Lung function and pulmonary vascular resistance are not associated in 6-year-old children born extremely preterm
(2020) In Acta Paediatrica, International Journal of Paediatrics 109(4). p.746-753- Abstract
Aim: Children born preterm are at increased risk of reduced lung function. The aim was to test whether lung function was associated with pulmonary vascular resistance. Methods: Participants were recruited from a population-based cohort born in 2004-2007. Lung function was assessed with spirometry after administration of a beta2-agonist. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were determined. Estimations of pulmonary vascular resistance, arterial dimensions, right ventricular wall thickness, sphericity, and systolic (TAPSE) and diastolic functions were performed with echocardiography. Adjusted regression analyses were used to study associations. Results: Sixty-six children (33 boys) born... (More)
Aim: Children born preterm are at increased risk of reduced lung function. The aim was to test whether lung function was associated with pulmonary vascular resistance. Methods: Participants were recruited from a population-based cohort born in 2004-2007. Lung function was assessed with spirometry after administration of a beta2-agonist. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were determined. Estimations of pulmonary vascular resistance, arterial dimensions, right ventricular wall thickness, sphericity, and systolic (TAPSE) and diastolic functions were performed with echocardiography. Adjusted regression analyses were used to study associations. Results: Sixty-six children (33 boys) born at 22-26 weeks of gestational age (birthweights 460-1134 g) were assessed at a mean age of 6.7 years. Despite large variations in lung function with FVC z-scores ranging from −4.6 to +2.8, there were no associations between lung function and pulmonary arterial pressure, right ventricular structure or function. Children with higher FVC z-scores (r =.52, β =.55 mm, P =.015) and higher FEV1 z-scores (r =.58, β =.73 mm, P =.001) exhibited larger pulmonary arteries. Conclusion: In children born extremely preterm, lung function was not associated with pulmonary vascular resistance. Routine echocardiographic evaluation of extremely preterm children may not be indicated at age 6.5 years.
(Less)
- author
- Mohlkert, Lilly Ann ; Sjöberg, Gunnar ; Rydberg, Annika ; Pegelow Halvorsen, Cecilia ; Tufvesson, Ellen LU ; Hallberg, Jenny ; Domellöf, Magnus and Norman, Mikael
- organization
- publishing date
- 2020-04
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- echocardiography, extremely preterm, lung function, pulmonary circulation, right heart function
- in
- Acta Paediatrica, International Journal of Paediatrics
- volume
- 109
- issue
- 4
- pages
- 8 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- pmid:31557349
- scopus:85074051503
- ISSN
- 0803-5253
- DOI
- 10.1111/apa.15030
- language
- English
- LU publication?
- yes
- id
- b4a29d57-26e7-49de-91e8-6b97ddc572dc
- date added to LUP
- 2019-11-07 13:22:21
- date last changed
- 2024-10-02 16:03:00
@article{b4a29d57-26e7-49de-91e8-6b97ddc572dc,
abstract = {{<p>Aim: Children born preterm are at increased risk of reduced lung function. The aim was to test whether lung function was associated with pulmonary vascular resistance. Methods: Participants were recruited from a population-based cohort born in 2004-2007. Lung function was assessed with spirometry after administration of a beta2-agonist. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV<sub>1</sub>) were determined. Estimations of pulmonary vascular resistance, arterial dimensions, right ventricular wall thickness, sphericity, and systolic (TAPSE) and diastolic functions were performed with echocardiography. Adjusted regression analyses were used to study associations. Results: Sixty-six children (33 boys) born at 22-26 weeks of gestational age (birthweights 460-1134 g) were assessed at a mean age of 6.7 years. Despite large variations in lung function with FVC z-scores ranging from −4.6 to +2.8, there were no associations between lung function and pulmonary arterial pressure, right ventricular structure or function. Children with higher FVC z-scores (r =.52, β =.55 mm, P =.015) and higher FEV<sub>1</sub> z-scores (r =.58, β =.73 mm, P =.001) exhibited larger pulmonary arteries. Conclusion: In children born extremely preterm, lung function was not associated with pulmonary vascular resistance. Routine echocardiographic evaluation of extremely preterm children may not be indicated at age 6.5 years.</p>}},
author = {{Mohlkert, Lilly Ann and Sjöberg, Gunnar and Rydberg, Annika and Pegelow Halvorsen, Cecilia and Tufvesson, Ellen and Hallberg, Jenny and Domellöf, Magnus and Norman, Mikael}},
issn = {{0803-5253}},
keywords = {{echocardiography; extremely preterm; lung function; pulmonary circulation; right heart function}},
language = {{eng}},
number = {{4}},
pages = {{746--753}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Paediatrica, International Journal of Paediatrics}},
title = {{Lung function and pulmonary vascular resistance are not associated in 6-year-old children born extremely preterm}},
url = {{http://dx.doi.org/10.1111/apa.15030}},
doi = {{10.1111/apa.15030}},
volume = {{109}},
year = {{2020}},
}