFfE3vR0wH1hsbkQ6BmpQwpUmGbW8oBD_E4Kj1FLbWtRH9e3LSGZfww7Oek7tvX28X37PV9fLHYr7KQEhZZFJ1CE0NEjrJ8wKAm6bqGNZVLZQpOpDYNqXKQdTMQAXQ5E1RQIl51VS8UeKcfD7m7mJ4-lL3NgE6ZzyGMelKCJWXquYT-eVIQgwpRez0LtrexAfNmT60rA8t66eWJ_jTc-zY9Ni-oi-1TgA_Av-sw4f_ROnN5m71EpodPTYNuH_1mPhXy0pUpf61Xuqfcr1Z3oobLcQjlPKZZg</recordid><startdate>201005</startdate><enddate>201005</enddate><creator>Sardón-Prado, O.</creator><creator>Korta-Murua, J.</creator><creator>Valverde-Molina, J.</creator><creator>Fernández-Paredes, J.J.</creator><creator>Mintegui, J.</creator><creator>Corcuera-Elosegui, P.</creator><creator>Emparanza, J.I.</creator><creator>Pérez-Yarza, E.G.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201005</creationdate><title>Association among lung function, exhaled nitric oxide, and the CAN questionnaire to assess asthma control in children</title><author>Sardón-Prado, O. ; Korta-Murua, J. ; Valverde-Molina, J. ; Fernández-Paredes, J.J. ; Mintegui, J. ; Corcuera-Elosegui, P. ; Emparanza, J.I. ; Pérez-Yarza, E.G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3664-69fecb8c6cf6124cc1ab7f0e87839a4fc6edb592c380ac7ccb2b44c5e27b71b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Asthma - drug therapy</topic><topic>Asthma - physiopathology</topic><topic>asthma control</topic><topic>Breath Tests - methods</topic><topic>Child</topic><topic>children</topic><topic>Cross-Sectional Studies</topic><topic>Exhalation</topic><topic>exhaled nitric oxide</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Lung - physiology</topic><topic>lung function</topic><topic>Male</topic><topic>Nitric Oxide - analysis</topic><topic>Prospective Studies</topic><topic>questionnaire</topic><topic>Respiratory Function Tests</topic><topic>Spirometry - methods</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sardón-Prado, O.</creatorcontrib><creatorcontrib>Korta-Murua, J.</creatorcontrib><creatorcontrib>Valverde-Molina, J.</creatorcontrib><creatorcontrib>Fernández-Paredes, J.J.</creatorcontrib><creatorcontrib>Mintegui, J.</creatorcontrib><creatorcontrib>Corcuera-Elosegui, P.</creatorcontrib><creatorcontrib>Emparanza, J.I.</creatorcontrib><creatorcontrib>Pérez-Yarza, E.G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric pulmonology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sardón-Prado, O.</au><au>Korta-Murua, J.</au><au>Valverde-Molina, J.</au><au>Fernández-Paredes, J.J.</au><au>Mintegui, J.</au><au>Corcuera-Elosegui, P.</au><au>Emparanza, J.I.</au><au>Pérez-Yarza, E.G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association among lung function, exhaled nitric oxide, and the CAN questionnaire to assess asthma control in children</atitle><jtitle>Pediatric pulmonology</jtitle><addtitle>Pediatr. Pulmonol</addtitle><date>2010-05</date><risdate>2010</risdate><volume>45</volume><issue>5</issue><spage>434</spage><epage>439</epage><pages>434-439</pages><issn>8755-6863</issn><eissn>1099-0496</eissn><abstract>Background The aim of this study was to investigate the association among a validated symptom‐based questionnaire for asthma control in children (CAN), forced expiratory volume in 1 sec (FEV1), and fractional exhaled nitric oxide (FENO). Methods Observational cross‐sectional study was performed in a consecutive sample of asthmatic children aged between 7 and 14 years old from December 2007 to February 2008. FENO was measured with a portable electrochemical analyzer and forced spirometry was performed according to American Thoracic Society/European Respiratory Society. The CAN questionnaire was completed by the parents (aged &lt;9 years old) or by the children (≥9 years old). The strength of the association among FEV1, FENO, and CAN questionnaire was studied using Spearman's rho, and the degree of agreement for asthma control among FEV1, FENO, and CAN questionnaire, with classification of these variables according to values of normality, was studied using Pearson's χ2 test and Cohen's kappa (KC). Results We studied 268 children, mean age 9.7 ± 2.1 years. Significant correlations were found between FENO and CAN (r = 0.2), between FEV1 and CAN (r = −0.3), and between FENO and FEV1 (r = −0.12). On classifying the variables according to values of normality, no agreement was found to establish the degree of asthma control between FENO and CAN (KC = 0.18, χ2 Pearson = 9.63); between FEV1 and CAN (KC = 0.29, χ2 = 38.5); or between FENO and FEV1 (KC = 0.07, χ2 = 4.9). Conclusions The association among the three measurement instruments used to assess asthma control (FEV1, FENO, and CAN) was weak. These are instruments that quantify variables that influence asthma in different ways, in this sense, none can be used instead of another in asthma management although they are complementary. Pediatr Pulmonol. 2010; 45:434–439. © 2010 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>20425850</pmid><doi>10.1002/ppul.21144</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Asthma - drug therapy
Asthma - physiopathology
asthma control
Breath Tests - methods
Child
children
Cross-Sectional Studies
Exhalation
exhaled nitric oxide
Female
Forced Expiratory Volume
Humans
Lung - physiology
lung function
Male
Nitric Oxide - analysis
Prospective Studies
questionnaire
Respiratory Function Tests
Spirometry - methods
Surveys and Questionnaires
title Association among lung function, exhaled nitric oxide, and the CAN questionnaire to assess asthma control in children
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