Evidence map›Paper›PMID 32236343›Full record

ArticleJornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia

Reference values for spirometry in Brazilian children.

Marcus Herbert Jones, Paula Cristina Vasconcellos Vidal, Fernanda Cordoba Lanza, Danielle Corrêa França de Melo Franco Silva, Paulo Márcio Pitrez, Ana Paula Bigliardi de Freitas Olmedo, Edjane Figueiredo Burity, Kennedy Long Schisler, Leonardo Araújo Pinto, Aline Dill Winck and 6 more

Abstract read
In one paragraph

Article in Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. New spirometry recommendations from the Brazilian Thoracic Association - 2024 update.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Guideline
  2. Article
  3. Article
  4. Level of agreement between two asthma control questionnaires in children and adolescents.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025
    Article
  5. Article
  6. Response to the Letter to the editor criticizing our recently published work.Journal of Taibah University Medical Sciences · 2024
    Article
  7. Article
  8. Development and validation of predictive equations for spirometry in Portuguese children.The journal of allergy and clinical immunology. Global · 2023
    Article
  9. Article
  10. Respiratory system parameters in children with low severity cystic fibrosis: is there early involvement in relation to healthy peers?Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. A new spirometry reference equation for 3- to 12-year-old children in Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Marcus Herbert Jones. Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS - Porto Alegre (RS) Brasil.ORCID http://orcid.org/0000-0002-8263-1265
Paula Cristina Vasconcellos Vidal. Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS - Porto Alegre (RS) Brasil.ORCID http://orcid.org/0000-0003-2013-0446
Fernanda Cordoba Lanza. Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil.ORCID http://orcid.org/0000-0002-4748-6947
Danielle Corrêa França de Melo Franco Silva. Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG) Brasil.ORCID http://orcid.org/0000-0002-3358-7376
Paulo Márcio Pitrez. Hospital Moinhos de Vento, Porto Alegre (RS) Brasil.ORCID http://orcid.org/0000-0001-7319-1133
Ana Paula Bigliardi de Freitas Olmedo. Fundação Universidade Federal do Rio Grande - FURG - Rio Grande (RS) Brasil.ORCID http://orcid.org/0000-0002-6173-2155
Edjane Figueiredo Burity. Universidade Federal de Pernambuco - UFPE - Recife (PE) Brasil.ORCID http://orcid.org/0000-0001-9758-3852
Kennedy Long Schisler. Hospital Ministro Costa Cavalcanti, Foz do Iguaçu (PR) Brasil.ORCID http://orcid.org/0000-0002-4408-2795
Leonardo Araújo Pinto. Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS - Porto Alegre (RS) Brasil.ORCID http://orcid.org/0000-0002-3906-5456
Aline Dill Winck. Universidade de Caxias do Sul - UCS - Caxias do Sul (RS) Brasil.ORCID http://orcid.org/0000-0002-3214-2500
Edna Lúcia Santos de Souza. Universidade Federal da Bahia - UFBA - Salvador (BA) Brasil.ORCID http://orcid.org/0000-0002-4916-8483
Anick Augustin Oliveira. Hospital do Pulmão, Blumenau (SC) Brasil.ORCID http://orcid.org/0000-0002-0334-041X
Maria Ângela Gonçalves de Oliveira Ribeiro. Universidade Estadual de Campinas - UNICAMP - Campinas (SP) Brasil.ORCID http://orcid.org/0000-0002-9418-1919
Lidia Alice Gomes Monteiro Marin Torres. Universidade de São Paulo - USP - São Paulo (SP) Brasil.ORCID http://orcid.org/0000-0002-5446-0761
Maria de Fátima Bazhuni Pombo March. Universidade Federal do Rio de Janeiro - UFRJ - Rio de Janeiro (RJ) Brasil.ORCID http://orcid.org/0000-0002-3633-6070
Grupo de Trabalho em Função Pulmonar

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo generate reference values for spirometry in Brazilian children 3-12 years of age and to compare those values with the values employed in the equations currently in use in Brazil.

methodsThis study involved healthy children, 3-12 years of age, recruited from 14 centers (primary data) and spirometry results from children with the same characteristics in six databases (secondary data). Reference equations by quantile regressions were generated after log transformation of the spirometric and anthropometric data. Skin color was classified as self-reported by the participants. To determine the suitability of the results obtained, they were compared with those predicted by the equations currently in use in Brazil.

resultsWe included 1,990 individuals from a total of 21 primary and secondary data sources. Of those, 1,059 (53%) were female. Equations for FEV1, FVC, the FEV1/FVC ratio, FEF between 25% and 75% of the FVC (FEF25-75%) and the FEF25-75%/FVC ratio were generated for white-, black-, and brown-skinned children. The logarithms for height and age, together with skin color, were the best predictors of FEV1 and FVC. The reference values obtained were significantly higher than those employed in the equations currently in use in Brazil, for predicted values, as well as for the lower limit of normality, particularly in children with self-reported black or brown skin.

conclusionsNew spirometric equations were generated for Brazilian children 3-12 years of age, in the three skin-color categories defined. The equations currently in use in Brazil seem to underestimate the lung function of Brazilian children 3-12 years of age and should be replaced by the equations proposed in this study.

Indexed as

BrazilChildChild, PreschoolFemaleForced Expiratory VolumeHumansPredictive Value of TestsReference ValuesSpirometryVital Capacity

Identifiers

PMID32236343
PMCPMC7572284

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.