RESEARCH PAPER
Nasal patency in Poles in the light of research as part of the project on Epidemiology of Allergic Diseases in Poland
 
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1
Department of Prevention of Environmental Hazards and Allergology, Faculty of Health Sciences, Medical University of Warsaw, Poland
 
2
Chair of Applied Mathematics, Faculty of Applied Informatics and Mathematics Warsaw University of Life Sciences (SGGW), Poland
 
3
Department of Prevention of Environmental Hazards and Allergology, Faculty of Health Sciences, Medical University of Warsaw, Poland
 
 
Ann Agric Environ Med. 2016;23(3):487-490
 
KEYWORDS
ABSTRACT
Objective:
The aim of this study was to estimate the reference values for nasal inspiratory flow in the study population in Poland as part of the project on Epidemiology of Allergic Diseases in Poland (ECAP).

Material and Methods:
The study subjects were a group of 4,137 people: 1,136 children aged 6–7 years (561 girls and 575 boys), 1,123 adolescents aged 13–14 years (546 girls, 577 boys) and 1,878 adults (1,145 women, 733 men), residing in seven large Polish cities. The method used in the study was the measurement of the peak nasal inspiratory flow (PNIF) using a special mask for rhinomanometry tests, with a measurement scale of 20–350 L/min. Measurements were conducted twice: once before and once after nasal mucosa vasoconstriction with a 0.1% xylometazoline (Xylometazolinum) solution.

Results:
Nasal patency rates increased with age in healthy subjects (children aged 6–7 years: 75.95 L/min; teenagers aged 13–14 years: 91.44 L/min and adults: 97.13 L/min (P<0.05). Similarly significant correlations were observed in the study group based on the region of residence (P<0.05). A moderate correlation was observed between PNIF and height as well as weight (with correlation coefficients r=0.51, P<0.05; and r=0.49, P<0.05, respectively). Interestingly, the observed difference in nasal vasoconstriction varied considerably between study subgroups with respect to the pre-determined criteria of age, gender, place of residence, and clinical diagnosis (allergic rhinitis vs. healthy controls), with the mean rates of 25–28%.

Conclusions:
Any attempt to determine reference values for a given study population should include a number of variables, such as age, height, body weight, which can noticeably affect study results.

REFERENCES (17)
1.
Bermüller C, Kirsche H, Rettinger G, Riechelmann H. Diagnostic Accuracy of Peak Nasal Inspiratory Flow and Rhinomanometry in Functional Rhinosurgery. Laryngoscope. 2008; 118(4): 605–10.
 
2.
da Cunha Ibiapina C, Ribeiro de Andare C. Reference values for peak nasal inspiratory flow in children and adolescents in Brazil. Rhinology. 2011; 49(3): 30304–8.
 
3.
Gomes DL, Camargos PA, Ibiapina CC. Nasal peak inspiratory flow and clinical score in children and adolescents with allergic rhinitis. Rhinology. 2008; 46(4): 276–80.
 
4.
Klossek J-M, Lebreton J-P, Delagranda A. PNIF measurement in a healthy French population. A prospective study about 234 patients. Rhinology. 2009; 47: 389–392.
 
5.
Ottaviano G, Lund VJ, Nardello J, Scarpa B, MylonakisI,Frasson M, et al. Peak Nasal Inspiratory Flow: a useful and handy tool for the diagnosis of nasal obstruction in the eardly. Eur Arch Otorhinolaryngol. 2013; DOI 10.1007/s00405–013–2875–4.
 
6.
Ottaviano G, Lund VJ, Nardello E, Scarpa B, Frasson G, Staffieri A , et al. Comparison between unilateral PNIF and rhinomanometry in healthy and obstructed noses. Rhinology. 2014; 52(1): 25–30.
 
7.
Ottaviano G, Scadding GK, Coles S, Lund VJ. Peak nasal inspiratory flow; normal range in adult population. Rhinology. 2006; 44(1): 32–5.
 
8.
Blomgren K, Simola M, Hytönen M, Pitkäranta A. Peak nasal inspiratory and expiratory flow measurements--practical tools in primary care? Rhinology. 2003; 41(4): 206–10.
 
9.
Bouzgarou M D, Saad H B, Chouchane A, Cheikh I B, Zbidi A, Dessanges J F, et al. North African reference equation for peak nasal inspiratory flow. The Journal of Laryngology & Otology. 2011 doi:10.1017/S0022215111000181.
 
10.
van Sprosen E, Ebbens FA, Fokkens WJ. Norma peak nasal inspiratory flow rate values In healthy children aged 6–11 years In the Netherlands. Rhinology. 2012; 50(1): 22–5.
 
11.
Samoliński B. (red.): Raport z badań przeprowadzonych w latach 2006–2008 w oparciu o metodologię ECRHS II I ISSAC: Epidemiologia Chorób Alergicznych w Polsce (ECAP). Warszawa, 2008 Zakład Profilaktyki Zagrożeń Środowiskowych i Alergologii Warszawskiego Uniwersytetu Medycznego.
 
12.
de Souza Campos Fernandes S, Ribeiro de Andrade C, da Cunha Ibiapina C. Application of Peak Nasal Inspiratory Flow reference values in the treatment of allergic rhinitis. Rhinology. 2014; 52(2): 133–6.
 
13.
Hofmam BB. Drogas ativadoras dos receptors adrenérgicos & outras drogas simpaticomiméticas. In:Katzung BG; Farmacologia Básica & Clínica. Săo Paulo:Guanabara- Koogan; 1998. 6ş Ed: 92–104.
 
14.
Starling-Schwanz R, Peake HL, Salome CM, Toelle BG, Ng KW, Marks GB, Lean ML, Rimmer SJ. Repeatability of peak nasal inspiratory flow measurements and utility for assessing the severity of rhinitis. Allergy. 2005 Jun; 60(6): 795–800.
 
15.
Kjćrgaard T, Cvancarova M, Steinsvag SK. Relation of Nasal Air Flow to Nasal Cavity Dimensions. Arch Otolaryngol Head Neck Surg. 2009; 135(6): 565–570.
 
16.
Jose J, Ell SR. The association of subjective nasal patency with peak inspiratory nasal flow in a large healthy population. Clin Otolaryngol. 2003; 28(4): 352–354.
 
17.
Correlaçăo E. Peak Flow Nasal Inspiratório e Escala Visual Analógica Pré e Pós Uso de Vasoconstrictor Nasal. Correlation Between the Peak Nasal Inspiratory Flow and the Visual Analogue Scale Before and After Using a Nasal Decongestant Intl. Arch. Otorhinolaryngol. 2011; 15(2): 156–162.
 
eISSN:1898-2263
ISSN:1232-1966
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