Evidence map›Paper›PMID 39565207›Full record

Trial reportPediatric pulmonology2025

Spirometry Versus Forced Oscillation to Assess Lung Function Outcome at 5 Years of Age.

Robert S Tepper, Kristin Milner, Julia Harris, Brianna Lee, Michelle Cunningham, Christina Tiller, Lyndsey E Shorey-Kendrick, Diane Schilling, Julie Brownsberger, Kelvin MacDonald and 5 more

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Vitamin A, C and/or E Intake During Pregnancy and Offspring Respiratory Health: A Systematic Review and Meta-Analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Robert S TepperDepartment of Pediatrics, Division of Pediatric Pulmonology, Allergy, and Sleep Medicine, Indianapolis, Indiana, USA.ORCID http://orcid.org/0000-0003-3322-5903
Kristin MilnerDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.
Julia HarrisDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.
Brianna LeeDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.
Michelle CunninghamDepartment of Pediatrics, Division of Pediatric Pulmonology, Allergy, and Sleep Medicine, Indianapolis, Indiana, USA.
Christina TillerDepartment of Pediatrics, Division of Pediatric Pulmonology, Allergy, and Sleep Medicine, Indianapolis, Indiana, USA.
Lyndsey E Shorey-KendrickDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.
Diane SchillingDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.
Julie BrownsbergerDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.
Kelvin MacDonaldDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.ORCID http://orcid.org/0000-0002-6716-8559
Annette VuDivision of Pulmonary & Critical Care Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Byung S ParkPortland State University School of Public Health and Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon, USA.
Eliot R SpindelDivision of Neuroscience, Oregon National Primate Research Center, Beaverton, Oregon, USA.
Cynthia D MorrisDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon, USA.
Cindy T McEvoyDepartment of Pediatrics, Papé Pediatric Research Institute, Oregon Health & Science University, Portland, Oregon, USA.ORCID http://orcid.org/0000-0001-8501-8813

Funding

Upgrade of confocal microscopy at the Oregon National Primate Research CenterP51OD011092 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Bonnie J. Nagel · 2012 to 2026
$203.9M
VitC to Decrease Effects of Smoking in Pregnancy on Infant Lung Function-CCC-LeadR01HL105447 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCEVOY, CYNTHIA T · 2012 to 2021
$9.8M
NHLBI NIH HHS R01 HL105447NIH HHS P51 OD011092This study was supported by National Heart, Lung, and Blood Institute.
6 · The paper itself

Abstract

backgroundSpirometry is the gold standard for assessing airway function for clinical studies; however, obtaining high-quality data in young children remains challenging. Since the forced oscillation technique (FOT) requires less subject cooperations, there has been increasing interest in FOT, particularly in young children. We evaluated whether spirometry and FOT in young children provides comparable ability to detect a treatment effect.

methodsWe recently reported in a randomized controlled trial that vitamin C compared to placebo treatment of mothers who smoked during pregnancy (MSDP) results in the offspring having significantly higher forced expiratory flows (FEFs) at 5-years of age, as well as significantly less wheeze at 4-6 years of age. In these same offspring, we also measured respiratory impedance using FOT at 8-Hz impedance at 3, 4, and 5 years of age.

resultsAlthough spirometry demonstrated significantly increased FEFs in vitamin C compared to placebo-treatment group at 5 years of age (p < 0.001), we were not able to detect a similar treatment effect using FOT impedance.

conclusionsIt may be challenging to obtain technically successful spirometry in preschool children; however, FEFs may provide a better outcome than single-frequency FOT impedance to assess improvements in airway function in these young subjects.

Indexed as

LungOscillometryRespiratory Function TestsSpirometryAscorbic AcidChildChild, PreschoolFemaleHumansMalePregnancyRespiratory SoundsAscorbic Acid

Identifiers

PMID39565207
PMCPMC11758767

What OpenQuestion holds

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Registered trials

None linked

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.