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Gabriel Panggabean
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Health Professions Medicine & Pharmacology

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Comparison of peak expiratory flow rate (PEFR) before and after physical exercise in obese and non-obese children Febrina Z. Siregar; Gabriel Panggabean; Ridwan M. Daulay; Helmi M. Lubis
Paediatrica Indonesiana Vol 49 No 1 (2009): January 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.458 KB) | DOI: 10.14238/pi49.1.2009.20-4

Abstract

Background  Obesity  has  been  associated  with  respiratorycomplications  and  it  is  believed to reduce lung volume. Obesityimposes additional stress on  ventilation  during exercise  andmay even result in pulmonary function impairment. Exerciseinduced-bronchospasm has also been found in obese children.Lung function tests  can  be useful to confirm diagnosis, responseto therapy, or prediction of lung and respiratory diseases.  Thepeak  flow  meter  is  an  inexpensive, practical  way  to measure lungfunction, and  can  detect the early warning signs  of  a decrease inlung function.Objective  To  compare the peak expiratory  flow  rate (PEFR) beforeand after physical exercise in obese and non-obese primary schoolboys aged 6 to  12  years old.Methods  A quasi-experimental study using the one group pretest-posttest design was performed  on  30  obese children  (BMI  abovethe  95<h  percentile)  and  30 non-obese children  (BMI  betweenthe  5<h  - 85'h percentile) using a mini-Wright peak  flow  meterto evaluate the PEFR before  and  after eight minutes  of  physicalexercise. Height, weight, body mass index,  and  physical statuswere determined before testing.Results  The  PEFR before  and  after exercise were 14.80 for obesechildren and 9.76 for non-obese children.  The  mean value forPEFR between obese and non-obese children was significantlydifferent  (P<0.05).Conclusion  The  PEFR for obese children  is  significantly lowerthan  non  obese children  even  before physical exercise.
Peak expiratory flow rate of primary school children in high and low air pollution level areas Ismart Edy Hasibuan; M Nur Supriatmo; A Faisal; Gabriel Panggabean; Ridwan M Daulay; Zakaria Siregar; Helmi M Lubis
Paediatrica Indonesiana Vol 43 No 1 (2003): January 2003
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.248 KB) | DOI: 10.14238/pi43.1.2003.10-13

Abstract

Background Chronic inhalation of air pollutants may causebronchoconstriction, bronchiolitis, and edema of airway, thus alterlung volume. To measure the lung volume, a simple lung functiontest, the peak expiratory flow rate (PEFR), can provide a feature oflung volume in liters/minute.Objective The purpose of this study was to measure PEFR val-ues of primary school children in a high air pollution level area(Medan) and compare the results with the PEFR values of those ina low air pollution level area (Tebing Tinggi).Methods A cross sectional study was conducted on primary schoolchildren (10-12 years of age) during May-July 2000 in Medan andTebing Tinggi. Data were obtained by questionnaires. Physical ex-amination included age, sex, height, weight, and PEFR value. PEFRvalues were measured by Mini Wright peak expiratory flow meter(MPFM) from three blows. The highest volume was taken as thePEFR value. Statistical analysis was done by t-test and p<0.05was considered significant.Results There were 212 primary school children eligible for thisstudy; 107 came from the high air pollution level area and 105from the low air pollution level area. The PEFR values did not dif-fer significantly between the two groups (p>0.05)Conclusion PEFR values in a high air population level area werenot statistically different compared with those in low air pollutionlevel area
Comparison of clinical aspects and Mantoux test in tuberculosis versus non-tuberculosis superficial lymphadenitis Siti Nilawardhani; Helmi Lubis; Ridwan M Daulay; Gabriel Panggabean; Siti Mirhalina Hasibuan
Paediatrica Indonesiana Vol 44 No 2 (2004): March 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (372.495 KB) | DOI: 10.14238/pi44.2.2004.55-60

Abstract

Objective To investigate the clinical aspects and result of Man-toux test in superficial lymphadenitis caused by Mycobacteriumtuberculosis (MTB) compared to that caused by non-MTB organ-isms.Methods This was a cross sectional study conducted on 86 pa-tients aged between 3 months and 14 year-old with enlargementof the superficial lymph nodes, 43 with tuberculosis superficial lym-phadenitis (TSL) and 43 with non-tuberculosis superficial lymphad-enitis (NTSL). The diagnoses of TSL and NTSL were confirmed byhistopathological examination. Clinical symptoms and Mantoux testwere examined in this study.Results In the TSL group, most children (70%) were in the age of>5-14 year-old, while in the NTSL, most (46%) were 1-5 years old.The most frequent chief complaint in the TSL group was fever(37%), while in the NTSL group, cough (49%) (p=0.004). Failure tothrive and loss of appetite were more frequently found in the TSL(70% and 35%) compared to the NTSL group (0 and 3%) (p=0.004).Most enlarged nodes in TSL were multiple (67%), while in NTSL,solitary (72%) (p<0.001). There were no differences in the locationand distribution of enlarged nodes between the two groups. Thirty-one (72%) children in the TSL group had positive Mantoux test,while in the NTSL group were only 2(5%) (p<0.001).Conclusions Most children with TSL had fever as the chief com-plaint while those with NTSL had cough. Children with TSL hadfailure to thrive, loss of appetite, multiple nodes, and positive Man-toux test more frequently compared to NTSL ones
Co-Authors A Faisal Febrina Z. Siregar Helmi Lubis Helmi M Lubis Helmi M. Lubis Ismart Edy Hasibuan M Nur Supriatmo Ridwan M Daulay Ridwan M. Daulay Siti Mirhalina Hasibuan Siti Nilawardhani Zakaria Siregar