Comparative analysis of maximal respiratory pressures with the reference values of a healthy Spanish pediatric population

M. Barral-Fernández; M. A. Jácome Pumar; S. Souto-Camba; L. González-Doniz; M. A. Ramón Belmonte; M. Amor-Barbosa; A. Arbillaga-Etxarri; G. Mazzucco; P. Bravo Cortés; T. del Corral; R. Martín-Valero; C. Llorca Cerdà; F. Murcia Lillo; J. A. Sánchez-Santos; M. Francín-Gallego; C. Martín Cortijo; E. García Delgado; C. Serrano Veguillas; A. B. Varas de la Fuente; P. San José Herranz; C. González Montañez; G. A. Fregonezi; R. Torres-Castro; M. Pardàs Peraferrer; J. Vilaró Casamitjana; Fernandez-Cadenas; A. T. Ríos-Cortes; M. J. Moreno Valera; E. Gimeno-Santos; A. Lista-Paz

doi:10.1016/j.ft.2025.03.002

Comparative analysis of maximal respiratory pressures with the reference values of a healthy Spanish pediatric population

M. Barral-Fernández
, M. A. Jácome Pumar
, S. Souto-Camba
, L. González-Doniz
, M. A. Ramón Belmonte
, M. Amor-Barbosa
, A. Arbillaga-Etxarri
, G. Mazzucco
, P. Bravo Cortés
, T. del Corral
, R. Martín-Valero
, C. Llorca Cerdà
, F. Murcia Lillo
, J. A. Sánchez-Santos
, M. Francín-Gallego
, C. Martín Cortijo
, E. García Delgado
, C. Serrano Veguillas
, A. B. Varas de la Fuente
, P. San José Herranz

C. González Montañez, G. A. Fregonezi, R. Torres-Castro, M. Pardàs Peraferrer, J. Vilaró Casamitjana, Fernandez-Cadenas, A. T. Ríos-Cortes, M. J. Moreno Valera, E. Gimeno-Santos, A. Lista-Paz^*

^*Corresponding author for this work

Research output: Indexed journal article › Article › peer-review

1 Citation (Scopus)

Abstract

Background and aim: Maximal inspiratory and expiratory pressures (PImax/PEmax) are the most common test in clinical practice to assess respiratory muscle strength in different populations, even pediatrics. The main aim was to analyse to what extent the existing predictive equations for the maximal inspiratory and expiratory pressures in the Spanish pediatric population are reliable. Material and methods: Cross-sectional study in 9 autonomous communities that includes 164 healthy boys and girls aged 8-17 years. PImax/PEmax were performed using a digital manometer according to the standards of Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). The results were compared with predictive equations proposed by Domènech-Clar et al. in 2003. Results: The sample consisted of 86 girls (11.5 ± 2.7 years; PImax: 93.8 ± 25 cmH₂O; PEmax: 115.1 ± 29 cmH₂O) and 78 boys (12.2 ± 2.8 years; PIM: 109 ± 29.2 cmH₂O; PEM: 132.7 ± 33.3 cmH₂O). Girls showed a significant difference between the observed and predictive values: 13.7 ± 26.4 cmH₂O (P < .001) for PImax and 14.9 ± 30.1 cmH₂O (P < .001) for PEmax. A significant difference was also observed for boys between observed and estimated PImax: 9.1 ± 28.5 cmH₂O (P = .006), without significant differences for PEmax. Conclusions: The predicted values from the available predictive equations for PImax and PEmax in the Spanish pediatric population differ significantly from the obtained values. The results of this study highlight the need of new reference equations in order to get representative values for Spanish children.

Translated title of the contribution	Análisis comparativo de los valores de las presiones respiratorias máximas con los valores de referencia en una población pediátrica española sana
Original language	English
Pages (from-to)	184-193
Number of pages	10
Journal	Fisioterapia
Volume	47
Issue number	4
DOIs	https://doi.org/10.1016/j.ft.2025.03.002
Publication status	Published - 1 Jul 2025

Keywords

Maximal respiratory pressures
Pediatrics
Reference values
Respiratory muscles

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10.1016/j.ft.2025.03.002

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Barral-Fernández, M., Jácome Pumar, M. A., Souto-Camba, S., González-Doniz, L., Ramón Belmonte, M. A., Amor-Barbosa, M., Arbillaga-Etxarri, A., Mazzucco, G., Bravo Cortés, P., del Corral, T., Martín-Valero, R., Llorca Cerdà, C., Murcia Lillo, F., Sánchez-Santos, J. A., Francín-Gallego, M., Martín Cortijo, C., García Delgado, E., Serrano Veguillas, C., Varas de la Fuente, A. B., ... Lista-Paz, A. (2025). Comparative analysis of maximal respiratory pressures with the reference values of a healthy Spanish pediatric population. Fisioterapia, 47(4), 184-193. https://doi.org/10.1016/j.ft.2025.03.002

@article{9bf358fd95b740fba1a3cc50b2c12c44,

title = "Comparative analysis of maximal respiratory pressures with the reference values of a healthy Spanish pediatric population",

abstract = "Background and aim: Maximal inspiratory and expiratory pressures (PImax/PEmax) are the most common test in clinical practice to assess respiratory muscle strength in different populations, even pediatrics. The main aim was to analyse to what extent the existing predictive equations for the maximal inspiratory and expiratory pressures in the Spanish pediatric population are reliable. Material and methods: Cross-sectional study in 9 autonomous communities that includes 164 healthy boys and girls aged 8-17 years. PImax/PEmax were performed using a digital manometer according to the standards of Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). The results were compared with predictive equations proposed by Dom{\`e}nech-Clar et al. in 2003. Results: The sample consisted of 86 girls (11.5 ± 2.7 years; PImax: 93.8 ± 25 cmH2O; PEmax: 115.1 ± 29 cmH2O) and 78 boys (12.2 ± 2.8 years; PIM: 109 ± 29.2 cmH2O; PEM: 132.7 ± 33.3 cmH2O). Girls showed a significant difference between the observed and predictive values: 13.7 ± 26.4 cmH2O (P < .001) for PImax and 14.9 ± 30.1 cmH2O (P < .001) for PEmax. A significant difference was also observed for boys between observed and estimated PImax: 9.1 ± 28.5 cmH2O (P = .006), without significant differences for PEmax. Conclusions: The predicted values from the available predictive equations for PImax and PEmax in the Spanish pediatric population differ significantly from the obtained values. The results of this study highlight the need of new reference equations in order to get representative values for Spanish children.",

keywords = "Maximal respiratory pressures, Pediatrics, Reference values, Respiratory muscles",

author = "M. Barral-Fern{\'a}ndez and \{J{\'a}come Pumar\}, \{M. A.\} and S. Souto-Camba and L. Gonz{\'a}lez-Doniz and \{Ram{\'o}n Belmonte\}, \{M. A.\} and M. Amor-Barbosa and A. Arbillaga-Etxarri and G. Mazzucco and \{Bravo Cort{\'e}s\}, P. and \{del Corral\}, T. and R. Mart{\'i}n-Valero and \{Llorca Cerd{\`a}\}, C. and \{Murcia Lillo\}, F. and S{\'a}nchez-Santos, \{J. A.\} and M. Franc{\'i}n-Gallego and \{Mart{\'i}n Cortijo\}, C. and \{Garc{\'i}a Delgado\}, E. and \{Serrano Veguillas\}, C. and \{Varas de la Fuente\}, \{A. B.\} and \{San Jos{\'e} Herranz\}, P. and \{Gonz{\'a}lez Monta{\~n}ez\}, C. and Fregonezi, \{G. A.\} and R. Torres-Castro and \{Pard{\`a}s Peraferrer\}, M. and \{Vilar{\'o} Casamitjana\}, J. and Fernandez-Cadenas and R{\'i}os-Cortes, \{A. T.\} and \{Moreno Valera\}, \{M. J.\} and E. Gimeno-Santos and A. Lista-Paz",

note = "Publisher Copyright: {\textcopyright} 2025 Asociaci{\'o}n Espa{\~n}ola de Fisioterapeutas",

year = "2025",

month = jul,

day = "1",

doi = "10.1016/j.ft.2025.03.002",

language = "English",

volume = "47",

pages = "184--193",

journal = "Fisioterapia",

issn = "0211-5638",

publisher = "Ediciones Doyma, S.L.",

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Barral-Fernández, M, Jácome Pumar, MA, Souto-Camba, S, González-Doniz, L, Ramón Belmonte, MA, Amor-Barbosa, M, Arbillaga-Etxarri, A, Mazzucco, G, Bravo Cortés, P, del Corral, T, Martín-Valero, R, Llorca Cerdà, C, Murcia Lillo, F, Sánchez-Santos, JA, Francín-Gallego, M, Martín Cortijo, C, García Delgado, E, Serrano Veguillas, C, Varas de la Fuente, AB, San José Herranz, P, González Montañez, C, Fregonezi, GA, Torres-Castro, R, Pardàs Peraferrer, M, Vilaró Casamitjana, J, Fernandez-Cadenas, Ríos-Cortes, AT, Moreno Valera, MJ, Gimeno-Santos, E & Lista-Paz, A 2025, 'Comparative analysis of maximal respiratory pressures with the reference values of a healthy Spanish pediatric population', Fisioterapia, vol. 47, no. 4, pp. 184-193. https://doi.org/10.1016/j.ft.2025.03.002

TY - JOUR

T1 - Comparative analysis of maximal respiratory pressures with the reference values of a healthy Spanish pediatric population

AU - Barral-Fernández, M.

AU - Jácome Pumar, M. A.

AU - Souto-Camba, S.

AU - González-Doniz, L.

AU - Ramón Belmonte, M. A.

AU - Amor-Barbosa, M.

AU - Arbillaga-Etxarri, A.

AU - Mazzucco, G.

AU - Bravo Cortés, P.

AU - del Corral, T.

AU - Martín-Valero, R.

AU - Llorca Cerdà, C.

AU - Murcia Lillo, F.

AU - Sánchez-Santos, J. A.

AU - Francín-Gallego, M.

AU - Martín Cortijo, C.

AU - García Delgado, E.

AU - Serrano Veguillas, C.

AU - Varas de la Fuente, A. B.

AU - San José Herranz, P.

AU - González Montañez, C.

AU - Fregonezi, G. A.

AU - Torres-Castro, R.

AU - Pardàs Peraferrer, M.

AU - Vilaró Casamitjana, J.

AU - Fernandez-Cadenas,

AU - Ríos-Cortes, A. T.

AU - Moreno Valera, M. J.

AU - Gimeno-Santos, E.

AU - Lista-Paz, A.

PY - 2025/7/1

Y1 - 2025/7/1

N2 - Background and aim: Maximal inspiratory and expiratory pressures (PImax/PEmax) are the most common test in clinical practice to assess respiratory muscle strength in different populations, even pediatrics. The main aim was to analyse to what extent the existing predictive equations for the maximal inspiratory and expiratory pressures in the Spanish pediatric population are reliable. Material and methods: Cross-sectional study in 9 autonomous communities that includes 164 healthy boys and girls aged 8-17 years. PImax/PEmax were performed using a digital manometer according to the standards of Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). The results were compared with predictive equations proposed by Domènech-Clar et al. in 2003. Results: The sample consisted of 86 girls (11.5 ± 2.7 years; PImax: 93.8 ± 25 cmH2O; PEmax: 115.1 ± 29 cmH2O) and 78 boys (12.2 ± 2.8 years; PIM: 109 ± 29.2 cmH2O; PEM: 132.7 ± 33.3 cmH2O). Girls showed a significant difference between the observed and predictive values: 13.7 ± 26.4 cmH2O (P < .001) for PImax and 14.9 ± 30.1 cmH2O (P < .001) for PEmax. A significant difference was also observed for boys between observed and estimated PImax: 9.1 ± 28.5 cmH2O (P = .006), without significant differences for PEmax. Conclusions: The predicted values from the available predictive equations for PImax and PEmax in the Spanish pediatric population differ significantly from the obtained values. The results of this study highlight the need of new reference equations in order to get representative values for Spanish children.

AB - Background and aim: Maximal inspiratory and expiratory pressures (PImax/PEmax) are the most common test in clinical practice to assess respiratory muscle strength in different populations, even pediatrics. The main aim was to analyse to what extent the existing predictive equations for the maximal inspiratory and expiratory pressures in the Spanish pediatric population are reliable. Material and methods: Cross-sectional study in 9 autonomous communities that includes 164 healthy boys and girls aged 8-17 years. PImax/PEmax were performed using a digital manometer according to the standards of Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). The results were compared with predictive equations proposed by Domènech-Clar et al. in 2003. Results: The sample consisted of 86 girls (11.5 ± 2.7 years; PImax: 93.8 ± 25 cmH2O; PEmax: 115.1 ± 29 cmH2O) and 78 boys (12.2 ± 2.8 years; PIM: 109 ± 29.2 cmH2O; PEM: 132.7 ± 33.3 cmH2O). Girls showed a significant difference between the observed and predictive values: 13.7 ± 26.4 cmH2O (P < .001) for PImax and 14.9 ± 30.1 cmH2O (P < .001) for PEmax. A significant difference was also observed for boys between observed and estimated PImax: 9.1 ± 28.5 cmH2O (P = .006), without significant differences for PEmax. Conclusions: The predicted values from the available predictive equations for PImax and PEmax in the Spanish pediatric population differ significantly from the obtained values. The results of this study highlight the need of new reference equations in order to get representative values for Spanish children.

KW - Maximal respiratory pressures

KW - Pediatrics

KW - Reference values

KW - Respiratory muscles

UR - https://www.scopus.com/pages/publications/105002894835

U2 - 10.1016/j.ft.2025.03.002

DO - 10.1016/j.ft.2025.03.002

M3 - Article

AN - SCOPUS:105002894835

SN - 0211-5638

VL - 47

SP - 184

EP - 193

JO - Fisioterapia

JF - Fisioterapia

IS - 4

ER -

Comparative analysis of maximal respiratory pressures with the reference values of a healthy Spanish pediatric population

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