[The value of peak expiratory flow after exertion].
We have measured peak expiratory flow after a 15-20 minutes run in cold weather in 777 pupils of the sixth year of Val-de Marne. The aim of this measurement was to validate the peak expiratory flow as a means of detecting the early state of respiratory anomalies. A questionnaire was distributed to 920 families before the endurance test. A fall of peak expiratory flow greater than 15% was seen in 77 pupils (9.9%). Twelve of 35 asthmatic pupils who participated in the run lowered their peak expiratory flow compared to 65 out of 742 who were not known as asthmatic (chi 2 = 24; p < 0.001). Complementary respiratory function tests could not be obtained in a systematic fashion so the significance of this lowering remains difficult to interpret. In our study, the level of scholastic delay in asthmatics was close to that of the non asthmatics. The role of the service for the promotion of health for the benefit of pupils (SPSEFE) concentrates as much on the early stages as on the follow up and education of young asthmatics at school in partnership with the families and the treating physician. Writing out a welcoming individualised protocol enable young asthmatics the best possible integration into school.
Charton
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Service de Promotion de la Santé en faveur des Elèves, Inspection Académique du Val-de Marne, Créteil.
Droulers
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I
Girault
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E
Kopcsan
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M
Laurent
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C
D001249:Asthma / Q000235:genetics / Q000503:physiopathology / Q000517:prevention & control; D016009:Chi-Square Distribution; D002648:Child; D002985:Clinical Protocols; D015331:Cohort Studies; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion; D006801:Humans; D008297:Male; D010353:Patient Education as Topic; D010366:Peak Expiratory Flow Rate / Q000502:physiology*; D010807:Physical Endurance; D005082:Physical Exertion / Q000502:physiology*; D015203:Reproducibility of Results; D012120:Respiration Disorders / Q000175:diagnosis / Q000235:genetics / Q000517:prevention & control; D012420:Running / Q000502:physiology; D011795:Surveys and Questionnaires