Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study
BACKGROUND: Asthma and chronic obstructive pulmonary disease (COPD) are increasing concerns for First Nations peoples in Canada. Although hospital utilization for asthma and COPD among First Nations peoples has been increasing, the prevalence of asthma or wheezing is comparable to national averages....
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ftunivcalgary:oai:prism.ucalgary.ca:1880/108583 2024-09-15T18:06:27+00:00 Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study Sin, Don D Sharpe, Heather M Cowie, Robert L Man, SF Paul on behalf of the Alberta Strategy to Help Manage Asthma (ASTHMA) Executive Committee 2018-09-27T12:21:50Z application/pdf http://hdl.handle.net/1880/108583 https://doi.org/10.11575/PRISM/44971 https://doi.org/10.1155/2004/427686 en eng Don D Sin, Heather M Sharpe, Robert L Cowie, SF Paul Man, and on behalf of the Alberta Strategy to Help Manage Asthma (ASTHMA) Executive Committee, “Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study,” Canadian Respiratory Journal, vol. 11, no. 1, pp. 45-48, 2004. doi:10.1155/2004/427686 http://hdl.handle.net/1880/108583 https://doi.org/10.11575/PRISM/44971 https://doi.org/10.1155/2004/427686 Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Journal Article 2018 ftunivcalgary https://doi.org/10.11575/PRISM/4497110.1155/2004/427686 2024-07-30T23:46:17Z BACKGROUND: Asthma and chronic obstructive pulmonary disease (COPD) are increasing concerns for First Nations peoples in Canada. Although hospital utilization for asthma and COPD among First Nations peoples has been increasing, the prevalence of asthma or wheezing is comparable to national averages.OBJECTIVES: A pilot study was conducted to determine the prevalence of impaired lung function in school-aged First Nations children.PATIENTS AND METHODS: A First Nations community in northern Alberta was selected to participate. Consent forms and a school health survey were completed by parents or guardians. Children with consent completed spirometry at school, and results were compared with predicted values.RESULTS: A total of 36 children participated (response rate 70.6%). Of these, 19.4% of parents reported that their child had received a physician diagnosis of asthma at some point in their life; only 28.6% had a parental report of still having asthma. Parents smoked in 73.1% of the children's homes. The mean (± SD) percentage of forced expiratory volume in 1 s (FEV1) over forced vital capacity (FVC) was 82.6%±6.9% (94.4%±0.08% of predicted). Evidence of airflow obstruction was found in 25% of the children. Parental report of the child ever having asthma was associated with impaired lung function (OR 3.20; P=0.033). Children in a home with reported mold exposure were less likely to have impaired lung function (OR 0.68; P=0.030).CONCLUSIONS: Many children in this study already have established airflow obstruction and may be at increased risk for asthma or COPD. Exposure to mold appeared to be protective. Further research is needed to evaluate the lung health concerns of this population. Peer Reviewed Article in Journal/Newspaper First Nations PRISM - University of Calgary Digital Repository Canadian Respiratory Journal 11 1 45 48 |
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Open Polar |
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PRISM - University of Calgary Digital Repository |
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ftunivcalgary |
language |
English |
description |
BACKGROUND: Asthma and chronic obstructive pulmonary disease (COPD) are increasing concerns for First Nations peoples in Canada. Although hospital utilization for asthma and COPD among First Nations peoples has been increasing, the prevalence of asthma or wheezing is comparable to national averages.OBJECTIVES: A pilot study was conducted to determine the prevalence of impaired lung function in school-aged First Nations children.PATIENTS AND METHODS: A First Nations community in northern Alberta was selected to participate. Consent forms and a school health survey were completed by parents or guardians. Children with consent completed spirometry at school, and results were compared with predicted values.RESULTS: A total of 36 children participated (response rate 70.6%). Of these, 19.4% of parents reported that their child had received a physician diagnosis of asthma at some point in their life; only 28.6% had a parental report of still having asthma. Parents smoked in 73.1% of the children's homes. The mean (± SD) percentage of forced expiratory volume in 1 s (FEV1) over forced vital capacity (FVC) was 82.6%±6.9% (94.4%±0.08% of predicted). Evidence of airflow obstruction was found in 25% of the children. Parental report of the child ever having asthma was associated with impaired lung function (OR 3.20; P=0.033). Children in a home with reported mold exposure were less likely to have impaired lung function (OR 0.68; P=0.030).CONCLUSIONS: Many children in this study already have established airflow obstruction and may be at increased risk for asthma or COPD. Exposure to mold appeared to be protective. Further research is needed to evaluate the lung health concerns of this population. Peer Reviewed |
format |
Article in Journal/Newspaper |
author |
Sin, Don D Sharpe, Heather M Cowie, Robert L Man, SF Paul on behalf of the Alberta Strategy to Help Manage Asthma (ASTHMA) Executive Committee |
spellingShingle |
Sin, Don D Sharpe, Heather M Cowie, Robert L Man, SF Paul on behalf of the Alberta Strategy to Help Manage Asthma (ASTHMA) Executive Committee Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study |
author_facet |
Sin, Don D Sharpe, Heather M Cowie, Robert L Man, SF Paul on behalf of the Alberta Strategy to Help Manage Asthma (ASTHMA) Executive Committee |
author_sort |
Sin, Don D |
title |
Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study |
title_short |
Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study |
title_full |
Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study |
title_fullStr |
Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study |
title_full_unstemmed |
Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study |
title_sort |
spirometric findings among school-aged first nations children on a reserve: a pilot study |
publishDate |
2018 |
url |
http://hdl.handle.net/1880/108583 https://doi.org/10.11575/PRISM/44971 https://doi.org/10.1155/2004/427686 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
Don D Sin, Heather M Sharpe, Robert L Cowie, SF Paul Man, and on behalf of the Alberta Strategy to Help Manage Asthma (ASTHMA) Executive Committee, “Spirometric Findings among School-Aged First Nations Children on a Reserve: A Pilot Study,” Canadian Respiratory Journal, vol. 11, no. 1, pp. 45-48, 2004. doi:10.1155/2004/427686 http://hdl.handle.net/1880/108583 https://doi.org/10.11575/PRISM/44971 https://doi.org/10.1155/2004/427686 |
op_rights |
Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
op_doi |
https://doi.org/10.11575/PRISM/4497110.1155/2004/427686 |
container_title |
Canadian Respiratory Journal |
container_volume |
11 |
container_issue |
1 |
container_start_page |
45 |
op_container_end_page |
48 |
_version_ |
1810443880539095040 |