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Lung mechanics and respiratory morbidities in school-age children born moderate-to-late preterm

A Correction to this article was published on 15 June 2021

This article has been updated

Abstract

Background

Late and moderate prematurity may have an impact on pulmonary function during childhood. The present study aimed to investigate lung mechanics in school-age children born moderate-to-late preterm (MLPT).

Methods

Children aged 5–10 years were enrolled in this case–control study. Lung function and bronchodilator response were assessed by impulse oscillometry (IOS) at two hospital-based specialized clinics. A structured questionnaire was employed to assess respiratory morbidities.

Results

A total of 123 children was divided into two groups: case (MLPT) n = 52 and control (children born at term) n = 71. The results showed no difference between groups in mean baseline IOS variables: R5 0.80 ± 0.20 vs 0.82 ± 0.22 kPa/L/s, p = 0.594, R20 0.54 ± 0.13 vs 0.55 ± 0.13 kPa/L/s, p = 0.732, R5–R20 0.26 ± 0.12 vs 0.27 ± 0.15 kPa/L/s, p = 0.615, X5 −0.29 ± 0.01 vs −0.29 ± 0.1 kPa/L/s, p = 0.990, Fres 21.1 ± 3.3 vs 21.7 ± 3.1 L/s, p = 0.380, and AX 2.7 ± 3.36 vs 2.5 ± 1.31 kPa/L/s, p = 0.626. Bronchodilator response and the occurrence of respiratory morbidities after birth were also similar between groups.

Conclusions

This study found lung mechanics parameters to be similar in school-age children born MLPT and those born at term, suggesting that pulmonary plasticity continues to occur in children up to school age.

Impact

  • Late and moderate prematurity is associated with an increased risk of reduced pulmonary function during childhood.

  • Follow-up reports in adolescents and adults born MLPT are scarce but have indicated pulmonary plasticity with normalization of airway function.

  • Our results show that the lung function in school-age children born MLPT is similar to that of children born at term.

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Affiliations

Authors

Contributions

F.M.N.A.D.: literature search, data collection, study design, data analysis, manuscript preparation, and manuscript review; E.S.C.S.: study design, data analysis, and manuscript review; P.A.F.M. and L.B.A.: review of data, manuscript preparation, and review. J.A.R. and D.M.P.: study design, data collection, data analysis, and manuscript review. All authors listed made a substantial, direct intellectual contribution to the work, and approved it for publication.E.C.N.H.: literature search, data collection, study design.

Corresponding author

Correspondence to Fabianne M. N. A. Dantas.

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The authors declare no competing interests.

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The children’s caregivers/guardians were informed about the study and, upon agreeing to participate, signed the informed consent form.

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The original online version of this article was revised: Due to a processing error, the affiliations were incorrect and one affiliation was missing.

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Dantas, F.M.N.A., Magalhães, P.A.F., Hora, E.C.N. et al. Lung mechanics and respiratory morbidities in school-age children born moderate-to-late preterm. Pediatr Res (2021). https://doi.org/10.1038/s41390-021-01538-y

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