Not Logged In     Login  
 Release 21.0, Jan 2008
 
Chapter : ch8. Pulmonary & Acid-Base Section : Spirometry
  Equations for Predicting FEV1 in Pediatric Patients

  Excel Sheet Reference
Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

The Forced Expiratory Volume in 1 second (FEV1) can be predicted in pediatric patients based on height and other physical characteristics.

 

NOTE: Quanjer et al provides many additional equations for FEV1.

 

Linear Equations Based on Height

 

FEV1 in liters for males 5-18 years old and 42-59 inches tall (Dickman) =

= (0.085 * (height in inches)) - 2.855

 

FEV1 in liters for males 5-18 years old and 60-78 inches tall (Dickman) =

= (0.121 * (age in years)) + (0.143 * (height in inches)) - 7.864

 

FEV1 in liters for females 5-18 years old and 42-59 inches tall (Dickman) =

= (0.074 * (height in inches)) - 2.482

 

FEV1 in liters for females 5-18 years old and 60-78 inches tall (Dickman) =

= (0.085 * (age in years)) + (0.10 * (height in inches)) - 4.939

 

FEV1 in liters for 4 to 18 years (Weng and Levinson) =

= (0.040 * (height in cm)) - 3.99

 

FEV1 in liters for boys 5 to 18 years (Godfrey) =

= (0.051 * (height in cm)) - 4.77

 

FEV1 in liters for girls 5 to 18 years (Godfrey) =

= (0.041 * (height in cm)) - 3.35

 

FEV1 in liters for boys 4-19 years < 162.6 cm (Rosenthal) =

= (0.034 * (height in cm)) - 2.780

 

FEV1 in liters for boys 4-19 years >= 162.6 cm (Rosenthal) =

= (0.052 * (height in cm)) - 5.108

 

FEV1 in liters for girls 4-19 years < 152.6 cm (Rosenthal) =

= (0.033 * (height in cm)) -2.734

 

FEV1 in liters  for girls 4-19 years >= 152.6 cm (Rosenthal) =

= (0.041 * (height in cm)) - 3.680

 

Exponent of Height

 

FEV1 in liters for 7 to 19 year olds (Hsu et al) =

= A * 10^(-3) * ((height in cm)^B)

 

Boys 7 - 19 years

A

B

black

1.03

2.92

hispanic

1.73

2.85

white

0.774

3.00

 

 

Girls 7 - 19 years

A

B

black

1.14

2.89

hispanic

1.61

2.85

white

3.79

2.68

 

FEV1 in liters (Polgar and Promadhat) =

= (0.0000021 * ((height in cm)^2.8))

 

FEV1 in liters for 5 to 25 years of age (Lebowitz et al) =

= 6.844 + (0.040 * (age in years)) - (0.281 * (height in inches)) + (0.003 * ((height in inches)^2))

 

Natural Logarithm

 

FVC in liters (Wang et al) =

= EXP((B * (LN(height in meters))) + A)

 

Boys - Age in Years

A

B

6

-0.109

2.252

7

-0.104

2.270

8

-0.089

2.257

9

-0.063

2.197

10

-0.057

2.212

11

-0.093

2.324

12

-0.161

2.512

13

-0.292

2.843

14

-0.329

2.983

15

-0.141

2.709

16

0.062

2.409

17

0.262

2.099

18

0.251

2.129

 

 

Girls - Age in Years

A

B

6

-0.109

1.949

7

-0.144

2.243

8

-0.137

2.239

9

-0.123

2.222

10

-0.161

2.364

11

-0.223

2.558

12

-0.264

2.709

13

-0.153

2.535

14

0.046

2.178

15

0.148

2.008

16

0.181

1.972

17

0.176

1.992

18

0.152

2.031

 

 

  References:

Cotes JE. Lung Function. Assessment and Application in Medicine. Fifth Edition. Blackwell Scientific Publications. 1993. pages 460 and 465.

Dickman ML, Schmidt CD, Gardner RM. Spirometric standards for normal children and adolescents (ages 5 years thorugh 18 years). Am Rev Resp Dis. 1971; 104: 680-687. (Table 3, page 684).

Godfrey S, Kamburoff PL, et al. Spirometry. Lung volumes and airway resistance in normal children aged 5 to 18 years. Br J Dis Chest. 1970; 64: 15-24.

Hsu KHK, Jenkins DE, et al. Ventilatory functions of normal children and young adults - Mexican-American, white and black. I. Spirometry. Journal of Pediatrics. 1979; 95: 14-23.

Lebowitz MD, Holberg CJ, et al. Longitudinal study of pulmonary function development in childhood, adolescence, and early adulthood. Am Rev Respir Dis. 1987; 136: 69-75.

Polgar G, Promadhat V. Pulmonary function testing in children. WB Saunders. 1971. page 211.

Quanjer PH, Stocks J, et al. Compilation of reference values for lung function measurements in children. Eur Respir J. 1989; 2 (Supplement 4): 184s - 261s.

Rosenthal M, Cramer D, et al. Lung function in white children aged 4 to 19 years. II. Single breath analysis and plethysmography. Thorax. 1993; 48: 803-808.

Wang X, Dockery DW, et al. Pulmonary function between 6 and 18 years of age. Pediatric Pulmonology. 1993; 15: 75-88.

Wanger J. Pulmonary Function Testing. A Practical Approach. Second Edition.  Williams & Wilkins. 1996. Table A6.2, page 284.

Weng TR, Levison H. Standards of pulmonary function in children. Am Review Resp Disease. 1969; 99: 879-894.

 

 

   Excel Sheet | Reference TOP
     Pubmed Search For
Copy and paste the article title, or authors names into the search box