CORRELATION OF PHYSICAL ACTIVITY AND PULMONARY FUNCTION TEST IN FIRST YEAR MEDICAL STUDENTS IN A TERTIARY CARE CENTRE.

2021 ◽  
pp. 243-245
Author(s):  
Anuradha Upadhyay ◽  
Kavita Yadav ◽  
Rajesh Kumar Sharma

BACKGROUND: Measurements of the ventilatory adaptations to physical activity provide useful information about the functional conserve capacity of the lungs in study participants with respiratory diseases. AIM: The present study aimed to study the correlation of physical activity and pulmonary function test in rst year MBBS medical students MATERIALS AND METHODS: A cross-sectional study conducted in a medical college. A total of 80 participated students comprising of 40 males and 40 females in the age group of 18-21 years were divided into four groups based on their body mass index as underweight, normal, overweight and obese group. Respiratory parameters (VC, FVC, FEV1, FEV1% and PEF) measured before and after acute physical activity in the bicycle ergometer. RESULTS: No signicant changes found in all the four groups before and after physical activity in males. The values of FVC & VC after exercise reduced than the baseline values in overweight and obese females (p < 0.01). CONCLUSION: Acute exercise not signicantly affect the respiratory parameters. The body fat distribution of the participated signicantly affect the ventilatory response to acute physical activity in otherwise healthy individuals

2019 ◽  
Vol 6 (6) ◽  
pp. 1774
Author(s):  
Sivaranjani H. ◽  
Chaitra K. R.

Background: Hypothyroidism is a common disease with a prevalence rate of 11% in India. It affects all organ systems in the body. Patients with hypothyroidism frequently have symptoms of fatigue and exercise intolerance. These symptoms could arise from a reduced pulmonary reserve, cardiac reserve or decreased muscle strength or increased muscle fatigue. This study aims to study the pulmonary function test in patients with hypothyroidism.Methods: This is a cross sectional study conducted on 100 patients divided into 2 groups (a) newly detected hypothyroids (b) normal control group. Cases were matched with controls in having similar environment exposure and age group. All patients had routine symptom and clinical assessment. Laboratory investigations such as complete blood picture, pulmonary function test, chest x ray and thyroid function test were done. Data was entered and analysed.Results: In this study conducted on 100 patients, case group had symptoms of easy fatiguability (36%), breathlessness (20%), menstrual abnormality (20%), weight gain (7%) and generalised body aches (5%). Mean FEV1 levels between cases and controls were 1.34 and 1.72 (p value 0.00), mean FVC were 1.88 and 2.09 (p value 0.114), FEV1/FVC ratio of 70.56, 81.98 respectively (p value 0.00). The distribution of PFT pattern was 32% obstructive, 28% mixed pattern and 22% restrictive pattern.Conclusions: This study shows that hypothyroidism causes significant decrease in FEV1 and FEV1/FVC ratio, thereby suggesting obstructive patterns of lung involvement .Therefore PFT can be used routinely as a screening test for all hypothyroid patients to detect early respiratory dysfunction and thereby optimise treatment especially in obese patients and patients with pre-existing lung disease as hypothyroidism adds to their respiratory dysfunction.


2019 ◽  
Vol 6 (3) ◽  
pp. 1027
Author(s):  
Arjun Reddy ◽  
Abhishek Patel ◽  
Sanjeev Chetty

Background: Pulmonary function test is the easiest and most cost-effective method to evaluate respiratory functions. PFT can be measured by a simple instrument spirometer. Measuring PFT has been suggested as an important tool in understanding HRAD and its complications and management by all international guidelines.  The objectives of this study were to clinically diagnose the hyperreactive airway disease in children coming to Navodaya Medical College, Raichur, of age group 5 to 12 years. And to perform pulmonary function test before and after the use of a bronchodilator.Methods: PFT was measured in 100 children who came with HRAD with wheeze using Spiro lab III spirometer. The child was given then nebulization with salbutamol and PFT was performed again after 30 min.Results: A total of 100 clinically diagnosed cases of HRAD of age group 5 to 12 years of both the gender was taken into the study, of which more than 44% of the children showed more than 20% improvement in parameters FEV1, PEF, FVC and marginal improvement in EV1/FVC post bronchodilator compared to their prebronchodilator parameters. The young children of both the gender showed better improvement than elder children.Conclusions: Spirometry is the best tool to assess HRAD even in younger children, early diagnosis and regular follow up with PFT helps to understand and prevent the progression of the disease with prompt treatment.                     


2021 ◽  
pp. 37-39
Author(s):  
Bobby John ◽  
Anish Poorna T ◽  
Sandhya K ◽  
Joshna EK

Aim: The aim of the study was to determine the effect of intermaxillary xation on pulmonary function. Methods:133 patients comprising 107 males and 26 females with age ranging from 18 to 50 were taken up for study. The patients' Pulmonary Function Tests were done using spirometer to measure the necessary parameters before and after the application of intermaxillary xation. The values obtained were also compared with 50 healthy volunteers. Results: The results showed that there is a signicant decrease in values of Pulmonary Function Test after the application of intermaxillary xation. Conclusion: Pulmonary status evaluation becomes necessary on account of the obstructive nature of intermaxillary xation. This simple and routinely used procedure should be avoided in respiratory compromised patients with Pulmonary Function Test values lower than the predicted value.


Author(s):  
Dona Das ◽  
R.V. Sridhar ◽  
Midun Chandar

The awareness of diabetes and its increasing complications remain hidden and often diagnosed stage at a later stage in India, especially among the rural population. Diabetes is known  to affect multiple organs  in the body but lung as a target organ has not been highlighted enough. Pulmonary Function Test is an important tool in the early diagnosis of lung involvement in diabetes, however its availability and utility among the mass population in India is not abundant.


2010 ◽  
Vol 50 (3) ◽  
pp. 176
Author(s):  
Hendy Zulkarnain ◽  
Munar Lubis ◽  
Gabriel P. ◽  
Ridwan M. D. ◽  
Helmi M. Lubis

Background During exercise, bronchoconstriction occurs due to heat loss from mucosal respiratory ract. Exercise test can be performed to evaluate hyper-reactivity of the bronchus. The examination of pulmonary function is beneficial to confinn the diagnosis, to determine precipitating factors, and to evaluate disease severity and therapeutic response.Objective To compare pulmonary function test values before and after exercise in junior high school students aged 13 to 15 years.Methods Experimental study of 60 junior high school students from Bilah Hulu was performed using spirometry to evaluate pulmonary function before and after eight minutes of exercise. Results Functional vital capacity (FVC) values before and after eight􀁅minute exercise were 2.20 (SD 0.52) and 2.18 (SD 0.42), respectively. There was no significant difference between FVC values before and after exercise (P>0.05). The mean forced expiratory volume in 1 second (FEV 1) values before and aftereight minutes of exercise were 2.21 (SD 0.42) and 2.13 (SD 0.50) respectively. There was no significant difference between FEV 1 before and after the exercise (P>0.05).Conclusion Eight􀁅minute exercise does not influence the pulmonary function test results in healthy children.


2017 ◽  
Vol 4 (4) ◽  
pp. 959
Author(s):  
Kekhrielhouto Sophie ◽  
Neelima Singh ◽  
Avinash John Dharvey

Background: Tobacco smoking is widely prevalent all over the world and it continues to rise in developing countries. Smoking has a deleterious effect on pulmonary functions. Smoking is the single most significant risk factor contributing to the development of Chronic obstructive airway diseases (COPD). Spirometry by a trained health professional gives an indication of lung health by measuring airway abnormality. Objectives were to study pulmonary function test (PFT) in smokers and non-smokers between 30-50 years and to study the correlation of PFT with pack years.Methods: Apparently healthy subjects, 50 smokers and 50 non-smokers between 30-50 years without any symptoms were included as subjects. Patients with uncontrolled hypertension, recent myocardial infarction and pulmonary TB were excluded. Ex-smokers were excluded from the study. Patients with acute respiratory illness, severe systemic illness, chest trauma and dementia were also excluded. After proper history taking and clinical examination, measuring height and weight (vitals, pulse rate, respiratory rate, blood pressure) the selected individual was subjected to spirometry using ATS criteria (American Thoracic Society criteria). Spirometry was performed using UNI-EM spirometer. Collected data was analyzed using Statistical Package for the Social Service (SPSS) software version 17.Results: In this study 94 males and 6 females were enrolled as subjects. Maximum number of the patient 49 cases (49%) presented in the age group of 30-35 years, followed by 23 cases (23%) in 36-40 years age group. Of these 49 cases,15 were smokers while the rest 34 were non-smokers (P=0.0007). In 100 cases studied, 39% showed normal PFT and 61% shows abnormal PFT. Among smokers (out of total 50 cases) pulmonary function test (PFT) was abnormal in 36 cases (72%) while in non-smokers, 25 (50%) had abnormal PFT (P-value-0.024). This data indicates that smoking is highly associated with an abnormal PFT pattern. Out of 100 cases both smokers and non-smokers, 11 (73.33%) underweight cases with (BMI<18.4) showed abnormal PFT. In 50 smokers, maximum cases 29 (58%) had normal BMI (18.5-22.9) (P value 0.0002). Abnormal PFT was observed in 25 (50%) non-smokers (P=0.001). Abnormal PFT was seen in 30 (69.77%) smokers with pack years <15 and 6 smokers (85.6%) with pack years >15 (P-value 0.383).Conclusions: Smoking is common in males between 30-35 years age group. Smoking is highly associated with an abnormal PFT. Cessation of smoking should be encouraged and PFTs from time to time in asymptomatic adults both smokers and non-smokers will be useful for early identification of abnormalities.


2021 ◽  
Vol 6 (2) ◽  
pp. 75-79
Author(s):  
Jaykumari Choudhary ◽  
Suprova Chakraborty ◽  
Prasanta Kumar De

Tuberculosis is one of the most important communicable disease, which poses a global public health threat and remains the leading cause of death among infectious diseases, especially in undeveloped and developing countries.It was a prospective, observational, hospital based study conducted in the department of Respiratory Medicine, IPGMER SSKM Hospital, Kolkata from January 2020 to December 2020. Atotal of 80 cases, with history of adequately treated one episode of pulmonary tuberculosis, were included in this study.According to pulmonary function test results, 30(37.5%) patients had obstructive pattern and 11(13.8%) had restrictive pattern, in spirometry. Another 15(18.8%) patients had, mixed obstructive/restrictive pattern, while in rest 24 (30%) patients, spirometry test results were normal. The distribution of various pulmonary function test results among patients with obstructive pattern (N=30), ATT completion history was 7.57 ± 2.77 years back in average. Whereas average duration of symptoms in them was found to be 4.03 ± 1.96 years. For patients with restrictive pattern (N=11), these durations were 10.91 ± 2.51years and 7.59 ± 2.35 years respectively. Patients with mixed pattern (N=15), both durations were 11.33 ± 3.50 years and 7.33 ± 2.94 years respectively. Whereas among patients with normal lung function (N=24), ATT completion duration was 2.83 ± 2.21 years and symptom onset duration was 0.63 ± 0.34 years.There was emphatically found thatduration of anti-tubercular treatment, duration of symptoms and pulmonary function abnormalities. Hence clinical suspicion, early diagnosis and early treatment strategy are required to prevent further deterioration of pulmonary function in treated Pulmonary tuberculosis (PTB) patients. So, frequent or annual spirometry is required in these patients.


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