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Praxis medica
2016, vol. 45, br. 1, str. 63-67
jezik rada: srpski
vrsta rada: stručni članak
doi:10.5937/pramed1601063V

Creative Commons License 4.0
Uticaj duvanskog dima na vrednosti vršnog ekspirijumskog protoka zdrave dece školskog uzrasta
aPedijatrijaka Klinika, Medicinski Fakultet Priština, sa sedištem u Kosovskoj Mitrovici
bPedijatrijska ordinacija 'Primum Vivere' Kruševac
cUniverzitet u Prištini (Kosovska Mitrovica), Medicinski fakultet

e-adresa: zorica.zivkovic@med.pr

Sažetak

Uvod: Duvanski dim predstavlja jedan od najznačajnijh zagađivača spoljašnje sredine kome su deca izložena, u svojim porodicama. Pasivna izloženost duvanskom dimu, predstavlja rizik po zdravlje dece, jer sadrži iste sastojke kao i duvanski dim koji pušač unosi pri aktivnom pušenju. Cilj rada: Utvrditi da li postoje razlike u vrednostima vršnog ekspirijumskog protoka (PEF) kod zdrave dece, školskog uzrasta, koja žive u pušačkim ili nepušačkim porodicama. Metodi rada: Kod 830 učenika, svih razreda, jedne osnovne škole u Nišu i u Lapljem selu, merenja PEF obavljana su, novim Vitalograf normal-range (EN 13826) meračima, 3-5 puta, u stojećem stavu, u cilju postizanja reproducibilnosti od 30 L/min, za najmanje 3 merenja. Najviše ostvarene vrednosti su statistički obrađene i upoređene. Minimalni nivo značajnosti bio je 0,05. Rezultati: Od 830 ispitanika, 424 (51,08 %) dečaka i 406 (48,92 %) devojčica, prosečne starosti 11,08 ± 2,51 za dečake i 1,03 ± 2,56 za devojčice, njih 599 (72,17 %) je pripadalo pušačkim porodicama, dok je 231 dete (27, 83 %) pripadalo nepušačkim porodicama. Prosečne vrednosti PEF kod dečaka iz pušačkih porodica iznosile su 312,01 L/min ( 95% CI=301,38-322,65 L/min), a kod devojčica 284,64 L/min (95% CI=275,73-293,55 L/min). Vrednosti PEF dece iz nepušačkih porodica iznosile su 313,79 L/min (95% CI=295,63-331,93 L/min), za dečake, i 302,00 L/min (95% CI=287,02-316,98 L/min), za devojčice. Prosečne vrednosti PEF, oba pola, bile su više kod ispitanika koji su pripadali nepušačkim porodicama. Kod devojčica je ta razlika bila statistički značajna (p < 0,05). Kod dečaka iz prodice pušača i dečaka iz porodica nepušača ne postoje statistički značajne razlike po visini, težini i uzrastu, tako da možemo da poredimo njihove apsolutne vrednosti PEF, koje smo dobili merenjem. Kod devojčica, to nije slučaj. Zbog toga smo njihove ostvarene apsolutne vrednosti PEF izrazili kao procenat korigovane Godfrejeve norme. Nakon toga smo uporedili dobijene vrednosti PEF kod devojčica obe grupe i one nisu bile statistički značajne ( p= 0,346 ). Zaključak: Propisanim zakonskim normama može se smanjiti izloženost duvanskom dimu na javnim mestima, ali je važno informisati roditelje o štetnom i dugoročnom uticaju duvanskog dima, na zdravlje njihove dece.

Ključne reči

pasivno pušenje; vrednosti vršnog ekspirijumskog protoka; zdrava deca

Reference

*** (2002) Pocket guide for asthma management and prevention in children: Basedon the workchop report: Global strategy for asthma management and prevention. National Heart Lung, and Blood Institute
American Thoracic Society (1996) Cigarette smoking and health. Am J Respir Crit Care Med, 153(2): 861-5
Bek, K., Tomaç, N., Delibas, A., Tuna, F., Teziç, H.T., Sungur, M. (1999) The effect of passive smoking on pulmonary function during childhood. Postgraduate medical journal, 75(884): 339-41
California Protection Environmental Agency (2005) Proposed identification of environmental tobacco smoke as a toxic contaminant. California
Chatzimicael, A., Tsalkidis, A., Cassimos, D., Gardikis, S., Spathopoulos, D., Tripsianis, G.A., Kambouri, K., Aivazis, V., Vaos, G., Bouros, D. (2008) Effect of passive smoking on lung function and respiratory infection. Indian Journal of Pediatrics, 75(4): 335-340
Constant, C., Sampaio, I., Negreiro, F., Aguiar, P., Silva, A.M., Salgueiro, M., Bandeira, T. (2011) Environmental tobacco smoke (ETS) exposure and respiratory morbidity in school age children. Revista Portuguesa de Pneumologia (English Edition), 17(1): 20-26
Crapo, R.O., Casaburi, R., Coates, A.L., Enright, P.L., Hankinson, J.L., Irvin, C.G., MacIntyre, N.R., McKay, R.T., Wanger, J.S., Anderson, S.D., Cockcroft, D.W., Fish, J.E., Sterk, P.J. (2000) Guidelines for methacholine and exercise challenge testing-1999. This official statement of the American Thoracic Society was adopted by the ATS Board of Directors, July 1999. Am J Respir Crit Care Med, 161(1): 309-29
Crombie, I.K., Wright, A., Irvine, L., Clark, R.A., Slane, P.W. (2001) Does passive smoking increase the frequency of health service contacts in children with asthma?. Thorax, 56(1): 9-12
Dikshit, M.B., Raje, S., Agrawal, M.J. (2005) Lung Functions with spirometry, ndian perspective-I. Peak expiratory flow rates. Indian J Phisiol Pharmacol, 49(1): 8-18
Eisner, M.D. (2002) Environmental Tobacco Smoke Exposure and Pulmonary Function among Adults in NHANES III: Impact on the General Population and Adults with Current Asthma. Environmental Health Perspectives, 110(8): 765-770
Eisner, M.D. (1998) Bartenders' Respiratory Health After Establishment of Smoke-Free Bars and Taverns. JAMA, 280(22): 1909
Fielding, J.E., Phenow, K.J. (1988) Health effects of involuntary smoking. New England journal of medicine, 319(22): 1452-60
Gilliland, F.D., Berhane, K., McConnell, R., Gauderman, W.J., Vora, H., Rappaport, E.B., Avol, E., Peters, J.M. (2000) Maternal smoking during pregnancy, environmental tobacco smoke exposure and childhood lung function. Thorax, 55(4): 271-6
Gilliland, F.D., Li, Y.F., Peters, J.M. (2001) Effects of maternal smoking during pregnancy and environmental tobacco smoke on asthma and wheezing in children. Am J Respir Crit Care Med, 163(2): 429-36
Haby, M.M., Peat, J.K., Woolcock, A.J. (1994) Effect of passive smoking, asthma, and respiratory infection on lung function in Australian children. Pediatric Pulmonology, 18(5): 323-329
Hawamdeh, A. (2003) Effects of passive smoking on children's health: a review. Eastern Maditerranean Health Journal, Vol. 9, No. 3
Hofhuis, W., de Jongste, J.C., Merkus, P.J.F.M. (2003) Adverse health effects of prenatal and postnatal tobacco smoke exposure on children. Arch Dis Child, 88(12): 1086-90
Jurado, D., Muñoz, C., Luna, J.D.D., Fernández-Crehuet, M. (2004) Environmental tobacco smoke exposure in children: parental perception of smokiness at home and other factors associated with urinary cotinine in preschool children. Journal of Exposure Analysis and Environmental Epidemiology, 14(4): 330-336
Moshammer, H., Hoek, G., Luttmann-Gibson, H., Neuberger, M.A., Antova, T., Gehring, U., Hruba, F., Pattenden, S., Rudnai, P., Slachtova, H., Zlotkowska, R., Fletcher, T. (2006) Parental Smoking and Lung Function in Children. American Journal of Respiratory and Critical Care Medicine, 173(11): 1255-1263
Murray, C.S., Woodcock, A., Smillie, F.I., Cain, G., Kissen, P., Custovic, A., nacmaas Study Group (2004) Tobacco smoke exposure, wheeze, and atopy. Pediatr Pulmonol, 37(6): 492-8
Pavić, I., Antić, J.S., Pavić, P., Begović, Č.J., i dr. (2014) The Effects of Parental Smoking on Anthropometric Parametars, Peak Expiratory Flow Rate and Physical Condition in School Children. Coll. Antropol, 38, 1; 189-194
Quanjer, P.H., Lebowitz, M.D., Gregg, I., Miller, M.R., Pedersen, O.F. (1997) Peak expiratory flow: Conclusions and recommendations of a Working Party of the European Respiratory Society. Eur Respir J Suppl, 24 2S-8S
Quinto, K.B., Kit, B.K., Lukacs, S.L., Akinbami, L.J. (2013) Environmental tobacco smoke exposure in children aged 3-19 years with and without asthma in United States, 1999-2010. NCHS data brief, Hyattsville, MD, no 126. National Center for Health Statistics
Radić, S., Živković, Z., Erdeljan, N., Cerović, S., Jocić-Stojanović, J. (2009) Uticaj duvanskog dima sredine na osobine astme kod dece. Srpski arhiv za celokupno lekarstvo, vol. 137, br. 3-4, str. 152-159
Strachan, D.P., Jarvis, M.J., Feyerabend, C. (1989) Passive smoking, salivary cotinine concentrations, and middle ear effusion in 7 year old children. BMJ (Clinical research ed.), 298(6687): 1549-52
Surgeon, U.S. (2006) General Report. The health consequences of involuntary expose to tobacco smoke
World Health Organization (1999) International consultation on environmental tobacco smoke (ETS) and child health: Consultation report. Geneva