scholarly journals Association between choice of cooking fuel and peak expiratory flow rate among rural women in the Niger Delta, Nigeria

2019 ◽  
Vol 2 ◽  
pp. 13 ◽  
Author(s):  
Sandra N. Ofori ◽  
Omosivie Maduka

Background: Long-term exposure to indoor air pollution from biomass fuel combustion is a risk factor for respiratory disease, which is an increasingly prevalent contributor to morbidity and mortality in low- and middle-income countries. This study evaluated the association between household fuel use and the peak expiratory flow rate (PEFR) of rural-dwelling women in selected communities of the Niger Delta. Methods: This was a cross-sectional study including 321 non-smoking women aged 18 years and older. Questionnaires were used to obtain data on predominant fuel used and a brief medical history. Women with current respiratory symptoms were excluded. Fuel use was classified into three categories: biomass fuels (BMF), such as wood, animal dung and coal, kerosene and liquefied petroleum gas (LPG). The PEFR was measured with an Omron peak flow meter using standard protocols and was abnormal if it was less than 80% of predicted value based on age and height. Results: The mean age of the 321 women was 38.5±14.2 years. The biomass fuel users had significantly lower PEFR (353.9±104.4) compared to kerosene users (376.2±70.1) and LPG users (393.6± 93.3) (p=0.030). The overall prevalence of abnormal PEFR was 22.4%. The PEFR was abnormal in more BMF users (28%) than kerosene users (13.4%) and LPG users (9.4%) (p=0.005). The PEFR of women who used LPG was 20.8 l/min higher than BMF users (p=0.012). The users of BMF were 5.8 times more likely to have abnormal PEFR than LPG users (OR 5.8, 95% CI 1.62, 20.52, p=0.007). Conclusion: In this population, the use of biomass fuel was significantly associated with abnormal PEFR. This needs to be further explored in this population with a larger study using more objective measures, such as spirometry testing, to guide policies for the implementation of preventive strategies to protect vulnerable women from chronic obstructive airway disease.

2021 ◽  
Vol 9 (1) ◽  
pp. 3724-3729
Author(s):  
Hetal M Mistry ◽  
◽  
Rutuja V Kamble ◽  

Background: In Chronic Obstructive Pulmonary Disease (COPD), as result of dynamic hyperinflation, primary respiratory muscles go into weakness and length tension relationship of muscles is altered. This leads to decreased ability of primary respiratory muscles to generate muscle tension. COPD patients mostly use accessory muscle for breathing and there is lack of facilitation of intercostal muscle and weakness of diaphragm. Few studies are conducted to assess the immediate effect of Chest Proprioceptive Neuromuscular Facilitation (PNF) i.e. intercostal stretch among COPD patients. Therefore, there is need to find out immediate effect of chest PNF- intercostal stretch on respiratory rate (RR), chest expansion, peak expiratory flow rate (PEFR) among patient with COPD. Objective: To find out immediate effect chest PNF on respiratory rate, chest expansion and peak expiratory flow rate. Methodology: Ethical clearance and participant consent was taken. Study design was Qausi experimental study. The 65 subjects were taken by convenient sampling. Intercostal stretch was applied over 2nd and 3rd rib bilaterally for 10 breaths with 1 minute rest with a 10 repetitions and Outcome measures were assessed before and immediately after giving chest PNF. SPSS 16 software was used to analyse the data. The normality of the data was assessed using parametric paired t test. Significance level was set at 0.05 and 95% Confidence Interval. Outcome Measures: Respiratory rate, Chest expansion, Peak expiratory flow rate. Result: Immediate effect of chest PNF showed that there was statistically significant increase in PEFR and chest expansion at three level (P=0.000) and there was statistically significant decrease in RR (P=0.000). Conclusion: There is immediate effect of Chest PNF- intercostal stretch on, Respiratory rate, Chest expansion at three level that is axillary, nipple and xiphisternal and Peak expiratory flow rate. It is an easy to use, less time consuming, easy to understand and cost effective technique. KEY WORDS: Chest PNF, intercostal stretch, COPD.


2019 ◽  
Vol 6 (1) ◽  
pp. 38-45
Author(s):  
Emdat Suprayitno ◽  
Azizah Khoiriyati ◽  
Titiek Hidayati

Background: Chronic obstructive pulmonary disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patients’ confidence in independently managing chronic desease. Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed condition and problems of lung function and the narrowing or blockage of the airway. Objective: Identify conditions and problems on self efficacy and Peak expiratory flow rate of COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Data analysis was performed with a univariate analysis. Results: Self efficacy was in low category with score less than 99 (86.7%) and peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of COPD self efficacy in Asy-Syaafi Hospital Pamekasan were in not good category and peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways. Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate


2020 ◽  
Vol 15 (2) ◽  
pp. 165-167
Author(s):  
Rubait Naznin ◽  
Akhtarun Nessa ◽  
Sayeda Nazrina

Introduction: Cigarette smoking is an intractable public health problem that carries a threat to the health of the entire population. Smoking is a known risk factor for chronic obstructive pulmonary diseases, cardiovascular diseases, certain cancers especially lung cancer. Objectives:To assess the effect of cigarette smoking on peak expiratory flow rate (PEFR) among cigarette smokers and examine whether PEFR differs between cigarette smokers and non-smokers. Materials and Methods: This is cross-sectional comparative study was done for one year from July 2014 to June 2015. A total of 150 subjects were recruited from the medicine and allied outpatient departments of Mymensingh Medical College Hospital and Mymensingh locality. They are divided into 50 non-smokers (Group I) and 100 smokers (group II) with a duration of smoking 5-10 years (group IIA) and more than 10 years (Group IIB). PEFR was recorded by using Wright’s mini Peak flow meter. A questionnaire including demographic data was completed in all cases. The data were collected and analyzed using SPSS version 11.5. Results: Mean PEFR among non-smokers was 449.20±6.83 L/min whereas among smokers of 5-10 years duration(Group IIA) and above 10 years duration (Group IIB),  it was 301.20±2.17 L/min and 297.80±2.54 L/min respectively. Mean PEFR values were significantly lower in smokers than non-smokers of both groups. Conclusion: Cigarette smoking has deleterious effects on lung function causing a significant reduction of PEFR in smokers compared to nonsmokers. Coordinated national strategies for tobacco prevention, cessation, and control are essential for the establishment of a smoke-free environment. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 165-167


2017 ◽  
Vol 6 (1) ◽  
pp. 38-45
Author(s):  
Emdat Suprayitno ◽  
Azizah Khoiriyati ◽  
Titiek Hidayati

ABSTRACT   Background: Chronic Obstructive Pulmonary Disease (COPD) has become a huge public health problem in the world. In Asy-Syaafi Hospital, COPD is the most commonly found disease after bcronchitis among the patients in out patient unit of lung desease. Self efficacy showed patients’ confidence in independently managing chronic desease Wheter they want or not to start the treatment is determined by their self efficacy. Peak expiratory flow rate showed the condition and problems of lung function and the narrowing or blockage of the airway. Objective: To identify the conditions and problems of self efficacy and Peak expiratory flow rate in COPD patients in Asy-Syaafi Hospital Pamekasan, East Java. Method: This research was descriptive study used non analytic cross sectional design, with total sampling, involving 30 respondents. Data were collected with a questionnaire of the COPD self efficacy (CSES) and peak flow meter. Results: Self  efficacy was in low category with score less than 99 (86.7%) and Peak expiratory flow rate was less than <50% of the PEF (90%). Conclusion: Most of  COPD Self efficacy in Asy-Syaafi Hospital Pamekasan were not good category and Peak expiratory flow rate contained in red zone or the occurrence of major constriction of the airways.   Keywords: COPD, Self Eficacy, Peak Expiratory Flow Rate


2014 ◽  
Vol 3 (1) ◽  
pp. 8-12
Author(s):  
Md Abdul Alim ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Salahuddin Ahmad ◽  
Mohammad Adnan Khan ◽  
SK Akhter Ahmad

Indoor air pollution from biomass smoke is now regarded as public health hazard in the developing world causing different respiratory diseases. A cross-sectional study was conducted to see the prevalence of respiratory disease and status of respiratory function among female biomass fuel users and gas/electricity fuel users in a selective area of Bangladesh. A total of 103 females from Madla, a rural area under Bogra District of Bangladesh, which having good communication facilities, meeting the defined enrollment criteria for biomass fuel group were selected purposively as cases, while 101 females from the urban households from Thanthania in the same district, meeting the defined eligibility criteria for controls were included in gas/electricity fuel group. The participants were interviewed on a semi-structured questionnaire from March to June 2007. Moreover, peak expiratory flow rate (PEFR) of 98 participants from each group was measured as a lung function parameter. In the biomass group, majority (61.6%) used open type of kitchen, 21.2% partially closed kitchen, 11.1% closed and 6.1% closed non-ventilated kitchen. Nearly three-quarter (73%) of the gas/electricity group used closed ventilated type of kitchen, 26% used partially closed kitchen and only 1 case used open kitchen. Nearly one-quarter (24%) of the biomass group had habit of taking beetle-nut compared to only 3% of the gas/electricity group and chewing tobacco was also revealed to be proportionately higher in the former group (22.8%) than that in the latter group (4%) (p<0.001). The biomass group exhibited a significantly higher frequency of respiratory problem (16.5%) compared to their gas/electricity counterpart (5%). 30.4% of the participants of biomass group suffered from allergic rhinitis as opposed to 13% of the gas/electricity group. Coughing was also significantly higher in the biomass group (13.7%) than that in the gas/electricity group (1%). Coughing in the early morning and cough with productive sputum also demonstrated their significant presence in the former group than that in the latter group. Peak expiratory flow rate (PEFR) shows that it was significantly lower in the biomass fuel user group (225.0±38.6 L/min.) than that of the gas/electricity user group (247.5±34.4 L/min.) (p<0.001). It was found that smoke generated from biomass fuel combustion is a significant risk factor for respiratory problems among the female household members who, by tradition, are associated with cooking activities. CBMJ 2014 January: Vol. 03 No. 01 P: 08-12


Author(s):  
K. Subramanyam ◽  
Dr. P. Subhash Babu

Obesity has become one of the major health issues in India. WHO defines obesity as “A condition with excessive fat accumulation in the body to the extent that the health and wellbeing are adversely affected”. Obesity results from a complex interaction of genetic, behavioral, environmental and socioeconomic factors causing an imbalance in energy production and expenditure. Peak expiratory flow rate is the maximum rate of airflow that can be generated during forced expiratory manoeuvre starting from total lung capacity. The simplicity of the method is its main advantage. It is measured by using a standard Wright Peak Flow Meter or mini Wright Meter. The aim of the study is to see the effect of body mass index on Peak Expiratory Flow Rate values in young adults. The place of a study was done tertiary health care centre, in India for the period of 6 months. Study was performed on 80 subjects age group 20 -30 years, categorised as normal weight BMI =18.5 -24.99 kg/m2 and overweight BMI =25-29.99 kg/m2. There were 40 normal weight BMI (Group A) and 40 over weight BMI (Group B). BMI affects PEFR. Increase in BMI decreases PEFR. Early identification of risk individuals prior to the onset of disease is imperative in our developing country. Keywords: BMI, PEFR.


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