Exhaled nitric oxide in a population-based study of southern California schoolchildren

Linn, WS; Rappaport, EB; Berhane, KT; Bastain, TM; Avol, EL; Gilliland, FD

HERO ID

597363

Reference Type

Journal Article

Year

2009

Language

English

PMID

19379527

HERO ID 597363
In Press No
Year 2009
Title Exhaled nitric oxide in a population-based study of southern California schoolchildren
Authors Linn, WS; Rappaport, EB; Berhane, KT; Bastain, TM; Avol, EL; Gilliland, FD
Journal Respiratory Research
Volume 10
Issue 1
Page Numbers 28
Abstract Background Determinants of exhaled nitric oxide (FeNO) need to be understood better to maximize the value of FeNO measurement in clinical practice and research. Our aim was to identify significant predictors of FeNO in an initial cross-sectional survey of southern California schoolchildren, part of a larger longitudinal study of asthma incidence. Methods During one school year, we measured FeNO at 100 ml/sec flow, using a validated offline technique, in 2568 children of age 7–10 yr. We estimated online (50 ml/sec flow) FeNO using a prediction equation from a separate smaller study with adjustment for offline measurement artifacts, and analyzed its relationship to clinical and demographic characteristics. Results FeNO was lognormally distributed with geometric means ranging from 11 ppb in children without atopy or asthma to 16 ppb in children with allergic asthma. Although effects of atopy and asthma were highly significant, ranges of FeNO for children with and without those conditions overlapped substantially. FeNO was significantly higher in subjects aged > 9, compared to younger subjects. Asian-American boys showed significantly higher FeNO than children of all other sex/ethnic groups; Hispanics and African-Americans of both sexes averaged slightly higher than non-Hispanic whites. Increasing height-for-age had no significant effect, but increasing weight-for-height was associated with decreasing FeNO. Conclusion FeNO measured offline is a useful biomarker for airway inflammation in large population-based studies. Further investigation of age, ethnicity, body-size, and genetic influences is needed, since they may contribute to substantial variation in FeNO.
Doi 10.1186/1465-9921-10-28
Pmid 19379527
Wosid WOS:000266443300001
Url http://respiratory-research.biomedcentral.com/articles/10.1186/1465-9921-10-28
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Is Qa No
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