PMID- 30038857 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230926 IS - 2167-8359 (Print) IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 6 DP - 2018 TI - Reference norms for evaluating maximum expiratory flow of children and adolescents of the Maule Region in Chile. PG - e5157 LID - 10.7717/peerj.5157 [doi] LID - e5157 AB - BACKGROUND: The norms for evaluating the maximum expiratory flow (MEF) usually are developed according to chronological age and height. However, to date, little research has been conducted using reference values that take into account the temporal changes of biological maturation. The objectives of this study were to (a) compare the MEF with those of other international studies, (b) align the MEF values with chronological and biological age, and (c) propose reference standards for children and adolescents. METHODS: The sample studied consisted of 3,566 students of both sexes (1,933 males and 1,633 females) ranging in age from 5.0 to 17.9 years old. Weight, standing height, and sitting height were measured. Body mass index was calculated. Biological maturation was predicted by using age of peak height velocity growth (APHV). MEF (L/min) was obtained by using a forced expiratory manoeuvre. Percentiles were calculated using the LMS method. RESULTS AND DISCUSSION: Predicted APHV was at age 14.77 +/- 0.78 years for males and for females at age 12.74 +/- 1.0 years. Biological age was more useful than chronological age for assessing MEF in both sexes. Based on these findings, regional percentiles were created to diagnose and monitor the risk of asthma and the general expiratory status of paediatric populations. FAU - Cossio-Bolanos, Marco Antonio AU - Cossio-Bolanos MA AD - Departamento de Ciencias de la Actividad Fisica, Universidad Catolica del Maule, Talca, Chile. AD - Faculty of Physical Education, State University of Campinas, Campinas, Sao Paulo, Brazil. AD - Universidad Nacional de San Agustin, Arequipa, Peru. FAU - Andruske, Cynthia AU - Andruske C AD - Centro de Investigacion Especializado en Ciencias de la Educacion, Salud y Deporte, CINEMAROS, Arequipa, Peru. FAU - Arruda, Miguel AU - Arruda M AD - Faculty of Physical Education, State University of Campinas, Campinas, Sao Paulo, Brazil. FAU - Sulla-Torres, Jose AU - Sulla-Torres J AD - Universidad Catolica de Santa Maria, Arequipa, Peru. FAU - Pacheco-Carrillo, Jaime AU - Pacheco-Carrillo J AD - Universidad del Bio Bio, Chillan, Chile. FAU - Urra-Albornoz, Camilo AU - Urra-Albornoz C AD - Facultad de Salud, Carrera de Kinesiologia, Universidad Santo Tomas, Talca, Chile. FAU - Gomez-Campos, Rossana AU - Gomez-Campos R AD - Universidad Autonoma de Chile, Talca, Chile. LA - eng SI - figshare/10.6084/m9.figshare.5687392.v1 PT - Journal Article DEP - 20180716 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 PMC - PMC6052850 OTO - NOTNLM OT - Biological age OT - Chile OT - Maximum expiratory flow OT - Percentiles COIS- The authors declare that they have no competing interests. EDAT- 2018/07/25 06:00 MHDA- 2018/07/25 06:01 PMCR- 2018/07/16 CRDT- 2018/07/25 06:00 PHST- 2017/12/24 00:00 [received] PHST- 2018/06/13 00:00 [accepted] PHST- 2018/07/25 06:00 [entrez] PHST- 2018/07/25 06:00 [pubmed] PHST- 2018/07/25 06:01 [medline] PHST- 2018/07/16 00:00 [pmc-release] AID - 5157 [pii] AID - 10.7717/peerj.5157 [doi] PST - epublish SO - PeerJ. 2018 Jul 16;6:e5157. doi: 10.7717/peerj.5157. eCollection 2018.