RESPIRATORY MUSCLE STRENGTH VALUES IN THAI PEOPLE
Keywords:
Respiratory Muscle, Inspiratory Pressure, Expiratory Pressure, Reference ValueAbstract
The maximal inspiratory pressures (MIP) and maximum expiratory pressure (MEP) are commonly used for evaluating inspiratory and expiratory muscle strength. To date, there have been no normal values representing of MIP and MEP for Thai people. The aims of this study were to determine the normal values of MIP and MEP in Thai people and the correlation of MIP and MEP with anthropometric data. The sample size was calculated using the Yamane formula and recruited from the population by convenient sampling. Four hundred and five healthy volunteers (167 males and 238 females) aged between 20 and 60 years old were included. Blood pressure, height, weight, percent body fat, pulmonary function, and inspiratory and expiratory muscle strength were measured. The results of this study found that the means of MIP and MEP in males were 105.4 cmH2O and 134.2 cmH2O and in females were 74.3 cmH2O and 90.8 cmH2O, respectively. The MIP and MEP in males were significantly higher than in females in every age range (p<0.001). There was a positive correlation of MIP with height (r = 0.381, p<0.001), weight (r = 0.155, p<0.001), body mass index (r = 0.257, p<0.001), and negative correlation of MIP with percent body fat (r = - 0.229, p<0.001). MEP had a positive correlation with height (r = 0.360, p<0.001), weight (r = 0.147, p<0.001), and body mass index (r = 0.194, p<0.001) and had a negative correlation with percent body fat (r = - 0.262, p<0.001). There was no correlation between MIP or MEP and age. In conclusion, the normal values of respiratory muscle strength in Thai people both males and females were determined. Respiratory muscle strength had a positive correlation with height, weight, and body mass index, and had a negative correlation with percent body fat but had no correlation with age.
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Evans, J. A., and Whitelaw, W. A. (2009). The assessment of maximal respiratory mouth pressures in adults. Respiratory Care, 54(10), 1348-1359.
Sclauser Pessoa, I. M. B., Parreira, V. F., Fregonezi, G. A. F., Sheel, A. W., Chung, F., and Reid, W. D. (2014). Reference values for maximal inspiratory pressure: A systematic review. Canadian Respiratory Journal, 21(1), 43-50.
Wilson, S. H., Cooke, N. T., Edwards, R. H., and Spiro, S. G. (1984). Predicted normal values for maximal respiratory pressures in caucasian adults and children. Thorax, 39(7), 535-538.
Hautmann, H., Hefele, S., Schotten, K., and Huber, R. M. (2000). Maximal inspiratory mouth pressures (PIMAX) in healthy subjects--what is the lower limit of normal? Respiratory Medicine, 94(7), 689-693.
McConnell, A. K., and Copestake, A. J. (1999). Maximum static respiratory pressures in healthy elderly men and women: Issues of reproducibility and interpretation. Respiration, 66(3), 251-258.
Harik-Khan, R. I., Wise, R. A., and Fozard, J. L. (1998). Determinants of maximal inspiratory pressure the baltimore longitudinal study of aging. American Journal of Respiratory and Critical Care Medicine, 158(5 PART I), 1459-1464.
Neder, J. A., Andreoni, S., Lerario, M. C., and Nery, L. E. (1999). Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation. Brazilian Journal of Medical and Biological Research, 32, 719-727.
Simoes, R. P., Deus, A. P., Auad, M. A., Dionísio, J., Mazzonetto, M., and Borghi-Silva, A. (2010). Maximal respiratory pressure in healthy 20 to 89 year-old sedentary individuals of central Sao Paulo State. Revista Brasileira de Fisioterapia, 14(1), 60-67.
Johan, A., Chan, C. C., Chia, H. P., Chan, O. Y., and Wang, Y. T. (1997). Maximal respiratory pressures in adult Chinese, Malays and Indians. European Respiratory Journal, 10(12), 2825-2828.
Yamane, T. (1973). Statistics: An introductory analysis (3rd Ed). New York: Harper and Row.
Thoracic Society of Thailand under Royal Patronage. (2019). Guidelines for Pulmonary Function Test: Spirometry. Retrieved from https://thaichest.files.wordpress.com/2019/08/guidelinepft.pdf
Miller, M. R., Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R., Coates, A., Crapo, R., Enright, P., van der Grinten, C. P. M., Gustafsson, P., Jensen, R., Johnson, D. C., MacIntyre, N., McKay, R., Navajas, D., Pedersen, O. F., Pellegrino, R., Viegi, G., and Wanger, J. (2005). Standardisation of spirometry. European Respiratory Journal, 26, 319-338.
American Thoracic Society/European Respiratory Society. (2002). ATS/ERS Statement on respiratory muscle testing. American Journal of Respiratory and Critical Care Medicine, 166(4), 518-624.
Nagano, A., Wakabayashi, H., Maeda, K., Kokura, Y., Miyazaki, S., Mori, T., and Fujiwara, D. (2021). Respiratory sarcopenia and sarcopenic respiratory disability: Concepts, diagnosis, and treatment. Journal of Nutrition, Health & Aging, 25(4), 507-515.
Woo, J., Arai, H., Ng, T. P., Sayer, A. A., Wong, M., Syddall, H., Yamada, M., Zeng, P., Wu, S., and Zhang, T. M. (2014). Ethnic and geographic variations in muscle mass, muscle strength and physical performance measures. European Geriatric Medicine, 5(3), 155-164.
Black, L. F., and Hyatt, R. E. (1969). Maximal respiratory pressures: Normal values and relationship to age and sex. The American Review of Respiratory Disease, 99(5), 696-702.
Janssen, I., Heymsfield, S. B., Wang, Z. M., and Ross, R. (2000). Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. Journal of Applied Physiology, 89(1), 81-88.
Chen, G., Liu, L., and Yu, J. (2012). A comparative study on strength between American College male and female students in Caucasian and Asian populations. Sport Science Review, 21(3-4), 153-165.
Cloutier, M. M. (2019). Respiratory physiology. Philadelphia: Elsevier.
Pazzianotto-Forti, E. M., Peixoto-Souza, F. S., Piconi-Mendes, C., Rasera-Junior, I., and Barbalho-Moulim, M. (2012). Behavior of respiratory muscle strength in morbidly obese women by using different predictive equations. Revista Brasileira de Fisioterapia, 16(6), 479-486.
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