Influence of prematurity and low birth weight on lung function at school age: a literature review

Authors

  • Aline Dill Winck Pontifícia Universidade Católica do Rio Grande do Sul, Universidade de Caxias do Sul, Centro Universitário Metodista
  • João Paulo Heinzmann-Filho Pontifícia Universidade Católica do Rio Grande do Sul
  • Suelen Goecks Oliveira Pontifícia Universidade Católica do Rio Grande do Sul
  • Renato Tetelbom Stein Pontifícia Universidade Católica do Rio Grande do Sul, Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1983-652X.2015.2.19757

Keywords:

premature, birth weight, respiratory function tests, pediatrics.

Abstract

Objective: To evaluate through a literature review, the influence of prematurity and low birth weight on lung function at school age. 
Materials and Methods: This is an integrative review study. We used the databases Lilacs, Pubmed, Scopus and Scielo, selected observational studies or clinical trials published in English or Portuguese, which aimed to evaluate pulmonary function (spirometry) at school age of preterm with low birth weight compared to children born on tem with normal weight. The keywords and boolean operators used were: Infant, Extremely Premature AND Respiratory Function Tests Forced Expiratory Volume in OR 1 OR second FVC Forced Vital Capacity OR OR 25 75 percent, FeF OR Forced expiratory flow mid-OR FEV1 Forced Expiratory volume AND OR Very low birth weight. 
Results: From a total of 1032 articles found, 15 were selected for final inclusion in this study. Most studies (33.3%) were performed in Australia, and none was found in the Brazilian population. The sample size of the studies ranged from 27 to 2150 individuals for each group studied. The gestational age and the low birth weight in the premature group were classified as less than 37 weeks and 53.3% rated newborns as very low weight. The age of the scholars during the evaluation of lung function ranged from 5 to 14 years, with the majority (80.0%) presenting reduced lung function in the premature with low weight children, while 3 (20%) of the publications indicated normal spirometric values.
Conclusion: The results show that prematurity and low birth weight appears to adversely impact lung function of children at school age.

Author Biographies

Aline Dill Winck, Pontifícia Universidade Católica do Rio Grande do Sul, Universidade de Caxias do Sul, Centro Universitário Metodista

Fisioterapeuta, Doutora em Pediatria e Saúde da Criança, Professora do Curso de Fisioterapia da Universidade de Caxias do Sul

João Paulo Heinzmann-Filho, Pontifícia Universidade Católica do Rio Grande do Sul

Fisioterapeuta, Doutor em Pediatria e Saúde da Criança, Pesquisador do Programa de Pós-Graduação em Pediatria e Saúde da Criança

Suelen Goecks Oliveira, Pontifícia Universidade Católica do Rio Grande do Sul

Enfermeira, Mestranda em Pediatria e Saúde da Criança

Renato Tetelbom Stein, Pontifícia Universidade Católica do Rio Grande do Sul, Universidade Federal do Rio Grande do Sul

Médico, Pneumologista Pediátrico, Doutor em Ciências Pneumológicas (UFRGS), Professor e Coordenador do Programa de Pós-Graduação em Pediatria e Saúde da Criança da PUCRS

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Published

2015-09-17

Issue

Vol. 8 No. 2 (2015)

Section

Review Articles

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